GIFT Act of 2025
Summary
What This Bill Does
The GIFT Act adds an organ-transplant condition to the Medicare provider agreement statute. Hospitals, critical access hospitals, and rural emergency hospitals would have to agree not to take an individual's vaccination status into account when deciding which person should receive an organ transplant. The bill does not create new organs or transplant funding; it changes the eligibility decision rule for Medicare-participating hospitals so vaccination status cannot be used as a selection factor.
Who Benefits and How
Unvaccinated transplant candidates benefit because hospitals may not count vaccination status against them in organ-recipient selection. Patients with medical or personal objections to vaccination benefit from a federal transplant-selection protection. Rural transplant patients benefit where rural emergency hospitals or critical access hospitals participate in transplant-related decisions. Patient-rights advocates benefit from a clear statutory nondiscrimination rule tied to vaccination status.
Who Bears the Burden and How
Hospitals must revise transplant-selection policies and Medicare compliance procedures. Critical access hospitals must ensure vaccination status is not considered in transplant-recipient determinations. Rural emergency hospitals must align provider-agreement practices with the new rule. Transplant committees lose discretion to use vaccination status as a clinical or allocation factor.
Key Provisions
- Amends Medicare provider agreement requirements for hospitals.
- Prohibits consideration of vaccination status in organ-transplant recipient selection.
- Applies to hospitals, critical access hospitals, and rural emergency hospitals.
- Creates a transplant-selection rule without changing organ allocation supply or transplant funding.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.
At a Glance
What This Bill Does
Requires hospitals, critical access hospitals, and rural emergency hospitals participating in Medicare not to consider vaccination status when determining who should receive an organ transplant.
Key Policy Areas
Health Care, Organ Transplants, Medicare Conditions
Primary Purpose
Requires hospitals, critical access hospitals, and rural emergency hospitals participating in Medicare not to consider vaccination status when determining who should receive an organ transplant.
Policy Domains
Resolution provisions
Identified Gains
Contextual inference, no direct clause citation- Unvaccinated transplant candidates
- Patients with vaccination objections
- Rural transplant patients
- Patient-rights advocates
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Hospitals
- Critical access hospitals
- Rural emergency hospitals
- Transplant committees
Contextual inference, no direct clause citation
Legislative Progress
In CommitteeMr. Steube introduced the following bill; which was referred to …
Referred to the Committee on Ways and Means, and in …
Introduced in House
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology