Policy Priorities


A top priority for KTC is advocating for policies that will increase kidney transplants and reduce the financial and other unnecessary barriers to transplantation for recipients, donors, and their families.

Expand Living Donor Expense Reimbursement

Expand the Paired/Chain Living Donor Program

Improve Patient Wait List and Organ Acceptance Rate Transparency

Expand Living Donor Expense Reimbursement


KTC will work to advance the Organ Donation Clarification Act of 2021 and find solutions to help cover donors’ costs to increase living donation rates.

Every effort should be made to make living donation financially neutral. In 2020, the Health Resources and Services Administration (HRSA) modestly increased living donor expense reimbursements to help cover external costs associated with lost wages and dependent care due to kidney donation. Unfortunately, this only applies to individuals with income below 350% of the federal poverty level (the prior threshold was 300%). Studies have demonstrated that covering donors’ costs will lead to an increase in living donation rates.  KTC, working with other stakeholders, will work to advance H.R. 3569, the “Organ Donation Clarification Act of 2021” introduced by Representative Matthew Cartwright and Representative Joe Wilson along with 11 other House members, and clarify the law by authorizing the U.S. Department of Health and Human Services (HHS) to create a five-year government pilot program to model donor expense reimbursements. By clarifying the law and empowering the HHS Secretary to create the pilot program, we can ensure that living donors are not burdened with unnecessary expenses due to their altruistic decisions.

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Expand the Paired/Chain Living Donor Program


KTC will pursue legislative opportunities to enhance the work being done to expand living donations in the coming years.

Although much is currently being done to improve the existing donation process, an additional opportunity exists to expand paired donation opportunities when potential donors are not a match for a loved one in need of a kidney transplant. To date, the federal government has not allocated any resources to support a paired donation program, leaving the not-for-profit community filling the void. KTC will pursue policy opportunities to expand paired and chain donation solutions and to work with stakeholders to enhance the existing work already being accomplished with the overarching goal of significantly increasing living donations.

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Improve Patient Wait List and Organ Acceptance Rate Transparency


KTC will work to improve the transplant process and improve patient access to donated kidneys.

More can and must be done to improve patient access to donated kidneys. The first step is to ensure that individuals waiting for a kidney transplant remain active on the waitlist and are eligible to receive a kidney when all available organs can be fully utilized by patients in need.

KTC will devote significant efforts to better the existing transplant processes such as improving waitlist management so that more individuals with kidney disease remain eligible for transplants.  KTC will also advocate for better organ acceptance rate transparency to ensure individuals are able to choose the most appropriate transplant center for their needs, and to address possible incentives that would lead to an increase in offer acceptance rates.

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Comment Letters


KTC Comment Letter to The Honorable Chi Chiquita Brooks-LaSure,  Administrator, Centers for Medicare and Medicaid Services Department of Health and Human Services


January 31, 2022
Request for Information, Health and Safety Requirements for Transplant Programs, Organ Procurement Organizations and an End-Stage Renal Disease Facilities.

View Letter

KTC Comment Letter to Health Resources and Services Administration


May 9, 2022
Request for Information by the Health Resources and Services Administration regarding the Organ Procurement and Transplantation Network (OPTN).

View Letter