Welcome to ModifyNOTA.org

Every year, thousands of Americans die while waiting for a kidney transplant. It doesn’t have to be this way. The End Kidney Deaths Act (H.R. 2687) offers a bold, compassionate solution to save lives and end the kidney shortage in the United States.

We are a national movement of kidney donors, recipients, patients, doctors, researchers, and advocates working to modernize outdated federal laws that are blocking access to life-saving transplants. Our goal is simple and urgent: ensure that no one in America dies while waiting for a kidney.

What We're Fighting For

The End Kidney Deaths Act is a 10-year pilot program that would compensate Americans who donate a kidney to a stranger with a refundable tax credit of $10,000 per year for five years. This is not about paying people for organs—it’s about removing the financial barriers that prevent thousands of willing donors from stepping forward.

This reform will:

  • Save up to 100,000 lives over 10 years

  • Reduce racial and income disparities in access to transplants

  • Cut Medicare spending by up to $37 billion by replacing costly dialysis with successful kidney transplants

Why We Need Change Now

Right now, more than 90,000 Americans are on the kidney transplant waitlist. Half of them will die before they get a transplant. Deceased donation alone cannot meet this need. We must increase the number of living donors—and that means making donation possible for more people.

The Facts

  • Kidney disease affects more than 800,000 Americans.

  • Dialysis costs taxpayers $50 billion a year.

  • Fewer than 400 Americans donate a kidney to a stranger each year.

  • Living donors are healthier than average and live long, full lives.

How You Can Help

This is a historic moment. The End Kidney Deaths Act is gaining momentum in Congress, but we need your voice to keep the pressure on. You can:

  • Email your members of Congress

  • Call your representatives

  • Write a letter to your local newspaper

  • Join our monthly Zoom meetings

  • Share your story and spread awareness

Take Action Today

Be part of a movement that is saving lives. Together, we can make sure that no one dies waiting for a kidney.

[Join Our Team] [Contact Your Leaders] [Read the Bill]