Notices of implemented actions
- Reinstate Policy 1.4.F: Updates to Candidate Data During 2020 COVID-19 Emergency Mini Brief (PDF), Policy Notice (PDF) Effective Date: 01/11/2022; Expiration Date: 04/11/2022
- Repeal Policy 1.4.F: Updates to Candidate Data during 2020 COVID-19 Emergency Mini Brief, (PDF) Policy Notice (PDF) Effective Date: 07/27/2021
- Lower Respiratory SARS-CoV-2 Testing for Lung Donors Policy Notice (PDF) | Proposal (PDF) Effective Date: 05/27/2021
- March, 2020 Policy Notice (PDF)
- April, 2020 Policy Notice (PDF)
- Summer, 2020 Public Comment Proposal
- Board Briefing Paper (PDF)
- December 2020, Policy Notice (PDF)
- March 2021, Executive Committee Memo (PDF)
- March 1, 2021, Executive Committee Action, Conclude Relaxation of Data Submission Requirements for Follow Up Forms (PDF) Effective Date: 4/1/2021
Implemented
- 1.2: Definitions
- 1.4.F: Updates to Candidate Data during 2020 COVID-19 Emergency (Repealed as of 07/27/2021; Reinstated as of 1/11/2022; Expired 4/11/2022)
- 2.9: Required Deceased Donor Infectious Disease Testing
- 2.11: Required Deceased Donor Information
- 3.7.D: Applications for Modification of Kidney Waiting Time during 2020 COVID-19 Emergency
- 18.1: Data Submission Requirements
-
18.1.A: Retrospective Data Collection during COVID-19 Emergency
- 18.2: Timely Collection of Data
- 18.5.A: Reporting Requirements after Living Kidney Donation
18.5.B: Reporting Requirements after Living Liver Donation
The table below shows Implemented policy notices with detailed Item name, board action date, and effective implementation date
Item | Action | Effective date |
---|---|---|
Update Liver Diagnosis Code Nomenclature & Treatment Options for HCC Exceptions (PDF)
|
03/2024 |
08/01/2024 |
Clarify Requirements for Pronouncement of Death (PDF) | 06/2024 | 07/25/2024 |
06/2024 | 07/25/2024 | |
Standardize the Patient Safety Contact and Reduce Duplicate Reporting (PDF) |
06/2024 | 07/25/2024 |
Enhance Transplant Program Performance Monitoring System, Phase 3 (PDF) | 12/2021 | 7/25/2024 |
Establish Code of Conduct and Whistleblower Protections (PDF) | 06/2024 | 07/01/2024 |
Modify Organ Offer Acceptance Limit (PDF) | 12/2023 | 05/29/2024 |
Remove CPRA 99-100% Form for Highly Sensitized Candidates (PDF) |
12/2023 |
05/02/2024 |
Expedited Placement Variance (PDF) | 03/2024 | 04/02/2024 |
Proposal to Address the Relationship of the OPTN and OPTN Contractor Board (PDF) | 03/2024 | 03/30/2024 |
Required Security Training for All OPTN Computer System Users (PDF) | 06/2023 | 03/19/2024 |
Recognizing Seasonal and Geographically Endemic Infections in Organ Donors: Considerations during Deceased and Living Donor Evaluation (PDF) | 12/2023 | 01/10/2024 |
Require Reporting of Patient Safety Events (PDF) | 12/2023 | 01/10/2024 |
Update Guidance on Optimizing VCA Recovery (PDF) | 12/2023 | 01/10/2024 |
Update Data Collection for Lung Mortality Models (PDF)
|
12/2022 |
12/13/2023 |
Establish Membership Requirements for Uterus Transplant Programs (PDF) |
12/2021 | 12/5/2023 |
Modify Heart Policy for Intended Incompatible Blood Type (ABOi) Offers to Pediatric Candidates (PDF) |
06/2023 | 11/30/2023 |
|
