Latest news with #BrettGuthrie
30-07-2025
- Health
US organ donation system faces scrutiny and changes after reports of disturbing near-misses
WASHINGTON -- The U.S. is developing new safeguards for the organ transplant system after a government investigation found a Kentucky group continued preparations for organ donation by some patients who showed signs of life, officials told Congress Tuesday. While the organ removals were canceled, near misses that some lawmakers called horrifying should never happen. A House subcommittee asked how to repair trust in the transplant network for potential organ donors and families -- some of whom have opted out of donor registries after these cases were publicized. 'We have to get this right,' said Rep. Brett Guthrie, a Kentucky Republican who chairs the Energy and Commerce Committee and whose mother died waiting for a liver transplant. 'Hopefully people will walk away today knowing we need to address issues but still confident that they can give life,' Guthrie said, adding that he will remain a registered organ donor. The hearing came after a federal investigation began last fall into allegations that a Kentucky donation group pressured a hospital in 2021 to proceed with plans to withdraw life support and retrieve organs from a man despite signs that he might be waking up from his drug overdose. That surgery never happened after a doctor noticed him moving and moaning while being transported to the operating room — and the man survived. Lawmakers stressed most organ donations proceed appropriately and save tens of thousands of lives a year. But the federal probe – concluded in March but only made public ahead of Tuesday's hearing -- cited a 'concerning pattern of risk' in dozens of other cases involving the Kentucky group's initial planning to recover someone's organs. The report said some should have been stopped or reassessed earlier, and mostly involved small or rural hospitals with less experience in caring for potential organ donors. The Kentucky organ procurement organization, or OPO, has made changes and the national transplant network is working on additional steps. But notably absent Tuesday was any testimony from hospitals – whose doctors must independently determine a patient is dead before donation groups are allowed to retrieve organs. Here's a look at how the nation's transplant system works. More than 100,000 people are on the U.S. transplant list and about 13 a day die waiting, according to the Organ Procurement and Transplantation Network. Only about 1% of deaths occur in a way that allows someone to even be considered for organ donation. Most people declared dead in a hospital will quickly be transferred to a funeral home or morgue instead. Several groups are involved in every transplant: the hospital caring for someone dead or dying; the 55 OPOs that coordinate recovery of organs and help match them to patients on the waiting list; and transplant centers that decide if an organ is the right fit for their patients. Adding to the complexity, two government agencies — HRSA, the Health Resources and Services Administration, and the Centers for Medicare and Medicaid Services — share regulatory oversight of different parts of the donation and transplant process. Most organ donors are brain-dead – when testing determines someone has no brain function after a catastrophic injury. The body is left on a ventilator to support the organs until they can be retrieved. But increasingly organs are donated after circulatory death, called DCD – when people die because their heart stops. It usually happens when doctors determine someone has a nonsurvivable injury and the family withdraws life support. Hospitals are required to alert their area OPO to every potential donor who is declared brain-dead or once the decision to withdraw life support is made. The OPOs by law can't participate in that decision and "we are not even in the room at that time,' said Barry Massa of Kentucky's Network for Hope. During the following days of preparation, hospital employees continue caring for the patient – while the donation team talks with the family about the process, gathers hospital records showing the patient is eligible, requests tests of organ quality, and make arrangements with transplant centers to use them. Once the hospital withdraws life support and the heart stops beating there's a mandatory wait – five minutes – to be sure it won't restart. When the doctor declares death, the organ retrieval process can begin. Organs are only considered usable if death occurs relatively quickly, usually up to about two hours. Sometimes that takes much longer and thus the organs can't be used – and HRSA's Dr. Raymond Lynch told Congress that doesn't necessarily mean anything was done wrong. Still, he said HRSA is investigating reports of possible mistakes elsewhere. 'This is a technically demanding form of care' that requires 'good collaboration between the OPO and the hospital,' he said. At issue is how doctors are sure when it's time to withdraw life support from a dying patient — and the delicate balance of how OPOs interact with hospital staff in preparing for donation once death occurs. In May, HRSA quietly ordered the U.S. transplant network to oversee improvements at the Kentucky OPO and to develop new national policies making clear that anyone – family, hospital staff or organ donation staff – can call for a pause in donation preparations any time there are concerns about the patient's eligibility. Lynch said the government now wants more proactive collaboration from OPOs to give hospital staff 'a clear understanding' of when to at least temporarily halt and reevaluate a potential donor if their health status changes. Kentucky's Massa said his group only received HRSA's reports this week – but that after learning about last fall's allegations, it made some changes. Massa said every hospital doctor and nurse now gets a checklist on caring for potential donors and how to pause when concerns are raised — and anyone can anonymously report complaints. ___
Fox News
