The U.S. States Leading in Organ Donations
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Mapped: The U.S. States Leading in Organ Donations
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Key Takeaways
West Virginia, Louisiana, and Pennsylvania each recorded about 10 organ donations per 100,000 residents in 2024, topping the nation.
Across all states, deceased donors made up roughly 60–70% of total donations, underscoring the role of post-mortem consent.
13 Americans die every day, waiting for a transplant.
Every day, dozens of Americans receive life-saving transplants, but where do those donated organs come from?
This visualization highlights how rates of organ donations vary widely across the U.S. and which states are leading the charge.
Data for is sourced from Organ Procurement & Transplantation Network and the U.S. Census Bureau.
Organ donations assigned to a state based on donor residence, counted as people who made at least one organ donation. Rate calculations are rounded.
Organ Donations by U.S. State, Ranked
West Virginia ranks first with 10.1 donations per 100,000 people, despite ranking 36th in overall donations.
RankStateState CodeOrgan Donations Per
100K Residents (2024)All Organ
Donations (2024)Population (2024)
1West VirginiaWV10.11791,769,979
2LouisianaLA9.74444,597,740
3PennsylvaniaPA9.51,24513,078,751
4IndianaIN9.56576,924,275
5KansasKS9.02662,970,606
6KentuckyKY8.73984,588,372
7NevadaNV8.62803,267,467
8MissouriMO8.45246,245,466
9OklahomaOK8.43424,095,393
10WisconsinWI8.34975,960,975
11TennesseeTN8.36027,227,750
12ArkansasAR8.32573,088,354
13MaineME8.31161,405,012
14WyomingWY8.248587,618
15New HampshireNH8.11141,409,032
16DelawareDE8.1851,051,917
17IowaIA7.82533,241,488
18UtahUT7.72713,503,613
19ColoradoCO7.64515,957,493
20South CarolinaSC7.54105,478,831
21NebraskaNE7.41492,005,465
22OhioOH7.387211,883,304
23AlabamaAL7.33775,157,699
24District of ColumbiaDC7.351702,250
25North CarolinaNC7.178311,046,024
26New YorkNY7.11,40119,867,248
27IllinoisIL7.089212,710,158
28MichiganMI7.071010,140,459
29MontanaMT6.9791,137,233
30ArizonaAZ6.95247,582,384
31MississippiMS6.92032,943,045
32New MexicoNM6.61412,130,256
33VirginiaVA6.65818,811,195
34ConnecticutCT6.52383,675,069
35New JerseyNJ6.46109,500,851
36AlaskaAK6.447740,133
37TexasTX6.31,98031,290,831
38FloridaFL6.11,41623,372,215
39GeorgiaGA6.067211,180,878
40MinnesotaMN5.93445,793,151
41MassachusettsMA5.94237,136,171
42WashingtonWA5.94697,958,180
43VermontVT5.938648,493
44MarylandMD5.93676,263,220
45Rhode IslandRI5.8651,112,308
46South DakotaSD5.854924,669
47IdahoID5.81162,001,619
48OregonOR5.72444,272,371
49CaliforniaCA5.72,22939,431,263
50HawaiiHI4.6671,446,146
51North DakotaND4.536796,568
N/AUnassigned ResidenceN/A269N/A
Louisiana, Pennsylvania, and Indiana follow closely, both also at nearly 10 donations per 100,000 residents.
269 organ donations for 2024 not assigned to a state due to missing donor residence.
Donor Registration Rates
To add to the discussion, we can cross referencing this data with registration rates.
