Public comment

Winter 2024 Public Comment

Winter 2024 public comment was open from January 23 through March 19. View feedback.

Special public comment period for Proposal to Address the Relationship of the OPTN and OPTN Contractor Boards is now closed. View feedback.

Public comment is an essential part of the policy development process that occurs twice each year. The OPTN policy development process incorporates public comment feedback on policy and bylaws proposals before they go to the OPTN board of directors for approval. All interested individuals are welcome to participate, especially transplant candidates, who are most affected by policies. Transplant professionals are encouraged to provide comment about potential financial impact a proposal could have on their organization.

To encourage public participation and promote transparency, this site publishes submitted comments.

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Public Comment Proposals

OPTN Policy (PDF) Standards Archives

There are no open Public Comment Proposals at this time.

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Proposals in Committee Review

OPTN Policy (PDF) Standards Archives

Efficiency and Utilization in Kidney and Pancreas Continuous Distribution Request for Feedback Kidney Transplantation and Pancreas Transplantation

Clarify Requirements for Pronouncement of Death Organ Procurement Organization (OPO)

OPTN Strategic Plan 2024-2027 Executive

Promote Efficiency of Lung Allocation Lung Transplantation

Refit Kidney Donor Profile Index without Race and Hepatitis C Virus Minority Affairs

Standardize Six Minute Walk for Lung Allocation Lung Transplantation

Standardize the Patient Safety Contact and Reduce Duplicate Reporting Ad Hoc Disease Transmission Advisory (DTAC)

Concepts for a Collaborative Approach to Living Donor Data Collection Living Donor

Update on Continuous Distribution of Hearts Heart Transplantation

Update Post-Transplant Histocompatibility Data Collection Histocompatibility

Update on Continuous Distribution of Livers and Intestines, 2023 Liver and Intestinal Organ Transplantation

Concepts for Modifying Multi-Organ Policies Ad Hoc Multi Organ

Clarification of OPO and Living Donor Recovery Hospital Requirements for Organ Donors with HIV Positive Test Results Ad Hoc Disease Transmission Advisory (DTAC)

Modify Effect of Acceptance Policy Ad Hoc Multi Organ

Reinstatement of Updates to Candidate Data During the COVID-19 Emergency Executive

National Liver Review Board (NLRB) Updates Related to Transplant Oncology Liver and Intestinal Organ Transplantation

Continuous Distribution of Hearts Heart Transplantation

Update on Continuous Distribution of Livers and Intestines Liver and Intestinal Organ Transplantation

Ethical Evaluation of Multiple Listing Ethics

Identify Priority Shares in Kidney Multi-Organ Allocation Ad Hoc Multi Organ

Continuous Distribution of Kidneys and Pancreata Committee Update Kidney Transplantation and Pancreas Transplantation

Require Human Leukocyte Antigen (HLA) Confirmatory Typing for Deceased Donors Histocompatibility

Continuous Distribution of Kidneys and Pancreata Update Kidney Transplantation and Pancreas Transplantation

Continuous Distribution of Livers and Intestines Concept Paper Liver and Intestinal Organ Transplantation

Redefining Provisional Yes and the Approach to Organ Offer and Acceptance Operations and Safety (OSC)

Optimizing Usage of Kidney Offer Filters Operations and Safety (OSC)

Redesign Map of OPTN Regions Executive

Proposal to Revise the OPTN Charter Executive

Continuous Distribution of Kidneys & Pancreata Request for Feedback Kidney Transplantation and Pancreas Transplantation

Update on OPTN Regional Review Project Executive

Update on Continuous Distribution of Kidneys and Pancreata Kidney Transplantation and Pancreas Transplantation

Reassess Inclusion of Race in Estimated Glomerular Filtration Rate (eGFR) Equation Minority Affairs and Kidney Transplantation

Develop Measures for Primary Graft Dysfunction in Hearts Heart Transplantation

Update Transplant Program Key Personnel Training and Experience Requirements Membership and Professional Standards (MPSC)

Update on the Continuous Distribution of Organs Project Lung Transplantation

Data Collection to Assess Socioeconomic Status and Access to Transplant Minority Affairs

Measuring Transplant Outcomes by Collecting Data on Children Born to Uterus Recipients Vascularized Composite Allograft (VCA) Transplantation

Data collection to evaluate the logistical impact of broader distribution Operations and Safety (OSC)

Continuous distribution of lungs concept paper Lung Transplantation and Thoracic Organ Transplantation

MELD exception scores during NLRB transition Executive

Concept paper on improving the OPTN UNOS committee structure Executive

Concept paper on expedited organ placement Organ Procurement Organization (OPO)

Deceased donor initiated KPD chains Kidney Transplantation

Broaden pancreas allocation across compatible ABO blood types Pancreas Transplantation

OPTN Standards for Public Comment

Be respectful. Personal attacks, profanity, and aggressive behavior are prohibited. Instigating arguments in a disrespectful way is also prohibited.
No patient identified, peer review privileged, or other confidential information
No vulgar, obscene, or profane language, or “hate speech,” which is defined as language intended to foster hatred against individuals or groups based on race, religion, gender, sexual preference, place of national origin, or other improper classification
No language that would violate the law if published
No suggestion or encouragement of illegal activity
No seeking of medical advice
No solicitations or comments that promote a particular service or product. This includes solicitations for commercial activity within ANY industry, transplant-related or not. This does not include solicitation of support for or against a specific OPTN proposal.

Any solicitations for directed organ donation to a specific individual will not be posted.