When I was on the Ad Hoc Public Solicitation of Organ Donors Committee of the OPTN, we discussed the LifeSharers concept and organization. We concluded, as we advised the OPTN/UNOS board about all our deliberations, that the NOTA explicitly allows direction to a named recipient, not a class or group of people. As a result, LifeSharers tells members to tell their loved ones to contact them for the current list of LifeSharers members on the waiting list. That way they can, theoretically direct the donations to named recipients. As far as I know, it hasn't been attempted yet, so it's still unclear how a transplant center and OPO will handle it.