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Last month, the House Committee on Energy and Commerce’s Subcommittee on Oversight and Investigations held a hearing diving deeper into concerning practices within our nation’s organ procurement and transplant system that were identified by a recent Health Resources and Services Administration (HRSA) investigation. During the two-panel hearing titled “Ensuring Patient Safety: Oversight of the U.S. Organ Procurement and Transplant System,” Committee Members heard from the Chief of the Organ Transplant Branch of HRSA regarding the agency’s recently released investigative report outlining shocking revelations about the system’s procedures that put patient safety at risk. The investigation examined an “index case” (KYDA-001) where the organ procurement organization (OPO) that services Kentucky was contacted shortly after the arrival of a patient who was experiencing cardiovascular collapse after an unintentional overdose. After it was determined that further treatment would be futile, the patient’s family made the decision to end life-sustaining treatment and move forward with organ donation via a process known as donation after cardiac (or circulatory) death (DCD). However, despite OPO and hospital staff noting signs of the patient’s improved neurologic function, discomfort, and even expression of fear at multiple points over the multi-day period between when the OPO was first contacted and the patient was brought to the operating room (OR), the decision to pursue organ recovery was not reversed until the physician in the OR became uncomfortable and refused to continue with the process. In addition to the index case, HRSA analyzed 351 unique cases of authorized, not recovered (ANR) patients. This means that the patients were considered for DCD recovery, but no organs were transplanted. The report shows that 103 of these cases, which is nearly 30 percent, “had concerning features.”  HRSA’s Organ Transplant Branch Chief, Dr. Raymond Lynch, testified about KYDA’s (Network for Hope) patterns that were identified in the report, which include: A failure to recognize neurologic function inconsistent or unfavorable for DCD organ recovery on initial patient assessment or subsequent follow up; A failure to work collaboratively with patients’ primary medical teams, including instances of potential violation of separation of roles in patient care; A failure to respect family wishes and appropriately safeguard the decision-making authority of legal next of kin; and A failure to follow professional best practices as well as policies and guidelines for collection of patients’ medical data. The second panel included witnesses from “Network for Hope,” the OPO involved in all of the cases that HRSA reviewed; the United Network for Organ Sharing (UNOS); and the current and recent past President of the Organ Procurement and Transplantation Network (OPTN) Board of Directors.  Chairman Joyce probed Network for Hope CEO, Mr. Barry Massa, for using the word “unique” to describe the index case, the same case where “...hospital staff [felt] extremely uncomfortable with the amount of reflexes patient is exhibiting,” during the procurement process. Congressman Gary Palmer (AL-06) questioned witnesses about an open letter that was issued after the Subcommittee’s September 2024 hearing and signed by the organ donation and transplant industry and community members, including individuals at UNOS and OPTN Board Members. The open letter, per HRSA’s report, “characterized the ongoing effort to improve patient safety through enhanced oversight as a ‘misinformation campaign,’” noting that “[i]t is time for it to stop.” Specifically, the letter portrayed the previous oversight efforts by this Committee as “[s]preading misinformation based on conspiracy theories and hearsay.” UNOS’s CEO, Dr. Maureen McBride, admitted to signing the letter.  The Committee has serious concerns about the message this letter sends both to those conducting oversight of the organ procurement and transplant system and to those who wish to speak up when they wish to report concerns or potential wrongdoing. Oversight of this issue is far from over, and the Committee remains committed to protecting patient safety and maintaining trust in the system to ensure transparency and accountability. As Chairman Guthrie said when recalling his personal experience with our nation’s organ procurement and transplant system, “The conclusion [of this process] is going to come when we have confidence in the system.” ###

