Liver Allocation Reform

In 2000, the Department of Health and Human (HHS) issued regulations requiring that organ allocation policies “shall not be based on the candidate’s place of residence or place of listing.” Since then, transplant experts and stakeholders from the transplant community have embarked on a deliberative stepwise process to update liver allocation policy to comply with the law and to make it fair for all transplant candidates regardless of residence or place of listing.

 This timeline demonstrates the major policy developments that ultimately led to the Organ Procurement and Transplantation Network (OPTN)’s passage of the Acuity Circle (AC) model for organ distribution. This timeline reflects a drawn-out, painstaking, and deliberative process that reflects substantial input from both stakeholders and the scientific community. As hundreds of people unnecessarily die every year due to inequities in wait times, we must diligently work to ensure this reform is implemented swiftly.

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