This legislation, titled the "Removing Burdens From Organ Donation Act," aims to enhance the efficiency of the organ donation process by amending Title XI of the Social Security Act. It mandates that hospitals participating in the Medicare and Medicaid programs implement specific notification procedures for organ procurement agencies (OPAs). Specifically, two years after the bill's enactment, hospitals will be required to issue an automated electronic notification to their designated OPA and provide electronic and remote access to the potential organ donor's electronic health records (EHRs) . This access will be triggered when the EHRs indicate that the patient is deceased or that death is imminent, as determined by established protocols. The bill includes provisions for exemptions from this automated EHR access requirement. The Secretary of Health and Human Services (HHS) may grant a 3-year exemption for hospitals facing significant hardship , such as those in rural areas with insufficient internet access, or other exceptional circumstances. An automatic 1-year exemption will be granted to hospitals affected by a cybersecurity attack or located in a major disaster area. Furthermore, HHS is directed to issue guidance within one year on best practices for complying with these new requirements and for explaining them to organ donors, potential donors, and their families. The Comptroller General is also tasked with conducting a study on the implementation, costs, and impact of these changes, including patient data security, and reporting findings to Congress within three years.