SEC. 4. PROHIBITION OF DISCRIMINATION. 
(a) IN GENERAL.—Subject to subsection (b), a cov-
ered entity may not, solely on the basis of a qualified indi-
vidual’s disability— 
(1) determine that the individual is ineligible to 
receive an organ transplant or related services; 
(2) deny the individual an organ transplant or 
related services; 
(3) refuse to refer the individual to an organ 
transplant center or other related specialist for the 
purpose of receipt of an organ transplant or other 
related services; or 
(4) refuse to place the individual on an organ 
transplant waiting list. 
(b) EXCEPTION.— 
(1) IN GENERAL.— 
(A) MEDICALLY
SIGNIFICANT
DISABIL-
ITIES.—Notwithstanding subsection (a), a cov-
ered entity may take a qualified individual’s 
disability into account when making a health 
care treatment or coverage recommendation or 
decision, solely to the extent that the disability 
has been found by a physician, following an in-
dividualized evaluation of the potential recipi-
ent, to be medically significant to the receipt of 
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the organ transplant or related services, as the 
case may be. 
(B) CONSTRUCTION.—Subparagraph (A) 
shall not be construed to require a referral or 
recommendation for, or the performance of, a 
medically inappropriate organ transplant or 
medically inappropriate related services. 
(2) CLARIFICATION.—If a qualified individual 
has the necessary support network to provide a rea-
sonable assurance that the qualified individual will 
be able to comply with health requirements following 
an organ transplant or receipt of related services, as 
the case may be, the qualified individual’s inability 
to independently comply with those requirements 
may not be construed to be medically significant for 
purposes of paragraph (1). 
(c) REASONABLE MODIFICATIONS.—A covered entity 
shall make reasonable modifications to policies or practices 
(including procedures) of such entity if such modifications 
are necessary to make an organ transplant or related serv-
ices available to qualified individuals with disabilities, un-
less the entity can demonstrate that making such modi-
fications would fundamentally alter the nature of such 
policies or practices. 
(d) CLARIFICATIONS.— 
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(1) NO DENIAL OF SERVICES BECAUSE OF AB-
SENCE
OF
AUXILIARY
AIDS
AND
SERVICES.—For 
purposes of this section, a covered entity shall take 
such steps as may be necessary to ensure that a 
qualified individual with a disability is not denied a 
procedure associated with the receipt of an organ 
transplant or related services, because of the absence 
of auxiliary aids and services, unless the covered en-
tity can demonstrate that taking such steps would 
fundamentally alter the nature of the procedure 
being offered or would result in an undue burden on 
the entity. 
(2) COMPLIANCE WITH OTHER LAW.—Nothing 
in this section shall be construed— 
(A) to prevent a covered entity from pro-
viding organ transplants or related services at 
a level that is greater than the level that is re-
quired by this section; or 
(B) to limit the rights of an individual with 
a disability under, or to replace or limit the 
scope of obligations imposed by, the Americans 
with Disabilities Act of 1990 (42 U.S.C. 12101 
et seq.) including the provisions added to such 
Act by the ADA Amendments Act of 2008, sec-
tion 504 of the Rehabilitation Act of 1973 (29 
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U.S.C. 794), section 1557 of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 
18116), or any other applicable law. 
(e) ENFORCEMENT.— 
(1) IN GENERAL.—Any individual who alleges 
that a qualified individual was subject to a violation 
of this section by a covered entity may bring a claim 
regarding the allegation to the Office for Civil 
Rights of the Department of Health and Human 
Services, for expedited resolution, as appropriate. 
(2) RULE OF CONSTRUCTION.—Nothing in this 
subsection is intended to limit or replace available 
remedies under the Americans with Disabilities Act 
of 1990 (42 U.S.C. 12101 et seq.) or any other ap-
plicable law. 
SEC. 5. APPLICATION TO EACH PART OF PROCESS. 
The provisions of this Act— 
(1) that apply to an organ transplant, also 
apply to the evaluation and listing of a qualified in-
dividual, and to the organ transplant and post- 
organ-transplant treatment of such an individual; 
and 
(2) that apply to related services, also apply to 
the process for receipt of related services by such an 
individual. 
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SEC. 6. EFFECT ON OTHER LAWS. 
Nothing in this Act shall be construed to supersede 
any provision of any State or local law that provides great-
er rights to qualified individuals with respect to organ 
transplants than the rights established under this Act. 
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Union Calendar No. 126 
119TH CONGRESS 
1ST SESSION 
H. R. 1520 
[Report No. 119–159] 
A BILL 
To prohibit discrimination on the basis of mental or 
physical disability in cases of organ transplants. 
JUNE 12, 2025 
Committed to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
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