In response to a blistering critical comment to a donor lung allocation inequity lawsuit; HRSA Administrator George Sigounas determined that the Organ Procurement and Transplantation network has “not justified and cannot justify the use of donation service areas.” Now the OPTN/UNOS Ad Hoc Geography Committee is urgently seeking additional public comments on three proposed frameworks for organ distribution. The proposed frameworks are models that can be applied and studied to ensure that organ distribution policies actually comply with the principles of organ distribution established by the Final Rule originally ratified by the Former HHS Secretary Donna Shalala in 2010.