# 119-hr-4582: To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition.

119-hr-4582, To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition., is a 119th Congress bill sponsored by Rep. Bacon, Don [R-NE-2] (R-NE); status introduced; PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/legislation/119-hr-4582
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4582
- Congress: 119
- Title: To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition.
- Status: introduced
- Introduced: 2025-07-22
- Sponsor: Rep. Bacon, Don [R-NE-2] (R-NE)
- Cosponsors: 168
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-17

## Summary

**This bill would make recovery from surgery related to organ donation explicitly count as a _serious health condition_ under the Family and Medical Leave Act.** It adds the same language for federal civil service rules and lets federal employees substitute other available leave for parts of the 12-week FMLA period when serving as organ donors. - Families and donors: Would give a clearer legal basis for eligible organ donors to seek FMLA leave for recovery after donation. - Private-sector employees: Would amend the FMLA definition by inserting “(including recovery from surgery related to organ donation)” after “physical or mental condition,” widening the law's qualifying conditions. - Federal civil service employees: Would add the same phrase to title 5 and allow employees who use any part of the 12-week FMLA period to serve as an organ donor to substitute, as much as possible, leave available under section 6327.

## Cosponsors (168)

- Rep. Van Drew, Jefferson [R-NJ-2] (R-NJ), 2026-09-28T00:00:00.000Z
- Rep. Bell, Wesley [D-MO-1] (D-MO), 2026-09-28T00:00:00.000Z
- Rep. Raskin, Jamie [D-MD-8] (D-MD), 2026-10-09T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2026-10-09T00:00:00.000Z
- Rep. Nadler, Jerrold [D-NY-12] (D-NY), 2025-07-22T00:00:00.000Z
- Rep. Balderson, Troy [R-OH-12] (R-OH), 2025-07-29T00:00:00.000Z
- Rep. Costa, Jim [D-CA-21] (D-CA), 2025-07-29T00:00:00.000Z
- Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA), 2025-07-29T00:00:00.000Z
- Rep. Wilson, Joe [R-SC-2] (R-SC), 2025-07-29T00:00:00.000Z
- Rep. Barr, Andy [R-KY-6] (R-KY), 2025-07-29T00:00:00.000Z
- Rep. Doggett, Lloyd [D-TX-37] (D-TX), 2025-07-29T00:00:00.000Z
- Rep. Conaway, Herbert C. [D-NJ-3] (D-NJ), 2025-07-29T00:00:00.000Z
- Rep. McClellan, Jennifer L. [D-VA-4] (D-VA), 2025-07-29T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2025-07-29T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-07-29T00:00:00.000Z
- Rep. García, Jesús G. "Chuy" [D-IL-4] (D-IL), 2025-07-29T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-07-29T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2025-07-29T00:00:00.000Z
- Rep. Evans, Dwight [D-PA-3] (D-PA), 2025-07-29T00:00:00.000Z
- Rep. Veasey, Marc A. [D-TX-33] (D-TX), 2025-07-29T00:00:00.000Z
- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2025-07-29T00:00:00.000Z
- Rep. Sherrill, Mikie [D-NJ-11] (D-NJ), 2025-07-29T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-07-29T00:00:00.000Z
- Rep. Strickland, Marilyn [D-WA-10] (D-WA), 2025-07-29T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-07-29T00:00:00.000Z
- Rep. Valadao, David G. [R-CA-22] (R-CA), 2025-07-29T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2025-07-29T00:00:00.000Z
- Rep. McCollum, Betty [D-MN-4] (D-MN), 2025-07-29T00:00:00.000Z
