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S 2751HR 5259119th CongressIn Committee

Permanent OPTN Fee Authority Act

Introduced: Sep 10, 2025
Sponsor: Sen. Wyden, Ron [D-OR] (D-Oregon)
Healthcare
Chamber Versions:
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Permanent OPTN Fee Authority Act would authorize the Secretary of Health and Human Services to collect registration fees from members of the Organ Procurement and Transplantation Network (OPTN) for each transplant candidate that a member places on the waiting list. The fees are intended solely to support the operation of OPTN and would be treated as discretionary offsetting collections, available only to the extent provided in advance by appropriations acts. The bill also requires transparency by posting fee amounts and the activities they support on the OPTN website and would mandate a Government Accountability Office (GAO) review within two years. In addition, the bill modernizes and expands OPTN reporting and operations. It adds a dashboard requirement to display key transplant statistics (such as total transplants, types of transplants, and organs entering and failing to be transplanted) and requires more frequent-than-annual updates. It also updates language to require 24-hour telephone or information technology support for OPTN operations.

Key Points

  • 1Authorization of registration fees: The Secretary may collect fees from each OPTN member for every transplant candidate placed on the waiting list, with fees dedicated to supporting OPTN operations.
  • 2Fee use and availability: Fees are discretionary offsetting collections, credited to applicable DHHS accounts, and available to the extent appropriated to distribute among OPTN awardees.
  • 3Transparency requirements: The Secretary must promptly post on the OPTN website the amount collected from each member and the activities those fees support, with quarterly updates.
  • 4GAO oversight: Within two years after enactment, the Comptroller General must review the activities under this subsection and report findings and recommendations to specified Senate and House committees.
  • 5Dashboard and reporting: The bill requires creation of a dashboard displaying metrics (e.g., number of transplants, transplant types, and organs that entered and did not get transplanted) and mandates more frequent updates than once per year.

Impact Areas

Primary group/area affected: Members of the Organ Procurement and Transplantation Network (including transplant centers, organ procurement organizations, and other listed members) who would pay registration fees for each candidate placed on the waiting list.Secondary group/area affected: The U.S. Department of Health and Human Services (as administrator of OPTN funding) and the agencies involved in implementing the fee collection and distribution; oversight bodies (GAO) and Congress, which would receive reports and performance data.Additional impacts: Increased transparency about how fees are used and how OPTN operates; potential operational improvements and data dashboards that could affect waitlist management, transplant planning, and stakeholder accountability. There could also be cost implications for OPTN members, which may influence participation or reporting practices.
Generated by gpt-5-nano on Oct 8, 2025