The Expanding Support for Living Donors Act of 2024 amends the federal Living Organ Donation Reimbursement Program to remove financial barriers that discourage people from donating organs. The bill eliminates consideration of an organ recipient's income when making reimbursement decisions and removes caps on donor eligibility based on household income, allowing anyone earning up to 700 percent of the poverty line to qualify. It establishes a maximum reimbursement amount of $10,000 starting in fiscal year 2026, adjusted annually for inflation, while allowing the Secretary of Health and Human Services to lower this cap if funding becomes insufficient. The legislation requires annual reporting to Congress detailing program participation, demographics, expenses, donation outcomes, and estimated Medicare savings, and directs the Government Accountability Office to study how Medicare could directly cover these donor costs. The bill authorizes open-ended appropriations for the program through fiscal year 2035, replacing the outdated $5 million annual authorization that expired in 2009.
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