Every article on this site is written by AI from official sources and checked by a second AI. How it works
Proposed rule

Medicare and Medicaid Programs; Organ Procurement Organizations Conditions for Coverage: Revisions to the Conditions for Coverage

Built by the Tribune's code from the Federal Register. No AI wrote this page. Published in the Federal Register Jan. 30, 2026. Document 2026-01833. Updated Nov. 15, 2026.

What it does

This proposed rule would revise the Conditions for Coverage for Organ Procurement Organizations (OPOs) to clarify outstanding procedural questions and enable OPOs to make better informed decisions to achieve high performance resulting in the successful procurement, distribution, and transplantation of more life-saving organs. This rule would revise definitions, add new Quality Assessment Performance Improvement (QAPI) requirements related to medically complex organs and donors, revise the designation requirements for OPOs, clarify when an OPO's service area is open for competition, and update the process for appeals. It also includes a discussion of factors we would consider when selecting a successor OPO during a competition under the tiered approach to re-certification. We are committed to holding all OPOs accountable for their performance and this proposed rule does not revise the focus on improving the volume of donors and transplants assessed in the outcome measures or the tier structure used for re- certification and de-certification of OPOs.

The Centers for Medicare & Medicaid Services's summary, as published in the Federal Register.

What it would change

1 part of Title 42 of the Code of Federal Regulations:

42 CFR 486

Before this

No earlier Federal Register document under regulation identifier 0938-AU54 since Jan. 1, 2025.

Since then:

What happens next and when

To be assured consideration, comments must be received at one of the addresses provided below, by March 31, 2026.

The agency's dates, word for word.

Document number2026-01833
ActionProposed rule.
AgenciesHealth and Human Services Department; Centers for Medicare & Medicaid Services
PublishedJan. 30, 2026
Comments closeMarch 31, 2026
Regulation identifier (RIN)0938-AU54
DocketCMS-2026-0364
Significant (marked in the Federal Register)Yes

Source: the Federal Register (public domain). The document in the Federal Register