The Parliamentary Standing Committee on Health and Family Welfare, headed by Prof. Ram Gopal Yadav, recommended the continuation of the National Organ Transplant programme (NOTP) for the period 2021-26 with a budget allocation of Rs. 426.61 crore. In its report, the committee said that the total number of transplants done in the country increased from 4990 in 2013 to 12666 in 2019 indicating a marked improvement in infrastructure for undertaking transplants. Also, 529 hospitals undertaking transplantation or retrieval out of the total estimated 690 in the country were now registered with the National Organ and Tissue TransplantOrganisation (NOTTO), New Delhi for the purpose of networking and National Registry.

The central government implemented the NOTP to promote organ donation and transplantation through the establishment of NOTTO, five Regional Organ and Tissue Transplant Organisations (ROTTOs) and State Organ and Tissue Transplant Organisations (SOTTO) as per the Transplantation of Human Organs and Tissues Act, 1994 that was amended in 2011. SOTTOs have now been established in 12 States. At present, only 16 states and Union Territories have adopted the Amendment, 2011 and Rules, 2014. The Committee has recommended that all State Governments adopt the amended legal framework and that the Health Department should seek proposals from State Governments for the establishment of SOTTOs and ensure that funds are optimally utilised for the purpose.