Expanding Support for Living Donors Act of 2026
Sponsored By: Representative DelBene
Introduced
Summary
This bill would expand financial support for living organ donors by widening eligibility and setting a clear reimbursement cap tied to inflation. It aims to make more donors eligible for expense reimbursement, fix a $10,000 maximum in 2027, and require better data and oversight so policymakers can track shortfalls and outcomes.
Show full summary
- Living donors and their families would face fewer income barriers. Donors with household income at or below 700% of the poverty line could not be excluded from reimbursement eligibility, and reimbursements would be the lesser of qualifying expenses or the program maximum.
- Reimbursement limits would start at $10,000 for fiscal year 2027 and then rise each year by the Consumer Price Index for all urban consumers. The Health and Human Services Secretary could temporarily lower the cap if funds run short but must notify Congress first.
- The program would get a flexible funding baseline for fiscal years 2028 through 2037 and must publish annual reports starting in fiscal year 2027 with detailed data on applicants, payments, gaps, and program impacts.
- The Government Accountability Office would study within one year how Medicare could take on costs now covered by this donor reimbursement program and recommend needed changes.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
More reimbursement help for donors
If enacted, people who donate a living organ would not be denied reimbursement based on household income at or below 700% of the HHS poverty guideline. Reimbursements would equal the lesser of a donor's qualifying expenses or a yearly maximum. The maximum would be $10,000 for fiscal year 2027 and would increase each later year by the prior fiscal year's percent change in the Consumer Price Index for All Urban Consumers. HHS would be allowed to lower a recipient's annual maximum if that recipient lacks funds, but HHS must give Congress at least 30 days' written notice with justification and cannot change payments already approved. The bill would also authorize "such sums as may be necessary" to be appropriated for fiscal years 2028 through 2037, but it would not itself provide money.
Sponsors & CoSponsors
Sponsor
DelBene
WA • D
Cosponsors
Miller (WV)
WV • R
Sponsored 3/9/2026
Schrier
WA • D
Sponsored 3/9/2026
Roll Call Votes
No roll call votes available for this bill.
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