Table 1.
Legislation by nationa
Nation | Province/Territory/State/Region | Name of legislation | Consent | Source | Source type |
Armenia | Law on Organ and Tissue Transplantation, 2002 | Presumedb | National Assembly of the Republic of Armenia [23] (Hovhannisyan, L. Yerevan. June 2010) | Website and personal communication | |
Australia | Australian Capital Territory | Transplantation and Anatomy Act 1978 | Explicit | The ACT Legislation Register [24] | Website |
New South Wales | Human Tissue Act 1983 | New South Wales Government [25] | Website | ||
Northern Territory | Human Tissue Transplant Act 1979 | Northern Territory Government—Department of the Chief Minister [26] | Website | ||
Queensland | Transplantation and Anatomy Act 1979 | Queensland Government—Office of the Queensland Parliamentary Counsel [27] | Website | ||
South Australia | Transplantation and Anatomy Act 1983 | Government of South Australia—Attorney-General’s Department [28] | Website | ||
Tasmania | Human Tissue Act 1985 | Tasmania’s Consolidated Legislation Online [29] | Website | ||
Victoria | Human Tissue Act 1982 | Victoria Government Health Information [30] | Website | ||
Western Australia | Human Tissue and Transplantation Act 1982 | Government of Western Australia—State Law Publisher [31] | Website | ||
Austria | Hospitals Law of 18 December 1956, Paragraph 62a-e, 1982 | Presumed | Gesundheit Österreich GmbH [32] | Website | |
Belarus | Law of the Republic of Belarus ‘On Transplantation of Human Organs and Tissues’ | Presumed | The Belarusian Medical Academy of Postgraduate Education (Komisarov, K. Minsk. June 2010) | Personal communication | |
Belgium | Law of 13 June 1986 | Presumedc | Moniteur Belge [33] | Website | |
Brazil | Law No. 9.434 of 4 February 1997 | Explicit | Ministério da Saúde [34–36] | Website | |
Law No. 10.211 of 23 March 2001 | |||||
Decree No. 2.268 of 30 June 1997 | |||||
Canada | Alberta | Human Tissue and Organ Donation Act, 2006 | Explicit | CanLII Database [22, 37–48] | Website |
British Columbia | Human Tissue Gift Act 1996 | ||||
Manitoba | Human Tissue Gift Act, 1987 | ||||
New Brunswick | Human Tissue Gift Act, 2004 | ||||
Newfoundland and Labrador | Human Tissue Act, 1990 | ||||
Northwest Territories | Human Tissue Act, 1988 | ||||
Nova Scotia | Human Tissue Gift Act, 1989 | ||||
Nunavut | Human Tissue Act, 1988 | ||||
Ontario | Trillium Gift of Life Network Act, 1990 | ||||
Prince Edward Island | Human Tissue Donation Act, 1988 | ||||
Quebec | Civil Code of Quebec | ||||
Saskatchewan | Human Tissue Gift Act, 1978 | ||||
Yukon | Human Tissue Gift Act, 2002 | ||||
Chile | Law No. 20.413 of January 6, 2010 | Presumedd | Biblioteca del Congreso Nacional de Chile [49] | Website | |
Colombia | Law No. 9, 1979 | Presumed | Punta Cana Group [50] | Website | |
Law No. 73, 1988 | |||||
Law No. 919, 2004 | |||||
Decree 2493, 2004 | |||||
Resolution 2640, 2005 | |||||
Costa Rica | Law No. 7409 of 27 October 1994 | Presumed | Punta Cana Group [50] | Website | |
Croatia | Law RH 50/88 | Presumed | Donor Network of Croatia [51] | Website | |
Law RH 177/2004 | |||||
Rule No. 152/2005 | |||||
Cuba | Law No. 41 of 13 July 1983 on public health | Explicit | Legislative Responses to Organ Transplantation [52] | Book | |
Decree No. 139 of 4 February 1988 | Trasplante [53] | Website | |||
Czech Republic | Act 285/2002 Coll. Of 30 May 2002 on donation, removal, and transplantation of organs and tissues | Presumed | Transplants Coordinating Center (KST) (Fryda, P. Prague. March 2010) | Personal communication | |
Denmark | Sundhedsloven – LBK No. 95 of 7 February 2008 | Explicit | Retsinformation [54] | Website | |
Ecuador | Law No. 58 of 27 July 1994 | Presumed | Instituto Ecuatoriano de Dialisis y Trasplantes (Ortiz-Herbener, F. Guayaquil. July 2009) | Personal communication | |
Estonia | Rakkude, Kudede Ja Elundite Käitlemise Ja Siirdamise Seadus | Explicit | Electronic Riigi Teataja (ERT) [55] | Website | |
Finland | No. 101/2001 Act on the medical use of human organs and tissues | Presumed | Finlex [56, 57] | Website | |
Law No. 547 of 11 May 2007 amending Law No. 101 | |||||
France | Public Health Code | Presumed | Legifrance [58] | Website | |
The Transplantation Act, 5 November 1997 | Explicit | Deutsche Stiftung Organ transplantation (Norba, D. June 2009. Frankfurt) Bundesgesetzblatt online [59] | Personal communication | ||
Germany | Amendments to the Transplantation Act, 2007 | Website | |||
Iceland | Act No. 16 of 6 March 1991 | Explicit | Althingi [60] | Website | |
India | Act No. 42 of 1994, Transplantation of Human Organs Act | Explicit | CommonLII [61] MOHAN Foundation [62] | Website | |
Transplantation of Human Organs (Amendment) Rules 2008 | Website | ||||
Ireland | n/a | Explicit | n/a | n/a | |
Israel | Organ Transplant Act, 2008 | Explicit | Israel Ministry of Health (Ashkenazi, T. Tel Aviv. May 2010) | Personal communication | |
