Expanding Support for Living Donors Act of 2026
Sponsored By: Representative DelBene
Introduced
Summary
Expands reimbursements for living organ donors and ties annual caps to inflation.
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- Families and donors: Would bar grant programs from denying reimbursement to donors whose household income is at or below 700 percent of the poverty line. Donors would be reimbursed for qualifying expenses up to the program cap.
- Program funding and limits: Would set the maximum reimbursement as the lesser of qualifying expenses and a cap of $10,000 for FY2027, with later years adjusted by the Consumer Price Index for all urban consumers. The Secretary could lower the cap for a fiscal year if funds are insufficient after 30 days' written notice to Congress, and that temporary reduction would not cut already approved reimbursements.
- Oversight and federal coordination: Would authorize such sums as may be necessary for FY2028 through FY2037 and require annual public reports starting FY2027 with data on unmet reimbursement needs, applicant demographics, types of expenses funded, and estimated Medicare savings. It would also require a Government Accountability Office study within one year on whether Medicare could pay these costs and recommendations to do so.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
More help for living donors, with cap
If enacted, grant programs would not be allowed to deny reimbursement to living donors whose household income is at or below 700% of the HHS poverty guideline. Each donor's reimbursement would be the lesser of their qualifying expenses and a per-donor cap. The cap would be $10,000 for fiscal year 2027 and then would rise each year by the prior year's CPI‑U inflation change, rounded to the nearest hundredth. The HHS Secretary could lower the cap for a year if a grant recipient lacks funds, but must give Congress at least 30 days' written notice and cannot cut reimbursements already approved. The bill would also authorize "such sums as may be necessary" to run the program for fiscal years 2028 through 2037.
Sponsors & CoSponsors
Sponsor
DelBene
WA • D
Cosponsors
Rep. Miller, Carol D. [R-WV-1]
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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