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Grants to Increase Organ Donation

Program Information

Popular name

N/A

Program Number

93.134

Program objective

Living Organ Donation Reimbursement Program: The goal of this program is to provide reimbursement for qualified expenses to eligible living organ donors effectively and efficiently, in accordance with established program eligibility guidelines. Public Education for Living Organ Donation Reimbursement Program: The goal of this program is to increase access to financial support for potential living organ donors, particularly individuals from medically underserved communities.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2016

    Fiscal Year 2016: The University of Arizona in collaboration with the American Society of Transplant Surgeons continue to operate the Program through the National Living Donor Assistance Center (NLDAC). Through the end of March 2017, the NLDAC has received 7,257 applications for reimbursement and has facilitated 3,831 living donor transplants. The median household income for transplant recipients whose transplant was facilitated by NLDAC is $26,914. The average reimbursement to donors and companions is $2,319. The NLDAC, since its inception, has paid out $12.58 million to approved applicants including actual donors.

    Increasing Organ Donation Awareness Grant Program:. A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors and educating the public about living donation.

  2. 2017

    The University of Arizona in collaboration with the American Society of Transplant Surgeons continues to operate the Program through the National Living Donor Assistance Center (NLDAC). From September 1, 2017 through the end of February 2018, the NLDAC received 470 applications for reimbursement and facilitated 224 living donor transplants. Since its inception in October 2007 through the end of February 2018, the NLDAC received 8,808 applications for reimbursement and facilitated 4,273 living donor transplants. The median household income for transplant recipients whose transplant was facilitated by NLDAC is $27562. The average reimbursement to donors and companions is $2,313. The NLDAC, since its inception, has paid out $14.55 million to approved applicants including actual donors.

    Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation.

  3. 2018

    Fiscal Year 2018: Fiscal Year 2018: The University of Arizona in collaboration with the American Society of Transplant Surgeons continues to operate the Program through the National Living Donor Assistance Center (NLDAC). At the end of calendar year 2018, there were 355 transplant programs in the United States participating in NLDAC. In calendar year 2018, NLDAC received 1,055 applications for assistance and approximately 88 percent (or 930) met the NLDAC eligibility guidelines. NLDAC provided more than $1.8 million in travel expense reimbursement and facilitated 584 living organ transplants. The median household income of the transplant recipients was approximately $27,519 and the donors’ median household income was approximately $35,229.

    Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation.

    Fiscal Year 2018: No Current Data Available Fiscal Year 2019: No Current Data Available

    Lost Wages Support for Living Organ Donors (Demonstration Project Fiscal Year 2018: No Current Data Available Fiscal Year 2019: No Current Data Available-New grant to be awarded in FY2019.

  4. 2019

    Fiscal Year 2019 A new grant was awarded to the University of Kansas in the FY 2019 grant cycle. The University of Kansas in collaboration with the American Society of Transplant Surgeons continues to operate the Program through the National Living Donor Assistance Center (NLDAC). At the end of calendar year 2019, there were 355 transplant programs in the United States participating in NLDAC. In calendar year 2019, NLDAC received 1,040 applications for assistance, and 904 (87 percent) met the NLDAC eligibility guidelines. NLDAC provided approximately $1.8 million in travel expense reimbursement and facilitated 594 living organ transplants. The median household income of the transplant recipients was $31,772 and the donors’ median household income was $45,798.

    Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation.

    Lost Wages Support for Living Organ Donors (Demonstration Project Fiscal Year 2019 New grant was awarded in FY2019 to Arbor Research Collaborative for Health for the project period of June 1, 2019 to May 31, 2020. At the end of project year there were a total of 10 lost wage reimbursement applications and 147 donation surveys. This survey is administered to potential organ donors at various stages of the decision-making process. During the project period, the grantee also launched a new website with program information and with the option to submit applications online. The website includes a new application summary page that allows the grantee to view and edit travel and/or lost wages application information at a glance. Specific emphasis throughout the process has been on website usability. Outreach materials were also produced including educational videos and brochures.