06/2023 | 11/20/2023 |
Update Multi-Organ Allocation for Continuous Distribution of Lungs (PDF) | 12/2022 | 09/28/2023 |
Establish Eligibility Criteria and Safety Net for Heart-Kidney and Lung-Kidney Allocation (PDF) | 06/2022 | 09/28/2023 |
Expand Required Simultaneous Liver-Kidney Allocation (PDF) | 06/2023 | 09/28/2023 |
Modify Lung Allocation by Blood Type (PDF) | 09/2023 | 09/27/2023 |
Apply Transplant Notification Requirements for VCA Program Inactivation (PDF) | 12/2022 | 09/14/2023 |
Data Collection to Evaluate Organ Logistics and Allocation (PDF) | 12/2021 | 09/14/2023 |
Report Primary Graft Dysfunction in Heart Transplant Recipients (PDF) | 12/2021 | 09/14/2023 |
Modifications to the Deceased Donor Registration (DDR) (PDF) | 06/2021 | 09/14/2023 |
Update Data Collection to Align with U.S Public Health Service Guideline, 2020 (PDF) | 12/2021 | 09/14/2023 |
Standardize Kidney Biopsy Reporting and Data Collection (PDF) | 06/2022 | 09/14/2023 |
12/2020 | 09/14/2023 | |
06/2022 | 09/14/2023 | |
Update to VCA Transplant Outcomes Data Collection (PDF) | 12/2020 | 09/14/2023 |
Align OPTN Policy to Support Changes to Race and Ethnicity Data Collection (PDF) |
9/8/2023 Exec Comm Action | 09/14/2023 |
|
06/2023 | 8/1/2023 |
Ongoing Review of National Liver Review Board (NLRB) Diagnoses (PDF) |
06/2022 Board Action | 07/13/2023 |
Improving Liver Allocation: MELD, PELD, Status 1A and Status 1B (PDF) |
06/2022 Board Action | 07/13/2023 |
Establish Continuous Distribution of Lungs (PDF) | 12/2021 Board Action | 03/09/2023 |
Revise Lung Review Board Guidelines, Guidance, and Policy for Continuous Distribution (PDF) | 12/2022 Board action | 03/09/2023 |
Update Multi-Organ Allocation for Continuous Distribution of Lungs (PDF)
|
12/2022 Board action | 03/09/2023 |
12/2022 Board action | 02/01/2023 | |
Change Calculated Panel Reactive Antibody (CPRA) Calculation (PDF) | 6/2022 Board action | 1/26/2023 |
Continued Review of National Liver Review Board (NLRB) Guidance (PDF) | 12/2022 Board action | 1/05/2023 |
Modify Waiting Time for Candidates Affected by Race-Inclusive eGFR Calculations (PDF) | 12/2022 Board action | 1/05/2023 |
Transparency in Program Selection (PDF) | 12/2022 Board action | 1/05/2023 |
Amend Status Extension Requirements in Adult Heart Allocation Policy (PDF) | 12/2021 Board Action | 10/27/2022 |
Review of Liver and Intestine Variances in OPTN Policy (PDF) | 10/2022 Executive Committee action | 10/26/2022 |
Establish Minimum Kidney Donor Criteria to Require Biopsy (PDF) | 6/2022 Board action | 09/06/2022 |
Cross Organ Data Alignment (PDF) | 6/2022 Board action | 08/30/2022 |
Modify Data Submission Policies (PDF) | 12/2019 Board action | 08/30/2022 |
Update Human Leukocyte Antigen (HLA) Equivalency Tables (PDF) | 12/2021 Board action | 08/30/2022 |
Align OPTN Policy with US Public Health Service Guideline, 2020 (PDF)
|
12/2020 Board action | 08/30/2022 |
Further Enhancements to the National Liver Review Board (PDF)
|
12/2020 Board action | 08/30/2022 |
Review of National Liver Review Board (NLRB) Diagnoses and Update to Alcohol Associated Diagnoses (PDF)
|
12/2021 Board Action |
08/30/2022 |
Refine Lung Data Fields (PDF)
