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ASTS Statement: HOLD Act

Feb 13, 2026, 13:13 PM by ASTS

 

Approved by the ASTS Executive Committee

On Tuesday, February 3, 2026, the Honoring Our Living Donors (HOLD) Act was included in the legislative package that was designed to reopen the federal government. The American Society of Transplant Surgeons (ASTS) commends the dedicated efforts of all who contributed to advancing this crucial legislation and is honored to serve as a subcontractor for the Living Organ Donation Reimbursement Program (LODRP). "This legislation is a significant step forward in removing financial barriers for those who are considering the selfless, life-saving act of becoming a living organ donor," said ASTS President James Markmann, MD, PhD.

Specifically, the legislation will:

  • Exclude consideration of the transplant recipient’s income in determining eligibility for reimbursement of travel, lost wages, and dependent care expenses to living donors through the LODRP
  • Remove any expectation of reimbursement by recipients to living donors
  • Require an annual report on the adequacy of program funding to Congress beginning in fiscal year 2027

ASTS applauds Congress for taking these steps and also encourages them to further protect living donors by passing the Living Donor Protection Act. By continuing to remove disincentives to living organ donation, collectively, we all can help more people receive the generous gift of life.

ASTS Statement: HOLD Act

Feb 13, 2026, 13:13 PM by ASTS

 

Approved by the ASTS Executive Committee

On Tuesday, February 3, 2026, the Honoring Our Living Donors (HOLD) Act was included in the legislative package that was designed to reopen the federal government. The American Society of Transplant Surgeons (ASTS) commends the dedicated efforts of all who contributed to advancing this crucial legislation and is honored to serve as a subcontractor for the Living Organ Donation Reimbursement Program (LODRP). "This legislation is a significant step forward in removing financial barriers for those who are considering the selfless, life-saving act of becoming a living organ donor," said ASTS President James Markmann, MD, PhD.

Specifically, the legislation will:

  • Exclude consideration of the transplant recipient’s income in determining eligibility for reimbursement of travel, lost wages, and dependent care expenses to living donors through the LODRP
  • Remove any expectation of reimbursement by recipients to living donors
  • Require an annual report on the adequacy of program funding to Congress beginning in fiscal year 2027

ASTS applauds Congress for taking these steps and also encourages them to further protect living donors by passing the Living Donor Protection Act. By continuing to remove disincentives to living organ donation, collectively, we all can help more people receive the generous gift of life.

ASTS Statement: HOLD Act

Feb 13, 2026, 13:13 PM by ASTS

 

Approved by the ASTS Executive Committee

On Tuesday, February 3, 2026, the Honoring Our Living Donors (HOLD) Act was included in the legislative package that was designed to reopen the federal government. The American Society of Transplant Surgeons (ASTS) commends the dedicated efforts of all who contributed to advancing this crucial legislation and is honored to serve as a subcontractor for the Living Organ Donation Reimbursement Program (LODRP). "This legislation is a significant step forward in removing financial barriers for those who are considering the selfless, life-saving act of becoming a living organ donor," said ASTS President James Markmann, MD, PhD.

Specifically, the legislation will:

  • Exclude consideration of the transplant recipient’s income in determining eligibility for reimbursement of travel, lost wages, and dependent care expenses to living donors through the LODRP
  • Remove any expectation of reimbursement by recipients to living donors
  • Require an annual report on the adequacy of program funding to Congress beginning in fiscal year 2027

ASTS applauds Congress for taking these steps and also encourages them to further protect living donors by passing the Living Donor Protection Act. By continuing to remove disincentives to living organ donation, collectively, we all can help more people receive the generous gift of life.

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Documents

Title Type Size
ASTS signs on to Lorna Breen Act Appropriations Request for FY2027 - March 27, 2026 pdf 118 KB DownloadASTS signs on to Lorna Breen Act Appropriations Request for FY2027 - March 27, 2026
TTC_FDA Meeting Request_12.17.25-1 pdf 227 KB DownloadTTC_FDA Meeting Request_12.17.25-1
ASTS Factsheet_LDPA_October 2025 pdf 161 KB DownloadASTS Factsheet_LDPA_October 2025
Implementing Innovations in Perfusion Technology Workshop Prospectus pdf 890 KB DownloadImplementing Innovations in Perfusion Technology Workshop Prospectus
ASTS Comments on the 2026 Proposed OPO Conditions of Coverage - March 31, 2026 pdf 1674 KB DownloadASTS Comments on the 2026 Proposed OPO Conditions of Coverage - March 31, 2026
final_2026 ASTS Annual Prospectus pdf 8416 KB Downloadfinal_2026 ASTS Annual Prospectus
SORT Program Agenda pdf 830 KB DownloadSORT Program Agenda
ASTS Advocacy Philosophy pdf 526 KB DownloadASTS Advocacy Philosophy
ASTS thanks Senate HELP Committee for advancing LDPA - February 27, 2026 pdf 194 KB DownloadASTS thanks Senate HELP Committee for advancing LDPA - February 27, 2026
ASTS joins group letter in support of FY27 appropriations for kidney health and transplant - March 6, 2026 pdf 85 KB DownloadASTS joins group letter in support of FY27 appropriations for kidney health and transplant - March 6, 2026
A-NRP Training Standards_January 2026 APPROVED pdf 245 KB DownloadA-NRP Training Standards_January 2026 APPROVED
2026 Advocacy Day Prospectus pdf 3177 KB Download2026 Advocacy Day Prospectus
Instructions for uploading surgical logs in TAC Portal - After Fellowship pdf 372 KB DownloadInstructions for uploading surgical logs in TAC Portal - After Fellowship
jamasurgery_markmann_2022_oi_210103_1646152865.19267-2 pdf 750 KB Downloadjamasurgery_markmann_2022_oi_210103_1646152865.19267-2
Geographic variation in utilization of deceased donor livers in the United States in the era of advanced perfusion pdf 435 KB DownloadGeographic variation in utilization of deceased donor livers in the United States in the era of advanced perfusion
Wall (2023) - Six-month abdominal transplant recipient outcomes from donation after circulatory death heart donors, a retrospect pdf 1256 KB DownloadWall (2023) - Six-month abdominal transplant recipient outcomes from donation after circulatory death heart donors, a retrospect
Brubaker (2024) - US Liver Transplant Outcomes After Normothermic Regional Perfusion vs Standard Super Recovery pdf 424 KB DownloadBrubaker (2024) - US Liver Transplant Outcomes After Normothermic Regional Perfusion vs Standard Super Recovery
ASTS Comments - PY2 IOTA Model - February 9, 2026 pdf 1999 KB DownloadASTS Comments - PY2 IOTA Model - February 9, 2026
ASTS Response - HRSA Directive for OPTN Donation after Circulatory Death Policy Development - January 16, 2026 pdf 152 KB DownloadASTS Response - HRSA Directive for OPTN Donation after Circulatory Death Policy Development - January 16, 2026
ASTS Response - Directive to Reduce the Risk of Donor Derived Rabies Transmission - January 16, 2026 pdf 163 KB DownloadASTS Response - Directive to Reduce the Risk of Donor Derived Rabies Transmission - January 16, 2026