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H.R. 4583
U.S. House•In House Committee
Summary
H.R. 4583, the Living Donor Protection Act of 2025, was introduced in the House on Jul 22, 2025 by Rep. Don Bacon (R) with 154 co-sponsors. It was referred to Energy And Commerce, and last saw action on Jul 22, 2025: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Financial Services, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Record
Text
H.R. 4583 has 154 co-sponsors.
hb4583/introduced-in-house.txt119 HR 4583 IH: Living Donor Protection Act of 2025U.S. House of Representatives2025-07-22text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 4583 IN THE HOUSE OF REPRESENTATIVES July 22, 2025 Mr. Bacon (for himself and Mr. Nadler ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Financial Services , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILLTo promote and protect from discrimination living organ donors.1.Short titleThis Act may be cited as the Living Donor Protection Act of 2025 .2.Prohibition on denial of coverage or increase in premiums of life or disability insurance for living organ donors(a)ProhibitionNotwithstanding any other provision of law, an insurer shall not deny coverage, cancel coverage, refuse to issue, determine the price or premium for, or otherwise vary any term or condition of a life insurance policy, disability insurance policy, or long-term care insurance policy for a person based solely, and without any actual, unique, and material actuarial risks, on the status of such person as a living organ donor.(b)EnforcementA State insurance regulator may take such actions to enforce subsection (a) as are specifically authorized under the laws of such State.(c)DefinitionsIn this section:(1)Disability insurance policyThe term disability insurance policy means a contract under which an entity promises to pay a person a sum of money in the event that an illness or injury resulting in a disability prevents such person from working.(2)Life insurance policyThe term life insurance policy means a contract under which an entity promises to pay a designated beneficiary a sum of money upon the death of the insured.(3)Living organ donorThe term living organ donor means an individual who has donated all or part of an organ and is not deceased.(4)Long-term care insurance policyThe term long-term care insurance policy means a contract for which the only insurance protection provided under the contract is coverage of qualified long-term care services (as defined in section 7702B(c) of the Internal Revenue Code of 1986).3.Updating of educational materials on the benefits and risks of living organ donation(a)Educational materials(1)Review and updatingNot later than 6 months after the date of enactment of this Act, the Secretary of Health and Human Services (in this section referred to as the Secretary ) shall review and update materials related to living organ donation in order to educate the public on—(A)the benefits and risks of living organ donation; and(B)the impact of living organ donation on the access of a living organ donor to insurance.(2)Information on statutory changesSuch updating shall include information on the changes made by section 2 of this Act.(b)Methods of updatingIn carrying out subsection (a), the Secretary shall update, as appropriate—(1)Public Service Announcements previously provided by the Secretary;(2)publicly accessible websites (such as organdonor.gov, or a successor website) that are maintained by the Secretary and that contain information and resources regarding living organ donation; and(3)other media determined appropriate by the Secretary.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-07-22
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To promote and protect from discrimination living organ donors.
Sponsors
Rep. Don Bacon (R) sponsors H.R. 4583, and 154 members have co-sponsored it, 1 of them from the day it was introduced.

