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Regulatory Brief · Healthcare & Life Sciences · 15 August 2026

MoHAP has hard-coded organ-donor recruitment into policy. It changes what a UAE transplant programme is worth on a deal.

Ministerial Decision No. 91 of 2026 puts a state-backed benefits package behind living organ donors and the families of deceased donors — insurance, therapeutic, in-kind and a priority-transplant provision. Read against the numbers MoHAP published the same week (549 deceased donors since 2017, 1,780 transplants across nine accredited centres, 13.95 deceased donors per million, +35.5% year on year), it is the clearest signal in three years that UAE transplant capacity is a fundable line item, not an aspirational one.

The 30-second read

What a board member needs before the next meeting on this.

  1. The instrument is a real donor-recruitment tool, not a gesture. Ministerial Decision No. 91 of 2026 sets a state-backed benefits framework — insurance, therapeutic, in-kind and a priority-transplant provision — for living donors, families of deceased donors, and relatives up to the fourth degree, plus those who have made a documented donation bequest and their relatives.
  2. The numbers under the instrument are the read. Since 2017 through June 2026, MoHAP records 549 deceased donors and 1,780 transplants — 924 kidneys, 502 livers, 181 lungs, 151 hearts and 22 pancreases. The UAE leads the GCC at 13.95 deceased donors per million population, with 2025 donor numbers up 35.5% year on year and transplant activity up 31%.
  3. The accredited perimeter is nine centres. Cleveland Clinic Abu Dhabi, Sheikh Khalifa Medical City, Burjeel Medical City, Dubai Hospital, Al Jalila Children's Hospital, Mediclinic, King's College Hospital London – Dubai, Al Qassimi Hospital and Medcare Hospital. Accreditation, not capacity, is now the binding constraint on a target that markets transplant revenue.
  4. Composite-tissue and paired donation are the next lines, not the current ones. MoHAP has flagged paired-donation and composite-tissue expansion — face, hand, arm, intestine and uterus — as the direction of travel. That reads as capacity-adjacent optionality on a deal today, not as booked revenue.
Applies to Hospital operators bidding for or holding UAE transplant accreditation, transplant programme directors, health insurers pricing organ-failure lines, PE and strategic buyers modelling UAE hospital targets, and family offices with GCC healthcare exposure

Ministerial Decision No. 91 of 2026 is the piece of the UAE organ-transplantation stack that changes what a deal is worth. On 13 August 2026 the Ministry of Health and Prevention (MoHAP) issued the decision alongside its cumulative achievements statement for the Hayat programme (MoHAP release, 13 August 2026). Read the instrument and the numbers together and the position of transplant capacity in a UAE hospital deal moves from aspirational to fundable.

01

THE NUMBERS UNDER THE INSTRUMENT ARE THE READ

Since 2017 through June 2026, the Hayat programme has facilitated 1,780 organ transplants from deceased donors: 924 kidneys, 502 livers, 181 lungs, 151 hearts and 22 pancreases, sourced from a cumulative 549 deceased donors (MoHAP, 13 August 2026). The UAE ranks first in the GCC at 13.95 deceased donors per million population, and 2025 donor numbers rose 35.5% against 2024 with transplant activity up 31% over the same period. Demand is not the constraint: MoHAP records more than 4,000 people in the UAE living with chronic kidney failure and waiting on a transplant. Every one of those figures is stated by the Ministry itself, not extrapolated from third-party estimates.

02

THE INSTRUMENT IS A DONOR-RECRUITMENT TOOL, NOT A GESTURE

MD 91/2026 puts recognition, therapeutic, insurance and in-kind benefits behind the donor equation (MoHAP, 13 August 2026). Eligible beneficiaries are living donors and their relatives up to the fourth degree, individuals who have documented a wish to donate or made a bequest and their relatives, and the relatives of deceased donors. They are granted priority where an organ or tissue transplant is required, subject to health condition and assessment by the National Centre for Regulation of Human Organ and Tissue Donation and Transplantation. Insurance benefits run to full medical and insurance coverage for living donors for every examination and procedure related to the donation. Therapeutic benefits cover admission, accommodation and continuous post-donation follow-up. In-kind provisions include accommodation near the treating hospital, travel and transport support, work-absence assistance, home-care services, and — for the families of deceased donors — psychosocial support programmes. It is the state doing the recruitment work that a private programme cannot do at scale, and it changes the elasticity of the deceased-donor pool.

