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Public Comment

Summer 2020 public comment is now closed. View comments.

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.

  • 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
Incorporating COVID-19 Related Organ Failure In Candidate Listings Lung Transplantation Committee Board Approved No
Updated Cohort for Calculation of the Lung Allocation Score (LAS) Lung Transplantation Committee Public Comment No
Guidance Addressing the Use of Pediatric Heart Exceptions Heart Transplantation Committee Public Comment No
COVID-19 Emergency Policies and Data Collection Executive Committee Public Comment No
Further Enhancements to the National Liver Review Board Liver and Intestinal Organ Transplantation Committee Public Comment No
Programming VCA Allocation in UNet Vascularized Composite Allograft Transplantation Committee Public Comment No
Modify Living Donation Policy to Include Living VCA Donors Living Donor Committee Public Comment No
Modify Data Collection on Living VCA Donors Vascularized Composite Allograft Transplantation Committee Public Comment No
Guidance and Policy Addressing Adult Heart Allocation Heart Transplantation Committee Public Comment No
Update on the Continuous Distribution of Organs Project Lung Transplantation Committee Public Comment No
Align OPTN Policy with U.S. Public Health Service Guideline, 2020 Ad Hoc Disease Transmission Advisory Committee Public Comment No
HLA Equivalency Tables Update 2020 Histocompatibility Board Approved No
Distribution of Kidneys and Pancreata from Alaska Kidney Transplantation and Pancreas Transplantation Board Approved No
Addressing Medically Urgent Candidates in New Kidney Allocation Policy Kidney Transplantation Board Approved No
Enhancements to the National Liver Review Board Liver and Intestinal Organ Transplantation Implemented No
Data Collection to Assess Socioeconomic Status and Access to Transplant Minority Affairs Review No
Modify Blood Type Determination and Reporting Policies Operations and Safety Implemented No
Guidance on Blood Type Determination Operations and Safety Implemented No
Modifications to Released Kidney and Pancreas Allocation Organ Procurement Organization Board Approved No
National Heart Review Board for Pediatrics Thoracic Transplantation Board Approved No
Update to VCA Transplant Outcomes Data Collection Vascularized Composite Allograft (VCA) Transplantation Board Approved No
Measuring Transplant Outcomes by Collecting Data on Children Born to Uterus Recipients Vascularized Composite Allograft (VCA) Transplantation Review No
Access for Urgent Liver Candidates in Hawaii and Puerto Rico Liver and Intestinal Organ Transplantation Committee Board Approved No
Align units of distribution in closed variance for split liver transplantation Liver & Intestinal Organ Transplantation Committee Board Approved No
Eliminate the use of DSA and Region in kidney allocation policy Kidney Transplantation Committee Board Approved No
Eliminate the use of DSA and Region in pancreas allocation policy Pancreas Transplantation Committee Board Approved No
Expedited liver placement Organ Procurement Organization Committee Board Approved No
Modify data submission policies Data Advisory Committee Board Approved No
Clarification of pre existing liver disease Liver and Intestinal Organ Transplantation Committee Implemented No
Data collection to evaluate the logistical impact of broader distribution Operations and Safety Committee Review No
Modify appointment process for histocompatibility committee vice chair Histocompatibility Committee Implemented No
Continuous distribution of lungs concept paper Thoracic Organ Transplantation Committee Review No
Clarifications on reporting maintenance dialysis Living Donor Committee Implemented No
Guidance on effective practices in broader distribution Operations and Safety Committee Implemented No
Modify HOPE Act variance to include other organs Ad Hoc Disease Transmission Advisory Committee Implemented No
Eliminate the use of DSAs and regions from kidney and pancreas distribution Kidney Transplantation Committee & Pancreas Transplantation Committee Review No
Eliminate the use of DSAs in thoracic distribution Thoracic Organ Transplantation Committee Implemented No
Eliminate the use of regions in VCA distribution Vascularized Composite Allograft Transplantation Committee Implemented No
Ethical implications of multi organ transplants Ethics Committee Implemented No
Split liver variance Liver & Intestinal Organ Transplantation Committee Board Approved No
Expedited placement of livers Organ Procurement Organization Committee Review No
MELD exception scores during NLRB transition Executive Committee Review No
Review board guidance on HCM and RCM exceptions Thoracic Organ Transplantation Committee Implemented No
Liver and Intestine Distribution Using Distance from Donor Hospital Liver & Intestinal Organ Transplantation Implemented No
Addressing HLA Typing Errors Histocompatibility Implemented No
Pediatric Transition and Transfer Guidance Document Pediatric Transplantation Implemented No
Pancreas Program Functional Inactivity Pancreas Transplantation Implemented No
Change to Hospital-Based OPO Voting Privileges Membership and Professional Standards Implemented No
