I 
118TH CONGRESS 
1ST SESSION H. R. 1154 
To combat forced organ harvesting and trafficking in persons for purposes 
of the removal of organs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 24, 2023 
Mr. SMITH of New Jersey (for himself, Mr. MCCAUL, and Mr. KEATING) in-
troduced the following bill; which was referred to the Committee on For-
eign Affairs, and in addition to the Committee on the Judiciary, for a 
period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To combat forced organ harvesting and trafficking in persons 
for purposes of the removal of organs, and for other 
purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Stop Forced Organ 
Harvesting Act of 2023’’. 
SEC. 2. STATEMENT OF POLICY. 
It shall be the policy of the United States— 
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(1) to combat international trafficking in per-
sons for purposes of the removal of organs; 
(2) to promote the establishment of voluntary 
organ donation systems with effective enforcement 
mechanisms in bilateral diplomatic meetings and in 
international health forums; 
(3) to promote the dignity and security of 
human life in accordance with the Universal Dec-
laration of Human Rights, adopted on December 10, 
1948; and 
(4) to hold accountable persons implicated, in-
cluding members of the Chinese Communist Party, 
in forced organ harvesting and trafficking in persons 
for purposes of the removal of organs. 
SEC. 3. DEFINITIONS. 
In this Act: 
(1) 
APPROPRIATE
COMMITTEES
OF
CON-
GRESS.—The term ‘‘appropriate committees of Con-
gress’’ means— 
(A) the Committee on Foreign Relations 
and the Committee on the Judiciary of the Sen-
ate; and 
(B) the Committee on Foreign Affairs and 
the Committee on the Judiciary of the House of 
Representatives. 
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(2) FORCED
ORGAN
HARVESTING.—The term 
‘‘forced organ harvesting’’ means the removal of one 
or more organs from a person by means of coercion, 
abduction, deception, fraud, or abuse of power or a 
position of vulnerability. 
(3) ORGAN.—The term ‘‘organ’’ has the mean-
ing given the term ‘‘human organ’’ in section 
301(c)(1) of the National Organ Transplant Act (42 
U.S.C. 274e(c)(1)). 
(4) TRAFFICKING IN PERSONS FOR PURPOSES 
OF
THE
REMOVAL
OF
ORGANS.—The term ‘‘traf-
ficking in persons for purposes of the removal of or-
gans’’ means the recruitment, transportation, trans-
fer, harboring, or receipt of a person for the purpose 
of removing one or more of such person’s organs, by 
means of— 
(A) coercion; 
(B) abduction; 
(C) deception; 
(D) fraud; 
(E) abuse of power or a position of vulner-
ability; or 
(F) transfer of payments or benefits to 
achieve the consent of a person having control 
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over a person described in the matter preceding 
subparagraph (A). 
SEC. 4. AUTHORITY TO DENY OR REVOKE PASSPORTS. 
(a) IN GENERAL.—The Secretary of State may 
refuse to issue a passport to any individual who has been 
convicted of an offense under section 301 of the National 
Organ Transplant Act (42 U.S.C. 274e) and is subject 
to imprisonment or parole or other supervised release as 
the result of such conviction if such individual, in the com-
mission of such an offense, used a passport or crossed an 
international border. 
(b) REVOCATION.—The Secretary of State may re-
voke a passport previously issued to any individual de-
scribed in subsection (a). 
SEC. 5. REPORTS ON FORCED ORGAN HARVESTING AND 
TRAFFICKING IN PERSONS FOR PURPOSES 
OF THE REMOVAL OF ORGANS IN FOREIGN 
COUNTRIES. 
The Foreign Assistance Act of 1961 (22 U.S.C. 2151 
et seq.) is amended— 
(1) in section 116 (22 U.S.C. 2151n), by add-
ing at the end the following: 
‘‘(h) FORCED
ORGAN
HARVESTING
AND
TRAF-
FICKING IN PERSONS FOR PURPOSES OF THE REMOVAL 
OF ORGANS.— 
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‘‘(1) IN
GENERAL.—The report required by 
subsection (d) shall include an assessment of forced 
organ harvesting and trafficking in persons for pur-
poses of the removal of organs in each foreign coun-
try. 
