Permanent OPTN Fee Authority Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5259 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 5259

  To authorize the Secretary of Health and Human Services to collect 
      registration fees from members of the Organ Procurement and 
            Transplantation Network, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 10, 2025

  Mr. Costa (for himself and Ms. Van Duyne) introduced the following 
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
  To authorize the Secretary of Health and Human Services to collect 
      registration fees from members of the Organ Procurement and 
            Transplantation Network, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Permanent OPTN Fee Authority Act''.

SEC. 2. ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK.

    Section 372 of the Public Health Service Act (42 U.S.C. 274) is 
amended--
            (1) in subsection (b)(2)--
                    (A) by moving the margins of subparagraphs (M) 
                through (O) 2 ems to the left;
                    (B) in subparagraph (A)--
                            (i) in clause (i), by striking ``, and'' 
                        and inserting ``; and''; and
                            (ii) in clause (ii), by striking the comma 
                        at the end and inserting a semicolon;
                    (C) in subparagraph (C), by striking ``twenty-four-
                hour telephone service'' and inserting ``24-hour 
                telephone or information technology service'';
                    (D) in each of subparagraphs (B) through (M), by 
                striking the comma at the end and inserting a 
                semicolon;
                    (E) in subparagraph (N), by striking 
                ``transportation, and'' and inserting 
                ``transportation;'';
                    (F) in subparagraph (O), by striking the period and 
                inserting ``; and''; and
                    (G) by adding at the end the following:
            ``(P) consider establishing a dashboard to display the 
        number of transplants performed, the types of transplants 
        performed, the number and types of organs that entered the 
        Organ Procurement and Transplantation Network system and failed 
        to be transplanted, and other appropriate statistics, which 
        should be updated more frequently than annually.''; and
            (2) by adding at the end the following:
    ``(d) Registration Fees.--
            ``(1) In general.--The Secretary may collect registration 
        fees from any member of the Organ Procurement and 
        Transplantation Network for each transplant candidate such 
        member places on the list described in subsection (b)(2)(A)(i). 
        Such registration fees shall be collected and distributed only 
        to support the operation of the Organ Procurement and 
        Transplantation Network. Such registration fees are authorized 
        to remain available until expended.
            ``(2) Collection.--The Secretary may collect the 
        registration fees under paragraph (1) directly or through 
        awards made under subsection (b)(1)(A).
            ``(3) Distribution.--Any amounts collected under this 
        subsection shall--
                    ``(A) be credited to the currently applicable 
                appropriation, account, or fund of the Department of 
                Health and Human Services as discretionary offsetting 
                collections; and
                    ``(B) be available, only to the extent and in the 
                amounts provided in advance in appropriations Acts, to 
                distribute such fees among awardees described in 
                subsection (b)(1)(A).
            ``(4) Transparency.--The Secretary shall--
                    ``(A) promptly post on the website of the Organ 
                Procurement and Transplantation Network--
                            ``(i) the amount of registration fees 
                        collected under this subsection from each 
                        member of the Organ Procurement and 
                        Transplantation Network; and
                            ``(ii) a list of activities such fees are 
                        used to support; and
                    ``(B) update the information posted pursuant to 
                subparagraph (A), as applicable for each calendar 
                quarter for which fees are collected under paragraph 
                (1).
            ``(5) GAO review.--Not later than 2 years after the date of 
        enactment of this subsection, the Comptroller General of the 
        United States shall, to the extent data are available--
                    ``(A) conduct a review concerning the activities 
                under this subsection; and
                    ``(B) submit to the Committee on Health, Education, 
                Labor, and Pensions and the Committee on Finance of the 
                Senate and the Committee on Energy and Commerce of the 
                House of Representatives, a report on such review, 
                including related recommendations, as applicable.''.
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