I thank the Deputy. I share some of the concerns she has raised and indeed the Irish Kidney Association was also looking for this to be incorporated as an amendment. We had a good discussion on this on Committee Stage and I had a good discussion on this with the Irish Kidney Association. What I propose to do is not to bring it into the legislation as I do not think it needs to be in the legislation. We can act on it quickly. The HSE's Organ Donation and Transplant Ireland publishes an annual report on organ donatio…

I thank the Deputies for the amendments. I agree with both of them on the principle that, as regards the paired arrangements, these have to be voluntary and unpaid. The legislation prohibits coercion of any living donor and does not allow for payment or for any non-financial award to be made for the donation of organs or tissues and cells. Section 12 outlines the principles for organ, tissue and cell donation. These include that donation must be voluntary and unpaid. It actually goes further by making it an offence…

If the Deputy gives me a moment, I will get the relevant note.

Organ Donation Transplant Ireland, ODTI, has confirmed that the paired donations, which the Deputy is seeking to protect, will be allowed and that any transplant will have a donor and recipient in the chain in this context.

The advice I have is that what the Deputy is proposing is not precluded, that can continue and there is nothing in the Bill that would stop that happening.

I move amendment No. 16: In page 30, line 35, to delete “ section 10 and any regulations made under that section” and substitute “ section 10 ”.

I move amendment No. 17: In page 31, lines 16 and 17, to delete “Minister for Public Expenditure and Reform” and substitute “Minister for Public Expenditure, National Development Plan Delivery and Reform”.

I move amendment No. 18: In page 32, to delete line 4 and substitute the following: “(e) at least 2 shall be patient advocates and, of those 2, at least one may be a donor patient advocate.”. I am moving an amendment to section 27 so that there are two patient representatives on the independent panel for organ donation, at least one of whom may be a patient donor advocate. This doubles the number of patient advocates on the independent panel and is to ensure that there are members of the panel with personal experie…

We discussed this briefly. It concerns the opt-out versus opt-in. I think amendment No. 20 is about opt-out and opt-in. The opt-out only register makes organ donation the clear default option and signals the move toward organ donation being the norm. I agree with the Deputy's earlier contribution that we need a really robust public communications campaign. This is a fundamental change to how we deal with organ donation in this country. We all hope it will accelerate the chances of organ donation for the 600 or so p…

It is fine; I think we have covered it. We are all broadly in agreement. I acknowledge the very legitimate points Deputies have raised.

I move amendment No. 23: In page 44, to delete line 1 and substitute the following: “ “coronial post-mortem examination” means a post-mortem examination directed by or on behalf of a coroner under the Coroners Acts 1962 to 2023 in relation to a deceased person;”.

I move amendment No. 24: In page 45, to delete lines 35 to 38 and substitute the following: “38. (1) Subject to subsection (2) , this Part shall apply to post-mortem activities and coronial post-mortem examinations that take place on or after the commencement of this section in a hospital (whether public or private) and a reference in this Part to a “hospital” includes a reference— (a) to a private hospital, and (b) to a facility (howsoever described) other than a hospital or relevant facility, within the meaning o…

I move amendment No. 25: In page 46, to delete lines 4 to 7 and substitute the following: “(b) subject to the operation as necessary of sections 33(2B), 33(2C), 33(2D), 33(3A), 33(3B), 33(3C), 33(3D), 33F, 33G, 33H, 33I, 33J, 33K, 33L, 33M, 33N and 33O of the Act of 1962, coronial post-mortem examinations.”.

I move amendment No. 26: In page 46, to delete lines 10 to 13 and substitute the following: “39. (1) Subject to subsections (3) and (4) , the Minister may make such regulations as he or she considers necessary or expedient for the management in the most respectful and appropriate manner possible of post-mortem activities and coronial post-mortem examinations that take place in a hospital.”.

I move amendment No. 27: In page 46, to delete lines 16 to 27 and substitute the following: “(a) procedures for the retention, storage, disposal or return of material removed from the body as part of the coronial or non-coronial post-mortem examination, where such action is consistent with guidelines but shall not include tissue samples held on blocks or slides, trimmings or bodily fluids removed during the examination; (b) the arrangements to be put in place by hospitals for— (i) the management of authorisations (…

I move amendment No. 28: In page 46, to delete lines 30 to 33.

I move amendment No. 29: In page 46, between lines 38 and 39, to insert the following: “(d) the Chief State Pathologist;”.

I move amendment No. 30: In page 47, to delete lines 7 to 10.

I move amendment No. 31: In page 52, line 4, to delete “shall be retained” and substitute “shall”.

I move amendment No. 32: In page 52, line 5, to delete “with” and substitute “be retained”.