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, who have successfully completed an initial probationary period and worked at least 1,250 hours in the previous twelve months, may take organ-donation leave once every twelve months. The duration of the leave varies based on the type of donation: it lasts up to sixty calendar days for kidney or liver segment donations, thirty calendar days for bone marrow donations, or until the employee's medical provider no longer supports the absence as medically necessary.

Employees are required to provide notice of at least thirty days before the expected start of the leave. During the organ-donation leave, eligible full-time employees will receive their base pay, while part-time employees will receive pay based on the average number of hours scheduled each week over the last six pay periods. The bill specifies that employees do not need to exhaust their sick or annual leave before taking this leave, and they will continue to accrue sick and annual leave during their absence. Additionally, time spent on organ-donation leave will count towards any Family and Medical Leave Act (FMLA) entitlements and will not affect step increases for employees in satisfactory standing. The act is set to take effect upon passage.