H.R. 2544House118th Congress (2023-2025)Enacted

Securing the U.S. Organ Procurement and Transplantation Network Act

Introduced April 10, 2023

AI-Generated Summary

Updated January 20, 2026 at 6:08 AM UTC

The Securing the U.S. Organ Procurement and Transplantation Network Act updates the Public Health Service Act to strengthen the nation’s organ procurement and transplantation system. It gives the Secretary clearer authority to award grants, contracts, or agreements and clarifies how the network is run. The bill also fixes technical errors in the law and orders a GAO review of the network’s past financing and fee use. It mainly affects the Organ Procurement and Transplantation Network, the Secretary of Health and Human Services, and entities that receive federal support for organ donation activities.

Key Provisions

  • Changes the Secretary’s role so they can award grants, contracts, or cooperative agreements for the network, rather than being limited to contracts only.
  • Specifies that the Organ Procurement and Transplantation Network will be operated through awards to public or private entities separate from the board‑supporting organization.
  • Makes technical corrections to the statute (spelling, cross‑references, reporting dates, and committee names).
  • Requires the Government Accountability Office, within two years, to review the network’s historical financing and registration‑fee usage and report findings to relevant Senate and House committees.

Legislative Activity

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20 earlier actions
Became Law Latest Action

Became Public Law No: 118-14.

September 22, 2023

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HouseIntro Referral

Introduced in House

April 10, 2023

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

April 10, 2023

HouseCommittee

Referred to the Subcommittee on Health.

May 15, 2023

HouseCommittee

Subcommittee Consideration and Mark-up Session Held.

May 17, 2023

HouseCommittee

Forwarded by Subcommittee to Full Committee by the Yeas and Nays: 28 - 0 .

May 17, 2023

HouseCommittee

Committee Consideration and Mark-up Session Held.

May 24, 2023

HouseCommittee

Ordered to be Reported by the Yeas and Nays: 49 - 0.

May 24, 2023

HouseCommittee

Reported by the Committee on Energy and Commerce. H. Rept. 118-140.

July 11, 2023

HouseCalendars

Placed on the Union Calendar, Calendar No. 111.

July 11, 2023

HouseFloor

Mr. Bucshon moved to suspend the rules and pass the bill.

July 25, 2023 • 6:02 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H3929-3930)

July 25, 2023 • 6:02 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 2544.

July 25, 2023 • 6:02 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H3929-3930)

July 25, 2023 • 6:08 PM

HouseFloor

On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H3929-3930)

July 25, 2023 • 6:08 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

July 25, 2023 • 6:08 PM

SenateIntro Referral

Received in the Senate, read twice.

July 26, 2023

SenateFloor

Passed Senate without amendment by Unanimous Consent. (consideration: CR S3731-3733)

July 27, 2023

SenateFloor

Message on Senate action sent to the House.

July 28, 2023

President

Presented to President.

September 14, 2023

Became Law

Signed by President.

September 22, 2023

Became Law

Became Public Law No: 118-14.

September 22, 2023

Floor Debate

23 members

What members said about H.R. 2544 on the floor

15 Republicans7 Democrats1 Independent
Rand Paul
Sen. Rand PaulR-KY · Dec 13, 2023

Madam President, most of Europe--indeed, most of the civilized world--does not require three COVID vaccines for adolescents. We are admonished by those on the left to follow the science. The science…

John Cornyn
Sen. John CornynR-TX · Dec 13, 2023

Mr. President, it is the 13th of December and, of course, with the holidays coming up, my thoughts today are with the families who will have an empty seat at their dinner table this year. The pain of…

Josh Hawley
Sen. Josh HawleyR-MO · Dec 13, 2023

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, we are here today to ask one very simple question: Are the biggest, most powerful technology…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Dec 13, 2023

Mr. President, negotiations continue today between Democrats, Republicans, and the Biden administration on an emergency national security supplemental package. The stakes are high, and time is of the…

