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 such as a kidney, liver segment, or bone marrow. To be eligible for this leave, employees must be currently working, have successfully completed an initial probationary period during the current employment period, and have worked at least 1,250 hours in the previous twelve months. The leave duration varies based on the type of donation, with specific timeframes outlined: up to 60 calendar days for kidney or liver segment donations, 30 calendar days for bone marrow donations, or until medical documentation supports the need for continued absence. Employees are required to provide at least 30 days' notice before the leave begins.

Additionally, the bill stipulates that eligible full-time employees will receive their base pay during the leave, while less-than-full-time employees will be compensated based on the average number of hours scheduled each week over the last six pay periods, distributed equally Monday through Friday. Employees are not required to exhaust their sick or annual leave before taking organ-donation leave, and they will continue to accrue sick and annual leave during this period. The act also ensures that time spent on organ-donation leave counts toward any Family and Medical Leave Act (FMLA) and unpaid medical leave entitlements, and does not affect step increases for employees in satisfactory standing. The act will take effect upon passage.