Uniform Anatomical Gift Act (UAGA) & Uniform Determination of Death Act (UDDA)
At a glance
Anatomical Gift Act
Determination of Death
Death by cessation of circulatory and respiratory functions.
Death by cessation of all functions of the entire brain including brain stem.
No specific roles are specified.
"A determination of death must be made in accordance with accepted medical standards"
Pediatric Nuances & Insights
A minor can make their own anatomical gift only if they are emancipated or legally eligible to apply for a driver’s license (age 16 or older). Otherwise, a parent or legal guardian can make the donation decision on behalf of an unemancipated minors. (Section 20-17-1204)
Unique Nuances to Note
The Arkansas General Assembly passed House Bill 1679 (Act 861) in 2025. However, Act 861 is currently subject to a federal court injunction and is not in effect. Arkansas currently operates under the existing Revised Arkansas Anatomical Gift Act framework while litigation concerning Act 861 remains pending.
Healthcare is managed state by state. Each state has its own version of the Uniform Anatomical Gift Act (UAGA), which outlines the rules around the gift of organs, eyes and tissues, as well as its own version of the Uniform Determination (or Declaration) of Death Act (UDDA).
In general, the majority of states have adopted the Revised UAGA, which emphasizes the legally binding nature of First Person Authorization (FPA) for donation. In most states FPA takes effect after death, at which point the decision cannot be revoked or amended. One must then review how that state determines a person to be dead under its UDDA. The exception is minors, where in most instances a parent can change the minor’s decision.
There can be nuances within state laws that differ from state to state. An effort has been made to highlight some of them here, however this reference is not all inclusive. It is highly advised to read each state’s UAGA and UDDA thoroughly for clarity.
This legislative reference guide is not intended to serve as legal advice. For further detailed questions, please contact your local OPO. For any inaccuracies or corrections, please contact The Alliance at info@organdonationalliance.org.
Other Comments
Arkansas’s UDDA is named the “Uniform Simultaneous Death Act”. There are two subchapters under Chapter 10; only Subchapter 2, the Uniform Simultaneous Death Act (2005), should be considered because the others are being repealed.