The article titled "Transplantation Needs a Dedicated Federal Bureau" is unavailable due to a server error (Error 500). Based on available resources, the US transplant system faces challenges such as organ shortages, where an average of 13 Americans die each day waiting for a kidney and nearly 30% of donated kidneys are discarded.[1] CMS' new six-year mandated Increasing Organ Transplant Access Model is intended to increase access to kidney transplants, improve quality of care, and reduce patient disparities.[1] The National Academies report recommends a goal of 50,000 transplanted organs per year by 2026 and reducing the underutilization of donated kidneys to less than 5% from the current 20%.[3] The Organ Transplantation Affinity Group (OTAG) sets goals to improve system performance, such as reducing variability in pretransplantation practices, increasing organ availability, and improving accountability.[2] These initiatives include support for underserved populations, patient education and improved transparency in the waiting process.[1][2] Federal agencies such as HHS, CMS, and HRSA coordinate efforts to increase donation and transplantation.[3][4]