03

NINE CENTRES AND THE ACCREDITATION PERIMETER

MoHAP names the nine accredited transplant centres in the same release (MoHAP, 13 August 2026). In Abu Dhabi, Cleveland Clinic Abu Dhabi performs heart, lung, liver, kidney and pancreas transplants; Sheikh Khalifa Medical City runs liver and kidney transplantation for adults and children; Burjeel Medical City performs kidney and liver transplants. In Dubai, Dubai Hospital covers adult kidney transplantation, Al Jalila Children's Hospital covers paediatric kidney transplantation, Mediclinic handles adult kidney transplants, and King's College Hospital London – Dubai provides adult and paediatric liver transplantation plus adult living-donor kidney transplantation. In Sharjah, Al Qassimi Hospital handles adult kidney transplantation and Medcare Hospital performs adult living-donor kidney transplants. Nine names, not one directory. A target that markets transplant revenue without sitting inside that perimeter is marketing intent, not licensed activity, and the diligence line is which lines the target holds accreditation on, not which lines the marketing deck lists.

04

WHAT THIS PRICES FOR AN OPERATOR

For an operator inside the perimeter, MD 91/2026 lifts the ceiling on donor supply without asking the operator to fund the recruitment. State-backed donor recruitment plus the +35.5% deceased-donor growth in 2025 read as a capacity-side tailwind on top-line, priced against nine accredited centres for a population that is already the GCC's most active donor market and shows structural demand growth. For a target outside the perimeter, the same numbers make the accreditation pathway a mandatory diligence step: without it, a stated transplant strategy is a licensing plan, not a revenue plan. For a payer, the state's assumption of insurance coverage for the donation event reshapes the medical-loss ratio on transplant lines and the pricing of donor-side benefits; a private policy that assumed those costs is now overlapping with a public one. For a specialist investor, this is the sequencing signal that composite-tissue and paired-donation licences are the next perimeter — announced by MoHAP as the direction of travel, not dated, and not yet in-force revenue. Booking that optionality on a deal today is a modelling error; missing it entirely is the read that the specialist buyer's diligence exists to prevent.

05

WHERE VERSION 2 LANDS

MD 91/2026 does not sit alone. It runs in an integrated federal architecture with Federal Decree-Law No. 25 of 2023 on Human Organ and Tissue Donation and Transplantation and the executive regulations Cabinet Resolution No. 61 of 2026, together with the standing statutory infrastructure that Hayat has operated under since 2017. The composite-tissue expansion — face, hand, arm, intestine, uterus — that MoHAP has publicly flagged will need its own licensing standard before centres can advertise those services as accredited. Sponsors modelling a UAE transplant thesis should sequence the composite-tissue line behind a dated standard, not ahead of it.

Before your next meeting

Four questions before pricing UAE transplant capacity

  1. Does the target hold accreditation across all the transplant lines it markets, and if not, which lines are commercial narrative rather than licensed revenue?
  2. How do we underwrite MoHAP's stated growth curve — 35.5% donor growth and 31% transplant growth in 2025 — against our organic capacity assumption, given the accredited-centre count is nine and the waiting list on chronic kidney failure alone runs past 4,000?
  3. What is our optionality read on paired donation and composite-tissue transplantation given MoHAP has signalled the expansion but not yet dated the licence perimeter?
  4. Where in the target's insurance-mix assumption sits the fact that living donors now carry a state-backed medical and insurance coverage line, and does that shift the payer conversation for donor recruitment?

The Monday work is finite. Screen every UAE hospital target with a transplant story against the nine accredited centres; where accreditation is thin, price the licence pathway as a covenant rather than a revenue line. Rebuild the donor-supply assumption off MoHAP's 2025 growth prints and the state-backed recruitment mechanism, not off a linear projection from the 2017–2024 base. Stress-test the payer side for the overlap between MD 91/2026's insurance provisions and any donor-side coverage the target currently prices. That capacity and licensing diligence is where our transactions and capital practice begins.

This brief covers one instrument. The UAE healthcare regulatory tracker carries the full set — DoH, DHA, EDE and the other emirates — with what each one changes and when it takes effect.

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