; (D) the effectiveness, fairness, and equitableness of the distribution of nondirected living donor organs that are donated by participants in covered pilot programs; and (E) recommendations to Congress on— (i) improving covered pilot programs; and (ii) expanding the use of noncash benefits to incentivize organ donation. . (c) Relationship to payments by recipient of organ Subsection (d) of section 377 of the Public Health Service Act ( 42 U.S.C. 274f(d) ) is amended to read as follows: (d) Relationship to payments under other programs An award may be made under subsection (a) only if the applicant involved agrees that the award will not be expended to pay the qualifying expenses of a donating individual to the extent that— (1) payment has been made, or can reasonably be expected to be made, with respect to such expenses— (A) under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; or (B) by an entity that provides health services on a prepaid basis; or (2) the recipient of the organ has made payment, or had agreed to make payment, with respect to such expenses. .