|
07/2021 Executive Committee action | 08/30/2022 |
Establish OPTN Requirement for Race-Neutral Estimated Glomerular Filtration Rate (eGFR) Calculations (PDF) | 6/2022 Board action | 7/27/2022 |
Modify Living Donor Exclusion Criteria (PDF)
|
6/2022 Board action | 7/26/2022 |
Ongoing Review of National Liver Review Board (NLRB) Diagnoses (PDF) Split implementation. Additional actions targeted for April 2023 implementation. Guidance to Liver Transplant Programs and the National Liver Review Board for Adult MELD Exceptions for Hepatocellular Carcinoma (HCC) Guidance to Liver Transplant Programs and the National Liver Review Board for Adult MELD Exceptions Review |
6/2022 Board action | 7/26/2022 |
Modify Heart Policy to Address Patient Safety Following Device Recall |
7/2022 Executive Committee Action; 12/2022 Board action | 7/14/2022 |
Enhance Transplant Program Performance Monitoring System, Phase 1 (July 2022) (PDF)
|
6/2022 Board Action | 7/14/2022 |
Pediatric Candidate Pre-Transplant HIV, HBV, and HCV Testing (PDF) | 6/2022 Board Action | 7/1/2022 |
Calculate Median MELD at Transplant around the Donor Hospital and Update Sorting within Liver Allocation (PDF) | 06/2021 Board Action | 06/28/2022 |
Enhance Transplant Program Performance Monitoring System (PDF) | 12/2021 Board Action | Cohorts for pre- transplant metrics begin 1/1/2022 |
06/2021 Board action | 02/10/2022 | |
Guidance for Data Collection Regarding Classification of Citizenship Status (PDF) | 12/2021 Board Action | 02/01/2022 |
Ethical Considerations of Continuous Distribution in Organ Allocation (PDF) | 12/2021 Board Action | 02/01/2022 |
Review of National Liver Review Board (NLRB) Diagnoses and Update to Alcohol Associated Diagnoses (PDF)
|
12/2021 Board Action | 02/01/2022 |
Implemented policy items in 2021 | ||
Extending Hawaii Puerto Rico Closed Blood Type Variance (PDF) | 12/2020 Board action |
12/6/2021 |
Extend HIV Organ Policy Equity (HOPE) Act Variance (PDF) | 12/2020 Board action |
12/6/2021 |
Lower Respiratory SARS-CoV-2 Testing for Lung Donors |
4/26/2021 Executive Committee Action; 12/2021 Board action |
5/27/2021 |
Update to Refusal Codes (PDF) | 6/2021 Board action | 12/2/2021 |
Further Enhancements to the NLRB
|
12/2020 Board action | 10/07/2021 |
Updating National Liver Review Board Guidance and Policy Clarification (PDF)
|
06/2021 Board action |
10/07/2021 |
Refine Lung Data Fields (PDF) |
07/2021 Executive Committee Action |
09/30/2021 |
12/2020 Board action |
09/30/2021 |
|
Require Notification of Critical Human Leukocyte Antigen (HLA) Typing Changes (PDF) |
06/2021 Board action |
09/01/2021 |
Modify Living Donor Policy to Include Living VCA Donors (PDF) |
06/2021 Board action |
09/01/2021 |
Updating National Liver Review Board Guidance and Policy Clarification (PDF)
|
06/2021 Board action |
07/15/2021 |
Human Leukocyte Antigen (HLA) Equivalency Tables Update 2020 (PDF) |
06/2020 Board action |
06/17/2021 |
06/2020 Board action |
06/15/2021 |
|
Clarification of Policies and Bylaws Specific to Vascularized Composite Allografts (PDF) |
06/2021 Board action |
06/14/2021 |
Combined Policy Notice for VCA Membership Requirements (2020) (PDF)
