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 have successfully completed an initial probationary period and worked at least 1,250 hours in the previous twelve months. The leave can be taken once every twelve months and varies in duration based on the type of organ donated: up to 60 calendar days for kidney or liver segment donations, 30 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 30 days before the leave begins.

The bill stipulates that eligible full-time employees will receive their base pay during the leave, while less-than-full-time employees will receive base pay for the average number of hours scheduled each week over the last six pay periods, distributed equally Monday through Friday. 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 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.