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Trump Admin Ends Biden’s Organ-Transplant-By-Race Policy

The Centers for Medicare and Medicaid Services (CMS) ended a Biden administration policy that required racial considerations be made to determine who was eligible to get a kidney transplant.

CMS published a final rule Monday governing the Increasing Organ Transplant Access (IOTA) Model, a mandatory, six-year program that ostensibly sought to “increase access to kidney transplants for patients with end-stage renal disease.” However, the Biden rule, which took effect July 1, 2025, also required participating hospitals to consider race, ethnicity, and “equity” in the decision-making process for allocating organs to patients.

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