Robert Menendez
Sen. Robert MenendezD-NJ · Dec 13, 2023

Mr. President, 11 years ago tomorrow, our Nation and the Newtown, CT, community experienced one of the deadliest school shootings in American history. Horror ripped through our hearts as we heard the…

Show 8 more
Chuck Grassley
Sen. Chuck GrassleyR-IA · Dec 13, 2023

Mr. President, in its relentless pursuit of canceling student debt, the Department of Education seems to have forgotten that Congress gave it a job to do. Last year, the Department announced its…

John Barrasso
Sen. John BarrassoR-WY · Dec 13, 2023

Mr. President, first, I want to congratulate my friend and colleague from Nebraska for his excellent remarks because I am seeing the same thing in Wyoming that he is seeing in Nebraska. He is a…

Jerry Moran
Sen. Jerry MoranR-KS · Dec 13, 2023

Madam President, this is a sad day. When we thought we had a victory for those across the Nation who are awaiting an organ for transplant, we found that they were thwarted by a system that was allied…

Ron Wyden
Sen. Ron WydenD-OR · Jul 27, 2023

Mr. President, before I make a unanimous request on this important bipartisan, bicameral bill, I wish to talk for a moment about why it is so critical that the Senate pass this urgently needed…

Mitch McConnell
Sen. Mitch McConnellR-KY · Dec 13, 2023

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, today, Senate Republicans are still working in good faith on border policy changes that will…

John Thune
Sen. John ThuneR-SD · Dec 13, 2023

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, 10,109--the number of people who were apprehended trying to come across the border illegally…

Cindy Hyde-Smith
Sen. Cindy Hyde-SmithR-MS · Dec 13, 2023

Mr. President, I rise today to once again call attention to the crisis at our southern border--the very crisis the Biden administration refuses to acknowledge and in not doing so, fails the American…

Deb Fischer
Sen. Deb FischerR-NE · Dec 13, 2023

Madam President, our first session of the 118th Congress is coming to a close. But in the flurry of last-minute legislating, I want to call attention to one of the most important stories that I have…

Show 11 more
Ted Cruz
Sen. Ted CruzR-TX · Dec 13, 2023

Mr. President, in reserving the right to object, I appreciate my friend from Missouri. I appreciate his passion, and I share his passion for reining in the abuses of Big Tech. Big Tech has a lot that…

Jacky Rosen
Sen. Jacky RosenD-NV · Dec 13, 2023

Madam President, I ask unanimous consent that the order for the quorum call be rescinded. Madam President, since the Supreme Court overturned Roe v. Wade, which protected a woman's right to make…

Bernard Sanders
Sen. Bernard SandersI-VT · Jul 27, 2023

Reserving the right to object Let me begin by thanking Chairman Wyden for his leadership on the need to fundamentally reform our Nation's organ transplant program. I share his concerns. A 2020…

Thomas R. Carper
Sen. Thomas R. CarperD-DE · Dec 13, 2023

Madam President, I ask unanimous consent that the order for the quorum call be rescinded. Madam President, as some of our colleagues know, I am a retired Navy captain and the last Vietnam veteran…

Christopher Murphy
Sen. Christopher MurphyD-CT · Dec 13, 2023

Madam President, this is the third time that Senator Paul has made this unanimous consent request. It is the third time that I will come down to the floor to object. We can continue to use the…

Pete Ricketts
Sen. Pete RickettsR-NE · Dec 13, 2023

Mr. President, I have been hearing from a lot of families back home who are frustrated with the economy. The numbers say it all. Americans are paying the price for failed Bidenomics. Since Joe Biden…

Mike Crapo
Sen. Mike CrapoR-ID · Dec 13, 2023

Madam President, I rise today to urge the Senate to do more for Americans who have suffered from the aftereffects of the development of our nuclear arsenal. It is profoundly disappointing to see that…

