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 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 may also end earlier based on medical documentation, seasonal layoffs, or the employee's return to work.

Employees are required to provide as much notice as practicable, with a minimum of 30 days' notice before the leave begins. 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 during the leave will be recorded as paid holidays and will not extend the leave.

The act specifies that employees do not need 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. Additionally, the benefits under this act will cover time needed for procedures, medical tests, and surgeries related to the donation. Time on organ-donation leave 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.