1. Short title This Act may be cited as the Organ Donation Clarification Act of 2018 . 2. Findings Congress finds the following: (1) As of June 2018, 115,000 people await an organ transplant, with 95,000 of those people waiting for a kidney, and average wait times are approaching five years for a kidney, with twice as many people being added to waiting lists as getting a transplant. (2) Living donor kidney transplants peaked in 2004 and have declined since due to a scarcity of living donors. (3) Of the roughly two million Americans who die annually, only 10,500 to 13,800, representing less than one percent of all deaths each year, possess major organs healthy enough for transplanting. (4) On average, 20 people a day died while waiting for an organ in 2017, with the majority of those people waiting for a kidney. (5) In 2017, 4,700 people were permanently removed from kidney waiting lists and 1,800 from liver, heart, and lungs waiting lists because they became permanently too sick to receive a transplant. (6) Ninety percent of dialysis patients are not employed because dialysis requires multiple treatments per week which last several hours and leave patients drained, thus creating a huge financial burden on the patients, their families, and the government which is not included in the cost estimates above, and which can help lead to as few as ten percent of dialysis patients being employed. (7) A patient receiving a kidney transplant on average can go 10–15 years living without dialysis while enjoying a much higher quality of life. (8) As medical advances extend people’s lives on dialysis, the number of patients on dialysis will increase significantly, as will the costs for individuals and the Federal Government. (9) Roughly seven percent of the Medicare budget goes to the End Stage Renal Disease Program, with dialysis costing Medicare over $87,000 per patient per year, as Federal law dictates that Medicare will cover dialysis for everyone who has made minimal Social Security tax payments. (10) A kidney transplant