  5. 2020

    The Living Organ Donation Reimbursement Program: At the end of calendar year 2020, there were close to 3360 transplant programs in the United States participating in NLDAC. In calendar year 2020, NLDAC received more than 800 applications for assistance, and more than 725 (89 percent) met the NLDAC eligibility guidelines. NLDAC provided approximately $1.3 million in travel expense reimbursement and facilitated nearly 350 living organ transplants. The median household income of the transplant recipients was $30,670 and the donors’ median household income was $52,094.

    Since its inception in 2007, the NLDAC received more than 11,000 applications for financial assistance and facilitated more than 6,000 living organ transplants. The NLDAC has provided more than $20 million in financial assistance to living donors and potential donors.

    Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation.

  6. 2021

    The Living Organ Donation Reimbursement Program: At the end of calendar year 2021, there were 286 transplant programs in the United States participating in the National Living Donor Assistance Center (NLDAC). In calendar year 2021, NLDAC received more than 1,600 applications for assistance, and more than 1,490 (89 percent) met the NLDAC eligibility guidelines. NLDAC provided approximately $3.9 million in travel expense reimbursement and facilitated 924 living organ transplants. The median household income of the transplant recipients was $34,673 and the donors’ median household income was $54,673. Since its inception in 2007, the NLDAC received more than 12,561 applications for financial assistance and facilitated more than 6,975 living organ transplants. The NLDAC has provided more than $26 million in financial assistance to living donors and potential donors.

  7. 2022

    The Living Organ Donation Reimbursement Program: In FY 2022, 374 transplant programs in the U.S. participated in the National Living Donor Assistance Center (NLDAC). During that time, NLDAC received 1,987 applications for assistance, 1,803 of which or 90.7 percent met the NLDAC eligibility guidelines. NLDAC provided more than $4.5 million in financial assistance and facilitated 1,111 living organ transplants. The median household income of the transplant recipients was $36,275 and the donors’ median household income was $57,010.
    Since its inception in 2007, the NLDAC received more than 12,561 applications for financial assistance and facilitated more than 6,975 living organ transplants. The NLDAC has provided more than $26 million in financial assistance to living donors and potential donors.

    Increasing Organ Donation Awareness Grant Program: A broad spectrum of interventions to increase donation has been implemented at the national, State, and local levels by a variety of public and private organizations, ranging from large-scale national media and public education programs and statewide donor registries to community-based activities to raise awareness among various population groups. These projects have contributed to the knowledge base about important factors associated with the donation decision-making process and methods for motivating people to make the commitment to become deceased organ donors as well as educating the public about living donation and vascularized composite allograft (VCA) donation.

  8. 2024

    Living Organ Donation Reimbursement Program (LODRP):

    Between September 1, 2023 and August 31, 2024, the LODRP received over 2,300 applications for reimbursement, approving around 89 percent of them, and facilitated over 1,100 living organ transplants.

    Public Education for Living Organ Donation Reimbursement Program (PE-LODRP):

    The goal of the PE-LODRP is to increase access to, and awareness of, financial assistance for living organ donation, particularly among medically underserved communities, through outreach and education.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available athttps://www.hhs.gov/sites/default/files/hhs-grants-policy-statement-october-2024.pdf. Program eligibility guidelines for the Living Organ Donation Reimbursement Program can be found here: https://www.federalregister.gov/documents/2020/09/22/2020-20805/reimbursement-of-travel-and-subsistence-expenses-toward-living-organ-donation-program-eligibility

  1. Living Organ Donation Reimbursement Program: Section 377 of the Public Health Service (PHS) Act, as amended (42 U.S.C. § 274f).
  2. Public Education for Living Organ Donation Reimbursement Program: Section 377(a) of the Public Health Service (PHS) Act, as amended (42 U.S.C. § 274f).