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Bill

Bill

HB 361

Living organ donors; to prohibit discrimination in obtaining insurance coverage, provide paid medical leave for public employees who donate organs and a tax credit to private sector employers that provide similar paid leave to their employees

2026 Regular Session Introduced by Anthony Daniels

Alabama bill prohibits insurance discrimination against organ donors, mandates paid leave for public employees who donate, and offers tax credits to private employers providing similar leave benefits.

Enacted
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Bill Summary · HB 361

Legislative bill overview

HB 361 establishes protections and incentives for living organ donors in Alabama by prohibiting insurance discrimination against donors, guaranteeing paid medical leave for public employees who donate organs, and offering tax credits to private employers who provide similar paid leave benefits. The bill aims to remove financial and employment barriers that may discourage organ donation.

Why is this important

Living organ donation saves lives but creates real financial hardship for donors through lost wages during recovery and potential insurance complications. By addressing these barriers, the bill could increase organ donation rates while protecting donors from employment and coverage discrimination—a significant public health consideration given organ shortage waitlists.

Potential points of contention

  • Insurance regulation scope: Questions about whether the state can effectively prohibit insurers from considering donor status, and whether this creates unintended rate-setting consequences
  • Tax credit costs: Debates over fiscal impact of employer tax credits and whether this represents appropriate use of state revenue to incentivize private behavior
  • Paid leave burden: Public sector budgeting concerns about mandatory paid leave costs for government employers, particularly in smaller municipalities
  • Enforcement mechanisms: Unclear how discrimination prohibitions will be monitored and enforced, and what penalties apply to violating insurers or employers

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

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