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Public Comment

Special public comment period for liver and intestine distribution proposal: Oct. 8 - Nov. 1 

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The OPTN policy development process incorporates feedback on policy and bylaws proposals, before the proposals go to the OPTN board of directors for approval. Public comment is an essential part of the policy development process. 

All interested individuals are welcome to participate, especially transplant candidates, who are most affected by policies. The OPTN welcomes public comment on all open policy proposals. We consider every comment we receive about a proposal before the OPTN board of directors votes on it. We are especially interested in hearing from transplant professionals about any significant financial impact a proposal could have on their organization. Feel free to include this information when you provide your feedback. 

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

Click on the proposal name for more information, and to comment on open proposals.

  • Be respectful. Personal attacks, profanity, and aggressive behavior are prohibited. Instigating arguments in a disrespectful way is also prohibited.
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Proposal Sponsoring Committee Status Open for Comment
Liver and Intestine Distribution Using Distance from Donor Hospital Liver & Intestinal Organ Transplantation Public Comment 10/8/2018 - 11/1/2018
Addressing HLA Typing Errors Histocompatibility Review 08/03/2018
Pediatric Transition and Transfer Guidance Document Pediatric Transplantation Review 07/31/2018
Pancreas Program Functional Inactivity Pancreas Transplantation Review 08/03/2018
Change to Hospital-Based OPO Voting Privileges Membership and Professional Standards Review 08/02/2018
Frameworks for Organ Distribution Ad Hoc Geography Review 07/31/2018
Changes to Islet Bylaws Pancreas Transplantation Review 08/03/2018
Review board guidance on HCM and RCM exceptions Thoracic Organ Transplantation Committee Implemented 01/22/2018
OPTN UNOS strategic plan Executive Committee Implemented 01/22/2018
Guidance on requested deceased donor information OPO Committee Implemented 01/22/2018
Concept paper on improving the OPTN UNOS committee structure Executive Committee Review 01/22/2018
White paper on manipulating waitlist priority Ethics Committee Implemented 01/22/2018
Revising OPTN Bylaws Appendix L Membership and Professional Standards Committee Implemented 01/22/2018
Modify lung TRF to improve post transplant lung function data Thoracic Organ Transplantation Committee Board Approved 01/22/2018
Changes to waiting time criteria for kidney pancreas candidates Pancreas Transplantation Committee Board Approved 01/22/2018
Reduce reporting burdens and clarify policies on extra vessels Operations and Safety Committee Board Approved 01/22/2018
Concept paper on expedited organ placement OPO Committee Review 01/22/2018
Clarify informed consent policies for transmittable disease risk Disease Transmission Advisory Committee Board Approved 01/22/2018
Modifications to the distribution of deceased donor lungs Thoracic Organ Transplantatation Committee Board Approved 01/17/2018
Align VCA program membership requirements with other programs Vascularized Composite Allograft Transplantation Committee Board Approved 01/22/2018
Modify HCC extension criteria Liver & Intestinal Transplantation Implemented 01/02/2018
Living donation by persons with certain fatal diseases Ethics Committee Implemented 07/31/2017
Improving en bloc kidney allocation 2 Kidney Transplantation Committee Board Approved 07/31/2017
Improving the efficiency of organ placement OPO Committee Implemented 07/31/2017
Revise pediatric emergency membership exception pathway Pediatric Transplantation Committee Board Approved 07/31/2017
Review of HLA tables Histocompatibility Committee Board Approved 07/31/2017
Enhancing liver distribution Liver and Intestinal Organ Transplantation Committee Review 07/31/2017
Improving dual kidney allocation Kidney Transplantation Committee Board Approved 07/31/2017
Guidance to increase nonA1 and nonA1B kidneys for type B candidates Minority Affairs Committee Implemented 07/31/2017
Guidance on congenital heart disease exception requests Thoracic Organ Transplantation Committee Implemented 07/31/2017
Deceased donor initiated KPD chains Kidney Transplantation Committee Review 07/31/2017
Revise transplant fellowship training program approval bylaws Membership & Professional Standards Committee Implemented 07/31/2017
Guidance on benefits of pancreas after kidney transplant Pancreas Transplantation Committee Implemented 07/31/2017
Broaden pancreas allocation across compatible ABO blood types Pancreas Transplantation Committee Review 07/31/2017
Guidance on PHS increased risk donor organs Disease transmission advisory committee Implemented 03/27/2017
Bylaws Rewrite 201701 Executive Committee Implemented 01/23/2017
Histocompatibility labs policy and bylaws guidance 201701 Histocompatibility Committee Implemented 01/23/2017
National liver review board 201701 Liver & Intestinal Organ Transplantation Review 01/23/2017
Primary transplant surgeon requirement changes Membership and Professional Standards Committee Implemented 08/15/2016
Primary liver transplant physician subspecialty requirement changes Membership and Professional Standards Committee Implemented 08/15/2016
Primary kidney transplant physician update Membership and Professional Standards Committee Implemented 08/15/2016
Update transplant hospital definition Membership and Professional Standards Committee Board Approved 08/15/2016
Modify adult heart allocation 2016 2nd round Thoracic Committee Implemented 08/15/2016
HCC auto approval criteria changes Liver & Intestinal Organ Transplantation Committee Implemented 08/15/2016
Ethical considerations of imminent death donation Ethics Committee Implemented 08/15/2016
Ethics of deceased organ recovery white paper Ethics Committee Implemented 08/15/2016
Split versus whole liver transplantation white paper Ethics Committee Implemented 08/15/2016
Changes to informed consent requirements for potential living donors Living Donor Committee Implemented 08/15/2016
Redesigning liver distribution Liver & Intestinal Organ Transplantation Committee Review 08/14/2016
Standardize organ coding and tracking system Operations & Safety Committee Implemented 01/25/2016
List covered body parts for VCA VCA Committee Board Approved 01/22/2016
Simultaneous liver-kidney allocation 2016 Kidney Committee Implemented 01/23/2016
Establish pediatric training and experience Pediatric Transplantation Committee Board Approved 08/14/2015
Membership Requirements for VCA Transplant Programs VCA Transplantation Committee Board Approved 01/27/2015
Membership and Personnel Requirements for Intestine Transplant Programs Liver and Intestinal Organ Transplantation Committee Board Approved 01/27/2015
Improve reporting of aborted procedures and non transplanted organs Living Donor Committee Implemented 01/24/2015
Require another match run based on infectious disease test results Disease Transmission Advisory Committee Implemented 01/24/2015
Proposed Changes to the OPTN Bylaws Governing Histocompatibility Laboratories (Phase II) Histocompatibility Committee Board Approved 09/12/2014
Proposal for Informed Consent for Kidney Paired Donation Kidney Transplantation Committee Implemented 09/23/2014

Archived Proposals

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