Italy | Law No. 91 of 1 April, 1999 Ministerial Decree of 8 April 2000 | Presumed | Portale Della Normativa Sanitaria [63, 64] | Website | |
Japan | Law No. 104 of 16 July 1997e | Explicit | WHO International Digest of Health Legislation [65] | Website | |
Kuwait | Decree-Law No. 55 of 20 December 1987 | Explicit | Legislative Responses to Organ Transplantation [52] | Book | |
Lithuania | Law on Donation and Transplantation of Human Tissues, Cells and Organs | Explicit | Lithuanian National Transplantation Bureau (NTB) [66] | Website | |
Luxembourg | Law of 25 November 1982 | Presumed | Luxembourg-Transplant [67] | Website | |
Malaysia | Human Tissues Act 1974 | Explicit | The Attorney General of Malaysia [68] | Website | |
Malta | n/a | Explicit | Transplant Support Group (Debattista, A. Hamrun. June 2010) | Personal communication | |
Mexico | Ley General de Salud | Explicit | Centro Nacional de Trasplantes [69] | Website | |
Reglamento de la Ley General de Salud | |||||
Lineamientos para la asignación y distribución de órganos y tejidos | |||||
Netherlands | The Organ Donation Act, 1996 | Explicit | Overheid [70] | Website | |
New Zealand | Human Tissue Act 2008 | Explicit | The Parliamentary Counsel Office (PCO) [71] | Website | |
Norway | Law No. 6 of 9 February 1973 | Presumed | Lovdata [72] | Website | |
Paraguay | Law No. 1246/98 | Presumed | Punta Cana Group [50] | Website | |
Philippines | Republic Act No. 7170 | Explicit | Chan Robles Virtual Law Library [73] | Website | |
Poland | The Cell, Tissue and Organ Recovery, Storage and Transplantation Act, 2005 | Presumed | Poltransplant [21] | Website | |
Romania | Law No. 95/2006 | Explicit | Agenţtia Nationalã de Transplant [74] | Website | |
Russia | Law of 22 December 1992 | Presumed | Central Clinical Hospital of Russian Academy of Sciences (Pishchita, A. Moscow. June 2010) | Personal communication | |
Saudi Arabia | Procedure of Deceased Organ Donation | Explicit | Saudi Center for Organ Transplantation [75] | Website | |
Singapore | Human Organ Transplant Act | Presumed | Singapore Statutes Online [76, 77] | Website | |
The Medical (Therapy, Education and Research) Act | |||||
Slovak Republic | Law 576/2004, of 21 October 2004 | Presumed | Slovenské Centrum Orgánových Transplantácií [78] | Website | |
Slovenia | The Removal and Transplantation of Human Body Parts for the Purposes of Medical Treatment Act | Presumed | Uradni list RS [79] | Website | |
South Africa | National Health Act, 2003 | Explicit | Department of Health [80] | Website | |
South Korea | Law 8852 | Explicit | Ulsan University Medical College (Kim, J. H. Seoul, June 2010) | Personal communication | |
Spain | Law No. 30 of 27 October 1979 RD 2070/1999 on the removal and transplantation of organs | Presumed | Global Observatory on Donation and Transplantation [81] | Website | |
Sweden | Law No. 831 of 1 June 1995 | Presumed | Riksdag [82] | Website | |
Switzerland | Federal Act of 8 October 2004 on the Transplantation of Organs, Tissues and Cells (Transplantation Act)f | Explicit | The Federal Authorities of the Swiss Confederation [83] | Website | |
Thailand | Rules of the Medical Council on the Observance on Medical Ethics | Explicit | Chulalongkorn University (Nivatvongs, S. Bangkok. June 2010) | Personal communication | |
Medical Council's Announcement on Criteria for Brain Death Diagnosis | |||||
Tunisia | Law No. 91-22 of 25 March 1991 | Presumed | CHU la Rabta (Hamouda, C. Tunis. June 2010) | Personal communication | |
Law No. 49 of 12 June 1995 | |||||
Law No. 18 of 1 March 1999 | |||||
Decree No. 97 of 13 June 1997 | |||||
Ordinance of 28 July 2004 | |||||
Turkey | Law #2238 of 29 May 1979 | Presumed | Turkish Transplantation Society [84] | Website | |
Law #2594 of 21 January 1982 | |||||
UK | Human Tissue Act 2004g | Explicit | Office of Public Sector Information [85, 86] | Website | |
Human Tissue (Scotland) Act 2006 | |||||
USA | Uniform Anatomical Gift Acth | Explicit | National Conference of Commissioners on Uniform State Laws [87] | Website | |
Venezuela | Law of 3 December 1992 | Explicit | Punta Cana Group [50] | Website |
n/a = not applicable.
Switched to ‘soft’ presumed consent March 2009.
Removed a clause that allowed next-of-kin to object to donation in the absence of a registered wish to donate February 2007. In practice next-of-kin’s objection still respected in absence of a registered decision.
Changed from explicit consent to presumed consent January 2010.
In July 2009 revisions were adopted that will be in effect in 1 year [R. Ida (personal communication)].
A federal law was in enacted July 2007 abolishing the previous mixture of presumed and explicit consent canons (states).
Applies to England, Wales and Northern Ireland.
The most recent version of the UAGA has been implemented in the various states. A list can be found at http://www.anatomicalgiftact.org.