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STATE OF THE STATES:

2021 AKF Living Donor Protection Report Card

Where Americans live can affect their ability to give the gift of life

Donating a kidney is one of the most altruistic actions a person can take, and being a living donor is much easier when you have guaranteed paid leave from work and protection from insurance discrimination. The American Kidney Fund (AKF) has been working at the state and federal levels to get such legislation passed. Until federal legislation passes that would give baseline protections to donors nationwide, states are operating with a patchwork of living donor protection laws. AKF's State of the States: 2021 Living Donor Protection Report Card evaluates each state and the District of Columbia on how well their existing laws encourage living organ donation and reduce barriers for living donors. This first annual Report Card will track our progress in achieving much-needed protections for living donors. Learn how we graded the states.

2021 Updates

Together, we can give living organ donors the protections they need, no matter where they live.

received based on how state laws encourage living organ donation and reduce barriers for living donors.
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  • Anti-insurance discrimination for life, disability or long-term care insurance
  • Job-protected leave from private employers
  • Job-protected leave from public employers
  • Tax credits for employers who provide paid leave
  • Tax credits or deductions for donor expenses
  • Paid leave via Family and Medical Leave Act (FMLA) laws
  • More than 60 days of leave via FMLA laws

Select a state to view statstics

National Living Donor Statistics

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The Report Card measures seven types of legislation:

Number of States
Anti-insurance discrimination for life, disability or long-term care insurance 18
Job-protected leave from private employers 12
Job-protected leave from public employers 37
Tax credits for employers who provide paid leave 5
Tax credits or deductions for donor expenses 20
Paid leave via Family and Medical Leave Act (FMLA) laws 2
More than 60 days of leave via FMLA laws 2