On December 17, CMS issued a proposed rule related to the Conditions for Coverage for Organ Procurement Organizations (OPOs). OPOs perform several tasks related to organ procurement, including identifying potential organ donors, recovering the organs from donors, evaluating the organs, and supporting donor families. The proposed rule would increase the performance of OPOs based on various metrics. The proposed changes include: a “donation rate measure,” which would use objective, transparent, and reliable data to establish donor potential in a given area; changes to the transplantation rate measure; increased monitoring related to these outcomes measures; and performance benchmarks based on top-performing OPOs. Currently, more than 113,000 people in the United States are on an organ transplant wait list, and the shortfall of available organs leads to an average of twenty deaths per day.