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Public Comment

Public comment is open August 3 - October 3. We welcome your feedback!

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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.
  • 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.
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Proposal Sponsoring Committee Status Open for Comment
Addressing HLA Typing Errors Histocompatibility Public Comment 8/3/2018 - 10/3/2018
Pancreas Program Functional Inactivity Pancreas Transplantation Public Comment 8/3/2018 - 10/3/2018
Pediatric Transition and Transfer Guidance Document Pediatric Transplantation Public Comment 8/3/2018 - 10/3/2018
Change to Hospital-Based OPO Voting Privileges Membership and Professional Standards Public Comment 8/3/2018 - 10/3/2018
Frameworks for Organ Distribution Ad Hoc Geography Public Comment 8/3/2018 - 10/3/2018
Changes to Islet Bylaws Pancreas Transplantation Public Comment 8/3/2018 - 10/3/2018
Update transplant hospital definition Membership and Professional Standards Committee Board Approved 08/15/2016
Modify adult heart allocation 2016 2nd round Thoracic Committee Board Approved 08/15/2016
Improving en bloc kidney allocation 2 Kidney Transplantation Committee Board Approved 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
Improving dual kidney allocation Kidney Transplantation Committee Board Approved 07/31/2017
Deceased donor initiated KPD chains Kidney Transplantation Committee Review 07/31/2017
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
List covered body parts for VCA VCA Committee Board Approved 01/22/2016
Review board guidance on HCM and RCM exceptions Thoracic Organ Transplantation Committee Board Approved 01/22/2018
Concept paper on improving the OPTN UNOS committee structure Executive Committee Review 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 01/22/2018
Align VCA program membership requirements with other programs Vascularized Composite Allograft Transplantation Committee Board Approved 01/22/2018

Archived Proposals

View the policy proposal archive


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