HB263 Alabama 2021 Session

Updated Feb 22, 2026

Summary

Primary Sponsor: Debbie Wood
Republican
Session: Regular Session 2021
Title: Organ transplant recipients, discrimination against persons with disabilities prohibited
Summary: HB263 (Exton's Law) would protect people with disabilities from discrimination in organ transplants and require health care providers to offer reasonable accommodations.
What This Bill Does
If passed, the bill would stop denying or delaying organ transplants or related services to someone just because they have a disability. It would require health care providers, hospitals, transplant centers, and other covered entities to provide reasonable accommodations and auxiliary aids to help with organ donation and transplant processes, including decision-making support. A disability can only be considered medically significant to transplant decisions after an individualized physician evaluation, and if adequate support exists, the disability cannot be used to justify post-transplant requirements; the bill also requires policy modifications to improve access and prohibits denying insurance coverage solely due to disability.

Who It Affects
People with disabilities who need an anatomical gift or organ transplant, who would gain protections against discrimination and access to accommodations and support.
Covered health care entities (providers, facilities, and organ matching entities) that would be required to provide accommodations, modify policies, and avoid discriminatory practices.

Key Provisions
Prohibits discrimination against individuals with disabilities in receiving an anatomical gift or organ transplant based on disability.
Requires covered entities to provide reasonable accommodations and auxiliary aids/services (e.g., interpreters, accessible information, and supported decision making) to facilitate transplant-related care.
Defines terms such as anatomical gift, disability, qualified individual, auxiliary aids and services, supported decision making, and covered entity to guide obligations.
Prohibits denying evaluation, referral, listing on the transplant waiting list, or insurance coverage for transplant procedures solely due to disability; allows disability to be considered only if medically significant after an individualized evaluation.
Mandates reasonable modifications to policies and practices to improve access to transplantation-related services unless modifications would fundamentally alter services or impose undue burden.
Requires measures to ensure involvement of the individual in health care decisions and to include appropriate support networks in post-transplant care decisions.

AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects: Disabled