Public comment is a time for the donation and transplant community to come together and work collaboratively.
Watch videos to learn more about 5 of the 12 items available for public comment
5 items up for comment | Links |
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Update on continuous distribution of livers and intestines |
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Optimizing usage of Offer Filters | |
Identify priority shares in kidney multi-organ allocation |
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Modify heart policy for intended incompatible (ABOi) blood type offers to pediatric candidates | |
Require human leukocyte antigen (HLA) confirmatory typing for deceased donors |
See all proposals and review comments on the OPTN
More ways to get involved:
Request for feedback
Update on continuous distribution of livers and intestines

Goal
Increase equity in transplants
Concept paper
Identify priority shares in kidney multi-organ allocation

Goal
Increase equity in access to transplants
Proposal
Modify heart policy for intended incompatible (ABOi) blood type offers to pediatric candidates

Goal
Increase the number of transplants
Proposal
Require human leukocyte antigen (HLA) confirmatory typing for deceased donors

Goal
Promote living donor and transplant recipient safety
What is public comment?
Public comment is a crucial part of policy development. It’s a time for donor families, transplant candidates, organ recipients, donation and transplant professionals and the general public to provide feedback and engage in debate about policies that govern organ matching and allocation. To make the nation’s organ donation and transplantation system fair and equitable for all, many voices are needed and every view matters.
Please see the resources listed here to learn more about how UNOS convenes the organ donation and transplant community and the public in this twice yearly forum.
“Public comment is so important. And regional meetings are the place everyone comes together to talk about the big picture. I learn from the people who are on the ground and doing the work—like transplant coordinators and administrators. It’s really important to consider their perspectives and have evidence-based conversations about policy. Public comment is a reflection opportunity for real world issues in transplant.”
Macey L. Henderson, JD, Ph.D., Assistant Professor of Surgery, Johns Hopkins Medicine
Dr. Henderson is a former member of the OPTN Board of Directors. She is also a living donor.
Policy development process
- How do we develop policy?
- Learn about our public comment discussion webinars
- What happens after public comment?
Archived public comment
Learn about some of the previous proposals
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