H.R. 628House119th Congress (2025-2027)In Committee

Honor Our Living Donors Act

AI-Generated Summary

Updated November 24, 2025 at 3:24 AM UTC

The Honor Our Living Donors Act changes the Public Health Service Act so that reimbursement for living organ donors cannot be based on the income of the organ recipient. It also eliminates any language implying that recipients must pay donors. Additionally, the law mandates an annual report on whether grant funding is sufficient to cover all donor expenses, identifying any gaps and the amount needed to close them. The bill affects living organ donors, organ recipients, and the federal agencies that manage donor reimbursement programs.

Key Provisions

Prohibits any grant program that reimburses living organ donors from taking the donor’s or recipient’s income into account when deciding how much to reimburse.
Removes language that suggests organ recipients are expected to make payments to donors, clarifying that no such expectation exists.
Requires the Secretary of Health and Human Services to issue an annual public report to Congress on whether grant funding fully covers qualifying expenses for all living donors, including estimates of any shortfalls and the total funding needed to cover them.

Legislative Activity

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1 earlier action

HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

January 22, 2025

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HouseIntro Referral

Introduced in House

January 22, 2025

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

January 22, 2025

Floor Debate

1 member

What members said about H.R. 628 on the floor

1 Republican

Rep. Monica De La CruzR-TX-15 · May 6, 2025

Under clause 7 of rule XII, sponsors were added to public bills and resolutions, as follows: H.R. 116: Ms. Boebert. H.R. 151: Ms. Van Duyne. H.R. 255: Mr. Gill of Texas, Mr. Self, and Ms. Crockett.…

Under clause 7 of rule XII, sponsors were added to public bills and resolutions, as follows:

H.R. 116: Ms. Boebert.

H.R. 151: Ms. Van Duyne.

H.R. 255: Mr. Gill of Texas, Mr. Self, and Ms. Crockett.

H.R. 404: Mr. Wied.

H.R. 429: Mr. Suozzi.

H.R. 479: Ms. Boebert.

H.R. 556: Mr. Wied.

H.R. 574: Mr. Van Drew, Mrs. Miller-Meeks, Mr. Stauber, and

Mr. Fitzpatrick.

H.R. 628: Ms. Davids of Kansas.

H.R. 659: Mr. Soto, Mrs. Ramirez, and Mr. Garcia of

California.

H.R. 740: Ms. Malliotakis and Mr. Kustoff.

H.R. 802: Ms. Bonamici.

H.R. 833: Mr. Hamadeh of Arizona, Mr. Moran, Mr. Barr, and

Mr. Burlison.

H.R. 842: Mr. Kiley of California and Ms. Stansbury.

H.R. 909: Mr. Subramanyam and Ms. Schakowsky.

H.R. 914: Ms. McDonald Rivet.

H.R. 942: Mr. Bresnahan and Ms. Davids of Kansas.

H.R. 956: Mr. Biggs of Arizona.

H.R. 1004: Ms. Elfreth and Ms. Kelly of Illinois.

H.R. 1024: Mr. Moran.

H.R. 1041: Mr. Ezell, Mr. Hurd of Colorado, Mr. Cline, and

Ms. De La Cruz.

H.R. 1086: Mrs. Miller-Meeks.

H.R. 1106: Mr. Himes.

H.R. 1151: Mr. Rose.

H.R. 1181: Ms. Fedorchak.

H.R. 1232: Mr. James and Mr. Pfluger.

H.R. 1241: Ms. Boebert.

H.R. 1262: Mrs. Hinson and Mr. Garamendi.

H.R. 1286: Mrs. Fischbach.

H.R. 1329: Mr. Burchett and Mr. McCaul.

H.R. 1330: Mr. Suozzi.

H.R. 1357: Mr. Morelle.

H.R. 1378: Mr. Rogers of Kentucky and Mr. Garbarino.

H.R. 1400: Ms. Perez.

H.R. 1415: Mr. Schmidt and Mr. Weber of Texas.

H.R. 1505: Mr. Min.

H.R. 1509: Ms. Houlahan, Mr. Carbajal, Ms. Lee of Florida,

and Mr. Fry.

H.R. 1521: Mr. Harder of California.

H.R. 1539: Mr. Bilirakis.

H.R. 1636: Mr. Thompson of Mississippi.

H.R. 1659: Ms. Budzinski.

H.R. 1676: Mr. Haridopolos.

H.R. 1682: Mr. James.

H.R. 1695: Mr. Rutherford.

H.R. 1709: Mr. Nunn of Iowa.

H.R. 1775: Ms. Stansbury.

H.R. 1822: Mr. Owens.

H.R. 1868: Ms. Williams of Georgia.

H.R. 1882: Mr. Gill of Texas.

H.R. 1909: Mr. Wittman.

H.R. 1918: Ms. McBride.

H.R. 2028: Ms. Van Duyne and Ms. McBride.

H.R. 2033: Ms. Malliotakis.

H.R. 2109: Mr. Costa.

H.R. 2126: Mr. Brecheen and Mr. James.

H.R. 2145: Ms. Davids of Kansas.

H.R. 2160: Mr. Schmidt.

H.R. 2189: Mr. Fry.

H.R. 2199: Ms. McBride.

H.R. 2230: Ms. Malliotakis.

H.R. 2253: Mr. Frost.

H.R. 2290: Mr. Garamendi.

H.R. 2294: Ms. McBride.