RankStateState CodeOrgan Donations
Per 100K ResidentsOrgan Donor
Registration Rate 2023 (%)
1West VirginiaWV10.1N/A
2LouisianaLA9.747.6
3PennsylvaniaPA9.547.0
4IndianaIN9.567.6
5KansasKS9.0N/A
6KentuckyKY8.7N/A
7NevadaNV8.6N/A
8MissouriMO8.4N/A
9OklahomaOK8.449.3
10WisconsinWI8.352.8
11TennesseeTN8.343.7
12ArkansasAR8.3N/A
13MaineME8.356.0
14WyomingWY8.258.4
15New HampshireNH8.154.8
16DelawareDE8.1N/A
17IowaIA7.859.7
18UtahUT7.758.5
19ColoradoCO7.666.2
20South CarolinaSC7.545.6
21NebraskaNE7.4N/A
22OhioOH7.358.0
23AlabamaAL7.3N/A
24District of ColumbiaDC7.351.6
25North CarolinaNC7.156.3
26New YorkNY7.1N/A
27IllinoisIL7.0N/A
28MichiganMI7.0N/A
29MontanaMT6.959.5
30ArizonaAZ6.9N/A
31MississippiMS6.936.4
32New MexicoNM6.6N/A
33VirginiaVA6.6N/A
34ConnecticutCT6.545.9
35New JerseyNJ6.452.4
36AlaskaAK6.4N/A
37TexasTX6.3N/A
38FloridaFL6.139.4
39GeorgiaGA6.032.8
40MinnesotaMN5.954.8
41MassachusettsMA5.947.7
42WashingtonWA5.955.2
43VermontVT5.956.0
44MarylandMD5.938.1
45Rhode IslandRI5.845.4
46South DakotaSD5.860.1
47IdahoID5.855.5
48OregonOR5.755.9
49CaliforniaCA5.731.3
50HawaiiHI4.6N/A
51North DakotaND4.554.0
Donor registration rates measure the percentage of eligible population that said yes when presented with registration opportunity at their state DMV in a given year. As a result, figures are missing for multiple states due to lack of corroborating DMV data. Source: Donate Life America, via Newsweek.
Generally speaking, the establishment of state organ donor registries is associated with a higher supply of deceased donors.
However, the 2023–2024 data specifically doesn’t have much to say linking the two.
This suggests that multiple factors influence organ donation outcomes beyond just having willing donors.
Here are all the factors not accounted for in both datasets.
Medical demand variations: States may have different rates of organ failure and transplant needs based on population health profiles.
Population demographics: Age structures, comorbidity rates, and eligibility factors that affect both donor suitability and transplant candidacy.
Medical complexity: Varying rates of conditions that make donors medically unsuitable despite registration willingness.
Family consent patterns: Cultural, religious, or regional attitudes toward donation that influence family decision-making regardless of individual registration.
Hospital infrastructure quality: Variation in medical centers’ capacity to identify potential donors, maintain organ viability, and coordinate procurement.
Healthcare system efficiency: Differences in protocols for brain death declaration, family counseling, and donor management.
Geographic logistics: Distance to transplant centers, transportation infrastructure, and organ preservation capabilities affecting successful procurement.
State policy frameworks: Legal requirements, hospital mandates, and organ procurement organization structures that vary by jurisdiction.
Economic factors: Insurance coverage patterns, healthcare access, and socioeconomic factors affecting both donor identification and recipient eligibility.
Deceased Organ Donors Are Critical to Transplants
Across the board, about 60-70% of donations in 2024 came from deceased donors.
StateState CodeAll Organ Donations (2024)Deceased Donor (2024)Living Donor (2024)
AlabamaAL37730473
AlaskaAK47398
ArizonaAZ524380144
ArkansasAR25721938
CaliforniaCA2,2291,530699
ColoradoCO451275176
ConnecticutCT23816474
DelawareDE856619
District of ColumbiaDC512526
FloridaFL1,4161,049367
GeorgiaGA672462210
HawaiiHI675413
IdahoID1168135
IllinoisIL892601291
IndianaIN657539118
IowaIA25318172
KansasKS26621749
KentuckyKY39830593
LouisianaLA44435886
MaineME1167937
MarylandMD367239128
MassachusettsMA423279144
MichiganMI710566144
MinnesotaMN344215129
MississippiMS20316340
MissouriMO524413111
MontanaMT795821
NebraskaNE14910247
NevadaNV28024139
New HampshireNH1147638
New JerseyNJ610374236
New MexicoNM14111229
New YorkNY1,401907494
North CarolinaNC783580203
North DakotaND362214
OhioOH872656216
OklahomaOK34229349
OregonOR24419549
PennsylvaniaPA1,245857388
Rhode IslandRI654124
South CarolinaSC410309101
South DakotaSD542628
TennesseeTN602498104
TexasTX1,9801,212768
UtahUT271167104
VermontVT381919
VirginiaVA581374207
WashingtonWA469361108
West VirginiaWV17915128
WisconsinWI497317180
WyomingWY483315
Unassigned ResidenceN/A26984185
Advances in preservation technology have extended the viable window for organs retrieved post-mortem, making it easier to match them with recipients in distant states.
Meanwhile, living donations—kidneys or partial livers—remain steady but limited by stricter medical criteria and donor risk.
Policymakers argue that mandated consent or “opt-out” systems could elevate overall availability, but such measures remain politically contentious in many jurisdictions.
Fact: Many countries like, Spain, the U.K., Austria, and France, have opt-out systems.
For reference, 13 Americans die every day, waiting for a transplant .
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