Employees, Employers - As enacted, allows for eligible employees to be absent four weeks from work following a living organ donation surgery; requires the department of health to create living organ donor informational material and make such material available on the department's website. - Amends TCA Title 4; Title 8; Title 50; Title 56 and Title 68.

HB 427 provides 12 weeks of job-protected leave for eligible employees recovering from living organ donation surgery, including state workers with 12+ months of service and private-sector employees covered under federal FMLA rules. It prohibits insurers from denying or altering life, disability, or long-term care insurance coverage based solely on someone being a living organ donor. The bill also requires Tennessee's Department of Health to create and post public educational materials about living donation benefits, risks, and insurance impacts by July 2025. These provisions directly affect living organ donors, their employers, and insurance providers across Tennessee.