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H.R. 4582
U.S. House•In House Committee
Summary
H.R. 4582, to amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition, was introduced in the House on Jul 22, 2025 by Rep. Don Bacon (R) with 154 co-sponsors. It was referred to Education and Workforce, and last saw action on Jul 22, 2025: Referred to the Committee on Education and Workforce, and in addition to the Committees on Oversight and Government Reform, and House Administration, 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. 4582 has 154 co-sponsors.
hb4582/introduced-in-house.txt119 HR 4582 IH: To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition.U.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. 4582 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 Education and Workforce , and in addition to the Committees on Oversight and Government Reform , and House Administration , 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 amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition.1.Clarification of organ donation surgery as qualifying as a serious health condition under FMLA(a)Private sector employeesSection 101(11) of the Family and Medical Leave Act of 1993 ( 29 U.S.C. 2611(11) ) is amended by inserting (including recovery from surgery related to organ donation) after physical or mental condition .(b)Federal civil service employees(1)DefinitionSection 6381(5) of title 5, United States Code, is amended by inserting (including recovery from surgery related to organ donation) after physical or mental condition .(2)Relationship to organ donor leaveSection 6382(d)(1) of title 5, United States Code is amended by adding at the end the following: An employee who takes any part of the 12-week period of leave under subsection (a)(1) to serve as an organ donor (including recovery from surgery related to organ donation) shall substitute, for as much of that part as possible, any leave available to the employee under section 6327. .
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 amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition.
Sponsors
Rep. Don Bacon (R) sponsors H.R. 4582, 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. 4582 went before 3 committees: Committee on House Administration, Oversight and Government Reform and Education and Workforce.


Actions
H.R. 4582 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 Education and Workforce, and in addition to the Committees on Oversight and Government Reform, and House Administration, 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.Education and Workforce Committee |
Votes
H.R. 4582 has not gone to a roll call.
Related bills
1 bill is related to H.R. 4582.
Titles
H.R. 4582 goes by 2 titles.
- To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition. — Display Title
- To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition. — Official Title as Introduced
Lobbying
17 clients hired 16 firms and 57 registered lobbyists who named H.R. 4582 in 54 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, Consumer Issues/Safety/Products, Financial Institutions/Investments/Securities, Insurance, Retirement, Taxation/Internal Revenue Code.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| 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 | — |
| NATIONAL TREASURY EMPLOYEES UNION | — | District of Columbia | 1 | 4 | — |
| NONPROFIT KIDNEY CARE ALLIANCE | Nonprofit organization representing nonprofit dialysis facilities | District of Columbia | 1 | 2 | $180K |
| 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 | — |
| DIALYSIS PATIENT CITIZENS | — | District of Columbia | 1 | 2 | — |
| PACIFIC LIFE INSURANCE COMPANY | — | California | 1 | 2 | — |
| DIALYSIS CLINIC, INC. | Non-profit dialysis provider company | Tennessee | 1 | 1 | $30K |
| FRESENIUS MEDICAL CARE NORTH AMERICA | — | District of Columbia | 1 | 1 | — |
| UNITED NETWORK FOR ORGAN SHARING | 501(c)(3) Health services and research membership corporation | Virginia | 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 57.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| 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 |
| BRANDEN REIS | 1 | 1 | 4 |
| DEBORAH DARCY | 1 | 1 | 4 |
| HOLLY BODE | 1 | 1 | 4 |
| JENNIFER TYREE | 1 | 1 | 4 |
| JIM TWADDELL | 1 | 1 | 4 |
| JOANNA RATIGAN | 1 | 1 | 4 |
| JOHN LAUGHNER | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| 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 |
| DIALYSIS PATIENT CITIZENS | DIALYSIS PATIENT CITIZENS | 2026 second_quarter | $500K | 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 |
| NATIONAL TREASURY EMPLOYEES UNION | NATIONAL TREASURY EMPLOYEES UNION | 2025 fourth_quarter | $350K | 4th Quarter - Report |
| NATIONAL TREASURY EMPLOYEES UNION | NATIONAL TREASURY EMPLOYEES UNION | 2026 second_quarter | $340K | 2nd Quarter - Report |
| NATIONAL TREASURY EMPLOYEES UNION | NATIONAL TREASURY EMPLOYEES UNION | 2026 first_quarter | $310K | 1st Quarter - Report |
| NATIONAL TREASURY EMPLOYEES UNION | NATIONAL TREASURY EMPLOYEES UNION | 2025 third_quarter | $300K | 3rd Quarter - Report |
Classification
The Congressional Research Service files H.R. 4582 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 4582’s is Health.
hr4582/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 4582, 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. 4582.Congress has the power to enact this legislation pursuantto the following:Clauses 3 and 18 of Article 1 Section 8 of theU.S.Constitution[Page H3553]
Source: congress.gov · legiscan.com