WASHINGTON, D.C.  – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, issued the following statement regarding the Department of Energy’s (DOE) announcement that it would issue funding opportunities to support the mining and processing of critical materials and minerals. “Ensuring that the United States has access to the critical materials and minerals that are used in everything from cell phones and missile guidance technology to energy applications must be one of our top priorities. Over the past several months, our Committee has held multiple hearings on the urgent need to secure our critical mineral and material supply chains, including by increasing domestic mining and finding new ways to recycle these materials from coal ash and electronic waste,”   said Chairman Guthrie .  “As we continue to counter adversaries, like China, the Department of Energy’s announcement is a strong step toward ensuring that Americans will continue to have access to the tools and technologies we rely on.” CLICK HERE  to read the DOE’s announcement. ###

WASHINGTON, D.C.  – In case you missed it, Fox News recently published an article featuring a letter from Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman Gary Palmer (AL-06), Chairman of the Subcommittee on Environment, and John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, requesting information on California’s decision to continue imposing a de-facto EV mandate. In Case You Missed It: “In a sharp rebuke, a Kentucky congressman is pressing California’s top environmental agency for answers after learning the state may be ignoring Congress’ reversal of three key electric vehicle standards. “The House Committee on Energy and Commerce wrote to Sacramento that it is ‘concerned about reports that California, and other jurisdictions who have adopted California standards for which waivers of preemption have been granted, are enforcing preempted vehicle emission regulations in violation of the Clean Air Act.’ “Earlier this year, Congress used the Congressional Review Act to nullify Biden-era waivers granted by the Biden EPA to California, allowing them to implement stricter standards than the federal government. “Several states, including Pennsylvania and Delaware, along with the District of Columbia, have adopted California’s low-emissions standards as well. “The Committee has been made aware that CARB staff is denying auto manufacturers approval to bring vehicles to market unless the manufacturers agree to comply with the preempted regulations,’ the committee continued. “Rep. Brett Guthrie, chair of the House Energy and Commerce Committee, a Republican, told Fox News Digital that the law is clear that the Golden State must end its ‘de-facto EV mandate.’ “Enforcing a ban on the sale of gas-powered vehicles would have dire consequences for American families and businesses,’ Guthrie said. “Forcing Americans to buy these vehicles would strain our electric grid, raise costs, and increase our reliance on China. Our investigation will look into whether California is continuing to enforce an EV mandate in violation of federal law.’ Joining Guthrie on the letter were Reps. Gary Palmer, R-Ala., and John Joyce, R-Pa., chairmen of the environment and oversight subcommittees, respectively. “The committee acknowledged a lawsuit against the recissions from California Attorney General Robert Bonta remains ongoing, but that the intermission does not allow the state to continue enforcing mandates under the nixed waivers. In a June statement announcing the lawsuit, Bonta called the situation ‘reckless, politically motivated and illegal.’ “The letter, addressed to Dr. Steven Cliff, executive officer of the California Air Resources Board, said the committee had been purportedly made aware of CARB staff denying auto manufacturers’ approval to bring vehicles to market in the state ‘unless the manufacturers agree to comply with the preempted regulations.’ “These efforts include CARB staff indicating that the agency would deny California Executive Orders (EO) for model year 2026 vehicles that meet all of CARB’s enforceable regulatory requirements and which California allowed for sale in model year 2025, on the basis that these vehicles do not meet the additional requirements in one set of the preempted regulations: ACC-II.’ “The committee further alleges that CARB’s online ‘repository’ spreadsheet of model year 2026 vehicles showed the board has ‘exclusively approved’ vehicles that would certify under the ACC-II green regulations. “They closed by demanding documents showing whether CARB is continuing to enforce the car, truck or omnibus regulations Congress undid, and all records from the first of the year onward germane to the regulations and Biden-era waivers. “Fox News Digital reached out to CARB and Gov. Gavin Newsom for comment on accusations that the board is discriminating against certain vehicles.”

