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 working, 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. The leave begins on the date of donation and ends on the earliest of several specified dates, including the date the employee returns to work.

Employees are required to provide as much notice as practicable, with a minimum of 30 days' notice before the expected start of the leave. Eligible full-time employees will receive their base pay during the leave, while less-than-full-time employees will receive base pay based on their average scheduled hours over the last six pay periods. Paid holidays observed during the leave will not extend the duration of the organ-donation leave.

Employees do not need to exhaust their sick and annual leave before taking organ-donation leave, and they will continue to accrue sick and annual leave during this period. Time spent on organ-donation leave will count toward step increases if the employee is in satisfactory standing and will also count toward any Family and Medical Leave Act (FMLA) and unpaid medical leave entitlements. The act is set to take effect upon passage.