H. R. 2544 
One Hundred Eighteenth Congress 
of the 
United States of America 
AT THE FIRST SESSION 
Begun and held at the City of Washington on Tuesday, 
the third day of January, two thousand and twenty-three 
An Act 
To improve the Organ Procurement and Transplantation Network, and for other 
purposes. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Securing the U.S. Organ Procure-
ment and Transplantation Network Act’’. 
SEC. 2. ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK. 
Section 372 of the Public Health Service Act (42 U.S.C. 274) 
is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘The Secretary shall by contract’’ and 
inserting ‘‘IN GENERAL—The Secretary shall’’; 
(B) by striking ‘‘establishment and’’ and inserting 
‘‘continued’’; and 
(C) by striking the second and third sentences and 
inserting ‘‘The Secretary may award grants, contracts, or 
cooperative agreements, as the Secretary determines appro-
priate, for purposes of carrying out this section.’’; and 
(2) in subsection (b), by striking ‘‘(b)(1) The Organ Procure-
ment’’ and all that follows through the end of subparagraph 
(A) of paragraph (1) and inserting the following: 
‘‘(b) COMPOSITION.— 
‘‘(1) IN GENERAL.—The Organ Procurement and Transplan-
tation Network shall— 
‘‘(A) be operated through awards to public or private 
entities made by the Secretary that are distinct from the 
awards made to support the organization tasked with sup-
porting the board of directors described in subparagraph 
(B); and’’. 
SEC. 3. TECHNICAL AMENDMENTS. 
Title III of the Public Health Service Act is amended— 
(1) 
in 
section 
371(b)(1)(H)(i)(III) 
(42 
U.S.C. 
273(b)(1)(H)(i)(III)), 
by 
striking 
‘‘histocompatability’’ 
and 
inserting ‘‘histocompatibility’’; 
(2) in section 374(c)(2) (42 U.S.C. 274b(c)(2)), by striking 
‘‘section 371 or 373’’ each place it appears and inserting ‘‘section 
371, 372, or 373’’; 
(3) in section 375 (42 U.S.C. 274c)— 
(A) by striking the comma at the end of each of para-
graphs (1) and (2) and inserting a semicolon;
H. R. 2544—2 
(B) in paragraph (3), by striking ‘‘transplants, and’’ 
and inserting ‘‘transplants; and’’; and 
(C) in paragraph (4), by redesignating clauses (i) and 
(ii) as subparagraphs (A) and (B), respectively; and 
(4) in section 376 (42 U.S.C. 274d)— 
(A) by striking ‘‘February 10 of 1991 and of each second 
year thereafter’’ and inserting ‘‘2 years after the date of 
enactment of the Securing the U.S. Organ Procurement 
and Transplantation Network Act and every second year 
thereafter’’; and 
(B) by striking ‘‘Committee on Labor and Human 
Resources of the Senate.’’ and inserting ‘‘Committee on 
Health, Education, Labor, and Pensions of the Senate,’’. 
SEC. 4. GAO REVIEW. 
Not later than 2 years after the date of enactment of this 
Act, the Comptroller General of the United States shall— 
(1) to the extent data are available, conduct a review of 
the historical financing of the Organ Procurement and 
Transplantation Network described in section 372 of the Public 
Health Service Act (42 U.S.C. 274), including the utilization 
of registration fees among entities that have previously been 
awarded contracts under such section 372; and 
(2) submit to the Committee on Health, Education, Labor, 
and Pensions and the Committee on Finance of the Senate 
and the Committee on Energy and Commerce of the House 
of Representatives a report on the review under paragraph 
(1), including related recommendations, as applicable. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.