I 
119TH CONGRESS 
1ST SESSION H. R. 2114 
To amend titles XVIII and XIX of the Social Security Act, title XXVII 
of the Public Health Service Act, and the National Organ Transplant 
Act to prohibit certain organ transplants with specified connections to 
the People’s Republic of China. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 14, 2025 
Mr. DUNN of Florida (for himself, Mr. BILIRAKIS, and Mr. MOOLENAAR) in-
troduced the following bill; which was referred to the Committee on En-
ergy and Commerce, and in addition to the Committee on Ways and 
Means, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee concerned 
A BILL 
To amend titles XVIII and XIX of the Social Security Act, 
title XXVII of the Public Health Service Act, and the 
National Organ Transplant Act to prohibit certain organ 
transplants with specified connections to the People’s 
Republic of China. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
VerDate Sep 11 2014 
03:24 Mar 27, 2025
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H2114.IH
H2114
ssavage on LAPJG3WLY3PROD with BILLS
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Block Organ Trans-
plant Purchases from China Act of 2025’’ or the ‘‘Block 
Act of 2025’’. 
SEC. 2. PROHIBITING CERTAIN ORGAN TRANSPLANTS. 
(a) MEDICARE.—Section 1862(a) of the Social Secu-
rity Act (42 U.S.C. 1395y(a)) is amended— 
(1) in paragraph (24), by striking ‘‘or’’ at the 
end; 
(2) in paragraph (25), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by inserting after paragraph (25) the fol-
lowing new paragraph: 
‘‘(26) where such expenses are for— 
‘‘(A) a prohibited organ transplant (as de-
fined in section 402(d) of the National Organ 
Transplant Act) furnished on or after January 
1, 2026; or 
‘‘(B) any item or service furnished on or 
after January 1, 2026, in connection with such 
a prohibited organ transplant, including a fol-
low-up appointment, laboratory test, or drug, 
unless such item or service is furnished to save 
the life of an individual after such individual re-
ceives such a prohibited organ transplant.’’. 
(b) MEDICAID.— 
VerDate Sep 11 2014 
03:24 Mar 27, 2025
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H2114.IH
H2114
ssavage on LAPJG3WLY3PROD with BILLS
(1) IN GENERAL.—Section 1902(a) of the So-
cial Security Act (42 U.S.C. 1396a(a)) is amend-
ed— 
(A) in paragraph (86), by striking ‘‘and’’ 
at the end; 
(B) in paragraph (87)(D), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by inserting after paragraph (87) the 
following new paragraph: 
‘‘(88) provide that no payment may be made 
under the plan for— 
‘‘(A) a prohibited organ transplant (as de-
fined in section 402(d) of the National Organ 
Transplant Act) furnished on or after January 
1, 2026; or 
‘‘(B) any item or service furnished on or 
after January 1, 2026, in connection with such 
a prohibited organ transplant, including a fol-
low-up appointment, laboratory test, or drug, 
unless such item or service is furnished to save 
the life of an individual after such individual re-
ceives such a prohibited organ transplant.’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1903(i) of the Social Security Act (42 U.S.C. 
1396b(i)) is amended— 
VerDate Sep 11 2014 
03:24 Mar 27, 2025
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H2114.IH
H2114
ssavage on LAPJG3WLY3PROD with BILLS
(A) in paragraph (26), by striking ‘‘or’’ at 
the end; 
(B) in paragraph (27), by striking the pe-
riod at the end and inserting ‘‘; or’’; and 
(C) by inserting after paragraph (27) the 
following new paragraph: 
‘‘(28) with respect to any amount expended 
for— 
‘‘(A) a prohibited organ transplant (as de-
fined in section 402(d) of the National Organ 
Transplant Act) furnished on or after January 
1, 2026; or 
‘‘(B) any item or service furnished on or 
after January 1, 2026, in connection with such 
a prohibited organ transplant, including a fol-
low-up appointment, laboratory test, or drug, 
unless such item or service is furnished to save 
the life of an individual after such individual re-
ceives such a prohibited organ transplant.’’. 
(3) APPLICATION
TO
MANAGED
CARE
ENTI-
TIES.—Section 1903(i) of the Social Security Act 
(42 U.S.C. 1396b(i)), as amended by paragraph (2), 
is further amended in the flush left text following 
paragraph (28) by striking ‘‘and (18)’’ and inserting 
‘‘(18), and (28)’’. 
VerDate Sep 11 2014 
03:24 Mar 27, 2025
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H2114.IH
H2114
ssavage on LAPJG3WLY3PROD with BILLS
(c) PUBLIC HEALTH SERVICE ACT.— 
(1) IN GENERAL.—Subpart II of part A of title 
XXVII of the Public Health Service Act (42 U.S.C. 
