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LINCOLN, Neb. — Nebraska Community Blood Bank (NCBB) applauds the Food and Drug Administration’s (FDA) updated guidance that would determine blood donor eligibility based on individualized assessment.

“Nebraska Community Blood Bank is driven by our dedication to saving lives and strengthening the health of our communities,” said Kathy Geist, vice president of Nebraska Community Blood Bank. “We cannot achieve this without the help of generous blood donors every day. For decades federal rules prevented us from fully embracing some potential donors due to guidelines that determine donor eligibility based on sexual orientation, and for decades we have advocated for scientifically based changes to this policy.” 

All U.S. blood centers are regulated by the FDA and must adhere to their donor eligibility policies. In 1983, the FDA instituted a lifetime deferral on blood donations for gay and bisexual men in order to reduce the chance of HIV in the blood supply at a time when testing was limited or non-existent. In 2015, the FDA revised this policy and moved to a 12-month deferral for men who have sex with men in response to comprehensive testing capabilities and data demonstrating safety in shortened deferral. This policy was revised again in 2020 to the current 3-month deferral.

“NCBB supports the use of science-based, gender-inclusive criteria. The change is the first step toward aligning with other countries who adopted these changes ahead of the United States,” said Geist. 

The recommended change is based on data from the “Assessing Donor Variability And New Concepts in Eligibility” (ADVANCE) Study, which sought to determine if different eligibility criteria could be used focusing on each donor’s individual behavior rather than their sexual orientation. Today’s updated guidance reflects the scientific data gathered as part of the ADVANCE Study. ADVANCE Study results will be released in the coming year.

The new draft guidance is the first step in a lengthy process of welcoming previously deferred individuals as blood donors. The entire process will involve a public comment period, final guidance, revised donor questionnaires, and finally updated operational procedures, information systems, and staff training. The draft guidance has a 60-day comment period, after which the FDA will issue final guidance.

Details of the FDA guidance for Individual Risk Assessment:
•    The time-based deferrals for men who have sex with men (MSM) and women who have sex with MSM would be eliminated.
•    The current donor history questionnaire would be revised to ask all prospective donors about new or multiple sexual partners in the past three months.
•    Prospective donors who report having a new sexual partner, or more than one sexual partner in the past three months, would then be asked about a history of anal sex in the past three months.
•    All prospective donors who report having a new sexual partner or more than one sexual partner and had anal sex in the past three months would be deferred from donation.
•    Under this proposal, a prospective donor who does not report having new or multiple sexual partners may be eligible to donate, provided all other eligibility criteria are met. 

Upon final guidance issuance, blood collection establishments will update the software and train staff. Centers will use the approved uniform donor history or submit their new questionnaires to FDA. The above steps could take 6 months to 1 year to implement.  


Nebraska Community Blood Bank (NCBB) has been connecting people and saving lives since 1968. In 2023, NCBB is proud to celebrate its 55th anniversary of saving lives through blood donation. NCBB relies on the local community to donate blood to help ensure a safe and stable blood supply is available to area hospitals and other partners. With operations in Nebraska and western Iowa, NCBB is a division of New York Blood Center Enterprises, serving communities across the nation. For more information, call 877-486-9414 or visit ncbb.org. Connect with us on Facebook, Twitter, Instagram, and LinkedIn.

Kari Lundeen | kari.lundeen@innovativeblood.org | 402.416.0023
Amanda Diamond | amanda@risaheller.com | 561.504.6659