‘‘(2) DEFINITIONS.—In this subsection: 
‘‘(A) FORCED ORGAN HARVESTING.—The 
term ‘forced organ harvesting’ means the re-
moval of one or more organs from a person by 
means of coercion, abduction, deception, fraud, 
or abuse of power or a position of vulnerability. 
‘‘(B) ORGAN.—The term ‘organ’ has the 
meaning given the term ‘human organ’ in sec-
tion 301(c)(1) of the National Organ Trans-
plant Act (42 U.S.C. 274e(c)(1)). 
‘‘(C) TRAFFICKING IN PERSONS FOR PUR-
POSES
OF
THE
REMOVAL
OF
ORGANS.—The 
term ‘trafficking in persons for purposes of the 
removal of organs’ means the recruitment, 
transportation, transfer, harboring, or receipt of 
a person for the purpose of removing one or 
more of such person’s organs, by means of— 
‘‘(i) coercion; 
‘‘(ii) abduction; 
‘‘(iii) deception; 
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‘‘(iv) fraud; 
‘‘(v) abuse of power or a position of 
vulnerability; or 
‘‘(vi) transfer of payments or benefits 
to achieve the consent of a person having 
control over a person described in the mat-
ter preceding clause (i).’’; and 
(2) in section 502B (22 U.S.C. 2304)— 
(A) by redesignating the second subsection 
(i) (relating to child marriage status) as sub-
section (j); and 
(B) by adding at the end the following: 
‘‘(k) FORCED
ORGAN
HARVESTING
AND
TRAF-
FICKING IN PERSONS FOR PURPOSES OF THE REMOVAL 
OF ORGANS.— 
‘‘(1) IN
GENERAL.—The report required by 
subsection (b) shall include an assessment of forced 
organ harvesting and trafficking in persons for pur-
poses of the removal of organs in each foreign coun-
try. 
‘‘(2) DEFINITIONS.—In this subsection, the 
terms ‘forced organ harvesting’, ‘organ’, and ‘traf-
ficking in persons for purposes of the removal of or-
gans’ have the meanings given those terms in section 
116(h)(2).’’. 
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SEC. 6. IMPOSITION OF SANCTIONS WITH RESPECT TO 
FORCED 
ORGAN 
HARVESTING 
OR 
TRAF-
FICKING IN PERSONS FOR PURPOSES OF THE 
REMOVAL OF ORGANS. 
(a) LIST REQUIRED.—Not later than 180 days after 
the date of the enactment of this Act, the President shall 
submit to the appropriate committees of Congress a list 
of each person that the President determines funds, spon-
sors, or otherwise facilitates forced organ harvesting or 
trafficking in persons for purposes of the removal of or-
gans. 
(b) IMPOSITION OF SANCTIONS.—The President shall 
impose the following sanctions with respect to a person 
on the list required by subsection (a): 
(1) PROPERTY BLOCKING.—The President shall 
exercise all of the powers granted by the Inter-
national Emergency Economic Powers Act (50 
U.S.C. 1701 et seq.) (except that the requirements 
of section 202 of such Act (50 U.S.C. 1701) shall 
not apply) to the extent necessary to block and pro-
hibit all transactions in all property and interests in 
property of the person if such property and interests 
in property are in the United States, come within 
the United States, or are or come within the posses-
sion or control of a United States person. 
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(2) ALIENS INADMISSIBLE FOR VISAS, ADMIS-
SION, OR PAROLE.— 
(A) VISAS, ADMISSION, OR
PAROLE.—In 
the case of an individual, that individual is— 
(i) inadmissible to the United States; 
(ii) ineligible to receive a visa or other 
documentation to enter the United States; 
and 
(iii) otherwise ineligible to be admitted 
or paroled into the United States or to re-
ceive any other benefit under the Immigra-
tion and Nationality Act (8 U.S.C. 1101 et 
seq.). 
