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Flawed Rule Timeline

SID&T Chairman Anthony Pizzutillo stated “For years SID&T has advocated for true reform in the donation and transplant system based on peer-reviewed science, not politics, as the path to better patient results. Prior to adopting the very problematic Rule governing organ donation and transplant HHS and CMS had the opportunity to wait for peer reviewed science before going forward. They chose not to and this in the view of many put politics before science and expediency before patients. It is startling to many that HMS/CMS chose to ignore the will of Congress which mandated and funded an extensive study of donation and transplant which was presented in February in 2022.

The following timeline is a series of simple, in context, public facts. It raises extremely troubling questions about the adoption of the Rule. We ask all interested in donation and transplant to review this timeline.


Science in Donation and Transplant is a non-profit devoted to the support and education of members and stakeholders in the donation and transplant communities. Donors and transplant recipients alike deserve a well-aligned, science-based system. We advocate in concert with leading medical practitioners for enhanced coordination and alignment among organ procurement organizations and transplant centers. Our goal is ensuring that the metrics and measures used to credential, license, designate and certify donation and transplant organizations are grounded in science and protected from political whim and private financial influence.