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HD 4324

An Act relative to PFML for bone marrow and organ donation

194th Legislature (2025-2026) Introduced by Rich Haggerty

Expands Massachusetts PFML to cover paid leave for bone marrow and organ donors during medical recovery periods.

Reported, referred to the committee on Joint Rules, reported, rules suspended and referred to the committee on Labor and Workforce Development
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Bill Summary · HD 4324

Legislative bill overview

HD 4324 would expand Massachusetts' Paid Family and Medical Leave (PFML) program to cover time off for bone marrow and organ donation procedures. The bill requires the state to recognize donation-related absences as qualifying events under the existing PFML framework, allowing donors to receive wage replacement benefits during recovery periods.

Why is this important

Bone marrow and organ donation can involve significant recovery time, but donors currently may face financial pressure to return to work prematurely or lose income during healing. This bill addresses a gap in the PFML program by removing economic barriers to life-saving medical donations, potentially increasing donation rates while protecting donor financial security.

Potential points of contention

  • Program cost impact: Expansion of PFML eligibility increases state program costs and employer contribution obligations, which may face budget scrutiny
  • Definition scope: Unclear whether coverage extends to living donors only, related donors, or all types of donations (bone marrow, kidney, liver segments, etc.), which affects fiscal projections
  • Recovery period standardization: Medical recovery times vary significantly by donation type and individual health factors, raising questions about how benefit duration will be determined and administered fairly

Compiled from official sources — confirm details with the bill’s official record.

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