Our analysis is complicated by the fact that a center's application for donor assistance is not exogenous and therefore it is difficult to claim that the NLDAC
program caused the observed increase in living organ donors.
As the founding of the NLDAC
suggests, compensation is widely understood to be meaningful; some otherwise-willing donors cannot afford to bear the costs associated with donation.
The purpose of the NLDAC
, which was officially launched by the American Society of Transplant Surgeons (ASTS) in October 2007, is to reduce financial disincentives to living organ donation.
"The program not only provides essential support for living donors, but it also helps to increase access to transplantation for patients in end-stage organ failure," said Robert Merion, MD, NLDAC
program provides an essential service to a unique population of generous individuals who are willing to donate a kidney or portion of their liver to save a life.
* The National Living Donor Assistance Program (NLDAC
), the federally funded program launched in 2007 to provide reimbursement to individuals who cannot otherwise afford the expenses to become a living donor had received new funding which will allow it to operate until at least 2014.
The authorizing legislation provides that NLDAC
funding may not be made available to donating individuals when payment for such expenses has already been made, or can reasonably be expected to be made under the following circumstance: 1) under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; 2) by an entity that provides health services on a prepaid basis; or 3) by the recipient of the organ.
Through September 30, 2009 the NLDAC
program had facilitated 370 living organ transplants, HRSA said in the notice.
(3)Medical or surgical follow-up clinic visit or hospitalization within two calendar years or beyond--if exceptional circumstances exist--following the living donation procedure." The purpose of this proposed change was to bring the NLDAC
follow-up period in line with the OPTN policies of a 2-year follow-up of living donors.
has received more than 500 applications from 121 different transplant centers since its launch on October 17, 2007.
HRSA explained in the notice that the change in the follow-up period would bring the NLDAC
follow-up period in line with the OPTN policy requiring follow-up of living organ donors for a period of 2 years.
After nine months, the NLDAC
had received applications for support from transplant centers in 34 states and the average number of monthly applications ranged between 40 and 50.