PolicyBrief
S. 957
119th CongressMar 11th 2025
Honor Our Living Donors Act
IN COMMITTEE

The "Honor Our Living Donors Act" removes financial barriers for organ donors by prohibiting income consideration for reimbursements, eliminating recipient payment expectations, and requiring annual reports on grant funding adequacy.

Ben Luján
D

Ben Luján

Senator

NM

LEGISLATION

Bill Aims to Cover Living Organ Donor Costs, Removes Income Checks and Mandates Funding Report

This bill, the Honor Our Living Donors Act, tweaks the rules for programs that help cover the costs for people who donate organs while they're still alive. The main goal is to remove some financial roadblocks that might stop someone from making this life-saving choice. It specifically prohibits grant programs from considering the recipient's income when deciding whether to reimburse a donor's expenses (Sec. 2) and also scraps a requirement that recipients were expected to chip in for these costs (Sec. 3).

Easing the Financial Strain on Donors

Let's break down what these changes mean on the ground. Donating an organ is a major act, often involving travel, time off work, and medical costs not covered by the recipient's insurance. Currently, figuring out reimbursement can be complicated. This bill simplifies things in two key ways:

  1. No More Income Tests (for the Recipient): Grant programs helping donors won't be allowed to peek at the organ recipient's bank account before approving reimbursement for the donor's costs (Sec. 2). This shifts the focus purely onto the donor's qualifying expenses.
  2. Recipients Off the Hook: The bill removes language that implied organ recipients were expected to help pay back these donor reimbursement grants (Sec. 3). This removes a potential source of stress and complexity for both donor and recipient.

Think about someone donating a kidney to a cousin. Under this act, the grant program helping the donor cover lost wages and travel wouldn't factor in whether the cousin receiving the kidney has a high or low income.

Keeping Track: The Annual Reality Check

The bill also adds a layer of accountability with a new annual reporting requirement (Sec. 4). By December 31st each year, the Secretary of Health and Human Services has to tell Congress:

  • Did the grants actually cover all qualifying expenses for all participating donors in the past year?
  • How many donors didn't get fully reimbursed?
  • How much money would actually be needed to cover everyone fully?

This report is designed to shine a light on whether the system is working as intended. However, it also implicitly acknowledges a potential problem: the funding might not stretch far enough. While transparency is good, the report could end up highlighting that, despite the rule changes, some donors might still face financial gaps if the grant programs aren't sufficiently funded. This is the main catch – the bill aims to help, but its success hinges on adequate funding being available.