Legislation & Regulatory Updates

AST is your voice and seat at the table on Capitol Hill, within the Executive Branch, Federal Agencies and in many state capitols and legislatures. These governmental agencies dictate and have direct oversight of most aspects of transplant patient care and medical research. From clinical to research, the field of organ transplantation is heavily regulated and frequently addressed by both our elected and un-elected federal and state leaders.

AST maintains a strong bipartisan and bicameral presence to educate, cultivate and mobilize support for the Society's public policy agenda. Members of Congress, their staff, and senior HHS officials know the Society well and work with its members and the Washington, DC, government relations staff on a daily basis.


Twice a year, the Organ Procurement and Transplant Network (OPTN) releases proposed new policy for public comment (http://optn.transplant.hrsa.gov/governance/public-comment/). Members of the transplant community and the interested public are encouraged to provide feedback on the proposals. As part of its larger advocacy goals, the American Society of Transplantation reviews the policies and provides feedback, where appropriate. The Society seeks input from key constituencies to inform our commentary as follows:

1. The AST OPTN/UNOS Policy Committee and AST President review each proposed policy released for comment to assess which Communities of Practice or Committees should review the proposals and suggest comments.
2. The leadership of the appropriate Communities of Practice or Committees develops suggested comments that they forward to the AST OPTN/UNOS Policy Committee.
3. The AST OPTN/UNOS Policy Committee then reviews all of the comments and generates a single comment for each policy that clearly states the position of the Society as being in favor, as having specific concerns, or opposing the proposed policy.
4. The AST Board of Directors then meets with the AST OPTN/UNOS Board Liaison to approve or amend the comments that are submitted to the OPTN on the proposed policies.

AST comments on OPTN/UNOS Policy Proposals:

Archived Updates.

AST Feedback on Pending Legislation

Archived Updates

Other Regulatory Updates

Archived Updates

Public Health Service (PHS) Guidelines

AST has provided the following comments on the PHS Guideline for Reducing the Transmission of Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) through Organ Transplantation: