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OPTN policies are rules that govern operation of all member transplant hospitals, organ procurement organizations (OPOs) and histocompatibility labs in the U.S. Policies are made through a collaborative process involving committees, the board of directors and the public.

All 20 policy sections are contained in one PDF (3 MB). Once you open the document, you can navigate to the section you need by clicking on the table of contents. 

Read policies.

The OPTN policies were last updated on 09/10/2020 with the implementation of changes related to the proposal: Enhancements to the National Liver Review Board.

The following policies were changed in this update:

  • Policy 9.4.C: MELD or PELD Score Exception Extensions
  • Policy 9.5.I.vii: Extensions of HCC Exceptions

If you have questions about these updates, please contact