ASTS looks forward to working with HRSA and is supportive of changes to organ transplantation and donation to best serve transplant recipients, organ donors, their families, and the surgeons, physicians, and transplant teams who care for them. Given the complexity and breadth of this endeavor, we especially appreciate that HRSA said it will work in close coordination with all stakeholders, and we commit to helping them in an iterative and well-informed process. We strongly believe that any changes to the system must carefully weigh the impact of any changes addressed well in advance of implementing those changes. We also urge HHS to take this opportunity to coordinate the efforts of all agencies within the department to significantly increase access to transplantation and to address existing disparities.