300gg–11 et seq.) is amended by adding at the end 
the following new section: 
‘‘SEC. 2730. PROHIBITION ON COVERAGE FOR CERTAIN 
ORGAN TRANSPLANTS. 
‘‘A group health plan, and a health insurance issuer 
offering group or individual health insurance coverage, 
may not provide coverage for— 
‘‘(1) a prohibited organ transplant (as defined 
in section 402(d) of the National Organ Transplant 
Act); or 
‘‘(2) any item or service furnished in connection 
with such a prohibited organ transplant, including a 
follow-up appointment, laboratory test, or drug, un-
less such item or service is furnished to save the life 
of an individual after such individual receives such 
a prohibited organ transplant.’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall apply with respect to plan 
years beginning on or after January 1, 2026. 
(d) PENALTY
FOR PROVIDING CERTAIN ORGAN 
TRANSPLANTS.—Title IV of the National Organ Trans-
VerDate Sep 11 2014 
03:24 Mar 27, 2025
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H2114.IH
H2114
ssavage on LAPJG3WLY3PROD with BILLS
plant Act (Public Law 98–507) is amended by adding at 
the end the following new section: 
‘‘SEC. 402. PROHIBITION ON CERTAIN ORGAN TRANS-
PLANTS. 
‘‘(a) PROHIBITION.—Beginning on January 1, 2026, 
no health care provider may furnish— 
‘‘(1) a prohibited organ transplant; or 
‘‘(2) any item or service in connection with such 
a prohibited organ transplant, including a follow-up 
appointment, laboratory test, or drug, unless such 
item or service is furnished to save the life of an in-
dividual after such individual receives such a prohib-
ited organ transplant. 
‘‘(b) CRIMINAL PENALTY.—Any person who know-
ingly violates subsection (a) shall be fined under title 18, 
United States Code, imprisoned for not more than 2 years, 
or both. 
‘‘(c) CIVIL PENALTY.— 
‘‘(1) IN GENERAL.—The Attorney General or 
the attorney general of a State where the prohibited 
organ transplant or item or service described in sub-
section (a) is furnished may bring a civil action in 
the appropriate United States district court against 
any person who knowingly violates subsection (a) 
and, upon proof of such violation by a preponder-
VerDate Sep 11 2014 
03:24 Mar 27, 2025
Jkt 059200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H2114.IH
H2114
ssavage on LAPJG3WLY3PROD with BILLS
ance of the evidence, such person shall be subject to 
a civil penalty equal to three times the cost of fur-
nishing such prohibited organ transplant or item or 
service (as determined by the Secretary of Health 
and Human Services). 
‘‘(2) AUTHORITY TO INTERVENE.—The Attor-
ney General may intervene in any civil action 
brought by the attorney general of a State under 
paragraph (1). 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) HEALTH
CARE
PROVIDER.—The term 
‘health care provider’ has the meaning given such 
term in section 1171 of the Social Security Act. 
‘‘(2) PROHIBITED
ORGAN
TRANSPLANT.—The 
term ‘prohibited organ transplant’ means the trans-
plantation of a specified human organ that— 
‘‘(A) occurs in the People’s Republic of 
China; or 
‘‘(B) transplants a specified human organ 
that is not procured through the Organ Pro-
curement and Transplantation Network estab-
lished under section 372 of the Public Health 
Service Act. 
‘‘(3) SPECIFIED
HUMAN
ORGAN.—The term 
‘specified human organ’ means the human (including 
VerDate Sep 11 2014 
03:24 Mar 27, 2025
Jkt 059200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H2114.IH
H2114
ssavage on LAPJG3WLY3PROD with BILLS
fetal) kidney, liver, heart, lung, pancreas, bone mar-
row, cornea, eye, bone, intestine (including the 
esophagus, stomach, small intestine, large intestine, 
and any other portion of the gastrointestinal tract), 
any vascularized composite allograft (as defined in 
section 121.2 of title 42, Code of Federal Regula-
tions (or any successor regulation)), or any subpart 
thereof (including that derived from a fetus).’’. 
(e) RULEMAKING.—Not later than January 1, 2026, 
the Secretary of Health and Human Services shall issue 
such rules as are necessary to identify— 
(1) the items and services prohibited under the 
amendments made by this section; and 
(2) the cost of furnishing a prohibited organ 
transplant (as defined in section 402(d) of the Na-
tional Organ Transplant Act, as amended by this 
Act) or such items and services for purposes of cal-
culating the civil penalty under the amendments 
made by subsection (d). 
Æ 
VerDate Sep 11 2014 
03:24 Mar 27, 2025
Jkt 059200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6301
E:\BILLS\H2114.IH
H2114
ssavage on LAPJG3WLY3PROD with BILLS