Policy development process
We strive for consensus in developing policies for organ allocation and distribution. This collaborative process promotes equity among patients.
We want to hear from patients, professionals, donor families, transplant professionals, and anyone else interested in shaping transplant policy.
Find the OPTN Evaluation Plan, performance management and other tools here to ensure you are following policy correctly.
Organ Procurement and Transplantation Network (OPTN) policies are rules that govern operation of all UNOS member transplant hospitals, organ procurement organizations (OPOs) and histocompatibility labs in the U.S. Policies are made through a collaborative process involving committees, the OPTN Board of Directors and the public. View these policies now or view policy brochures.
Learn about the continuous distribution model approved by the OPTN as a framework for future policy development as it addresses geographic distribution of donated organs. Continuous distribution would, in the future, replace fixed geographic boundaries with a statistical model incorporating distance along with key clinical factors.
Member resources guide
Links to policies, bylaws, toolkits and other resources. Includes an introductory fundamentals section.
Learn about changes to donation and transplant policy.
Actions approved by the OPTN Board in December 2020 and June 2021 are included.
The changes to the equivalency tables are intended to reflect changes in HLA typing practice and improve organ allocation.
The NHRB was created to improve quality and consistency in evaluation of exceptions for pediatric heart candidates.
Resources and information about elements of the policy change implemented on June 1, 2021. New elements address living donor transplants.
Policy is intended to address patient safety.
System notices explain changes to UNet℠.
The changes will provide more relevant and granular options when refusing organ offers for patients, and will allow for greater insights into refusal and acceptance practices.
The tool allows programs to enter filter criteria and see how a filter would affect the kidney offers your program received over the past 5 years.
Changes to custom reports based on changes to the Updated Cohort for Calculation of the Lung Allocation Score (LAS) are now in effect
Please review your custom reports with lung candidate data to see how these changes may affect you.
Get started now: Download the Authy app in preparation for an important UNet enhancement coming in early 2022
Beginning early 2022, UNet will begin using multi-factor authentication (MFA) to make your UNet login process more secure.
Candidates’ Lung Allocation Scores (LAS) have changed according to a revised calculation approved by the OPTN Board of Directors in December 2020.