Mike Rounds
Sen. Mike RoundsR-SD · Dec 13, 2023

Mr. President, I thank my colleague, the Democratic leader, for the opportunity to speak to this particular issue today. This is an issue that I think has caught the attention of the American people,…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Jul 27, 2023

Mr. President, the Securing the U.S. Organ Procurement and Transplantation Network Act is an opportunity for Congress to make history, an opportunity to change the lives of the more than 100,000…

Kirsten E. Gillibrand
Sen. Kirsten E. GillibrandD-NY · Dec 13, 2023

Mr. President, I ask unanimous consent to display photos of Ranae Butler's family. Mr. President, as Jewish families across the country celebrate the last night of Hanukkah tomorrow, too many of…

Larry Bucshon
Rep. Larry BucshonR-IN-8 · Jul 25, 2023

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 2544) to improve the Organ Procurement and Transplantation Network, and for other purposes. Mr. Speaker, I ask unanimous consent that…

Bill Text

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Enrolled BillPublication date not provided

One Hundred Eighteenth Congress of the United States of America

At the First Session

Begun and held at the City of Washington on Tuesday, the third day of January, two thousand and twenty-three

H. R. 2544

AN ACT

To improve the Organ Procurement and Transplantation Network, and for other purposes.

1.

Short title

This Act may be cited as the Securing the U.S. Organ Procurement and Transplantation Network Act.

2.

Organ procurement and transplantation network

Section 372 of the Public Health Service Act (42 U.S.C. 274) is amended—

(1)

in subsection (a)—

(A)

by striking The Secretary shall by contract and inserting In general—The Secretary shall;

(B)

by striking establishment and and inserting continued; and

(C)

by striking the second and third sentences and inserting The Secretary may award grants, contracts, or cooperative agreements, as the Secretary determines appropriate, for purposes of carrying out this section.; and

(2)

in subsection (b), by striking (b)(1) The Organ Procurement and all that follows through the end of subparagraph (A) of paragraph (1) and inserting the following:

(b)

Composition

(1)

In general

The Organ Procurement and Transplantation Network shall—

(A)

be operated through awards to public or private entities made by the Secretary that are distinct from the awards made to support the organization tasked with supporting the board of directors described in subparagraph (B); and

.

3.

Technical amendments

Title III of the Public Health Service Act is amended—

(1)

in section 371(b)(1)(H)(i)(III) (42 U.S.C. 273(b)(1)(H)(i)(III)), by striking histocompatability and inserting histocompatibility;

(2)

in section 374(c)(2) (42 U.S.C. 274b(c)(2)), by striking section 371 or 373 each place it appears and inserting section 371, 372, or 373;

(3)

in section 375 (42 U.S.C. 274c)—

(A)

by striking the comma at the end of each of paragraphs (1) and (2) and inserting a semicolon;

(B)

in paragraph (3), by striking transplants, and and inserting transplants; and; and

(C)

in paragraph (4), by redesignating clauses (i) and (ii) as subparagraphs (A) and (B), respectively; and

(4)

in section 376 (42 U.S.C. 274d)—

(A)

by striking February 10 of 1991 and of each second year thereafter and inserting 2 years after the date of enactment of the Securing the U.S. Organ Procurement and Transplantation Network Act and every second year thereafter; and

(B)

by striking Committee on Labor and Human Resources of the Senate. and inserting Committee on Health, Education, Labor, and Pensions of the Senate,.

4.

GAO review

Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall—

(1)

to the extent data are available, conduct a review of the historical financing of the Organ Procurement and Transplantation Network described in section 372 of the Public Health Service Act (42 U.S.C. 274), including the utilization of registration fees among entities that have previously been awarded contracts under such section 372; and

(2)

submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Finance of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the review under paragraph (1), including related recommendations, as applicable.

Speaker of the House of Representatives.

Vice President of the United States and President of the Senate.