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The bill secures ongoing funding and better public oversight for the organ transplant network while shifting new per-candidate costs onto transplant programs (and potentially patients) and creating some budget transparency and funding-timing trade-offs.
OPTN member organizations (hospitals, transplant centers, and contractors) get a more reliable, dedicated revenue stream because registration/assessment fees may be retained until expended, supporting ongoing OPTN operations and functions.
Hospitals and transplant centers gain clearer, more frequent performance information via a public dashboard showing transplant counts and organs not transplanted, improving their ability to monitor program performance and patient safety.
Taxpayers and OPTN members benefit from increased financial and program oversight because the bill requires quarterly public reporting of fees and funded activities and a GAO review with recommendations, improving transparency and accountability of how member fees are used.
Transplant centers and other OPTN member programs will face new per-candidate fees, increasing operating costs for hospitals and transplant programs.
Patients (especially those with chronic conditions needing transplants) and insurers may face higher costs because transplant program fee increases could be passed through as higher out-of-pocket charges or insurance premiums.
Taxpayers and budget watchers may see reduced clarity in federal budgeting because crediting collected fees as discretionary offsetting collections can obscure appropriations and make funding appear smaller while still financing OPTN activities.
Allows the Secretary of Health and Human Services to charge registration fees to members of the Organ Procurement and Transplantation Network (OPTN) for each transplant candidate placed on the OPTN waiting list, limits use of fee revenue to OPTN operations, and requires public reporting and a Comptroller General review. Also makes minor technical edits to OPTN duties and adds a requirement to consider creating a regularly updated transplant dashboard reporting counts, types, and organs entering the network but not transplanted.
Introduced September 10, 2025 by Ronald Lee Wyden · Last progress September 10, 2025