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Public Comment

A special public comment period runs March 27 - April 25, 2017

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 a brief overview, 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
Guidance on PHS increased risk donor organs Disease transmission advisory committee Public Comment 3/27/2017 - 4/25/2017
National liver review board 201701 Liver & Intestinal Organ Transplantation Public Comment 1/23/2017 - 3/24/2017
Liver review board guidance 201701 Liver & Intestinal Organ Transplantation Public Comment 1/23/2017 - 3/24/2017
Improving en bloc kidney allocation 201701 Kidney Transplantation Committee Public Comment 1/23/2017 - 3/24/2017
Dual Kidneys Concept Paper 201701 Kidney Transplantation Committee Public Comment 1/23/2017 - 3/24/2017
Histocompatibility labs policy and bylaws guidance 201701 Histocompatibility Committee Public Comment 1/23/2017 - 3/24/2017
Bylaws Rewrite 201701 Executive Committee Public Comment 1/23/2017 - 3/24/2017
Financial Incentives for Organ Donation 201701 Ethics Committee Evidence Gathering
Redesigning liver distribution Liver & Intestinal Organ Transplantation Committee Evidence Gathering
HCC auto approval criteria changes Liver & Intestinal Organ Transplantation Committee Board Approved
Modify adult heart allocation 2016 2nd round Thoracic Committee Board Approved
Changes to informed consent requirements for potential living donors Living Donor Committee Board Approved
Update transplant hospital definition Membership and Professional Standards Committee Board Approved
Primary transplant surgeon requirement changes Membership and Professional Standards Committee Implemented
Primary kidney transplant physician update Membership and Professional Standards Committee Board Approved
Primary liver transplant physician subspecialty requirement changes Membership and Professional Standards Committee Implemented
Infectious disease verification to enhance patient safety Operations and Safety Committee
Split versus whole liver transplantation white paper Ethics Committee Implemented
Ethical considerations of imminent death donation Ethics Committee Implemented
Ethics of deceased organ recovery white paper Ethics Committee Implemented
Improving post transplant communication of new donor information Disease Transmission Advisory Committee Board Approved
Standardize organ coding and tracking system Operations & Safety Committee Board Approved
Adding HLA DQA1 unacceptable antigen equivalences table Histocompatibility Committee Board Approved
Changes to HOPE Act open variance Disease Transmission Advisory Committee Implemented
KAS clarifications Kidney Committee Board Approved
Simultaneous liver-kidney allocation 2016 Kidney Committee Board Approved
List covered body parts for VCA VCA Committee Board Approved
Establish pediatric training and experience Pediatric Transplantation Committee Board Approved
Revise data release policies Data Advisory Committee Implemented
Update HLA equivalency tables Histocompatibility Committee Board Approved
Revise KPD priority points Kidney Transplantation Committee Board Approved
Requirements for therapeutic organ donation Living Donor Committee Board Approved
Foreign equivalent in bylaws Membership and Professional Standards Committee Board Approved
Personnel procurement requirements Membership and Professional Standards Committee Board Approved
Reduce documentation shipped with organs Organ Procurement Organization Committee Implemented
Increase committee terms to three years Policy Oversight Committee Implemented
Modify pediatric lung policy Thoracic Organ Transplantation Committee Board Approved
Revise facilitated pancreas allocation policy Pancreas Transplantation Committee Implemented
Require another match run based on infectious disease test results Disease Transmission Advisory Committee Implemented
Membership and Personnel Requirements for Intestine Transplant Programs Liver and Intestinal Organ Transplantation Committee Board Approved
Address Requirements Outlined in the HIV Organ Policy Equity Act OPO Committee Implemented
Modify Sterile Internal Vessels Label Operations and Safety Committee Implemented
Collect EVLP Data for Transplant Recipients Thoracic Transplantation Committee Implemented
Membership Requirements for VCA Transplant Programs VCA Transplantation Committee Board Approved
Improve reporting of aborted procedures and non transplanted organs Living Donor Committee Implemented
ABO Blood Type Policy Modifications Operations and Safety Committee Implemented
Proposal for Informed Consent for Kidney Paired Donation Kidney Transplantation Committee Board Approved
Proposal for the Definition of Pancreas Graft Failure Pancreas Transplantation Committee Board Approved
Proposal to Establish a Quality Assessment and Performance Improvement Requirement for Transplant Hospitals and Organ Procurement Organizations Membership and Professional Standards Committee (MPSC) Implemented
Proposal to Convert KPD Contact Responsibilities and Donor Pre-Select Requirements from the OPTN/UNOS Kidney Paired Donation Pilot Program Operational Guidelines into OPTN Policy Kidney Transplantation Committee Board Approved

Archived Proposals

View the policy proposal archive


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