I 115th CONGRESS 2d Session H. R. 6517 IN THE HOUSE OF REPRESENTATIVES July 25, 2018 Mr. Engel (for himself and Mr. Valadao ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Public Health Service Act to direct the Organ Procurement and Transplantation Network to establish and implement reforms to the criteria for liver allocation so that such allocation is not based on the donor candidate’s place of residence or listing, except to the extent necessary to avoid wasting organs, and for other purposes.

1. Short title This Act may be cited as the Fairness in Liver Allocation Act of 2018 . 2. Criteria for liver allocation (a) In general Subsection (b) of section 372 of the Public Health Service Act ( 42 U.S.C. 274 ) is amended by adding at the end the following: (4) Liver allocation (A) Reform by Network Not later than December 31, 2018, the Organ Procurement and Transplantation Network shall establish and implement reforms to the criteria for liver allocation by the Network so that such allocation is not based on the donor candidate’s place of residence or listing, except to the extent necessary to avoid wasting organs. (B) Reform by Secretary in case of failure If the Organ Procurement and Transplantation Network fails to establish and implement reforms by December 31, 2018, as required by subparagraph (A)— (i) the Secretary, acting through the Administrator of the Health Resources and Services Administration, shall establish criteria for liver allocation by the Network consistent with subparagraph (A); and (ii) not later than June 30, 2019, the Network shall begin implementing such criteria. . (b) Technical correction Paragraph (3) of section 372(b) of the Public Health Service Act ( 42 U.S.C. 274(b) ) is amended by moving the indentation of such paragraph 2 ems to the left.