H.R. 4582 · 119th Congress

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.

Introduced on Jul 22, 2025 by Don Bacon (R-NE-2). 164 cosponsors, 129 of them from another party. Latest action (Jul 22, 2025): Referred to the Committee on Education and Workforce, and in addition to the Committees on Oversight and Government Reform, and House Administration, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Stage
Introduced
Introduced
Jul 22, 2025
Cosponsors
164
129 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Summary

The Congressional Research Service has not summarized this measure yet.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Don BaconR-NE-2Sponsor

Democrats · 129

Republicans · 35

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Jul 22, 2025Introduced in House
  2. Jul 22, 2025Introduced in House
  3. Jul 22, 2025 · HouseReferred to the Committee on Education and Workforce, and in addition to the Committees on Oversight and Government Reform, and House Administration, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  4. Jul 22, 2025 · HouseReferred to the Committee on Education and Workforce, and in addition to the Committees on Oversight and Government Reform, and House Administration, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  5. Jul 22, 2025 · HouseReferred to the Committee on Education and Workforce, and in addition to the Committees on Oversight and Government Reform, and House Administration, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. American Society of Nephrology5 reports
    $340K reported (all issues)Federal contractor: AMERICAN SOCIETY OF NEPHROLOGY INCAI match · 100%
  2. NATIONAL KIDNEY FOUNDATION5 reports
    $290K reported (all issues)Federal contractor: NATIONAL KIDNEY FOUNDATION, INCAI match · 100%
  3. AMERICAN COUNCIL OF LIFE INSURERS4 reports
    $5.5M reported (all issues)
  4. AMERICAN SOCIETY OF PEDIATRIC NEPHROLOGY4 reports
    $80K reported (all issues)
  5. American Heart Association4 reports
    $1.3M reported (all issues)Federal contractor: AMERICAN HEART ASSOCIATION, INC.$333.7K in contracts, FY2026AI match · 100%
  6. American Kidney Fund4 reports
    $796K reported (all issues)
  7. American Nephrology Nurses Association4 reports
    $120K reported (all issues)
  8. NATIONAL TREASURY EMPLOYEES UNION4 reports
    $1.3M reported (all issues)
  9. THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY4 reports
    $4M reported (all issues)Federal contractor: NORTHWESTERN MUTUAL LIFE INSURANCE CO, THEAI match · 100%
  10. CAREDX, INC.2 reports
    $230K reported (all issues)Federal contractor: CAREDX, INC.$3.6M in contracts, FY2026AI match · 100%
  11. Dialysis Patient Citizens2 reports
    $750K reported (all issues)
  12. Nonprofit Kidney Care Alliance2 reports
    $180K reported (all issues)
  13. PACIFIC LIFE INSURANCE COMPANY2 reports
    $900K reported (all issues)
  14. The Rogosin Institute2 reports
    $60K reported (all issues)Federal contractor: THE ROGOSIN INSTITUTE INC$297.5K in contracts, FY2026AI match · 100%
  15. Dialysis Clinic, Inc.1 report
    $30K reported (all issues)Federal contractor: DIALYSIS CLINIC, INC.$17.4M in contracts, FY2026AI match · 95%
  16. Fresenius Medical Care North America1 report
    $1.2M reported (all issues)
  17. United Network for Organ Sharing1 report
    $50K reported (all issues)Federal contractor: UNITED NETWORK FOR ORGAN SHARING$42.9M in contracts, FY2026AI match · 100%

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 5, 2026 · loaded Oct 5, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.