Skip to main content

Public Comment

Public comment is currently closed. Thank you to those of you who provided feedback!

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.
  • 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.
  •  
Proposal Sponsoring Committee Status Open for Comment
Align VCA program membership requirements with other programs Vascularized Composite Allograft Transplantation Committee Board Approved 01/21/2018
Modifications to the distribution of deceased donor lungs Thoracic Organ Transplantatation Committee Board Approved 01/22/2018
Clarify informed consent policies for transmittable disease risk Disease Transmission Advisory Committee Board Approved 01/22/2018
Concept paper on expedited organ placement OPO Committee Review 01/22/2018
Reduce reporting burdens and clarify policies on extra vessels Operations and Safety Committee Board Approved 01/22/2018
Guidance on optimizing VCA recovery from deceased donors Vascularized Composite Allograft Transplantation Committee Implemented 01/22/2018
Review board guidance on HCM and RCM exceptions 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
Modify lung TRF to improve post transplant lung function data Thoracic Organ Transplantation Committee Board Approved 01/22/2018
Revising OPTN Bylaws Appendix L Membership and Professional Standards Committee Implemented 01/22/2018
White paper on manipulating waitlist priority Ethics Committee Implemented 01/22/2018
Guidance for ABO subtyping of Blood Type A and AB organ donors Operations and Safety Committee Implemented 01/22/2018
Concept paper on improving the OPTN UNOS committee structure Executive Committee Review 01/22/2018
Guidance on requested deceased donor information OPO Committee Implemented 01/22/2018
OPTN UNOS strategic plan Executive Committee Board Approved 01/22/2018
Modify HCC extension criteria Liver & Intestinal Transplantation Implemented 02/03/2018
Enhancing liver distribution Liver and Intestinal Organ Transplantation Committee Board Approved 07/31/2017
Improving en bloc kidney allocation 2 Kidney Transplantation Committee Board Approved 07/30/2017
Improving dual kidney allocation Kidney Transplantation Committee Board Approved 07/30/2017
Deceased donor initiated KPD chains Kidney Transplantation Committee Review 07/31/2017
Living donation by persons with certain fatal diseases Ethics Committee Implemented 07/31/2017
Guidance to increase nonA1 and nonA1B kidneys for type B candidates Minority Affairs Committee Implemented 07/31/2017
Review of HLA tables Histocompatibility Committee Board Approved 07/30/2017
Revise transplant fellowship training program approval bylaws Membership & Professional Standards Committee Implemented 07/29/2017
Improving the efficiency of organ placement OPO Committee Implemented 07/28/2017
Broaden pancreas allocation across compatible ABO blood types Pancreas Transplantation Committee Review 07/31/2017
Guidance on benefits of pancreas after kidney transplant Pancreas Transplantation Committee Implemented 07/31/2017
Revise pediatric emergency membership exception pathway Pediatric Transplantation Committee Board Approved 07/30/2017
Guidance on congenital heart disease exception requests Thoracic Organ Transplantation Committee Implemented 07/31/2017
Guidance on PHS increased risk donor organs Disease transmission advisory committee Implemented 03/27/2017
National liver review board 201701 Liver & Intestinal Organ Transplantation Board Approved 01/22/2017
Liver review board guidance 201701 Liver & Intestinal Organ Transplantation Implemented 01/23/2017
Improving en bloc kidney allocation 201701 Kidney Transplantation Committee Review 01/23/2017
Dual Kidneys Concept Paper 201701 Kidney Transplantation Committee Review 01/23/2017
Histocompatibility labs policy and bylaws guidance 201701 Histocompatibility Committee Implemented 01/23/2017
Bylaws Rewrite 201701 Executive Committee Implemented 01/22/2017
Redesigning liver distribution Liver & Intestinal Organ Transplantation Committee Review 08/15/2016
HCC auto approval criteria changes Liver & Intestinal Organ Transplantation Committee Implemented 08/14/2016
Modify adult heart allocation 2016 2nd round Thoracic Committee Board Approved 08/14/2016
Changes to informed consent requirements for potential living donors Living Donor Committee Implemented 08/14/2016
Update transplant hospital definition Membership and Professional Standards Committee Board Approved 08/15/2016
Primary transplant surgeon requirement changes Membership and Professional Standards Committee Implemented 08/15/2016
Primary kidney transplant physician update Membership and Professional Standards Committee Implemented 08/14/2016
Primary liver transplant physician subspecialty requirement changes Membership and Professional Standards Committee Implemented 08/15/2016
Infectious disease verification to enhance patient safety Operations and Safety Committee Review 08/15/2016
Split versus whole liver transplantation white paper Ethics 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
Improving post transplant communication of new donor information Disease Transmission Advisory Committee Implemented 08/14/2016
Standardize organ coding and tracking system Operations & Safety Committee Implemented 01/23/2016
Adding HLA DQA1 unacceptable antigen equivalences table Histocompatibility Committee Implemented 01/25/2016
Changes to HOPE Act open variance Disease Transmission Advisory Committee Implemented 01/25/2016
KAS clarifications Kidney Committee Implemented 01/25/2016
Simultaneous liver-kidney allocation 2016 Kidney Committee Implemented 01/25/2016
List covered body parts for VCA VCA Committee Board Approved 01/22/2016
Establish pediatric training and experience Pediatric Transplantation Committee Board Approved 08/14/2015
Revise data release policies Data Advisory Committee Implemented 08/14/2015
Update HLA equivalency tables Histocompatibility Committee Implemented 08/14/2015
Revise KPD priority points Kidney Transplantation Committee Board Approved 08/14/2015
Foreign equivalent in bylaws Membership and Professional Standards Committee Implemented 08/13/2015
Personnel procurement requirements Membership and Professional Standards Committee Implemented 08/13/2015
Reduce documentation shipped with organs Organ Procurement Organization Committee Implemented 08/14/2015
Increase committee terms to three years Policy Oversight Committee Implemented 08/14/2015
Modify pediatric lung policy Thoracic Organ Transplantation Committee Implemented 08/14/2015
Revise facilitated pancreas allocation policy Pancreas Transplantation Committee Implemented 08/14/2015
Require another match run based on infectious disease test results Disease Transmission Advisory Committee Implemented 01/27/2015
Membership and Personnel Requirements for Intestine Transplant Programs Liver and Intestinal Organ Transplantation Committee Board Approved 01/27/2015
Address Requirements Outlined in the HIV Organ Policy Equity Act OPO Committee Implemented 01/27/2015
Modify Sterile Internal Vessels Label Operations and Safety Committee Implemented 01/27/2015
Collect EVLP Data for Transplant Recipients Thoracic Transplantation Committee Implemented 02/28/2018
Membership Requirements for VCA Transplant Programs VCA Transplantation Committee Board Approved 01/27/2015
Improve reporting of aborted procedures and non transplanted organs Living Donor Committee Implemented 01/27/2015
ABO Blood Type Policy Modifications Operations and Safety Committee Implemented 01/27/2015

Archived Proposals

View the policy proposal archive


Requires Adobe Acrobat Reader [Exit Disclaimer]