(A) in paragraph (1), by striking ‘‘this
part’’ and inserting ‘‘this section’’; and
(B) in paragraph (4)—
(i) by redesignating clauses (i) and (ii)
as subparagraphs (A) and (B), respectively;
and
(ii) in subparagraph (B) (as so redes-
ignated), by striking ‘‘comparative costs
and patient outcomes’’ and inserting ‘‘com-
parative patient outcomes’’;
(4) in section 376—
(A) by striking ‘‘the Secretary’’ and insert-
ing ‘‘the Organ Procurement and Transplan-
tation Network under section 372’’; and
(B) by striking ‘‘Committee on Energy and
Commerce’’ and inserting ‘‘Committee on Com-
merce’’; and
(5) by striking section 377.
(b) REDESIGNATIONS.—Part H of title III of the Pub-
lic Health Service Act, as amended by subsection (a) of this
section, is amended by redesignating sections 374 through
376 as sections 373 through 375, respectively.
(c) PERFORMANCE STANDARDS.—Section 371(b)(1) of
the Public Health Service Act (42 U.S.C. 273(b)(1)) is
amended—
(1) by redesignating subparagraphs (D) through
(G) as subparagraphs (E) through (H), respectively;
(2) by moving subparagraph (F) (as so redesig-
nated) two ems to the left; and
(3) by inserting after subparagraph (C) the fol-
lowing:
‘‘(D) notwithstanding any other provision of
law, has met the other requirements of this subsection
and has been certified or recertified by the Secretary
as meeting the performance standards to be a quali-
fied organ procurement organization through a proc-
ess which—
‘‘(i) granted certification or recertification
within the previous 4 years with such certifi-
cation in effect as of October 1, 1999, and re-
maining in effect through the earlier of—
‘‘(I) January 1, 2002, or
‘‘(II) the completion of recertification
under the requirements of clause (ii); or
‘‘(ii) is defined through regulations promul-
gated by the Secretary not later than January 1,
2002, which—
‘‘(I) require recertifications of qualified
organ procurement organizations not more
frequently than once every 4 years;
‘‘(II) rely on performance measures
that are based on empirical evidence of
organ donor potential and other related fac-
tors in each service area of qualified organ
procurement organizations;
‘‘(III) provide for the filing and ap-
proval of a corrective action plan by a
qualified organ procurement organization
that fails to meet the performance standards
and a grace period of not less than 3 years
during which such organization can imple-
ment the corrective action plan without risk
of decertification; and
‘‘(IV) provide for a qualified organ
procurement organization to appeal a decer-
tification to the Secretary on substantive
and procedural grounds;’’.
SEC. 5. PAYMENT OF TRAVEL AND SUBSISTENCE EXPENSES
INCURRED TOWARD LIVING ORGAN DONA-
TION.
Part H of title III of the Public Health Service Act,
as amended by section 4(b) of this Act, is amended by in-
serting after section 375 the following section:
‘‘PAYMENT OF TRAVEL AND SUBSISTENCE EXPENSES
INCURRED TOWARD LIVING ORGAN DONATION
‘‘SEC. 376. (a) IN GENERAL.—The Secretary may
make awards of grants or contracts to States, transplant
centers, qualified organ procurement organizations under
section 371, or other public or private entities for the pur-
pose of—
‘‘(1) providing for the payment of travel and
subsistence expenses incurred by individuals toward
making living donations of their organs (in this sec-
tion referred as ‘donating individuals’); and
‘‘(2) in addition, providing for the payment of
such incidental nonmedical expenses that are so in-
curred as the Secretary determines by regulation to be
appropriate.
‘‘(b) ELIGIBILITY.—
‘‘(1) IN GENERAL.—Payments under subsection
(a) may be made for the qualifying expenses of a do-
nating individual only if—
‘‘(A) the State in which the donating indi-
vidual resides is a different State than the State
in which the intended recipient of the organ re-
sides; and
‘‘(B) the annual income of the intended re-
cipient of the organ does not exceed $35,000 (as
adjusted for fiscal year 2001 and subsequent fis-
cal years to offset the effects of inflation occur-
ring after the beginning of fiscal year 2000).
