IB 
Union Calendar No. 126 
119TH CONGRESS 
1ST SESSION H. R. 1520 
[Report No. 119–159] 
To prohibit discrimination on the basis of mental or physical disability in 
cases of organ transplants. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 24, 2025 
Mrs. CAMMACK (for herself, Mrs. DINGELL, Mr. ISSA, Ms. WASSERMAN 
SCHULTZ, and Mr. SESSIONS) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
JUNE 12, 2025 
Additional sponsors: Ms. NORTON, Mr. FITZPATRICK, Mr. TONKO, Mr. 
STAUBER, Mrs. MILLER-MEEKS, Ms. TENNEY, Mr. MOULTON, Ms. 
BARRAGA´N, Mrs. MILLER of Illinois, Mr. DAVIS of North Carolina, Ms. 
MALOY, 
Mr. 
COHEN, 
Mr. 
RUTHERFORD, 
Mrs. 
HINSON, 
Mrs. 
HARSHBARGER, Mr. CONNOLLY, Mrs. BICE, Mr. GOTTHEIMER, Mr. 
WITTMAN, Mr. HARDER of California, Ms. CRAIG, Mr. MAGAZINER, Mr. 
BACON, and Mr. GARBARINO 
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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A BILL 
To prohibit discrimination on the basis of mental or physical 
disability in cases of organ transplants. 
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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 ‘‘Charlotte Woodward 
Organ Transplant Discrimination Prevention Act’’. 
SEC. 2. DEFINITIONS. 
In this Act: 
(1) AUXILIARY AIDS AND SERVICES.—The term 
‘‘auxiliary aids and services’’ has the meaning given 
the term in section 4 of the Americans with Disabil-
ities Act of 1990 (42 U.S.C. 12103). 
(2) COVERED ENTITY.—The term ‘‘covered en-
tity’’ means any licensed provider of health care 
services (including licensed health care practitioners, 
hospitals, nursing facilities, laboratories, inter-
mediate care facilities, psychiatric residential treat-
ment facilities, institutions for individuals with intel-
lectual or developmental disabilities, and prison 
health centers), and any transplant hospital (as de-
fined in section 121.2 of title 42, Code of Federal 
Regulations or a successor regulation), that— 
(A) is in interstate commerce; or 
(B) provides health care services in a man-
ner that— 
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(i) substantially affects or has a sub-
stantial relation to interstate commerce; or 
(ii) includes use of an instrument (in-
cluding an instrument of transportation or 
communication) of interstate commerce. 
(3) DISABILITY.—The term ‘‘disability’’ has the 
meaning given the term in section 3 of the Ameri-
cans with Disabilities Act of 1990 (42 U.S.C. 
12102). 
(4) HUMAN ORGAN.—The term ‘‘human organ’’ 
has the meaning given the term in section 301(c) of 
the National Organ Transplant Act (42 U.S.C. 
274e(c)). 
(5) ORGAN
TRANSPLANT.—The term ‘‘organ 
transplant’’ means the transplantation or trans-
fusion of a donated human organ into the body of 
another human for the purpose of treating a medical 
condition. 
(6) QUALIFIED INDIVIDUAL.—The term ‘‘quali-
fied individual’’ means an individual who, with or 
without a support network, provision of auxiliary 
aids and services, or reasonable modifications to 
policies or practices, meets eligibility requirements 
for the receipt of a human organ. 
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(7) REASONABLE MODIFICATIONS TO POLICIES 
OR PRACTICES.—The term ‘‘reasonable modifications 
to policies or practices’’ includes— 
(A) communication with persons respon-
sible for supporting a qualified individual with 
postsurgical or other care following an organ 
transplant or related services, including support 
with medication; 
(B) consideration, in determining whether 
a qualified individual will be able to comply 
with health requirements following an organ 
transplant or receipt of related services, of sup-
port networks available to the qualified indi-
vidual, including family, friends, and providers 
of home and community-based services, includ-
ing home and community-based services funded 
through the Medicare or Medicaid program 
under title XVIII or XIX, respectively, of the 
Social Security Act (42 U.S.C. 1395 et seq., 
1396 et seq.), another health plan in which the 
qualified individual is enrolled, or any program 
or source of funding available to the qualified 
individual; and 
(C) the use of supported decision-making, 
when needed, by a qualified individual. 
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(8) RELATED
SERVICES.—The term ‘‘related 
services’’ means services related to an organ trans-
plant that consist of— 
(A) evaluation; 
(B) counseling; 
(C) treatment, including postoperative 
treatment, and care; 
(D) provision of information; and 
(E) any other service recommended or re-
quired by a physician. 
(9) SUPPORTED DECISION-MAKING.—The term 
‘‘supported decision-making’’ means the use of a 
support person to assist a qualified individual in 
making health care decisions, communicate informa-
tion to the qualified individual, or ascertain a quali-
fied individual’s wishes. Such term includes— 
(A) the inclusion of the individual’s attor-
ney-in-fact or health care proxy, or any person 
of the individual’s choice, in communications 
about the individual’s health care; 
(B) permitting the individual to designate 
a person of the individual’s choice for the pur-
poses of supporting that individual in commu-
nicating, processing information, or making 
health care decisions; 
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(C) providing auxiliary aids and services to 
facilitate the individual’s ability to communicate 
and process health-related information, includ-
ing providing use of assistive communication 
technology; 
(D) providing health information to per-
sons designated by the individual, consistent 
with the regulations promulgated under section 
264(c) of the Health Insurance Portability and 
Accountability Act of 1996 (42 U.S.C. 1320d– 
2 note) and other applicable laws and regula-
tions governing disclosure of health informa-
tion; 
(E) providing health information in a for-
mat that is readily understandable by the indi-
vidual; and 
(F) working with a court-appointed guard-
ian or other person responsible for making 
health care decisions on behalf of the individual, 
to ensure that the individual is included in deci-
sions involving the health care of the individual 
and that health care decisions are in accordance 
with the individual’s own expressed interests. 
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(10) SUPPORT NETWORK.—The term ‘‘support 
network’’ means, with respect to a qualified indi-
vidual, 1 or more people who are— 
(A) selected by the qualified individual or 
by the qualified individual and the guardian of 
the qualified individual, to provide assistance to 
the qualified individual or guidance to that 
qualified individual in understanding issues, 
making plans for the future, or making complex 
decisions; and 
(B) who may include the family members, 
friends, unpaid supporters, members of the reli-
gious congregation, and appropriate personnel 
at a community center, of or serving the quali-
fied individual. 
SEC. 3. PROHIBITION OF DISCRIMINATORY POLICY. 
The board of directors described in section 
372(b)(1)(B) of the Public Health Service Act (42 U.S.C. 
274(b)(1)(B)) shall not issue policies, recommendations, 
or other memoranda that would prohibit, or otherwise 
hinder, a qualified individual’s access to an organ trans-
plant solely on the basis of that individual’s disability. 
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