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Public Comment

Public comment opens on January 23, 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
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  • 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 Status Date
Redesigning liver distribution Liver and Intestine Committee Public Comment Closed 10/15/2016
HCC auto approval criteria changes Liver and Intestine Committee Board Approved 12/06/2016
Adult MELD exception review guidance Liver and Intestine Committee Public Comment Closed 10/15/2016
Modify adult heart allocation 2016 2nd round Thoracic Committee Board Approved 12/06/2016
Changes to informed consent requirements for potential living donors Living Donor Committee Board Approved 12/06/2016
Transplant program outcomes review system changes Membership and Professional Standards Committee Board Approved 12/06/2016
Transplant program performance outcome measures Membership and Professional Standards Committee Board Approved 12/06/2016
Update transplant hospital definition Membership and Professional Standards Committee Board Approved 12/03/2016
Primary transplant surgeon requirement changes Membership and Professional Standards Committee Board Approved 12/05/2016
Primary kidney transplant physician update Membership and Professional Standards Committee Board Approved 12/04/2016
Primary liver transplant physician subspecialty requirement changes Membership and Professional Standards Committee Board Approved 12/06/2016
Infectious disease verification to enhance patient safety Operations and Safety Committee Public Comment Closed 10/15/2016
Split versus whole liver transplantation white paper Ethics Committee Implemented 12/06/2016
Ethical considerations of imminent death donation Ethics Committee Implemented 12/06/2016
Ethics of deceased organ recovery white paper Ethics Committee Implemented 12/06/2016
Improving post transplant communication of new donor information Disease Transmission Advisory Committee Board Approved 06/03/2016
Standardize organ coding and tracking system Operations & Safety Committee Board Approved 06/04/2016
Adding HLA DQA1 unacceptable antigen equivalences table Histocompatibility Committee Board Approved 06/04/2016
Changes to HOPE Act open variance Disease Transmission Advisory Committee Implemented 08/31/2016
KAS clarifications Kidney Committee Board Approved 06/06/2016
Simultaneous liver-kidney allocation 2016 Kidney Committee Board Approved 06/06/2016
List covered body parts for VCA VCA Committee
National liver review board Liver & Intestine Committee
Adult heart allocation changes 2016 Thoracic Committee
Performance metrics concept paper MPSC
Establish pediatric training and experience Pediatric Transplantation Committee
Revise data release policies Data Advisory Committee Implemented 03/01/2016
Simultaneous liver kidney allocation Kidney Transplantation Committee Board Approved 12/01/2015
Update HLA equivalency tables Histocompatibility Committee Board Approved 11/30/2015
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
Personnel procurement requirements Membership and Professional Standards Committee Board Approved 12/02/2015
Reduce documentation shipped with organs Organ Procurement Organization Committee
Increase committee terms to three years Policy Oversight Committee Implemented
Modify pediatric lung policy Thoracic Organ Transplantation Committee Board Approved 12/08/2015
Revise facilitated pancreas allocation policy Pancreas Transplantation Committee Implemented 09/28/2016
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
Address Requirements Outlined in the HIV Organ Policy Equity Act OPO Committee Implemented
Modify Sterile Internal Vessels Label Operations and Safety Committee Implemented 11/03/2016
Clarify Individual Wait Time Transfer Policy and Process Patient Affairs Committee
Establish Pediatric Training and Experience Bylaws Requirements Pediatric Transplantation Committee
Collect EVLP Data for Transplant Recipients Thoracic Transplantation Committee
Membership Requirements for VCA Transplant Programs VCA Transplantation Committee
Improve reporting of aborted procedures and non transplanted organs Living Donor Committee
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
Proposal to Establish a Quality Assessment and Performance Improvement Requirement for Transplant Hospitals and Organ Procurement Organizations Membership and Professional Standards Committee (MPSC)
Implement the OPTN's Oversight of Vascularized Composite Allografts (VCAs) Vascularized Composite Allograft (VCA) Transplantation Committee Implemented
Data Collection and Submission Requirements for Vascularized Composite Allografts (VCAs) Vascularized Composite Allograft (VCA) Transplantation Committee
Improving the OPTN Policy Development Process Executive Committee
Proposed Changes to the OPTN Bylaws Governing Histocompatibility Laboratories (Phase II) Histocompatibility Committee
Proposal to Reduce the Reporting Requirements for the Deceased Donor Registration Form Organ Procurement Organization Committee
Definition of a Transplant Hospital Membership and Professional Standards Committee (MPSC) 12/11/2016
Proposal to implement pre-transplant performance review by the Membership and Professional Standards Committee Membership and Professional Standards Committee
Proposal to Address the Requirements Outlined in the HIV Organ Policy Equity Act Organ Procurement Organization Committee Implemented
Proposal to Allow Collective Patient and Wait Time Transfers Operations and Safety
Proposal to Automatically Transfer Pediatric Classification for Registered Liver Candidates Turning 18 Pediatric Transplantation Committee
Clarification of Multi-Organ Policies Policy Oversight Committee
Policy Rewrite Parking Lot "Quick Fixes" Policy Oversight Committee
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
Proposal to Clarify Definition of Organ Transplant and Transplant Date Policy Oversight Committee
Proposal to Collect Extracorporeal Membrane Oxygenation (ECMO) Data Upon Waitlist Removal for Lung Candidates Thoracic Organ Transplantation Committee Implemented

Archived Proposals

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