VCA - List Covered Body Parts - 1 of 2 (PDF)
Align VCA program membership requirements with other programs (PDF)
|
06/2015, 06/2016, 06/2018 Board action |
06/14/2021 |
Align OPTN Policy with US PHS Guideline 2020 (PDF)
|
12/2020 Board action |
06/01/2021 |
12/2019 Board action | 03/25/2021 | |
Pancreas Removal of DSA (PDF) |
12/2019 Board action | 03/15/2021 |
Kidney Removal of DSA (PDF) |
12/2019 Board action | 03/15/2021 |
Addressing Medically Urgent Candidates in New Kidney Allocation Policy (PDF) |
06/2020 Board action | 03/15/2021 |
06/2020 Board action | 03/15/2021 | |
Modifications to Released Kidney and Pancreas Allocation (PDF) |
06/2020 Board action | 03/15/2021 |
Guidance and Policy Addressing Adult Heart Allocation (PDF)
|
12/2020 Board action | 02/09/2021, 03/04/2021 |
Align OPTN Policy with US PHS Guideline 2020 (PDF)
|
12/2020 Board action | 03/2021 |
Guidance Addressing the Use of Pediatric Heart Exceptions (PDF) |
12/2020 Board action | 02/09/2021 |
Further Enhancements to the National Liver Review Board (PDF)
|
12/2020 Board action | 02/09/2021 |
Implemented policy items in 2020 | ||
Establish Pediatric Training and Experience (PDF) | 12/2015 Board actions | 12/07/2020 |
Revise Pediatric Emergency Membership Exception Pathway (PDF) | 12/2017 Board action | 12/07/2020 |
Incorporating COVID-19 Related Organ Failure In Candidate Listings (PDF) | 10/2020 Board action | 10/28/2020 |
Enhancements to the National Liver Review Board (PDF)
|
06/2020 Board action | 08/04/2020, 09/10/2020 |
Guidance and Policy Modifications Addressing Blood Type Determination (PDF)
|
06/2020 Board action | 06/08/2020,09/01/2020 |
Modify the Conflicts of Interests Bylaws (PDF) | 06/2020 Board action | 07/01/2020 |
Creation of OPTN Heart and Lung Committees (PDF) | 03/2020 Board action | 07/01/2020 |
Modify Lung TRF to Improve Post Transplant Lung Function Data | 06/2018 Board action | 06/30/2020 |
Eliminate the Use of Regions in VCA Distribution (PDF) | 06/2019 Board action | 06/18/2020 |
Modify HOPE Act Variance to Include Other Organs (PDF) | 06/2019 Board action | 05/21/2020 |
COVID-19 Emergency Policy Package (PDF) | 04/2020 Executive Committee action | 04/03/2020 |
Clarifications on Reporting Maintenance Dialysis (PDF) | 06/2019 Board action | 04/01/2020 |
Updates to Candidate Data During 2020 COVID-19 Emergency (PDF) | 03/2020 Executive Committee action | 03/17/2020 |
Variances Removal Policy Notice (PDF) | 12/2019 Board action | 03/01/2020 |
Clarification of Pre-Existing Liver Disease (PDF) | 12/2019 Board action | 03/01/2020 |
Addressing HLA Typing Errors | 12/2018 Board action | 02/27/2020 |
Access for Urgent Liver Candidates in Hawaii & Puerto Rico (PDF) | 01/2020 Executive Committee action | 02/18/2020 |
Liver and Intestine Distribution Using Distance from Donor Hospital (PDF) | 12/2018 Board action | 02/04/2020 |
Reduce Reporting Burdens and Clarify Policies on Extra Vessels (PDF)
|
06/2018 Board action | 01/29/2020 |
Update Transplant Hospital Definition (PDF) | 12/2016 Board action | 01/13/2020 |
Eliminate the Use of DSAs in Thoracic Organ Distribution (PDF) | 06/2019 Board action | 01/09/2020 |
