Organ donations from decedents declined in 2025 for the first time in more than a decade, according to the Association of Organ Procurement Organizations, a development that has raised alarm among OPOs, already embattled by federal investigations into their practices.
The number of decedent donations decreased by more than 2.5 percent, AOPO reported, with 16,550 donors recorded. In New Jersey, overall donation numbers for 2025 dropped as well. The New Jersey Sharing Network, a federally designated nonprofit dedicated to organ and tissue donation, reported that there were 269 in 2025, a 9 percent decrease from the 297 donors counted in 2024. Transplants dipped as well, with 693 recorded in 2025, a decrease from 743 in 2024.
It is the first time in seven years that the numbers of donations in New Jersey have dropped.
AOPO attributed the decrease to “widespread misinformation and confusion about how organ donation works,” which let to “tens of thousands of people removing themselves from donor registries.
There is little doubt that OPOs, including the New Jersey Sharing Network, are under fire. In 2025, the House Ways and Means Committee began investigating potential Medicare billing violations among OPOs in the United States. The committee demanded records from the New Jersey Sharing Network and outlined several allegations that the network had strong-armed a hospital into harvesting organs from a patient that still showed signs of life.
The committee alleged that network President and CEO Carolyn Welsh had skirted reporting rules, aggressively pushed for organ procurement in cases where donor status was unclear and covered up paperwork in a case where Welsh is alleged to have personally pushed for the harvesting of organs of a patient who had “reanimated.”
The committee also began investigating at least healthcare facilities for allegedly allowing foreign nationals to jump the wait list for organ transplants.
“Our committee is going to follow the math and the receipts, contracts, financials, transplant data, and if the facts show American patients were treated as second-class, then Congress has an obligation to step in and fix it,” committee Chairman David Schweikert (R-AZ) said at the time.
The federal Department of Health and Human Services in 2025 also outlined what it called “disturbing practices” by an OPO serving Kentucky and parts of Ohio and West Virginia, saying that at least 28 patients may not have been dead when organ procurement began. HHS demanded what it said were “strict corrective actions” for the OPO and threatened to decertify if it did not comply.
HHS Secretary Robert F. Kennedy Jr. said the allegations against the midwestern OPO were “horrifying” and that those committing abuses would be held accountable.
“The entire system must be fixed to ensure that every potential donor’s life is treated with the sanctity it deserves,” Kennedy said.
The interim CEO of the United Network for Organ Sharing argued that the “decrease in deceased donors needs to be better understood.”
“The system is built on trust, and UNOS will continue to be a partner in efforts to ensure a fair, effective and safe organ donation and transplant system, Interim CEO Mark Johnson said.
Despite the decrease in decedent donors, the overall number of organ transplants continued to rise, according to UNOS. More than 49,000 transplants were recorded in 2025, according to U.S. The number of transplants has increased every year since 2013, except in 2020, when numbers were driven lower by the COVID-19 pandemic.