H.R. 628In committeeHealth care
Bill bars organ donor reimbursement from hinging on recipient's income
Data as of July 11, 2026
HR 628 stops reimbursement programs from using organ recipients' income to decide whether living donors get covered for out-of-pocket costs.60-second read · 5 questions answered below
Decoded
What does this do?
HR 628 prohibits reimbursement programs from considering the organ recipient's income when determining a living donor's eligibility for cost reimbursement. The bill also eliminates a rule that allowed programs to require recipients to repay donor costs. A new annual federal report would be required, tracking whether donors are fully covered, how many were not fully reimbursed, and how much funding would be needed to cover all donors.
Who does it affect?
Living organ donors are most directly affected, particularly those who donated to lower-income recipients and may have received less reimbursement under prior rules. Program administrators and the Department of Health and Human Services are also affected, as they must revise grant program operations and produce the new yearly reports.
Why does it matter?
Under the previous rules, a donor's access to reimbursement could vary depending on the financial situation of the person receiving the organ, creating unequal outcomes among donors. The annual reporting requirement would make gaps in donor reimbursement visible at the federal level each year.
What does it cost, and who pays?
- Annual federal report required
- Funding gap must be calculated
- No dollar amount specified
Where does it stand?
- Introduced
- House committee — You are here
- House vote
- Senate
- President's desk
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the President.
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Official title
Honor Our Living Donors Act
- Introduced:
- January 22, 2025
- Latest action:
- January 22, 2025
Referred to the House Committee on Energy and Commerce.
Read the official bill on Congress.govMake the call
Three steps: where you stand, your script, the call.