Implemented policy items in 2019 | ||
Adding DR Antigens and Equivalences (PDF) | 12/2019 Board Action | 12/04/2019 |
Hope Act Policy and Mini Brief (PDF) | 12/2019 Board action | 12/03/2019 |
Modify Appointment Process for the Histocompatibility Vice Chair (PDF) | 12/2019 Board Action | 12/03/2019 |
Aligning Units of Distribution in Closed Variance for Split Liver Transplantation (PDF) | 12/2019 Board Action | 12/03/2019 |
Split Liver Variance (PDF) | 06/2019 Board action | 12/03/2019 |
Revising Priority Points in Kidney Paired Donation Program (PDF) | 12/2015 Board action; 10/2019 Executive Committee action |
10/24/2019 |
Improving Dual Kidney Allocation | 12/2017 Board action | 9/2019 |
Improving en Bloc Kidney Allocation | 12/2017 Board action | 9/2019 |
Changes to Waiting Time Criteria for Kidney-Pancreas Candidates (PDF) | 06/2018 Board action | 7/11/2019 |
Guidance on Effective Practices in Organ Distribution | 06/2019 Board action | 6/10/2019 |
Ethical Implications of Multi-Organ Transplants White Paper | 06/2019 Board action | 6/10/2019 |
Revised National Liver Review Board Policies (PDF) | 12/2018 Board action | 5/14/2019 |
National Liver Review Board | 06/2017 Board action | 5/14/2019 |
Histocompatibility Bylaws Rewrite: General Supervisor (PDF) | 06/2015 Board action | 3/1/2018 |
Pancreas Program Functional Inactivity (PDF) | 12/2018 Board action | 4/8/2019 |
Addressing HLA Typing Errors (PDF)
|
12/2018 Board action | 3/1/2019 |
Amend CPRA Calculator (PDF) | 01/2019 Executive Committee action | 1/17/2019 |
Implemented policy items in 2018 | ||
Change to Hospital-Based OPO Voting Privileges | 12/2018 Board action | 12/4/2018 |
Frameworks for Organ Distribution | 12/2018 Board action | 12/4/2018 |
Pediatric Transition and Transfer Guidance | 12/2018 Board action | 12/3/2018 |
Intestine Membership Bylaws Requirements | 06/2015 Board action | 11/20/2018 |
Modify Adult Heart Allocation | 12/2016 Board action | 10/18/2018 |
Clarification of Adult Heart Allocation | 08/2017 Executive Committee action | 10/18/2018 |
Review Board Guidance on HCM and RCM Exceptions | 06/2018 Board action | 10/18/2018 |
Modifications to the Distribution of Deceased Donor Lungs | 06/2018 Board action | 10/18/2018 (Policy 6.6.F) 06/12/2018 (Policies 1.2, 10.2.A, 10.4) |
Clarify Informed Consent Policies for Transmittable Diseases | 06/2018 Board action | 09/01/2018 |
Reduce Reporting Burdens and Clarify Policies on Extra Vessels (PDF) | 06/2018 Board action | 09/01/2018 (except table 16.1) |
VCA - List Covered Body Parts (2 0f 2) (PDF)
|
06/2016 Board action | 09/01/2018 |
Improving the Efficiency of Organ Allocation (PDF) | 12/2017 Board action | 03/01/2018 (Policies 2.2, 2.11 and 2.12) 05/02/2018 (Policies 1.2 and 5.6.B) 06/12/2018 (Policies 2.11.A and 2.11.D) 06/13/2018 (Policy 5.6.C) |
Revising OPTN Bylaws Appendix L (PDF) | 06/2018 Board action | 06/12/2018 |
Retrospective Review of Clerical Policy Changes (PDF) | 06/2018 Executive Committee action | 06/12/2018 |
Approved Transplant Fellowship Training Programs Bylaws (PDF) | 12/2017 Board action | 03/01/2018 |
Definition of Pancreas Graft Failure (PDF) | 06/2015 Board action | 2/28/2018 |
