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Policies

OPTN policies are rules that govern operation of all member transplant hospitals, organ procurement organizations (OPOs) and histocompatibility labs in the U.S.

The OPTN evaluation plan provides guidance to member transplant centers, OPOs and histocompatibility labs on how to comply with OPTN policies and bylaws.

Recent updates

Last updated 04/1/2021

The OPTN policies were last updated on 04/1/2021 with the implementation of changes related to the proposal: Conclude Relaxation of Data Submission Requirements for Follow-Up Forms

UpdateAffected policiesSectionEffective date
Conclude Relaxation of Data Submission Requirements for Follow-Up Forms

18.1

18.1.A

18.2

18.5.A

18.5.B

  • Data Submission Requirements
  • Retrospective Data Collection during COVID-19 Emergency
  • Timely Collection of Data
  • Reporting Requirements after Living Kidney Donation
  • Reporting Requirements after Living Liver Donation
04/01/2021
Expedited Liver Placement

1.2

5.3.D

5.6.B

9.10.A

9.10.B

  • Definitions
  • Liver Acceptance Criteria
  • Time Limit for Review and Acceptance of Organ Offers
  • Expedited Liver Placement Acceptance Criteria
  • Expedited Liver Offers
3/25/2021
Eliminate the use of DSA and Region in Pancreas Allocation Policy

1.2

11.4.A

11.4.B

11.4.C

11.4.D

11.4.E

11.4.F

11.4.G

11.5

11.6
  • Definitions
  • Kidney-Pancreas Allocation Order
  • Pancreas Allocation When a Kidney is Unavailable
  • Organ Offer Limits
  • Blood Type for Kidney-Pancreas Allocation
  • Sorting Within Each Classification
  • Deceased Donors 50 Years Old and Less with a BMI Less Then or Equal to 30 kg/m2
  • Reallocation of Unsuitable Islets
  • Facilitated Pancreas Allocation
03/15/2021
Eliminate the use of DSA and Region in Kidney Allocation Policy

5.1

5.1.A

8.2

8.2.A

8.3

8.5.F

8.5.H

8.5.I

8.5.J

8.5.K

8.7

8.7.A

8.7.B
  • Minimum Acceptance Criteria
  • Kidney Minimum Acceptance Criteria
  • Exceptions
  • Exceptions Due to Medical Urgency
  • Kidney Allocation Points
  • Highly Sensitized Candidates
  • Allocation of Kidneys from Deceased Donors with KDPI Scores less than or equal to 20%
  • Allocation of Kidneys from Deceased Donors with KDPI Scores greater than 20% but less than 35%
  • Allocation of Kidneys from Deceased Donors with KDPI Scores greater than or equal to 35% but less than or equal to 85%
  • Allocation of Kidneys from Deceased Donors with KDPI Scores greater than 85%
  • Administrative Rules
  • Choice of Right versus Left Donor Kidney¬†
  • National Kidney Offers
03/15/2021
Addressing Medically Urgent Candidates in New Kidney Allocation Policy

8.2.A

8.2.B

8.4.C

8.4.D

8.5.A

8.5.C

8.5.F

8.5.H

8.5.I

8.5.J

8.5.K

8.7.A
  • Exceptions Due to Medical Urgency
  • Deceased Donor Kidneys with Discrepant Human Leukocyte Antigen (HLA) Typings
  • Time at Medically Urgency Status
  • Waiting Time for Kidney Recipients
  • Candidate Classifications
  • Sorting within Each Classification
  • Highly Sensitized Candidates
  • Allocation of Kidneys from Deceased Donors with KDPI Scores less than or equal to 20%
  • Allocation of Kidneys from Deceased Donors with KDPI Scores greater than 20% but less than 35%
  • Allocation of Kidneys from Deceased Donors with KDPI Scores greater than or equal to 35% but less than or equal to 85%
  • Allocation of Kidneys from Deceased Donors with KDPI Scores greater than 85%
  • Choice of Right Versus Left Donor Kidney
03/15/2021
Distribution of Kidneys and Pancreata from Alaska

8.7.D

11.8

11.8A

  • Location of Donor Hospitals
  • Administrative Rules
  • Location of Donor Hospitals
03/15/2021
Modifications to Released Kidney and Pancreas Allocation

5.9

8.3

8.5.H

8.5.I

8.5.J

8.5.K

8.8

11.4.A

11.4.C

11.7

  • Released Organs
  • Kidney Allocation Score
  • Allocation of Kidneys from Deceased Donors with KDPI Scores less than or equal to 20%
  • Allocation of Kidneys from Deceased Donors with KDPI Scores greater than 20% but less than 35%
  • Allocation of Kidneys from Deceased Donors with KDPI Scores greater than or equal to 35% but less than or equal to 85%
  • Allocation of Kidneys from Deceased Donors with KDPI Scores greater than 85%
  • Allocation of Released Kidneys
  • Kidney-Pancreas Allocation Order
  • Organ Offer Limits
  • Allocation of Released Kidney-Pancreas, Pancreas, or Islets
03/15/2021
Guidance and Policy Addressing Adult Heart Allocation

6.1.A.ii

6.1.C.vi

6.1.D.ii

  • 6.1.A.ii: Non-dischargeable, Surgically Implanted, NonEndovascular Biventricular Support Device
  • 6.1.C.vi: Mechanical Circulatory Support Device (MCSD) with Device Infection
  • 6.1.D.ii: Inotropes without Hemodynamic Monitoring
03/04/21

Explore other policy sections

Policy development

The OPTN policy development process uses community input to create evidence based rules about organ transplantation.

View other OPTN Policy notices

Summaries of policy and bylaws changes approved by the OPTN Board of Directors.

View OPTN Guidance documents

Additional supportive information about policies and policy-related issues.

View the OPTN Evaluation Plan

Information about how UNOS assesses compliance with OPTN policies and bylaws.

If you have questions about these updates, please contact member.questions@unos.org.