- Rep. Garcia, Robert [D-CA-42] (D-CA), 2025-07-29T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-07-29T00:00:00.000Z
- Rep. Brownley, Julia [D-CA-26] (D-CA), 2025-07-29T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-07-29T00:00:00.000Z
- Rep. Huffman, Jared [D-CA-2] (D-CA), 2025-07-29T00:00:00.000Z
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ), 2025-07-29T00:00:00.000Z
- Rep. Moore, Gwen [D-WI-4] (D-WI), 2025-07-29T00:00:00.000Z
- Rep. Auchincloss, Jake [D-MA-4] (D-MA), 2025-07-29T00:00:00.000Z
- Rep. Deluzio, Christopher R. [D-PA-17] (D-PA), 2025-07-29T00:00:00.000Z
- Rep. Lieu, Ted [D-CA-36] (D-CA), 2025-07-29T00:00:00.000Z
- Rep. Boyle, Brendan F. [D-PA-2] (D-PA), 2025-07-29T00:00:00.000Z
- Rep. Meng, Grace [D-NY-6] (D-NY), 2025-08-08T00:00:00.000Z
- Rep. Vargas, Juan [D-CA-52] (D-CA), 2025-08-08T00:00:00.000Z
- Rep. Kim, Young [R-CA-40] (R-CA), 2025-08-08T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2025-08-08T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-08-08T00:00:00.000Z
- Rep. Matsui, Doris O. [D-CA-7] (D-CA), 2025-08-08T00:00:00.000Z
- Rep. Scott, David [D-GA-13] (D-GA), 2025-08-08T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-08-08T00:00:00.000Z
- Rep. Jayapal, Pramila [D-WA-7] (D-WA), 2025-08-08T00:00:00.000Z
- Rep. Schakowsky, Janice D. [D-IL-9] (D-IL), 2025-08-08T00:00:00.000Z
- Rep. McIver, LaMonica [D-NJ-10] (D-NJ), 2025-08-08T00:00:00.000Z
- Rep. Torres, Ritchie [D-NY-15] (D-NY), 2025-08-08T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-08-08T00:00:00.000Z
- Rep. Chu, Judy [D-CA-28] (D-CA), 2025-08-08T00:00:00.000Z
- Rep. Crow, Jason [D-CO-6] (D-CO), 2025-08-08T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2025-08-08T00:00:00.000Z
- Rep. Simon, Lateefah [D-CA-12] (D-CA), 2025-08-08T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-08-08T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-08-08T00:00:00.000Z
- Rep. Case, Ed [D-HI-1] (D-HI), 2025-08-08T00:00:00.000Z
- Rep. Perez, Marie Gluesenkamp [D-WA-3] (D-WA), 2025-08-15T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-08-15T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-08-15T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2025-08-15T00:00:00.000Z
- Rep. Williams, Nikema [D-GA-5] (D-GA), 2025-08-15T00:00:00.000Z
- Rep. Takano, Mark [D-CA-39] (D-CA), 2025-08-26T00:00:00.000Z
- Rep. Stanton, Greg [D-AZ-4] (D-AZ), 2025-08-26T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-08-26T00:00:00.000Z
- Rep. Meuser, Daniel [R-PA-9] (R-PA), 2025-08-26T00:00:00.000Z
- Rep. Malliotakis, Nicole [R-NY-11] (R-NY), 2025-08-26T00:00:00.000Z
- Rep. Mrvan, Frank J. [D-IN-1] (D-IN), 2025-08-26T00:00:00.000Z
- Rep. Norcross, Donald [D-NJ-1] (D-NJ), 2025-08-26T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2025-09-04T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-09-04T00:00:00.000Z
- Rep. Trahan, Lori [D-MA-3] (D-MA), 2025-09-10T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2025-09-10T00:00:00.000Z
- Rep. Randall, Emily [D-WA-6] (D-WA), 2025-09-10T00:00:00.000Z
- Rep. Ivey, Glenn [D-MD-4] (D-MD), 2025-09-17T00:00:00.000Z
- Rep. Castro, Joaquin [D-TX-20] (D-TX), 2025-09-17T00:00:00.000Z
- Rep. Cuellar, Henry [D-TX-28] (D-TX), 2025-09-19T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2025-09-26T00:00:00.000Z
- Rep. Bresnahan, Robert P. [R-PA-8] (R-PA), 2025-09-30T00:00:00.000Z
