Who is affected and how:

• OPTN members (transplant centers, organ procurement organizations, and other registered participants) will be directly affected because they may be required to pay temporary registration fees to support OPTN operations; they will also be expected to participate in or enable improved electronic data exchange.
• Hospitals and transplant clinicians will need to connect or coordinate with upgraded OPTN data interfaces and the new dashboard; this could require IT work, potential EHR vendor coordination, and internal workflow changes.
• Patients awaiting transplants and transplant recipients stand to benefit from improved data visibility and coordination (faster or better-informed matching and oversight), but there are also privacy considerations tied to broader data use.
• HHS (the Secretary and agency staff) will gain authority and responsibility to collect fees, oversee distribution, ensure transparency, and manage compliance with privacy rules; HHS must also accommodate reporting requirements and a GAO review.
• EHR vendors and health IT teams may need to implement or support integrations that enable OPTN data exchange and dashboard feeds, with associated development and compliance work.

Net effects:

• Short term: OPTN members face possible new costs (fees) and administrative work to link systems and meet reporting requirements.
• Medium term: Improved data sharing and a transplant dashboard could improve coordination, monitoring, and decision-making in the transplant system.
• Oversight and transparency provisions (public posting, GAO review, sunset) are intended to limit permanent cost shifts and ensure accountability, but members and providers will bear implementation burdens during the temporary authority period.