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organ procurement organization region, and identify
a plan to increase procurement, particularly among
minority populations and other populations for which
there is a greater degree of organ shortages relative to
the general population, and at hospitals with low
rates of procurement, and’’; and
(5) by adding at the end thereof the following
new paragraphs:
‘‘(3)(A) The Office of Technology Assessment shall con-
duct a study for the purpose of defining—
‘‘(i) the appropriate standards by which to judge
the quality of performance of organ procurement or-
ganizations; and
‘‘(ii) the proper criteria for a determination of
inadequate service from an organ procurement orga-
nization.
‘‘(B) Not later than 2 years after the date of enactment
of this paragraph, the Office of Technology Assessment shall
complete the study required under subparagraph (A) and
prepare and submit to the Committee on Labor and Human
Resources of the Senate, the Committee on Energy and
Commerce of the House of Representatives, and the Sec-
retary, a report describing the findings made as a result
of the study.
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‘‘(C) For purposes of this paragraph the term ‘organ’
means a human kidney, liver, heart, lung, pancreas, and
any other human organ or tissue specified by the Secretary
for purposes of this paragraph.
‘‘(4)(A) As used in paragraph (2)(F), the term ‘alter-
native local unit’ means—
‘‘(i) a unit composed of two or more contiguous
organ procurement organizations; or
‘‘(ii) a subdivision of an organ procurement or-
ganization that operates as a distinct procurement
and distribution unit as a result of special geo-
graphic, rural, or minority population concerns but
that is not composed of any subunit of a metropolitan
statistical area.
‘‘(B) The Organ Procurement and Transplantation
Network shall make recommendations to the Secretary con-
cerning the approval or denial of alternative local units.
The Network shall assess whether the alternative local units
will better promote organ donation and the equitable alloca-
tion of organs.
‘‘(C) The Secretary shall approve or deny any alter-
native local unit principle or designation recommended by
the Network. If the Secretary does not provide otherwise
prior to the expiration of the 90-day period beginning on
the date on which the application is submitted, the rec-
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ommendations of the Network under subparagraph (B) with
respect to the application of the alternative local unit shall
go into effect.’’.
(c) EFFECTIVE DATE.—The amendments made by sub-
section (b)(5) shall apply to organ procurement organiza-
tions beginning January 1, 1995.
SEC. 3. ORGAN PROCUREMENT AND TRANSPLANTATION
NETWORK.
Section 372(b) of the Public Health Service Act (42
U.S.C. 274(b)) is amended—
(1) in paragraph (1)(B)—
(A) in clause (i)—
(i) by striking ‘‘(including organiza-
tions that have received grants under sec-
tion 371)’’; and
(ii) by striking ‘‘; and’’ at the end
thereof and inserting ‘‘(including both indi-
viduals who have received a transplant of
an organ (or transplant candidates), and
individuals who are part of the family of
individuals who have donated an organ, the
number of whom shall make up not less
than 40 percent of the total number of
board members); and’’; and