HR5259119th CongressWALLET

Permanent OPTN Fee Authority Act

Sponsored By: Representative Rep. Costa, Jim [D-CA-21]

Introduced

Summary

Would give the Department of Health and Human Services (HHS) permanent authority to collect registration fees from Organ Procurement and Transplantation Network (OPTN) members to fund OPTN operations. It would also require public posting of fee amounts and uses, create a more frequent transplant dashboard, and direct a Comptroller General review within 2 years.

Show full summary
  • OPTN members would pay a registration fee for each transplant candidate they place on the OPTN waitlist.
  • Collected fees would be used only to support OPTN operations, credited to HHS accounts, and distributed to awardees only as Congress provides in appropriations; the Comptroller General must review these activities and report within 2 years.
  • The Secretary would have to post, on the OPTN website each calendar quarter, how much each member paid and a list of activities supported, and establish a dashboard showing transplant counts, transplant types, and organs that entered the system but were not transplanted, updated more frequently than annually.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Public transplant dashboard and 24/7 contact

The bill would direct consideration of a public dashboard with key transplant numbers. It would show how many transplants happen, the types, and organs that entered the system but were not transplanted. It should be updated more often than once a year. The bill would also allow 24-hour phone or information-technology contact, not just by phone.

New transplant listing fees and oversight

HHS would be able to charge a fee each time a member of the Organ Procurement and Transplantation Network (OPTN) lists a transplant candidate. The money would only fund OPTN operations and would stay available until spent. Congress would need to approve how the fees are distributed in future appropriation laws. HHS would post, each quarter, how much each member paid and what the fees support. The GAO would review these activities within 2 years of enactment.

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Sponsors & CoSponsors

Sponsor

Rep. Costa, Jim [D-CA-21]

CA • D

Cosponsors

  • Van Duyne

    TX • R

    Sponsored 9/10/2025

Roll Call Votes

No roll call votes available for this bill.

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