The proposed regulation stipulates that all adults capable of consent would be considered organ donors unless they explicitly refuse. For minors, the decision would rest with their guardians. This initiative aims to increase the number of organ donations in Germany, where current laws require explicit consent from the deceased or their next of kin for organ removal. A faction within the Bundestag opposes the opt-out system, and a similar proposal was rejected in 2020. This announcement was broadcast on Deutschlandfunk on May 7, 2026.