Frameworks for Organ Distribution Ad Hoc Geography Implemented No
Changes to Islet Bylaws Pancreas Transplantation Board Approved No
OPTN UNOS strategic plan Executive Committee Implemented No
Guidance on requested deceased donor information OPO Committee Implemented No
Concept paper on improving the OPTN UNOS committee structure Executive Committee Review No
Guidance for ABO subtyping of Blood Type A and AB organ donors Operations and Safety Committee Implemented No
White paper on manipulating waitlist priority Ethics Committee Implemented No
Revising OPTN Bylaws Appendix L Membership and Professional Standards Committee Implemented No
Modify lung TRF to improve post transplant lung function data Thoracic Organ Transplantation Committee Implemented No
Changes to waiting time criteria for kidney pancreas candidates Pancreas Transplantation Committee Implemented No
Reduce reporting burdens and clarify policies on extra vessels Operations and Safety Committee Board Approved No
Concept paper on expedited organ placement OPO Committee Review No
Clarify informed consent policies for transmittable disease risk Disease Transmission Advisory Committee Board Approved No
Modifications to the distribution of deceased donor lungs Thoracic Organ Transplantatation Committee Board Approved No
Align VCA program membership requirements with other programs VCA Committee Board Approved No
Modify HCC extension criteria Liver & Intestinal Transplantation Implemented No
Living donation by persons with certain fatal diseases Ethics Committee Implemented No
Improving en bloc kidney allocation 2 Kidney Transplantation Committee Implemented No
Improving the efficiency of organ placement OPO Committee Implemented No
Revise pediatric emergency membership exception pathway Pediatric Transplantation Committee Board Approved No
Review of HLA tables Histocompatibility Committee Board Approved No
Improving dual kidney allocation Kidney Transplantation Committee Implemented No
Guidance to increase nonA1 and nonA1B kidneys for type B candidates Minority Affairs Committee Implemented No
Guidance on congenital heart disease exception requests Thoracic Organ Transplantation Committee Implemented No
Deceased donor initiated KPD chains Kidney Transplantation Committee Review No
Revise transplant fellowship training program approval bylaws Membership & Professional Standards Committee Implemented No
Guidance on benefits of pancreas after kidney transplant Pancreas Transplantation Committee Implemented No
Broaden pancreas allocation across compatible ABO blood types Pancreas Transplantation Committee Review No
Guidance on PHS increased risk donor organs Disease transmission advisory committee Implemented No
Bylaws Rewrite 201701 Executive Committee Implemented No
Histocompatibility labs policy and bylaws guidance 201701 Histocompatibility Committee Implemented No
National liver review board 201701 Liver & Intestinal Organ Transplantation Implemented No
Primary transplant surgeon requirement changes Membership and Professional Standards Committee Implemented No
Primary liver transplant physician subspecialty requirement changes Membership and Professional Standards Committee Implemented No
Primary kidney transplant physician update Membership and Professional Standards Committee Implemented No
Update transplant hospital definition Membership and Professional Standards Committee Implemented No
Modify adult heart allocation 2016 2nd round Thoracic Committee Implemented No
HCC auto approval criteria changes Liver & Intestinal Organ Transplantation Committee Implemented No
Ethical considerations of imminent death donation Ethics Committee Implemented No
Ethics of deceased organ recovery white paper Ethics Committee Implemented No
Split versus whole liver transplantation white paper Ethics Committee Implemented No
Changes to informed consent requirements for potential living donors Living Donor Committee Implemented No
Redesigning liver distribution Liver & Intestinal Organ Transplantation Committee Review No
Standardize organ coding and tracking system Operations & Safety Committee Implemented No
List covered body parts for VCA VCA Committee Board Approved No
Simultaneous liver-kidney allocation 2016 Kidney Committee Implemented No
Establish pediatric training and experience Pediatric Transplantation Committee Board Approved No
Membership Requirements for VCA Transplant Programs VCA Committee Board Approved No
Establish Pediatric Training and Experience Bylaws Requirements Pediatric Transplantation Committee Board Approved No
Membership and Personnel Requirements for Intestine Transplant Programs Liver and Intestinal Organ Transplantation Committee Implemented No
Improve reporting of aborted procedures and non transplanted organs Living Donor Committee Implemented No
Require another match run based on infectious disease test results Disease Transmission Advisory Committee Implemented No
Proposed Changes to the OPTN Bylaws Governing Histocompatibility Laboratories (Phase II) Histocompatibility Committee Board Approved No
Proposal for Informed Consent for Kidney Paired Donation Kidney Transplantation Committee Implemented No

Archived Proposals

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