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Bylaws

The OPTN bylaws address the governance structure and roles of the OPTN. Note: prior to December 2, 2024, material that relates to OPTN management and membership was included within the OPTN Bylaws. This content is now addressed on the OPTN Management and Membership Policies page.

Also as of July 24, 2024, the Independent Network for Equitable and Safe Transplants (INVEST) was established to serve as the OPTN Board of Directors through a designation agreement issued by the Health Resources and Services Administration (HRSA). References in the OPTN Bylaws to INVEST are in the context of that relationship.

OPTN Bylaws

OPTN bylaws icon

The OPTN Bylaws focus on the structure and operation of the Board of Directors and OPTN governance.

OPTN Bylaws PDF link Updated 12/2/2024

Recent updates

The OPTN Management and Membership Policies were last updated on 7/25/2024 with changes related to Enhance Transplant Program Performance Monitoring System, Phase 3

Update Section Effective date
Enhance Transplant Program Performance Monitoring System, Phase 3

Appendix D: Membership Requirements for Transplant Hospitals and Transplant Programs

7/25/2024
Establish Code of Conduct and Whistleblower Protections

2.7: OPTN Code of Conduct

2.9 Public Statements by Directors 

2.10 Whistleblower Protection 

7.8 OPTN Code of Conduct

7.9 Public Statements by Committee Members and OPTN Volunteers 

9.5 Review Boards 

7/1/2024
Proposal to Address the Relationship of the OPTN and OPTN Contractor Board

2.8: Relationship of the OPTN Board and the OPTN Contractor

3/30/2024
Establish Membership Requirements for Uterus Transplant Programs

Appendix J: Membership Requirements for Vascularized
Composite Allograft (VCA) Transplant Programs


Appendix N: Definitions

12/5/2023
Apply Transplant Notification Requirements for VCA Program Inactivation (PDF)

Appendix J: Membership and Personnel Requirements for
Vascularized Composite Allograft (VCA) Transplant
Programs

Appendix K: Transplant Program Inactivity, Withdrawal,
and Termination

09/14/2023
Enhance Transplant Program Performance Monitoring System, Phase 2 (July 2023) (PDF)

  • Inquiries related to Offer Acceptance
Appendix D, D.12.A: Transplant Program Performance
except adult and pediatric criteria for pre-transplant
mortality rate ratio
07/27/2023

OPTN Bylaws Corrections 2022

Appendix C.3.A: Histocompatibility Laboratory Director Qualifications

Appendix M: Definitions

12/5/2022

Enhance Transplant Program Performance Monitoring System, Phase 1 (July 2022) (PDF)

  • Inquiries related to post-transplant outcomes

Appendix D, D.12.A.: Transplant Program Performance except adult and pediatric criteria for pre-transplant mortality rate ratio and offer acceptance rate ratio

Appendix L, L.3: Medical Peer Review

Appendix L, L.6: Peer Visits

Appendix L, L.9: Informal Discussions

Appendix L, L.15: Costs and Expenses

Appendix M: Definitions

07/14/2022
Correction to Primary Pediatric Liver Transplant Program Requirements (PDF)

F.4.E.4: Combined Pediatric Gastroenterology/Transplant Hepatology Training and Experience Pathway

F.7.C.2.d: Conditional Approval for a Pediatric Component

6/27/2022
Administrative Changes

1.1.E: Member Compliance

3.1: Composition 

12/6/2021
Clarification of Policies and Bylaws Specific to Vascularized Composite Allografts (PDF)

Appendix J: Membership Requirements for Vascularized Composite Allograft (VCA) Transplant Programs

Appendix M: Definitions

06/14/2021
List Covered Body Parts for VCA

D: Membership Requirements for Transplant Hospitals and Transplant Programs

D.3: Designated Transplant Program Requirement

J: Membership Requirements for Vascularized Composite Allograft (VCA) Transplant Programs

J.3: Primary VCA Transplant Surgeon Requirements

M: Definitions
06/14/2021
Align VCA Program Membership Requirements with Other Programs

D.7: Transplant Program Key Personnel

J: Membership and Personnel Requirements for Vascularized Composite Allograft (VCA) Transplant Programs

J.1: Program Director, Primary Transplant Physician, and Primary Transplant Surgeon

J.2: Primary VCA Transplant Physician Requirements

J.3 Primary VCA Transplant Surgeon Requirements

06/14/2021
Membership Requirements for VCA Transplant Programs

J: Membership and Personnel Requirements for Vascularized Composite Allograft (VCA) Transplant Programs

J.1: Program Director, Primary Transplant Physician, and Primary Transplant Surgeon

J.2: Primary VCA Transplant Physician Requirements

J.3 Primary VCA Transplant Surgeon Requirements

06/14/2021