CMS has published a notice announcing the procedures that will be used when certain hospitals (those that previously had been granted a waiver to work with an OPO other than the designated OPO for the hospital’s service area) seek to enter into an agreement with a different OPO. The process provides the public with an opportunity to comment on the proposed change and to submit information regarding whether the change is likely to increase organ donation and assure equitable treatment for patients in affected areas. The notice is effective June 11, 2010.