HR4582-119

In Committee

To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health condition.

119th Congress Introduced Jul 22, 2025

Summary

What This Bill Does

This bill amends both the private-sector Family and Medical Leave Act definition of serious health condition and the parallel title 5 federal-employee definition. In each definition, it inserts recovery from surgery related to organ donation as an example of a qualifying physical or mental condition. The amendment means eligible workers can use FMLA leave for organ donation surgery recovery without arguing that the recovery falls outside the statute's serious-health-condition language. The bill also amends title 5 leave rules for federal employees: when an employee uses part of the 12-week FMLA period to serve as an organ donor, including recovery from surgery, the employee must substitute as much available paid leave as possible for that portion. The policy is narrow but concrete: it protects organ donors' job-protected leave access while tying federal employee organ-donor leave to available paid leave balances.

Who Benefits and How

Private-sector organ donors benefit from clearer FMLA coverage for recovery from donation surgery. Federal employee organ donors benefit from explicit title 5 coverage for organ donation surgery recovery. Transplant patients benefit if clearer job-protected leave makes potential donors less likely to delay or decline donation. Employers benefit from statutory clarity about whether organ donation surgery recovery qualifies as a serious health condition.

Who Bears the Burden and How

Covered private employers must treat qualifying organ donation surgery recovery as FMLA-covered leave. Federal agencies must administer organ-donor FMLA leave under the clarified title 5 rules. Federal employee organ donors must substitute available paid leave for organ-donor FMLA leave as much as possible. Department of Labor and OPM guidance staff may need to update explanatory materials.

Key Provisions

  • Clarifies that recovery from organ donation surgery is a serious health condition under private-sector FMLA.
  • Clarifies the same serious-health-condition rule for federal employees under title 5.
  • Requires federal employees using organ-donor FMLA leave to substitute available paid leave where possible.
  • Protects organ donors' access to job-protected leave for surgery recovery.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Clarifies that recovery from organ donation surgery is a serious health condition under private-sector and federal-employee FMLA rules, and requires federal employees using organ-donor FMLA leave to substitute available paid leave as much as possible.

Key Policy Areas

Family and Medical Leave, Organ Donation, Federal Employees

Primary Purpose

Clarifies that recovery from organ donation surgery is a serious health condition under private-sector and federal-employee FMLA rules, and requires federal employees using organ-donor FMLA leave to substitute available paid leave as much as possible.

Policy Domains

Family and Medical Leave Organ Donation Federal Employees

Resolution provisions

Identified Gains
  • Private-sector organ donors
  • Federal employee organ donors
  • Transplant patients
  • Employers needing FMLA clarity
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Transplant patients:
Private-sector organ donors:
Federal employee organ donors:
Employers needing FMLA clarity:
Identified Costs
  • Covered private employers
  • Federal agencies
  • Federal employee organ donors using paid leave
  • Department of Labor
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Federal agencies:
Department of Labor:
Covered private employers:
Federal employee organ donors using paid leave:

Legislative Progress

In Committee
Introduced Committee Passed
Jul 22, 2025

Mr. Bacon (for himself and Mr. Nadler) introduced the following …

Jul 22, 2025

Referred to the Committee on Education and Workforce, and in …

Jul 22, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Government
2 mentions across 1 clause
-2 negative

Department of Labor, Federal agencies

Labor
1 mention across 1 clause
?1 uncertain

Private-sector organ donors

Government Employees
1 mention across 1 clause
?1 uncertain

Federal employee organ donors

Healthcare Beneficiaries
1 mention across 1 clause
?1 uncertain

Transplant patients

Small Business
1 mention across 1 clause
-1 negative

Covered private employers

1/1
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Family and Medical Leave Organ Donation Federal Employees

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