‘‘(2) 
CERTAIN
CIRCUMSTANCES.—Subject 
to
paragraph (1), the Secretary may in carrying out
subsection (a) provide as follows:
‘‘(A) The Secretary may consider the term
‘donating individuals’ as including individuals
who in good faith incur qualifying expenses to-
ward the intended donation of an organ but with
respect to whom, for such reasons as the Sec-
retary determines to be appropriate, no donation
of the organ occurs.
‘‘(B) The Secretary may consider the term
‘qualifying expenses’ as including the expenses of
having one or more family members of donating
individuals accompany the donating individuals
for purposes of subsection (a) (subject to making
payment for only such types of expenses as are
paid for donating individuals).
‘‘(c) LIMITATION ON AMOUNT OF PAYMENT.—
‘‘(1) IN
GENERAL.—With respect to the geo-
graphic area to which a donating individual travels
for purposes of subsection (a), if such area is other
than the covered vicinity for the intended recipient of
the organ, the amount of qualifying expenses for
which payments under such subsection are made may
not exceed the amount of such expenses for which pay-
ment would have been made if such area had been the
covered vicinity for the intended recipient, taking into
account the costs of travel and regional differences in
the costs of living.
‘‘(2) COVERED VICINITY.—For purposes of this
section, the term ‘covered vicinity’, with respect to an
intended recipient of an organ from a donating indi-
vidual, means the vicinity of the nearest transplant
center to the residence of the intended recipient that
regularly performs transplants of that type of organ.
‘‘(d) RELATIONSHIP
TO PAYMENTS UNDER OTHER
PROGRAMS.—An award may be made under subsection (a)
only if the applicant involved agrees that the award will
not be expended to pay the qualifying expenses of a donat-
ing individual to the extent that payment has been made,
or can reasonably be expected to be made, with respect to
such expenses—
‘‘(1) under any State compensation program,
under an insurance policy, or under any Federal or
State health benefits program; or
‘‘(2) by an entity that provides health services on
a prepaid basis.
for the purpose of carrying out studies and demonstration
projects with respect to providing for an adequate rate of
organ donation.
‘‘(c) ANNUAL REPORT TO CONGRESS.—The Secretary
shall annually submit to the Congress a report on the ac-
tivities carried out under this section, including provisions
describing the extent to which the activities have affected
the rate of organ donation.
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—
‘‘(1) IN GENERAL.—For the purpose of carrying
out this section, there are authorized to be appro-
priated $10,000,000 for fiscal year 2000, and such
sums as may be necessary for each of the fiscal years
2001 through 2005. Such authorization of appropria-
tions is in addition to any other authorizations of ap-
propriations that is available for such purpose.
‘‘(2) STUDIES
AND
DEMONSTRATIONS.—Of the
amounts appropriated under paragraph (1) for a fis-
cal year, the Secretary may not obligate more than
$2,000,000 for carrying out subsection (b).’’.
SEC. 7. AUTHORIZATION OF APPROPRIATIONS.
Section 378 of the Public Health Service Act (42
U.S.C. 274g) is amended to read as follows:
‘‘AUTHORIZATION OF APPROPRIATIONS FOR ORGAN
PROCUREMENT AND TRANSPLANTATION NETWORK
‘‘SEC. 378. (a) OPERATION OF NETWORK.—For the
purpose of providing for the Organ Procurement and
Transplantation Network under section 372, including the
scientific registry, there are authorized to be appropriated
$6,000,000 for fiscal year 2000, and such sums as may be
necessary for each of the fiscal years 2001 through 2005.
‘‘(b) INCREASING ORGAN DONATION AND PROCURE-
MENT.—For the purpose of increasing organ donation and
procurement through the Organ Procurement and Trans-
plantation Network under section 372, there are authorized
to be appropriated such sums as may be necessary for each
of the fiscal years 2000 through 2005. Such authorization
of appropriations is with respect to such purpose in addi-
tion to the authorization of appropriations established in
subsection (a).’’.
SEC. 8. EFFECTIVE DATE.
The amendments made by this Act take effect October
1, 1999, or upon the date of the enactment of this Act,
whichever occurs later.