Rep. · R–NE-2 · Sponsor
Introduced Jul 22, 2025

Rep. · D–NY-12 · Co-sponsor
Joined Jul 22, 2025 · Original

Rep. · D–MA-4 · Co-sponsor
Joined Jul 29, 2025

Rep. · R–OH-12 · Co-sponsor
Joined Jul 29, 2025

Rep. · R–KY-6 · Co-sponsor
Joined Jul 29, 2025

Rep. · D–OR-1 · Co-sponsor
Joined Jul 29, 2025

Rep. · D–PA-2 · Co-sponsor
Joined Jul 29, 2025

Rep. · D–CA-26 · Co-sponsor
Joined Jul 29, 2025

Rep. · R–AZ-6 · Co-sponsor
Joined Jul 29, 2025

Rep. · D–NY-9 · Co-sponsor
Joined Jul 29, 2025
Committees
H.R. 4583 went before 2 committees: Financial Services and Energy and Commerce.
Actions
H.R. 4583 has taken 2 actions since Jul 22, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Jul 22, 2025 | House | Introduced in House | ||
Jul 22, 2025 | House | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Financial Services, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Energy and Commerce Committee |
Votes
H.R. 4583 has not gone to a roll call.
Related bills
2 bills are related to H.R. 4583.
Titles
H.R. 4583 goes by 3 titles, 1 of them short titles.
- Living Donor Protection Act of 2025 — Display Title
- To promote and protect from discrimination living organ donors. — Official Title as Introduced
- Living Donor Protection Act of 2025 — Short Title(s) as Introduced
Lobbying
16 clients hired 15 firms and 73 registered lobbyists who named H.R. 4583 in 60 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Medicare/Medicaid, Budget/Appropriations, Taxation/Internal Revenue Code, Consumer Issues/Safety/Products, Financial Institutions/Investments/Securities, Insurance, Retirement.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| NONPROFIT KIDNEY CARE ALLIANCE | Nonprofit organization representing nonprofit dialysis facilities | District of Columbia | 1 | 5 | $450K |
| DIALYSIS CLINIC, INC. | Non-profit dialysis provider company | Tennessee | 1 | 5 | $120K |
| AMERICAN SOCIETY OF PEDIATRIC NEPHROLOGY | — | Texas | 1 | 5 | $100K |
| NATIONAL KIDNEY FOUNDATION | patient group who helps to improve the lives of those with kidney disease & preventing it. | New York | 2 | 5 | $30K |
| AMERICAN COUNCIL OF LIFE INSURERS | — | District of Columbia | 1 | 5 | — |
| AMERICAN SOCIETY OF NEPHROLOGY | — | District of Columbia | 1 | 5 | — |
| THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | — | Wisconsin | 1 | 5 | — |
| AMERICAN NEPHROLOGY NURSES ASSOCIATION | Professional association that represents nurses who work in all areas of nephrology | New Jersey | 1 | 4 | $120K |
| AMERICAN HEART ASSOCIATION | — | District of Columbia | 1 | 4 | — |
| AMERICAN KIDNEY FUND | — | Maryland | 1 | 4 | — |
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 4 | — |
| THE ROGOSIN INSTITUTE | Not-For-Profit hospital that specializes in kidney care and research. | New York | 1 | 2 | $60K |
| CAREDX, INC. | Clinical laboratory and transplant support services | California | 1 | 2 | — |
| PACIFIC LIFE INSURANCE COMPANY | — | California | 1 | 2 | — |
| UNITED NETWORK FOR ORGAN SHARING | 501(c)(3) Health services and research membership corporation | Virginia | 1 | 2 | — |
| FRESENIUS MEDICAL CARE NORTH AMERICA | — | District of Columbia | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 73.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| KELLY DELMORE | 1 | 2 | 10 |
| MONICA MASSARO | 1 | 2 | 10 |
| CLAIRE ERNST | 1 | 2 | 7 |
| ERIKA MILLER | 1 | 2 | 6 |
| ANDREW REMO | 1 | 1 | 5 |
| CHRISTOPHER GAHAN | 1 | 1 | 5 |
| DOUGLAS LATHROP | 1 | 1 | 5 |
| ERICA MCQUADE | 1 | 1 | 5 |
| IAN STEGER | 1 | 1 | 5 |
| JEFFRY JANOSKA | 1 | 1 | 5 |
| KELSI PUTNAM | 1 | 1 | 5 |
| LAURYL JACKSON | 1 | 1 | 5 |
| PAUL KANGAS | 1 | 1 | 5 |
| RYAN MURRAY | 1 | 1 | 5 |
| STEFANIE RINEHART | 1 | 1 | 5 |
| STEVEN RADKE | 1 | 1 | 5 |
| ALEXIS PIERCE | 1 | 1 | 4 |
| ANDREW WANKUM | 1 | 1 | 4 |
| ANGELA FRANKLIN | 1 | 1 | 4 |
| ASHLEY DELOSH | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $5.1M | 2nd Quarter - Amendme… |
| AMERICAN COUNCIL OF LIFE INSURERS | AMERICAN COUNCIL OF LIFE INSURERS | 2025 fourth_quarter | $1.9M | 4th Quarter - Report |
| AMERICAN COUNCIL OF LIFE INSURERS | AMERICAN COUNCIL OF LIFE INSURERS | 2025 third_quarter | $1.4M | 3rd Quarter - Report |
| THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 2026 second_quarter | $1.3M | 2nd Quarter - Report |
| FRESENIUS MEDICAL CARE NORTH AMERICA | FRESENIUS MEDICAL CARE NORTH AMERICA | 2026 second_quarter | $1.2M | 2nd Quarter - Report |
| THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 2026 first_quarter | $1.1M | 1st Quarter - Amendme… |
| THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 2026 first_quarter | $1.1M | 1st Quarter - Report |
| AMERICAN COUNCIL OF LIFE INSURERS | AMERICAN COUNCIL OF LIFE INSURERS | 2026 first_quarter | $1.1M | 1st Quarter - Report |
| AMERICAN COUNCIL OF LIFE INSURERS | AMERICAN COUNCIL OF LIFE INSURERS | 2026 second_quarter | $1.1M | 2nd Quarter - Amendme… |
| AMERICAN COUNCIL OF LIFE INSURERS | AMERICAN COUNCIL OF LIFE INSURERS | 2026 second_quarter | $1.1M | 2nd Quarter - Report |
| THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 2025 third_quarter | $850K | 3rd Quarter - Report |
| THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 2025 fourth_quarter | $740K | 4th Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $513K | 2nd Quarter - Report |
| PACIFIC LIFE INSURANCE COMPANY | PACIFIC LIFE INSURANCE COMPANY | 2026 second_quarter | $480K | 2nd Quarter - Report |
| PACIFIC LIFE INSURANCE COMPANY | PACIFIC LIFE INSURANCE COMPANY | 2026 first_quarter | $420K | 1st Quarter - Report |
| AMERICAN HEART ASSOCIATION | AMERICAN HEART ASSOCIATION | 2025 third_quarter | $410K | 3rd Quarter - Report |
| AMERICAN HEART ASSOCIATION | AMERICAN HEART ASSOCIATION | 2026 second_quarter | $400K | 2nd Quarter - Report |
| AMERICAN HEART ASSOCIATION | AMERICAN HEART ASSOCIATION | 2026 first_quarter | $290K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 4583 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 4583’s is Health.
hr4583/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 4583, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 125 (Tuesday, July 22, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. BACON:H.R. 4583.Congress has the power to enact this legislation pursuantto the following:Clauses 3 and 18 of Article 1 Section 8 of the U.S.Constitution[Page H3553]
Source: congress.gov · legiscan.com