Modification to HCC Extension Criteria (PDF) | 2/5/2018 | |
Implemented policy items in 2017 | ||
HCC Auto Approval Criteria Changes | 12/2016 Board action 12/2017 Executive Committee action |
12/12/2017 |
Lung Allocation Policy Modification (PDF) | 11/2017 Executive Committee action | 11/24/2017 |
Standardize Organ Coding and Tracking System | 2/2017 Executive Committee action | 11/01/2017 |
Improve the Categorization of Living Donor Events (PDF) | 9/2017 executive committee action | 10/18/2017 |
Add DQA-1 Equivalences Table | 6/2016 Board action 6/2017 Executive Committee action |
09/12/2017 |
Update HLA Equivalency Tables | 12/2015 Board action 4/2017 Executive Committee action |
09/12/2017 |
Personnel Procurement Requirements | 12/2015 Board action | 09/01/2017 |
Foreign Equivalent in Bylaws | 12/2015 Board action | 09/01/2017 |
Bylaws Rewrite | 06/2017 Board action | 09/01/2017 |
Primary Kidney Transplant Physician Update (PDF) | 12/2016 Board action | 09/01/2017 |
Clarification to Apply Kidney Minimum Acceptance Criteria to Highly Sensitized Candidates (PDF) | 07/2017 Executive Committee action | 09/01/2017 |
Simultaneous Liver-Kidney Allocation | 06/2016 Board action | 08/10/2017 |
Kidney: KAS Clarifications (part) | 06/2016 Board action | 06/29/2017 |
Retrospective Review of Clerical Changes to Policies (PDF) | 06/2017 Executive committee action | 06/29/2017 |
Informed Consent Changes - Potential Living Donors | 12/2016 Board action | 06/01/2017 |
Improving Post-Transplant Communication (part) | 06/2016 Board action; Required toxoplasmosis testing of all donors | 04/06/2017 |
Pediatric Lung Allocation Changes (PDF) | 12/2015 Board action | 03/30/2017 |
All Other KPD Guidelines to Policy (part) | 06/2015 Board action | 03/30/2017 |
Post-Implementation ABO Policy Changes (PDF) | 12/2016 Board action | 03/01/2017 |
Primary Transplant Surgeon Changes | 12/2016 Board action | 03/01/2017 |
Primary Transplant Physician Subspecialty Changes | 12/2016 Board action | 03/01/2017 |
Remove Donor Location from Required Procurement Log (PDF) | 12/2016 Board action | 03/01/2017 |
Changes to Imminent and Eligible Definitions (PDF) | 12/2016 Board action | 01/01/2017 |
Implemented policy items in 2016 | ||
Retrospective Review of Clerical Changes to Policies (PDF) | 12/2016 Executive committee action | 11/10/2016 |
Registration Fee (PDF) | 06/2016 Board action | 10/01/2016 |
DTAC Policy Clarification (PDF) | 06/2016 Executive Committee action | 09/01/2016 |
OSC Policy Clarification (PDF) | 08/2016 Executive Committee action | 09/01/2016 |
HOPE Act (PDF) | 06/2016 Board action | 09/01/2016 |
Improving Post-Transplant Communication (part) | 06/2016 Board action | 09/01/2016 |
Kidney: KAS Clarifications (part) | 06/2016 Board action | 09/01/2016 |
Regional Councillor Vacancy (PDF) | 06/2016 Board action | 09/01/2017 |
Living Donor Candidate Registration (PDF) | 04/2016 Executive Committee action | 04/14/2016 |
Retrospective Review of Clerical Changes to Policies (PDF) | 12/2016 Executive committee action | 4/14/2016 |
Implemented policy items in 2015 | ||
KPD Informed Consent (PDF) | 06/2015 Board action | 12/01/2015 |