The proposed bill introduces the "Organ-Donation Leave Act" as a new chapter in Title 36 of the General Laws, establishing provisions for paid leave for state employees who donate organs. Eligible employees must be currently employed, have successfully completed an initial probationary period, and have worked at least 1,250 hours in the previous 12 months. The leave duration varies based on the type of donation: up to 60 calendar days for kidney or liver segment donations, and up to 30 calendar days for bone marrow donations. Employees are required to provide notice of at least 30 days before the expected start of the leave.

During the organ-donation leave, eligible full-time employees will receive their base pay, while less-than-full-time employees will receive pay based on the average number of hours scheduled over the last six pay periods. Paid holidays that occur during the leave will be recorded as paid holidays and will not extend the duration of the leave. Employees are not required to exhaust their sick or annual leave before taking organ-donation leave and will continue to accrue sick and annual leave during this time. Additionally, time spent on organ-donation leave will count towards Family and Medical Leave Act (FMLA) entitlements and will not affect step increases for employees in satisfactory standing. The provisions of this act will take effect upon passage.