- Rep. Cole, Tom [R-OK-4] (R-OK), 2025-10-08T00:00:00.000Z
- Rep. McClain Delaney, April [D-MD-6] (D-MD), 2025-10-08T00:00:00.000Z
- Rep. Gillen, Laura [D-NY-4] (D-NY), 2025-10-17T00:00:00.000Z
- Rep. Lynch, Stephen F. [D-MA-8] (D-MA), 2025-10-17T00:00:00.000Z
- Rep. Rouzer, David [R-NC-7] (R-NC), 2025-10-17T00:00:00.000Z
- Rep. Dean, Madeleine [D-PA-4] (D-PA), 2025-10-17T00:00:00.000Z
- Rep. Carey, Mike [R-OH-15] (R-OH), 2025-10-17T00:00:00.000Z
- Rep. Pettersen, Brittany [D-CO-7] (D-CO), 2026-09-24T00:00:00.000Z
- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2026-09-24T00:00:00.000Z
- Rep. Friedman, Laura [D-CA-30] (D-CA), 2026-09-24T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2026-10-15T00:00:00.000Z
- Rep. Smith, Christopher H. [R-NJ-4] (R-NJ), 2026-10-15T00:00:00.000Z
- Rep. Harder, Josh [D-CA-9] (D-CA), 2025-10-31T00:00:00.000Z
- Rep. Soto, Darren [D-FL-9] (D-FL), 2025-10-31T00:00:00.000Z
- Rep. Loudermilk, Barry [R-GA-11] (R-GA), 2025-10-31T00:00:00.000Z
- Rep. Dexter, Maxine [D-OR-3] (D-OR), 2025-10-31T00:00:00.000Z
- Rep. Houlahan, Chrissy [D-PA-6] (D-PA), 2025-10-31T00:00:00.000Z
- Rep. Castor, Kathy [D-FL-14] (D-FL), 2025-10-31T00:00:00.000Z
- Rep. Kelly, Mike [R-PA-16] (R-PA), 2025-11-07T00:00:00.000Z
- Rep. Shreve, Jefferson [R-IN-6] (R-IN), 2025-11-07T00:00:00.000Z
- Rep. Allen, Rick W. [R-GA-12] (R-GA), 2025-11-07T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-11-07T00:00:00.000Z
- Rep. Fitzgerald, Scott [R-WI-5] (R-WI), 2025-11-20T00:00:00.000Z
- Rep. Latimer, George [D-NY-16] (D-NY), 2025-11-20T00:00:00.000Z
- Rep. Scanlon, Mary Gay [D-PA-5] (D-PA), 2025-12-05T00:00:00.000Z
- Rep. Fletcher, Lizzie [D-TX-7] (D-TX), 2025-12-05T00:00:00.000Z
- Rep. Beatty, Joyce [D-OH-3] (D-OH), 2025-12-05T00:00:00.000Z
- Rep. Rutherford, John H. [R-FL-5] (R-FL), 2025-12-05T00:00:00.000Z
- Rep. Mfume, Kweisi [D-MD-7] (D-MD), 2025-12-05T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2025-12-12T00:00:00.000Z
- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2025-12-12T00:00:00.000Z
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR), 2025-12-12T00:00:00.000Z
- Rep. Walkinshaw, James R. [D-VA-11] (D-VA), 2025-12-12T00:00:00.000Z
- Rep. Levin, Mike [D-CA-49] (D-CA), 2025-12-16T00:00:00.000Z
- Rep. Thompson, Mike [D-CA-4] (D-CA), 2025-12-16T00:00:00.000Z
- Rep. Escobar, Veronica [D-TX-16] (D-TX), 2025-12-16T00:00:00.000Z
- Rep. Foster, Bill [D-IL-11] (D-IL), 2025-12-17T00:00:00.000Z
- Rep. Min, Dave [D-CA-47] (D-CA), 2025-12-17T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-12-18T00:00:00.000Z
- Rep. Tran, Derek [D-CA-45] (D-CA), 2025-12-18T00:00:00.000Z
- Rep. Pou, Nellie [D-NJ-9] (D-NJ), 2026-01-16T00:00:00.000Z
- Rep. Van Orden, Derrick [R-WI-3] (R-WI), 2026-02-17T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2026-02-17T00:00:00.000Z
- Rep. Carter, Troy A. [D-LA-2] (D-LA), 2026-02-17T00:00:00.000Z
- Rep. McBath, Lucy [D-GA-6] (D-GA), 2026-03-26T00:00:00.000Z
- Rep. Moskowitz, Jared [D-FL-23] (D-FL), 2026-03-26T00:00:00.000Z
- Rep. Budzinski, Nikki [D-IL-13] (D-IL), 2026-03-26T00:00:00.000Z
- Rep. Cleaver, Emanuel [D-MO-5] (D-MO), 2026-03-26T00:00:00.000Z
- Rep. Kean, Thomas H. [R-NJ-7] (R-NJ), 2026-03-26T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2026-04-21T00:00:00.000Z
- Rep. Mullin, Kevin [D-CA-15] (D-CA), 2026-04-21T00:00:00.000Z
- Rep. Subramanyam, Suhas [D-VA-10] (D-VA), 2026-04-21T00:00:00.000Z
- Rep. Hayes, Jahana [D-CT-5] (D-CT), 2026-04-21T00:00:00.000Z
