This bill amends federal boxing safety laws to create a new category of "unified boxing organizations" that can operate under alternative compliance requirements while maintaining enhanced protections for boxers. Unified boxing organizations—private associations or leagues that organize matches under unified rules—must meet strict safety standards including additional medical examinations for older and knockout-affected boxers, extra ambulances and ringside physicians at events, and comprehensive anti-doping programs with random testing. The legislation establishes minimum boxer compensation of $200 per round, limits initial promotional contracts to three years and subsequent ones to six years, requires organizations to provide training facilities and injury insurance, and mandates transparency through federal filings about ratings systems and organization operations. The bill also strengthens protections for all boxers by requiring certified ringside physicians, standardized drug testing protocols, and prohibits conflicts of interest between unified boxing organizations and boxer managers. The law takes effect 180 days after enactment.