WASHINGTON, D.C. – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman Gary Palmer (AL-06), Chairman of the Subcommittee on Environment, and John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, sent a letter to the California Air Resources Board, requesting information on California’s decision to continue imposing a de-facto EV mandate. “The law is clear California must put an end to its de-facto EV mandate. Enforcing a ban on the sale of gas-powered vehicles would have dire consequences for American families and businesses,” said Chairman Guthrie. “Forcing Americans to buy these vehicles would strain our electric grid, raise costs, and increase our reliance on China. Our investigation will look into whether California is continuing to enforce an EV mandate in violation of federal law.” Read more about the letter from Fox News here . Key excerpts from the letter: “The Committee is concerned about reports that California, and other jurisdictions who have adopted California standards for which waivers of preemption have been granted, are enforcing preempted vehicle emission regulations in violation of the Clean Air Act.” “The Committee has been made aware that CARB staff is denying auto manufacturers approval to bring vehicles to market unless the manufacturers agree to comply with the preempted regulations.” Background: On June 12, 2025, President Trump signed three resolutions of disapproval under the Congressional Review Act. H.J. Res. 87, H.J. Res. 88, and H.J. Res 89, which collectively disapproved California’s waiver of preemption allowing the state to impose emission standards that effectively ban the sale of new gas-powered vehicles. The CRA’s passed Congress with bipartisan support. The Clean Air Act clearly bans states from issuing their own emission standards unless EPA grants a waiver of federal preemption. Because the EPA’s waivers have been disapproved under the CRA, the California EV mandates are not allowed under the Clean Air Act. Despite three Congressional Review Act (CRA) resolutions being signed into law this year that block California from implementing vehicle standards that ban the sale of gas-powered cars and trucks through its Advanced Clean Cars (ACC) II regulations, Advanced Clean Trucks (ACT) regulations, and Omnibus Low NOx programs (the Omnibus) regulations, Committee staff have learned that California and other states are continuing to implement the preempted rules. Specifically, following formal disapproval of previously granted waivers due to the CRAs, California is reportedly refusing to certify automobiles that don’t meet the now-preempted standards, contrary to federal law, i.e., the Clean Air Act. CLICK HERE to read the full letter.

WASHINGTON, D.C. – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, issued the following statement regarding the Congressional Budget Office’s (CBO) latest coverage update on the One Big Beautiful Bill Act (OBBBA). “Our Republican-led One Big Beautiful Bill Act promotes the core mission of protecting our most vulnerable Americans by strengthening, securing, and sustaining our crucial federal health programs,”   said Chairman Guthrie .  “The Democrat lies have been loud, but the truth is louder. The One Big Beautiful Bill Act is a win for American families—especially expectant mothers, their children, low-income seniors, and people with disabilities. “The prolonged lie exacerbated by Democrats that 17 million individuals will lose health care coverage from the One Big Beautiful Bill Act has finally been dispelled by the Congressional Budget Office (CBO). In the most recent coverage update released by CBO, CBO estimates 10 million individuals enrolled in federal health care programs will no longer be covered, with 5.3 million being able-bodied adults refusing to work, 3.7 million having access to other forms of coverage, and the remaining balance being removed from the rolls since coverage was limited to U.S. citizens and lawfully permanent residents. It’s easy to scare people with coverage loss estimates, but the facts are clear – the vast majority of these individuals are either choosing to lose coverage or aren’t actually eligible for Medicaid, and nearly all are eligible for other forms of coverage. “I think about Americans all across the country, who work hard every day but have to pay with their own taxpayer dollars for the health care of millions of able-bodied Americans who are choosing not to work. Republicans will continue to find commonsense solutions that ensure these programs are available for those who need them most, for generations to come. I thank President Trump for his steadfast leadership on this issue and for signing a piece of legislation that promotes the future of our health programs to serve their intended purpose.” BACKGROUND: The Congressional Budget Office (CBO) recently released the updated coverage numbers for H.R. 1, the One Big Beautiful Bill Act (OBBBA). CBO estimated the total number of uninsured beneficiaries to be 10 million by 2034. The breakdown includes: 5.3 million able-bodied adults currently covered by Medicaid who are choosing not to work; 3.7 million individuals who will have access to another form of health insurance; and 1 million individuals who are not U.S. citizens or lawfully permanent residents.