23-07-2025
- Health
- Fox News
WATCH: Lawmaker shares personal experience as Congress weighs organ donation reforms
House Energy and Commerce Chairman Rep. Brett Guthrie, R-Ky., spoke to Fox News Digital on Tuesday about how his personal experience with organ transplantation has shaped his view of the system, which he said must ensure families are confident in it so they will not be afraid to donate much-needed organs. On Tuesday, the House Energy and Commerce Subcommittee on Investigations and Oversight held a hearing with Dr. Raymond Lynch, the Health Resources and Services Administration's (HRSA) chief of the organ transplant branch. Leaders of the Organ Procurement Organization (OPO) and the nonprofit organ sharing network that serves Kentucky, southwest Ohio and parts of West Virginia were also present. The investigation follows a shocking HRSA investigation that found hospitals and OPOs in Kentucky were allowing organ procurement processes to begin despite patients showing signs of life. The investigation ultimately found that since December 2024, out of 351 cases involving patients who had been authorized for organ procurement, but the organs were ultimately not recovered, 29% showed neurological signs not conducive to organ procurement. "My big concern is people will not – if they don't have confidence in the system – won't feel like they'll register as an organ donor," Guthrie said between panels at Tuesday's hearing. "People need to have confidence in the system, or at least know the questions to ask if they're in this end stage with their loved one," Guthrie continued. "Because when you're sitting there, and you're getting prepped to go get your next – hopefully, chance at life – you also, as you sit there, know that there's some other family in some other emergency room somewhere else having a different experience. And they are losing a loved one, but they're willing – the loved one, either pre-designated or they're willing to let their loved one live on by helping somebody else live." Guthrie's experience stems from his mother, who died waiting on a new liver. He recounted how she was, at one point, told they had found her a new liver, but when the surgeon went to go pick up the new organ, it was not in the adequate shape to be transplanted. Despite assurances that she was high on the list, Guthrie's mother never found an organ in time before declining so fast that neither the congressman nor any of his relatives could attempt a live-organ transplant procedure. The live procedure allows a living person to donate a part of their organ, which will later grow back but can help repair the damaged organ in the person receiving the partial transplant. Guthrie said that despite the alarming evidence uncovered by HRSA's investigation, he still intends to keep his donor status, adding "we need more people to donate." Currently, around 100,000 people are waiting for an organ transplant. While the HRSA investigation probed multiple cases, it highlighted one shocking case in particular where staff were so uncomfortable with commencing the organ procurement process as a result of visible signs of life that some refused to participate. At that point, after staff had witnessed tears rolling down the patient's face, the process eventually stopped, but not after the patient sat in the operating room getting prepped for organ donation for around 45 minutes. "This should never have gotten to the point of them being in the operating room," Guthrie said of the case. "There were a lot of indications this person was not going to die." Guthrie added that the issue is a bipartisan one and said the work will be done when confidence in the system has been shored up.
Hamilton Spectator
22-07-2025
- Health
- Hamilton Spectator
US organ donation system faces scrutiny and changes after reports of disturbing near-misses
WASHINGTON (AP) — The U.S. is developing new safeguards for the organ transplant system after a government investigation found a Kentucky group continued preparations for organ donation by some patients who showed signs of life, officials told Congress Tuesday. While the organ removals were canceled, near misses that some lawmakers called horrifying should never happen. A House subcommittee asked how to repair trust in the transplant network for potential organ donors and families — some of whom have opted out of donor registries after these cases were publicized. 'We have to get this right,' said Rep. Brett Guthrie, a Kentucky Republican who chairs the Energy and Commerce Committee and whose mother died waiting for a liver transplant. 'Hopefully people will walk away today knowing we need to address issues but still confident that they can give life,' Guthrie said, adding that he will remain a registered organ donor. The hearing came after a federal investigation began last fall into allegations that a Kentucky donation group pressured a hospital in 2021 to proceed with plans to withdraw life support and retrieve organs from a man despite signs that he might be waking up from his drug overdose. That surgery never happened after a doctor noticed him moving and moaning while being transported to the operating room — and the man survived. Lawmakers stressed most organ donations proceed appropriately and save tens of thousands of lives a year. But the federal probe – concluded in March but only made public ahead of Tuesday's hearing — cited a 'concerning pattern of risk' in dozens of other cases involving the Kentucky group's initial planning to recover someone's organs. The report said some should have been stopped or reassessed earlier, and mostly involved small or rural hospitals with less experience in caring for potential organ donors. The Kentucky organ procurement organization, or OPO, has made changes and the national transplant network is working on additional steps. But notably absent Tuesday was any testimony from hospitals – whose doctors must independently determine a patient is dead before donation groups are allowed to retrieve organs. Here's a look at how the nation's