Public comment is open January 23 - March 24, 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.
Narrated public comment presentations available
PowerPoint presentations with spoken narration are also available to provide additional context to the proposals out for public comment.
View the presentations on UNOS Connect (no login required).
Public comment webinars
Two national webinars will be held to provide members an opportunity to learn about the proposals on the non-discussion agenda and ask questions of the presenters. Since the information presented at each webinar will be identical, you only need to attend one.
Discussion webinars – New!
The purpose of these webinars is to provide members an opportunity to learn about the proposals on the discussion agenda. The regional meeting is the formal avenue for regional discussion and voting.
Public comment proposals on the discussion agenda were presented during two separate webinars. Unlike the non-discussion webinars, the content of each of these webinars is different.
Improving Allocation of En Bloc Kidneys
Concept Paper: Improving Allocation of Double Kidneys
National Liver Review Board: Policy and Exception Score Assignments
- National Liver Review Board: Guidance Documents
- 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|
|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||Board Approved|
|Primary kidney transplant physician update||Membership and Professional Standards Committee||Board Approved|
|Primary liver transplant physician subspecialty requirement changes||Membership and Professional Standards Committee||Board Approved|
|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|