US Federal 2025-2026 Regular Session

US Federal House Bill HB5259

Introduced
9/10/25  

Caption

Permanent OPTN Fee Authority Act

Impact

The legislation is expected to significantly impact the funding mechanism of organ transplantation services within the United States. By allowing the Secretary to collect these fees, the bill aims to provide a reliable source of revenue to support operational costs associated with the OPTN. The collected fees will be used for various purposes, such as maintaining essential functions of the network, improving efficiency in organ matching, and enhancing the overall system that facilitates organ transplants nationwide. This could lead to an increase in the number of successful organ transplants, benefiting patients who are waiting for life-saving procedures.

Summary

House Bill 5259, known as the Permanent OPTN Fee Authority Act, aims to authorize the Secretary of Health and Human Services to collect registration fees from members of the Organ Procurement and Transplantation Network (OPTN). This bill is designed to ensure the sustainable funding and operation of the OPTN, which plays a crucial role in managing organ procurement and transplantation for patients in need. By instituting these fees, the bill seeks to enhance the resources available for organ procurement, as well as ensure compliance with federal standards in organ transplantation operations.

Contention

While proponents argue that the fee collection is a necessary step to support organ transplant operations, there may be concerns regarding the affordability and equity of imposing such fees on members of the network. Potential opposition could stem from fears that these fees might deter participation in the OPTN by smaller organizations or regional procurement agencies that could struggle with the added financial burden. Transparency measures have been included in the bill to ensure that the use of these funds is well documented and publicly accessible, which may help address some concerns about accountability and the effective use of resources.

Companion Bills

US SB2751

Same As Permanent OPTN Fee Authority Act

US HB1262

Related Mikaela Naylon Give Kids a Chance Act

US SB532

Related OPTN Fee Collection Authority Act

US HB1768

Related Nationwide Consumer and Fuel Retailer Choice Act Recycling and Composting Accountability Act SUPPORT for Patients and Communities Reauthorization Act of 2025 American Music Tourism Act Deploying American Blockchains Act

US SB891

Related Bipartisan Health Care Act Pandemic and All-Hazards Preparedness and Response Act SUPPORT for Patients and Communities Reauthorization Act of 2025

US HB7148

Related District of Columbia Appropriations Act, 2026 Judiciary Appropriations Act, 2026 Executive Office of the President Appropriations Act, 2026 Department of the Treasury Appropriations Act, 2026 Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2026 Department of Transportation Appropriations Act, 2026 Department of Defense Appropriations Act, 2026 Further Continuing Appropriations Act, 2026 Financial Services and General Government Appropriations Act, 2026 Department of Health and Human Services Appropriations Act, 2026 Department of Education Appropriations Act, 2026 Department of Housing and Urban Development Appropriations Act, 2026 National Security, Department of State, and Related Programs Appropriations Act, 2026 Department of Labor Appropriations Act, 2026 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026

Previously Filed As

US SB2751

Permanent OPTN Fee Authority Act

US SB532

OPTN Fee Collection Authority Act

US HB954

SOAR Permanent Authorization Act

US HB137

TCJA Permanency Act

US HB5583

Promoting Permanency Through Kinship Families Act

US HB1901

CHIPP Act Children’s Health Insurance Program Permanency Act

US SB3710

SOAR Permanent Authorization Act

US HB1262

Mikaela Naylon Give Kids a Chance Act

US HB7360

To amend the United States Housing Act of 1937 to permanently authorize the emergency safety and security grant program, and for other purposes.

US H2793

Authorizing a retirement board system local option for totally and permanently incapacitated workers

Similar Bills

AZ HB2109

Forced organ harvesting; insurance; prohibition

TX HB4076

Relating to prohibiting organ transplant recipient discrimination on the basis of vaccination status.

US HB2114

Block Organ Transplant Purchases from China Act of 2025

NJ SR54

Urges U.S. Department of Health and Human Services and federal Centers for Medicare and Medicaid Services to reconsider implementation of new rules concerning organ procurement organizations.

ME LD1055

An Act to Prohibit Discrimination in Access to Anatomical Donations and Organ Transplants

MA H4796

Relative to organ transplant vehicles

IL SB0087

ANATOMICAL DONATION

TX HR913

Honoring Dr. Francis H. Wright Jr. of San Antonio for his service as chair of the Chronic Kidney Disease Task Force.