WASHINGTON, D.C.  – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, issued the following statement regarding the Federal Communications Commission’s (FCC) adoption of an item to update subsea cable regulations: “Subsea cables underpin the overwhelming majority of international internet traffic, and this week’s unanimous decision protects that critical infrastructure from interference by our foreign adversaries. Continued investment and streamlining our approval processes for submarine cable infrastructure will enhance the resiliency of these critical networks and enable the United States to expand our global technological dominance,” said Chairman Guthrie . “We must defend against our adversaries, such as China, who seek to access and tamper with American networks.”   CLICK HERE to read the FCC’s announcement.  ###

WASHINGTON, D.C.  – The following op-ed by Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, appeared in the Courier Journal this week. “Earlier this year, President Trump tasked Congress with developing a bill that enacts his domestic policy agenda and kickstarts the American economy. “This piece of legislation, known as the One Big, Beautiful Bill, was signed into law by the president on July 4, 2025. It accomplished its goal of providing tax relief for Kentucky families, securing our border, investing in our military readiness, unleashing American energy and strengthening Medicaid for our most vulnerable Americans. “In Congress, I am honored to serve as the chairman of the House Committee on Energy and Commerce. At the onset of the work on the One Big, Beautiful Bill, we were tasked with finding $880 billion in savings from our committee’s jurisdiction. “The final version of the One Big, Beautiful Bill includes over $1 trillion in savings from my committee’s jurisdiction. To accomplish this, we worked to eliminate reckless Green New Deal environmental regulations, promote American energy dominance and eliminate waste, fraud and abuse within the Medicaid program. “As you may have seen in the news over the past few weeks, my colleagues on the other side of the aisle have spread misinformation about this bill, claiming that it is a disaster for Kentucky families. That’s simply untrue. “Let’s take a moment to address a few of the false narratives that have been spread to scare the American people. “ Truth and lies about the One Big, Beautiful Bill and Medicaid “ Allegation : Single mothers, children, seniors and people with disabilities will lose access to health care. “ Truth : The Medicaid provisions included in the One, Big Beautiful Bill ensure our most vulnerable Americans continue receiving the support they need. It strengthens the program by removing deceased recipients from the Medicaid rolls, requiring states to conduct more frequent eligibility checks for the expansion population, ensuring that individuals are not enrolled in multiple states and enacting commonsense work requirements for able-bodied Americans who choose not to work. Additionally, our bill expands access to Home and Community Based Services for low-income seniors and individuals living with a disability. “ Allegation : Work requirements are a ‘ruse’ to force people off Medicaid. “ Truth : According to the nonpartisan Congressional Budget Office, there are 4.8 million able-bodied adults currently on Medicaid who choose not to work. A survey showed this population spends roughly 184 hours a month watching television and socializing- that’s 50% higher than employed beneficiaries. “Our bill enacts basic work requirements to require individuals to be employed, participate in job training, go to school or volunteer in their communities for just 20 hours per week to receive Medicaid. Notably, the One Big, Beautiful Bill exempts people aged under 19 or over 65, pregnant women, tribal members, caregivers of children and seniors with disabilities and parents with dependents under 15. I believe most people would agree it’s appropriate to expect able-bodied, unemployed adults on Medicaid to work or give back to their communities to receive fully subsidized health insurance. “Kentuckians’ support for these policies is strong, as this year, the Kentucky General Assembly voted overwhelmingly to overturn Gov. Andy Beshear’s veto and institute a similar state-level work requirement. “ Allegation : Over 35 Kentucky hospitals are at risk of closing as a direct result of this bill. “ Truth : The allegation that 35 rural hospitals will close is a blatant mischaracterization at best. This number stems from a list of hospitals that generally receive high levels of Medicaid funding or experienced three consecutive years of negative total profit margin. “This claim fails to mention the $50 billion Rural Health Transformation Program created by the bill to support rural health providers care for their patients. This will bolster funding for our most vulnerable hospitals and allow them to keep serving their communities. “ Trump’s bill refocuses Medicaid to cover the most vulnerable “Our legislation eliminates restrictive Biden-Harris era state requirements, forcing ineligible individuals to remain enrolled, and lifts Americans out of poverty by encouraging reentry into the workforce. By cutting top-down mandates, we refocus Medicaid dollars to cover the most vulnerable and give states’ budgets the ability to further invest in hospitals. “Spending in the Medicaid program continues to chart an unsustainable path, growing at twice the rate of inflation between 2018 and 2023. If not addressed, the program will no longer have the capacity to serve its intended purpose. In order to preserve this safety net for generations to come, Republicans have committed to policies that empower states to care for our most vulnerable Americans — pregnant women, children, individuals living with a disability and low-income seniors. “The One Big, Beautiful Bill is a commonsense win that strengthens Medicaid for Kentucky’s most vulnerable, and I’m proud to have supported its passage.” ###

WASHINGTON, D.C.  – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, released a statement following the Environmental Protection Agency ’ s (EPA) proposal to roll back Obama and Biden-era regulations that have limited motor vehicle manufacturing and created a de-facto EV mandate for consumers for over a decade. “During the Obama-Biden and Biden-Harris Administrations, one-size-fits-all regulations were weaponized to create an EV mandate that limited consumer choice and increased costs for American businesses and consumers. “Over the past year, our Committee has led the way in Congress to address these issues including three Resolutions of Disapproval under the Congressional Review Act which ensured California could not impose an EV mandate on consumers across the country and force automakers and consumers to align with their radical green policies,”  said Chairman Guthrie. “No country has reduced its emissions more than the United States over the course of the 21st century. That accomplishment came from innovation and investments, not federal mandates. Today’s decision by the EPA to reconsider impractical and unworkable vehicle standards is a victory for American families who want to choose the car or truck that is right for them—not what’s mandated by Washington bureaucrats.” Background: The so-called “endangerment finding” was issued in 2009 by the Obama-Biden Administration and is the basis for the vehicle emission rules issued by both the Obama-Biden and Biden-Harris administrations that imposed costly EV mandates that limited consumer choice and increased costs of newer vehicles. EPA’s proposal is based on recent Supreme Court decisions limiting the scope of regulatory agencies like EPA in accordance with Congressional authorities.