(B) CURRENT VISAS REVOKED.— 
(i) IN GENERAL.—The visa or other 
entry documentation of the individual shall 
be revoked, regardless of when such visa or 
other entry documentation is or was 
issued. 
(ii) IMMEDIATE
EFFECT.—A revoca-
tion under clause (i) shall— 
(I) take effect immediately; and 
(II) automatically cancel any 
other valid visa or entry documenta-
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tion that is in the individual’s posses-
sion. 
(c) EXCEPTIONS.— 
(1) EXCEPTION RELATING TO IMPORTATION OF 
GOODS.— 
(A) IN GENERAL.—The authorities and re-
quirements to impose sanctions under sub-
section (b)(1) shall not include the authority or 
a requirement to impose sanctions on the im-
portation of goods. 
(B) GOOD DEFINED.—In this paragraph, 
the term ‘‘good’’ means any article, natural or 
manmade substance, material, supply or manu-
factured product, including inspection and test 
equipment, and excluding technical data. 
(2) EXCEPTION
TO
COMPLY
WITH
INTER-
NATIONAL
OBLIGATIONS.—Subsection (b)(2) shall 
not apply to the admission of an individual if the ad-
mission of the individual is necessary to comply with 
United States obligations under the Agreement be-
tween the United Nations and the United States of 
America regarding the Headquarters of the United 
Nations, signed at Lake Success June 26, 1947, and 
entered into force November 21, 1947, under the 
Convention on Consular Relations, done at Vienna 
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April 24, 1963, and entered into force March 19, 
1967, or under other applicable international agree-
ments or treaties. 
(3) EXCEPTION RELATING TO THE PROVISION 
OF
HUMANITARIAN
ASSISTANCE.—Sanctions under 
this section may not be imposed with respect to 
transactions or the facilitation of transactions for— 
(A) the sale of agricultural commodities, 
food, or medicine; 
(B) the provision of vital humanitarian as-
sistance; 
(C) financial transactions relating to vital 
humanitarian assistance or for vital humani-
tarian purposes; or 
(D) transporting goods or services that are 
necessary to carry out operations relating to 
vital humanitarian assistance. 
(4) WAIVER.—The President may, on a case- 
by-case basis and for periods not to exceed 180 days 
each, waive the application of sanctions or restric-
tions imposed with respect to a person under this 
section if the President certifies to the appropriate 
committees of Congress not later than 15 days be-
fore such waiver is to take effect that the waiver is 
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vital to the national security interests of the United 
States. 
(d) IMPLEMENTATION; PENALTIES.— 
(1) IMPLEMENTATION.—The President may ex-
ercise all authorities provided under sections 203 
and 205 of the International Emergency Economic 
Powers Act (50 U.S.C. 1702 and 1704) to carry out 
this section. 
(2) PENALTIES.—A person that violates, at-
tempts to violate, conspires to violate, or causes a 
violation of this section or any regulation, license, or 
order issued to carry out this section shall be subject 
to the penalties set forth in subsections (b) and (c) 
of section 206 of the International Emergency Eco-
nomic Powers Act (50 U.S.C. 1705) to the same ex-
tent as a person that commits an unlawful act de-
scribed in subsection (a) of that section. 
(e) DEFINITIONS.—In this section— 
(1) the term ‘‘person’’— 
(A) means an individual or entity; and 
(B) includes a non-state actor (as such 
term is defined in Public Law 114–281); and 
(2) the term ‘‘United States person’’ means— 
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(A) a United States citizen or an alien law-
fully admitted for permanent residence to the 
United States; or 
(B) an entity organized under the laws of 
the United States or any jurisdiction within the 
United States, including a foreign branch of 
such an entity. 
Æ 
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