transplant system works. There's a dire need for organ donation More than 100,000 people are on the U.S. transplant list and about 13 a day die waiting, according to the Organ Procurement and Transplantation Network. Only about 1% of deaths occur in a way that allows someone to even be considered for organ donation . Most people declared dead in a hospital will quickly be transferred to a funeral home or morgue instead. How the U.S. organ transplant system is set up Several groups are involved in every transplant: the hospital caring for someone dead or dying; the 55 OPOs that coordinate recovery of organs and help match them to patients on the waiting list; and transplant centers that decide if an organ is the right fit for their patients. Adding to the complexity, two government agencies — HRSA, the Health Resources and Services Administration, and the Centers for Medicare and Medicaid Services — share regulatory oversight of different parts of the donation and transplant process. How deceased donation works Most organ donors are brain-dead – when testing determines someone has no brain function after a catastrophic injury. The body is left on a ventilator to support the organs until they can be retrieved. But increasingly organs are donated after circulatory death, called DCD – when people die because their heart stops. It usually happens when doctors determine someone has a nonsurvivable injury and the family withdraws life support. Donation groups don't provide hands-on patient care Hospitals are required to alert their area OPO to every potential donor who is declared brain-dead or once the decision to withdraw life support is made. The OPOs by law can't participate in that decision and 'we are not even in the room at that time,' said Barry Massa of Kentucky's Network for Hope. During the following days of preparation, hospital employees continue caring for the patient – while the donation team talks with the family about the process, gathers hospital records showing the patient is eligible, requests tests of organ quality, and make arrangements with transplant centers to use them. Once the hospital withdraws life support and the heart stops beating there's a mandatory wait – five minutes – to be sure it won't restart. When the doctor declares death, the organ retrieval process can begin. Organs are only considered usable if death occurs relatively quickly, usually up to about two hours. Sometimes that takes much longer and thus the organs can't be used – and HRSA's Dr. Raymond Lynch told Congress that doesn't necessarily mean anything was done wrong. Still, he said HRSA is investigating reports of possible mistakes elsewhere. 'This is a technically demanding form of care' that requires 'good collaboration between the OPO and the hospital,' he said. What happens next At issue is how doctors are sure when it's time to withdraw life support from a dying patient — and the delicate balance of how OPOs interact with hospital staff in preparing for donation once death occurs. In May, HRSA quietly ordered the U.S. transplant network to oversee improvements at the Kentucky OPO and to develop new national policies making clear that anyone – family, hospital staff or organ donation staff – can call for a pause in donation preparations any time there are concerns about the patient's eligibility. Lynch said the government now wants more proactive collaboration from OPOs to give hospital staff 'a clear understanding' of when to at least temporarily halt and reevaluate a potential donor if their health status changes. Kentucky's Massa said his group only received HRSA's reports this week – but that after learning about last fall's allegations, it made some changes. Massa said every hospital doctor and nurse now gets a checklist on caring for potential donors and how to pause when concerns are raised — and anyone can anonymously report complaints. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
Winnipeg Free Press
22-07-2025
- Health
- Winnipeg Free Press
US organ donation system faces scrutiny and changes after reports of disturbing near-misses
WASHINGTON (AP) — The U.S. is developing new safeguards for the organ transplant system after a government investigation found a Kentucky group continued preparations for organ donation by some patients who showed signs of life, officials told Congress Tuesday. While the organ removals were canceled, near misses that some lawmakers called horrifying should never happen. A House subcommittee asked how to repair trust in the transplant network for potential organ donors and families — some of whom have opted out of donor registries after these cases were publicized. 'We have to get this right,' said Rep. Brett Guthrie, a Kentucky Republican who chairs the Energy and Commerce Committee and whose mother died waiting for a liver transplant. FILE - Surgical instruments are arranged during an organ procurement surgery June 15, 2023, in Tennessee. (AP Photo/Mark Humphrey, File) 'Hopefully people will walk away today knowing we need to address issues but still confident that they can give life,' Guthrie said, adding that he will remain a registered organ donor. The hearing came after a federal investigation began last fall into allegations that a Kentucky donation group pressured a hospital in 2021 to proceed with plans to withdraw life support and retrieve organs from a man despite signs that he might be waking up from his drug overdose. That surgery never happened after a doctor noticed him moving and moaning while being transported to the operating room — and the man survived. Lawmakers stressed most organ donations proceed appropriately and save tens of thousands of lives a year. But the federal probe – concluded in March but only made public ahead of Tuesday's hearing — cited a 'concerning pattern of risk' in dozens of other cases involving the Kentucky group's initial planning to recover someone's organs. The report said some should have been stopped or reassessed earlier, and mostly involved small or rural hospitals with less experience in caring