H.R. 2311: Mr. Jackson of Illinois.

H.R. 2315: Ms. Boebert.

H.R. 2355: Mr. Mann.

H.R. 2395: Ms. Hageman.

H.R. 2514: Ms. Budzinski.

H.R. 2531: Mr. Larson of Connecticut and Ms. Stansbury.

H.R. 2536: Mr. Riley of New York.

H.R. 2538: Ms. Stansbury and Mr. Graves.

H.R. 2550: Mr. Clyburn.

H.R. 2599: Mr. Issa.

H.R. 2623: Mr. Wied.

H.R. 2687: Ms. Pelosi.

H.R. 2705: Mr. Collins and Ms. Boebert.

H.R. 2729: Mr. Stauber, Mr. Rose, Mrs. Radewagen, and Mr.

Peters.

H.R. 2736: Mrs. Sykes.

H.R. 2753: Ms. Chu, Mr. Johnson of Georgia, Ms. Goodlander,

Mr. Meeks, Mr. Courtney, Ms. Escobar, Ms. Dexter, and Mr.

Pocan.

H.R. 2761: Mr. Goldman of New York.

H.R. 2767: Ms. Norton.

H.R. 2781: Mr. Bishop.

H.R. 2788: Mr. Cohen.

H.R. 2841: Ms. Boebert.

H.R. 2904: Mrs. Cherfilus-McCormick.

H.R. 2941: Mr. Krishnamoorthi.

H.R. 2969: Mr. Cline.

H.R. 2979: Mr. Fitzpatrick.

H.R. 3033: Mr. Pfluger.

H.R. 3036: Mr. Takano.

H.R. 3043: Mr. McGuire.

H.R. 3048: Mr. Fitzpatrick.

H.R. 3098: Mr. Correa.

H.R. 3107: Mr. Bishop.

H.R. 3112: Ms. Perez, Mr. Peters, Mrs. Cherfilus-McCormick,

and Mr. Sherman.

H.R. 3128: Ms. Sewell.

H.R. 3131: Mr. Rogers of Kentucky.

H.R. 3142: Mr. Bacon.

H.R. 3177: Mr. Steube.

H.R. 3179: Ms. Van Duyne and Mr. Self.

H.R. 3195: Mr. Rogers of Alabama.

H.R. 3199: Ms. Omar, Ms. Meng, Mr. Boyle of Pennsylvania,

Mr. Mullin, and Mr. Sherman.

H.R. 3204: Mr. Neguse.

H.J. Res. 38: Mr. Steube.

H. Res. 155: Ms. Pingree.

H. Res. 166: Ms. Norton.

H. Res. 267: Mr. Davis of Illinois, Mr. Garcia of

California, Mr. Thompson of Mississippi, Ms. McClellan, Mr.

Bacon, Mr. Torres of New York, Mrs. Hayes, Ms. Ansari, Ms.

Tlaib, Ms. Stansbury, Mr. Johnson of Georgia, Ms. Titus, Mr.

Soto, and Mr. Fields.

H. Res. 364: Mr. Thompson of Pennsylvania, Ms. Malliotakis,

Mr. Fallon, and Mr. Kustoff.

H. Res. 380: Mr. Pocan, Mr. Thanedar, Ms. McCollum, and Ms.

Tokuda.

Bill Text

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Introduced in HouseIssued January 22, 2025

119th CONGRESS

1st Session

H. R. 628

IN THE HOUSE OF REPRESENTATIVES

January 22, 2025

Mr. Obernolte (for himself and Ms. DelBene) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend the Public Health Service Act to eliminate consideration of the income of organ recipients in providing reimbursement of expenses to donating individuals, and for other purposes.

Short title

This Act may be cited as the Honor Our Living Donors Act.

No consideration of income of organ recipient

Section 377 of the Public Health Service Act (42 U.S.C. 274f) is amended—

(1)

by redesignating subsections (c) through (f) as subsections (d) through (g), respectively;

(2)

by inserting after subsection (b) the following:

(c)

No consideration of income of organ recipient

The recipient of a grant under this section, in providing reimbursement to a donating individual through such grant, shall not give any consideration to the income of the organ recipient.

; and

(3)

in subsection (f), as so redesignated—

(A)

in paragraph (1), by striking subsection (c)(1) and inserting subsection (d)(1); and

(B)

in paragraph (2), by striking subsection (c)(2) and inserting subsection (d)(2).

Removal of expectation of payments by organ recipients

Section 377(e) of the Public Health Service Act (42 U.S.C. 274f(e)), as redesignated by section 2, is amended—

(1)

in paragraph (1), by adding or at the end;

(2)

in paragraph (2), by striking ; or and inserting a period; and

(3)

by striking paragraph (3).

Annual report

Section 377 of the Public Health Service Act (42 U.S.C. 274f), as amended by sections 2 and 3, is further amended by adding at the end the following:

(h)

Annual report

Not later than December 31 of each year, the Secretary shall—

(1)

prepare, submit to the Congress, and make public a report on whether grants under this section provided adequate funding during the preceding fiscal year to reimburse all donating individuals participating in the grant program under this section for all qualifying expenses; and

(2)

include in each such report—

(A)

the estimated number of all donating individuals participating in the grant program under this section who did not receive reimbursement for all qualifying expenses during the preceding fiscal year; and

(B)

the total amount of funding that is estimated to be necessary to fully reimburse all donating individuals participating in the grant program under this section for all qualifying expenses.