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HEHS-95-203R 1 (1995-07-31)

handle is hein.gao/gaobackww0001 and id is 1 raw text is: GAO United States GAO General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-260630 July 31, 1995 The Honorable Nancy Landon Kassebaum Chairman, Committee on Labor and Human Resources United States Senate The Honorable Edward M. Kennedy Ranking Minority Member Committee on Labor and Human Resources United States Senate The Honorable Bill Frist United States Senate The lack of sufficient organs to provide all waiting patients with a transplant led the Congress to provide for the establishment of a national organ allocation system in 1984. This system also sought to standardize organ allocation practices and ensure that organs are allocated fairly. In an April 1993 report,1 we found that the Department of Health and Human Services (HHS) and the United Network for Organ Sharing (UNOS)2 could not be assured that organs were allocated equitably because they did not monitor and assess specific organ allocation practices. We also noted that some organ procurement organizations (OPO)3 did 1Organ Transplants: Increased Effort Needed to Boost Supply and Ensure Equitable Distribution of Organs (GAO/HRD-93-56, Apr. 22, 1993). 2 UNOS, through a contract with HHS, administers the national Organ Procurement and Transplantation Network established by the National Organ Transplant Act (P.L. 98-507). 3Funded primarily through Medicare reimbursements administered by the Health Care Financing Administration (HCFA), OPOs coordinate organ procurement and allocation. As of November 1994, there were 69 OPOs, which varied widely in the geographic size and demographic composition of their service area as well as in the number of transplant centers and patients served. GAO/HEHS-95-203R Impact of Organ Allocation Variances

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