United States 119th Congress Status: In Committee Bipartisan · 1 D · 1 R cosponsors

HR 5259 — Permanent OPTN Fee Authority Act

Last action — Referred to the House Committee on Energy and Commerce.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced September 10, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Advancing 34% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (1 D · 1 R) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

How this bill changes current law

4 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill authorizes the Secretary to collect registration fees from members of the Organ Procurement and Transplantation Network and makes various amendments to existing requirements.

  • 42 U.S.C. 274

    '' → ``(d) Registration Fees.--``(1) In general.--The Secretary may collect registration fees from any member of the Organ Procurement and Transplantation Network for each transplant candidate such member places on the list described in subsection (b)(2)(A)(i). Such registration fees shall be collected and distributed only to support the operation of the Organ Procurement and Transplantation Network. Such registration fees are authorized to remain available until expended.``(2) Collection.--The Secretary may collect the registration fees under paragraph (1) directly or through awards made under subsection (b)(1)(A).``(3) Distribution.--Any amounts collected under this subsection shall--``(A) be credited to the currently applicable appropriation, account, or fund of the Department of Health and Human Services as discretionary offsetting collections; and``(B) be available, only to the extent and in the amounts provided in advance in appropriations Acts, to distribute such fees among awardees described in subsection (b)(1)(A).``(4) Transparency.--The Secretary shall--``(A) promptly post on the website of the Organ Procurement and Transplantation Network--``(i) the amount of registration fees collected under this subsection from each member of the Organ Procurement and Transplantation Network; and``(ii) a list of activities such fees are used to support; and``(B) update the information posted pursuant to subparagraph (A), as applicable for each calendar quarter for which fees are collected under paragraph (1).``(5) GAO review.--Not later than 2 years after the date of enactment of this subsection, the Comptroller General of the United States shall, to the extent data are available--``(A) conduct a review concerning the activities under this subsection; and``(B) submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Finance of the Senate and the Committee on Energy and Commerce of the House of Representatives, a report on such review, including related recommendations, as applicable.''.

    This creates a system for the Secretary to collect and manage registration fees from members of the Organ Procurement and Transplantation Network.

  • 42 U.S.C. 274

    the wording → In each of subparagraphs (B) through (M), by striking the comma at the end and inserting a semicolon.

    This standardizes punctuation in the subparagraphs for clarity and uniformity.

  • 42 U.S.C. 274

    twenty-four-hour telephone service → 24-hour telephone or information technology service

    This updates and clarifies the terminology used for the service provided by the Network.

  • 42 U.S.C. 274

    transportation, and → transportation;

    This modifies the punctuation to maintain consistency within the list of responsibilities outlined for the Network.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 545 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (545)

545 members have not signed on to this bill.

Show all 545 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

veterans healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HR 5259?
HR 5259 is sponsored by Costa, Jim (Democratic) and Van Duyne, Beth (Republican).
What is the current status of HR 5259?
This bill is in committee in the House. Introduced September 10, 2025. It must pass committee before a floor vote.
Where can I track HR 5259?
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