- Rep. Bost, Mike [R-IL-12] (R-IL), 2026-04-21T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2026-04-30T00:00:00.000Z
- Rep. Grijalva, Adelita S. [D-AZ-7] (D-AZ), 2026-04-30T00:00:00.000Z
- Rep. Cisneros, Gilbert Ray [D-CA-31] (D-CA), 2026-04-30T00:00:00.000Z
- Rep. Mann, Tracey [R-KS-1] (R-KS), 2026-04-30T00:00:00.000Z
- Rep. Carbajal, Salud O. [D-CA-24] (D-CA), 2026-05-12T00:00:00.000Z
- Rep. Huizenga, Bill [R-MI-4] (R-MI), 2026-05-29T00:00:00.000Z
- Rep. Amodei, Mark E. [R-NV-2] (R-NV), 2026-05-29T00:00:00.000Z
- Rep. Kaptur, Marcy [D-OH-9] (D-OH), 2026-05-29T00:00:00.000Z
- Rep. Himes, James A. [D-CT-4] (D-CT), 2026-05-29T00:00:00.000Z
- Rep. Mackenzie, Ryan [R-PA-7] (R-PA), 2026-05-29T00:00:00.000Z
- Rep. Rulli, Michael A. [R-OH-6] (R-OH), 2026-05-29T00:00:00.000Z
- Rep. Schrier, Kim [D-WA-8] (D-WA), 2026-06-09T00:00:00.000Z
- Rep. Fields, Cleo [D-LA-6] (D-LA), 2026-06-09T00:00:00.000Z
- Rep. Scholten, Hillary J. [D-MI-3] (D-MI), 2026-06-09T00:00:00.000Z
- Rep. Foushee, Valerie P. [D-NC-4] (D-NC), 2026-06-09T00:00:00.000Z
- Rep. Lee, Susie [D-NV-3] (D-NV), 2026-06-09T00:00:00.000Z
- Rep. Moulton, Seth [D-MA-6] (D-MA), 2026-06-09T00:00:00.000Z
- Rep. Golden, Jared F. [D-ME-2] (D-ME), 2026-06-09T00:00:00.000Z
- Rep. Smith, Adam [D-WA-9] (D-WA), 2026-06-09T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2026-06-09T00:00:00.000Z
- Rep. Van Duyne, Beth [R-TX-24] (R-TX), 2026-06-18T00:00:00.000Z
- Rep. Amo, Gabe [D-RI-1] (D-RI), 2026-06-18T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2026-06-18T00:00:00.000Z
- Rep. LaLota, Nick [R-NY-1] (R-NY), 2026-06-18T00:00:00.000Z
- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2026-06-25T00:00:00.000Z
- Rep. Sorensen, Eric [D-IL-17] (D-IL), 2026-07-20T00:00:00.000Z
- Rep. Lofgren, Zoe [D-CA-18] (D-CA), 2026-07-20T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2026-07-20T00:00:00.000Z
- Rep. McGovern, James P. [D-MA-2] (D-MA), 2026-09-08T00:00:00.000Z
- Rep. Keating, William R. [D-MA-9] (D-MA), 2026-09-08T00:00:00.000Z
- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2026-09-08T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2026-09-08T00:00:00.000Z
- Rep. Landsman, Greg [D-OH-1] (D-OH), 2026-09-08T00:00:00.000Z

## Provisions PRIA read

- Family leave after organ donation: benefit, low. If enacted, eligible workers could use family and medical leave to recover from organ donation surgery. This would not change who qualifies for FMLA or the 12-week limit. It would simply make clear that organ donation recovery counts as a serious health condition.
- Federal workers: organ donor leave changes: mixed, low. If enacted, federal civil service employees could take family leave to recover from organ donation surgery. You would also need to use any leave you have under section 6327 for as much of that time as possible. This would not change the 12-week total. It clarifies coverage and how your leave is cha…

## Related bills

- 119-hr-4583: Living Donor Protection Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-2102: Major Richard Star Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025

## Sources
- [119-hr-4582 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4582)

## Related
- [119-hr-4583: Living Donor Protection Act of 2025](https://policyrisk.com/legislation/119-hr-4583)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4582 (as of 2026-10-17).