WASHINGTON, D.C.  –  In case you missed it, Fox News recently featured Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, who shared his personal experience relating to the importance of ensuring patient safety remains the top priority within the nation’s organ transplant and procurement system.  In Case You Missed It:   “House Energy and Commerce Chairman Rep. Brett Guthrie, R-Ky., spoke to Fox News Digital on Tuesday about how his personal experience with organ transplantation has shaped his view of the system, which he said must ensure families are confident in it so they will not be afraid to donate much-needed organs.    “On Tuesday, the House Energy and Commerce Subcommittee on Oversight and Investigations held a hearing with Dr. Raymond Lynch, the Health Resources and Services Administration’s (HRSA) chief of the organ transplant branch. Current and former leaders of the United Network for Organ Sharing (UNOS), the Organ Procurement and Transplantation Network (OPTN) and the Organ Procurement Organization (OPO), Network for Hope, which serves Kentucky, southwest Ohio and parts of Indiana and West Virginia, were also present.  “The investigation follows a shocking HRSA investigation that found hospitals and OPOs in Kentucky were allowing organ procurement processes to begin despite patients showing signs of life. The investigation ultimately found that, since December 2024, out of 351 cases involving patients who had been authorized for organ procurement, but the organs were ultimately not recovered, 29% showed ‘concerning features’ related to protocols and patient safety, while around 20% exhibited a ‘neurologic status’ not conducive to organ procurement. “My big concern is people will not – if they don’t have confidence in the system – won’t feel like they’ll register as an organ donor, Guthrie said between panels at Tuesday’s hearing.   “People need to have confidence in the system, or at least know the questions to ask if they’re in this end stage with their loved one, Guthrie continued. Because when you’re sitting there, and you’re getting prepped to go get your next – hopefully, chance at life – you also, as you sit there, know that there’s some other family in some other emergency room somewhere else having a different experience. And they are losing a loved one, but they’re willing – the loved one, either pre-designated or they’re willing to let their loved one live on by helping somebody else live. “Guthrie’s experience stems from his mother, who died waiting on a new liver. He recounted how she was, at one point, told they had found her a new liver, but when the surgeon went to go pick up the new organ, it was not in the adequate shape to be transplanted. “Despite assurances that she was high on the list, Guthrie’s mother never found an organ in time before declining so fast that neither the congressman nor any of his relatives could attempt a live-organ transplant procedure. The live procedure allows a living person to donate a part of their organ, which will later grow back but can help repair the damaged organ in the person receiving the partial transplant. “Guthrie said that despite the alarming evidence uncovered by HRSA’s investigation, he still intends to keep his donor status, adding we need more people to donate. Currently, around 100,000 people are waiting for an organ transplant. “While the HRSA investigation probed multiple cases, it highlighted one shocking case in particular where staff were so uncomfortable with commencing the organ procurement process as a result of visible signs of life that some refused to participate. At that point, after staff had witnessed tears rolling down the patient’s face, the process eventually stopped, but not after the patient sat in the operating room getting prepped for organ donation for around 45 minutes. “This should never have gotten to the point of them being in the operating room, Guthrie said of the case. There were a lot of indications this person was not going to die. “Guthrie added that the issue is a bipartisan one and said the work will be done when confidence in the system has been shored up.”   ###