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OPTN board approves FY2027 registration fee of $1,268; cites multi‑vendor transition and depleted reserves
Summary
The OPTN Board approved submitting a proposed FY2027 registration fee of $1,268 to the HHS secretary, citing an $88 million operating budget, exhausted prior reserves, a multi‑vendor transition, and an $8.3 million new policy set‑aside. Vote reported 25 approve, 1 reject, 1 abstain.
The OPTN Board voted June 18 to approve a proposed FY2027 registration fee of $1,268 to be submitted to the Secretary of Health and Human Services for review and final approval. Alan Reed, presenting on behalf of the finance committee, said the fee calculation reflects contractual operating costs, a recommended new policy set‑aside, and projected waitlist registrants.
Reed detailed three cost buckets: contractual operational costs (presented as $88,000,000), a new policy set‑aside recommended at $8,300,000 (including carryover credits and a recommended $5,000,000 addition for unplanned policy projects or secretarial directives), and no additional reserve contribution proposed for FY2027. He said HRSA now calculates projected waitlist growth conservatively (about 1.25% growth yielding ~76,033 registrants) and that the proposed fee is higher partly because prior reserves have been spent down and several services previously funded by HRSA appropriations are now in the OPTN budget. "We are proposing this year as a baseline year to understand the costs," Reed said. The recorded vote was 25 approve, 1 reject, 1 abstain.