for potential organ donors. The Kentucky organ procurement organization, or OPO, has made changes and the national transplant network is working on additional steps. But notably absent Tuesday was any testimony from hospitals – whose doctors must independently determine a patient is dead before donation groups are allowed to retrieve organs. Here's a look at how the nation's transplant system works. There's a dire need for organ donation More than 100,000 people are on the U.S. transplant list and about 13 a day die waiting, according to the Organ Procurement and Transplantation Network. Only about 1% of deaths occur in a way that allows someone to even be considered for organ donation. Most people declared dead in a hospital will quickly be transferred to a funeral home or morgue instead. How the U.S. organ transplant system is set up Several groups are involved in every transplant: the hospital caring for someone dead or dying; the 55 OPOs that coordinate recovery of organs and help match them to patients on the waiting list; and transplant centers that decide if an organ is the right fit for their patients. Adding to the complexity, two government agencies — HRSA, the Health Resources and Services Administration, and the Centers for Medicare and Medicaid Services — share regulatory oversight of different parts of the donation and transplant process. How deceased donation works Most organ donors are brain-dead – when testing determines someone has no brain function after a catastrophic injury. The body is left on a ventilator to support the organs until they can be retrieved. But increasingly organs are donated after circulatory death, called DCD – when people die because their heart stops. It usually happens when doctors determine someone has a nonsurvivable injury and the family withdraws life support. Donation groups don't provide hands-on patient care Hospitals are required to alert their area OPO to every potential donor who is declared brain-dead or once the decision to withdraw life support is made. The OPOs by law can't participate in that decision and 'we are not even in the room at that time,' said Barry Massa of Kentucky's Network for Hope. During the following days of preparation, hospital employees continue caring for the patient – while the donation team talks with the family about the process, gathers hospital records showing the patient is eligible, requests tests of organ quality, and make arrangements with transplant centers to use them. Once the hospital withdraws life support and the heart stops beating there's a mandatory wait – five minutes – to be sure it won't restart. When the doctor declares death, the organ retrieval process can begin. Organs are only considered usable if death occurs relatively quickly, usually up to about two hours. Sometimes that takes much longer and thus the organs can't be used – and HRSA's Dr. Raymond Lynch told Congress that doesn't necessarily mean anything was done wrong. Still, he said HRSA is investigating reports of possible mistakes elsewhere. 'This is a technically demanding form of care' that requires 'good collaboration between the OPO and the hospital,' he said. What happens next At issue is how doctors are sure when it's time to withdraw life support from a dying patient — and the delicate balance of how OPOs interact with hospital staff in preparing for donation once death occurs. Winnipeg Free Press | Newsletter Jen Zoratti | Next Wednesdays Columnist Jen Zoratti looks at what's next in arts, life and pop culture. Sign Up I agree to the Terms and Conditions, Cookie and Privacy Policies, and CASL agreement. In May, HRSA quietly ordered the U.S. transplant network to oversee improvements at the Kentucky OPO and to develop new national policies making clear that anyone – family, hospital staff or organ donation staff – can call for a pause in donation preparations any time there are concerns about the patient's eligibility. Lynch said the government now wants more proactive collaboration from OPOs to give hospital staff 'a clear understanding' of when to at least temporarily halt and reevaluate a potential donor if their health status changes. Kentucky's Massa said his group only received HRSA's reports this week – but that after learning about last fall's allegations, it made some changes. Massa said every hospital doctor and nurse now gets a checklist on caring for potential donors and how to pause when concerns are raised — and anyone can anonymously report complaints. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.
USA Today
10-07-2025
- Business
- USA Today
College sports bill introduced by bipartisan group of House members
A bipartisan group of lawmakers from the U.S. House of Representatives announced on Thursday, July 10, that they have introduced a bill that would establish a set of national rules for college sports. The announcement said that the bill is backed by leaders of three House committees, but it follows the basic contours of a discussion draft circulated in June by Reps. Gus Bilirakis, R-Fla., and Brett Guthrie, R-Ky. Guthrie chairs the Energy and Commerce committee. Bilirakis chairs that panel's Commerce, Manufacturing, and Trade subcommittee. Dubbed the SCORE Act (Student Compensation And Opportunity Through Rights and Endorsements), the bill includes language that specifically would allow the NCAA, and potentially the new Collegiate Sports Commission, to make operational rules affecting schools and athletes in areas that have come into legal dispute in recent years and in areas that the NCAA wants to shield from future legal dispute. To back up that authority, the bill has specific language designed to shield the NCAA, the Commission, conferences and schools from antitrust and state-court lawsuits that could come from rules. It states that the adoption and/or enforcement of any rule established in concert with the bill 'shall be treated as lawful under the antitrust laws and any similar State law, rule, regulation, requirement, standard, or other provision having the force and effect of law.'
