S.F. No. 4231 - Organ Transplant Nondiscrimination and Equity

• Prohibits covered entities (health care providers, hospitals, organ procurement organizations, and matching entities) from discriminating based on race or ethnicity in organ transplant decisions, including eligibility determinations, service denial, referrals, waiting list placement, and insurance coverage.

• Requires covered entities to make reasonable modifications to policies and practices, provide auxiliary aids and services (interpreters, accessible formats, supported decision-making), and consider individuals' support networks when determining eligibility for transplants.

• Prevents race or ethnicity from being considered medically significant if an individual has necessary support systems to comply with post-transplant medical requirements.

• Establishes civil enforcement allowing individuals to sue for discrimination violations in district court, recover attorney fees, and requires courts to prioritize and expeditiously proceed with such cases.

• Applies nondiscrimination requirements to all parts of the organ transplant process and requires compliance with Title VII of the Civil Rights Act of 1964.