how modern medicine has expanded the types of organs that can be transplanted

  • 1968—The Uniform Anatomical Gift Act (UAGA)

    A model statute, intended for adoption in every jurisdiction. This law provided the legal foundation upon which human organs and tissues can be donated for transplantation by execution of a document of gift.
  • Public Law 92-603

    Amended the Social Security Act to extend Medicare coverage to certain individuals with chronic renal disease.
  • Public Law 95-292

    Amended the Social Security Act (End-Stage Renal Disease Program—Improvements) to provide for coverage under Medicare for end stage renal disease patients to receive kidney transplantation services.
  • The Uniform Brain Death Act

    A model statute, intended for adoption in every jurisdiction. This model law established that the irreversible cessation of all functioning of the brain, including the brain stem, was death.
  • The Uniform Determination of Death Act

    A model statute, intended for adoption in every jurisdiction, that replaced the Uniform Brain Death Act (which did not address traditional criteria for determining death).
  • Public Law 98-507, The National Organ Transplant Act (NOTA)

    Provided for the establishment of the Task Force on Organ Transplantation, authorized the Secretary of Health and Human Services to make grants for organ procurement organizations, created the Organ Procurement and Transplantation Network (OPTN) to be run by contract by the Secretary of Health and Human Services, created the Scientific Registry of Transplant Recipients, and created an administrative unit within the Department of Health and Human Services to administer these activities.
  • Public Law 99-272, The Omnibus Reconciliation Act of 1985

    Required that states have written standards with regard to coverage of organ transplants in order to qualify for federal payments under Title XIX of the Social Security Act.
  • Public Law 101-616, The Transplant Amendments of 1990

    November 16, 1990—Provided for the establishment and maintenance of a National Bone Marrow Donor Registry. This law made other amendments to existing procurement and transplantation authorities.
  • Public Law 99-509, The Omnibus Budget Reconciliation Act of 1986

    October 21, 1986—Section 1138 of the Social Security Act - Included new requirements pertaining to organ procurement and transplantation and participation in the Medicare and Medicaid programs.
  • Public Law 100-119, Balanced Budget and Emergency Deficit Control and Reaffirmation Act of 1987

    September 29, 1987—Delayed the effective date of § 1138(a) of the Social Security Act with respect to hospitals.
  • Public Law 100-203, the Omnibus Budget Reconciliation Act of 1987

    December 22, 1987—Provided for the designation of pediatric hospitals that perform pediatric heart transplants as meeting certification requirements as heart transplant facilities in specified circumstances.
  • Uniform Anatomical Gift Act, 1987 Version

    A model statute, intended for adoption in every jurisdiction. A revision to the original 1968 UAGA to deem a person's legal consent to donate before death irrevocable (without an indication that the consent was no longer valid).
  • Public Law 100-607, The Health Omnibus Programs Extension of 1988

    November 4, 1988—Included the Organ Transplant Amendments of 1988, which made amendments to existing organ procurement and transplantation authorities.
  • Federal Register Notice

    Federal Register Notice published by the Health Care Financing Administration (now the Centers for Medicare & Medicaid Services), Department of Health and Human Services on December 18, 1989 (54 FR 51802) —Clarified that no OPTN policies or issuances are “rules or requirements” of the OPTN for purposes of Section 1138 of the Social Security Act unless they have been formally approved by the Secretary.
  • Public 101-274, Amendment to the Organ Transplant Amendments Act of 1988

    April 23, 1990—Deferred a certification requirement with respect to organ procurement organizations.