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US begins organ-transplant reform as 'signs of life' found before some retrievals

KENTUCKY, SOUTHWEST OHIO, AND PARTS OF WEST VIRGINIA, JUL 21 – An HHS investigation found 29% of 351 cases had serious safety violations including 28 patients not confirmed dead before organ procurement, prompting mandated reforms and oversight.

  • On Monday, July 21, 2025, in Washington, DC, HHS unveiled a reform initiative after a federal investigation revealed disturbing practices in the organ transplant system, including unsafe procurement attempts.
  • HRSA's investigation reviewed 351 cases, finding 103 with neurological signs incompatible with donation, raising ethical and safety concerns.
  • Several families told The New York Times surgeons attempted organ removal while donors were still alive, with at least 28 patients potentially alive when procurement began.
  • The agency ordered organ procurement organizations to implement system-level changes, including staff halting donations if safety concerns arise, with decertification threatened by Secretary Kennedy.
  • A House subcommittee will hold a Tuesday hearing to assess reforms, as OPTN updates policies under HRSA's directive to improve safety and transparency.
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RTVI broke the news in Moscow, Russian Federation on Monday, July 21, 2025.
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