Federal Register #2026-13250

HRSA proposes modifications to Living Organ Donation Reimbursement Program eligibility guidelines under the HOLD Act.

HRSA, part of the Department of Health and Human Services, is seeking public comment on proposed changes to the Living Organ Donation Reimbursement Program (LODRP) eligibility guidelines. - Government Buyer: - Health Resources and Services Administration (HRSA) - Division of Transplantation, Health Systems Bureau - No OEMs or commercial vendors are involved; this is a policy update, not a product procurement. - Services Requested: - Revision of eligibility guidelines for reimbursement of non-medical expenses related to living organ donation - Focus on donor household income and financial need, removing recipient income as a criterion - Reimbursement covers travel, lodging, meals, lost wages, child and elder care, and incidental expenses - Maximum federal reimbursement is $6,000 per donor - Unique/Notable Requirements: - Prioritization for donors with household incomes at or below 350% of HHS Poverty Guidelines - Expanded eligibility up to 500% if resources allow - Financial hardship waivers capped at 750% of HHS Poverty Guidelines - HRSA will monitor program effectiveness and may further modify guidelines - Annual report to Congress required detailing donor reimbursement and funding needs

Description

HRSA proposes to modify the eligibility guidelines for the Living Organ Donation Reimbursement Program (LODRP) to align with the Honor Our Living Donors (HOLD) Act, enacted on February 3, 2026. The HOLD Act prohibits consideration of the income of the organ transplant recipient in determining eligibility for reimbursement of qualifying non-medical expenses related to living organ donation under LODRP. HRSA proposes to revise the LODRP eligibility guidelines to eliminate recipient income as a factor in eligibility determinations and to establish a donor-focused eligibility framework based on donor household income and financial need. HRSA will continually monitor the effectiveness and availability of funds for LODRP and further modify the eligibility guidelines in the future if needed.

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