The policy development process has seven steps:

  1. A committee develops policy proposals using data analysis provided by the UNOS research staff and other supporting information.
  2. The committee prepares and distributes an initial briefing paper including the rationale surrounding the proposed policies.
  3. The committee receives public comments on the proposed policies and makes any appropriate changes to the proposal.
  4. The committee adds its responses to the public comments and final recommendation to the briefing paper and submits it to the Board of Directors.
  5. The Board votes on the proposed policy.
  6. If approved, the Board submits the policy to the Secretary of Health and Human Services for comment/approval.
  7. If approved by the Secretary, the proposed policy is implemented. If not approved, the policy is returned to the Board or the committee as appropriate.

Policy Development Process

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Stay updated about specific policy developments by viewing public comment notices and individual policy changes approved by the OPTN/UNOS Board of Directors. Learn more *
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