# 119-hr-5259: Permanent OPTN Fee Authority Act

119-hr-5259, Permanent OPTN Fee Authority Act, is a 119th Congress bill sponsored by Rep. Costa, Jim [D-CA-21] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-5259
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-5259
- Congress: 119
- Title: Permanent OPTN Fee Authority Act
- Status: introduced
- Introduced: 2025-09-10
- Sponsor: Rep. Costa, Jim [D-CA-21] (D-CA)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## 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. - 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.

## Cosponsors (1)

- Rep. Van Duyne, Beth [R-TX-24] (R-TX), 2025-09-10T00:00:00.000Z

## Provisions PRIA read

- Public transplant dashboard and 24/7 contact: benefit, low. 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 inf…
- New transplant listing fees and oversight: mixed, low. 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 approp…

## Related bills

- 119-hr-6900: American Affordability Act of 2025
- 119-hr-4393: DIGNIDAD (Dignity) Act of 2025
- 119-hr-7481: Department of Homeland Security Appropriations Act, 2026
- 119-hr-7973: Momnibus Act
- 119-hr-6182: Find It Early Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

## Sources
- [119-hr-5259 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5259)

## Related
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-4393: DIGNIDAD (Dignity) Act of 2025](https://policyrisk.com/legislation/119-hr-4393)
- [119-hr-7481: Department of Homeland Security Appropriations Act, 2026](https://policyrisk.com/legislation/119-hr-7481)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-6182: Find It Early Act](https://policyrisk.com/legislation/119-hr-6182)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5259 (as of 2026-04-21).