The proposed bill introduces the "Organ-Donation Leave Act" as a new chapter in Title 36 of the General Laws, which pertains to public officers and employees. This act establishes eligibility criteria for state employees to receive paid leave for organ donation, specifically for kidney, liver segment, or bone marrow donations. To qualify, employees must have successfully completed an initial probationary period and worked at least 1,250 hours in the previous twelve months. Eligible employees may take organ-donation leave no more than once in any twelve-month period.

The duration of the leave varies based on the type of donation: it lasts for up to sixty calendar days after a kidney or liver segment donation, thirty calendar days after a bone marrow donation, 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.

Eligible full-time employees will receive their base pay during the leave, while less-than-full-time employees will receive pay based on the average number of hours scheduled each week over the last six pay periods. Paid holidays observed during the leave will be recorded as paid holidays and will not extend the duration of the organ-donation leave. Employees are not required to exhaust sick and annual leave before taking organ-donation leave, and they will continue to accrue sick and annual leave during this time. Additionally, 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 bill is set to take effect upon passage.