$4 Million

to

Accelerate Living Donation.
Start Preparing Your Solution.

The KidneyX Empower: Living Link Prize Challenge Competition, seeks to develop informational resources, care models, and technological interventions designed to empower prospective donors, clinicians caring for them, people with kidney diseases, and their families

Solving the Friction Points in Living Kidney Donation.

Seeking scalable interventions to bridge the gap between considering donation to giving the gift of life through kidney donation. 

100,000

Nearly 100,000 Americans are currently waitlisted for a kidney.

10+

Tragically, more than 10 Americans die each day while waiting for a kidney transplant.

< 7,000

Living kidney donation has remained virtually flat for approximately two decades, at fewer than 7,000 per year.

The KidneyX EMPOWER Prize Challenge, a $4 million initiative, is directly addressing the critical gaps in living kidney donation.
Kidney transplant is the gold standard for treating kidney failure, yet living donation has remained virtually flat for approximately two decades at fewer than 7,000 per year. This stagnation is set against a dire need, as nearly 100,000 Americans are currently waitlisted for a kidney transplant, and tragically, more than 10 Americans die each day while waiting.
Furthermore, the reliance on less effective treatments creates a significant burden for the taxpayer. By seeking bold, practical solutions to improve awareness and readiness, and overcome educational, logistical, administrative, and other barriers— specifically addressing the suboptimal support for prospective and actual living donors—the challenge aims to dramatically increase living kidney donation and improve outcomes for those suffering from kidney failure. 

Watch the Informational Webinar (April 29th 2026)

Where Innovation is Needed

Public Awareness & Mentorship

Participatory, community-based models for better identifying and supporting
donors.

Donor
Interventions

Should focus on educational modules/tools
to provide donors with assurances about
outcomes
and address fears of surgery or
long-term health risks.

Donor Readiness & Eligibility

Tools to help potential donors overcome
barriers like BMI management, smoking
cessation, and financial planning.

Donor-Centered Outcomes

E.g. Strategies, tools, data collection and/or monitoring efforts to support donors in their health and well-being journeys long-term post-donation, providing reassurance and/or improved outcomes.

Center
Practices

Focus on sharing of knowledge, e.g.,
successful center practices that could
benefit a wider geographic purview
(for reducing administrative friction and institutional delays).

Prize Timeline

Challenge Launch

April 15, 2026

Official portal opens on the Challenge site. 

Briefing Phase

April to June

Attend Informational Webinars to learn more about the challenge including submission requirements and eligibility.

Informational Webinar

Informational Webinar

Submission Deadline

June 15, 2026 5pm PDT
(subject to change)

Final entries due (12-page PDF limit).

Winners Announced

August 17, 2026
(subject to change)

Prize Structure

The KidneyX EMPOWER: Living Link Prize is a single-phase, dual-track competition awarding a total prize purse of $4,000,000.
Submissions must go beyond “white papers” to provide defined end products that demonstrate scalability and potential for nationwide adoption.

Solutions in Practice
-OR-
Validated Prototype Awards

Up to 8 awards* receiving an equal share of $3,000,000
(Minimum award value: $375,000)

Rewarding interventions put into practice with potential for
broader scalability -OR novel tools or care models with a validated proof-of-concept.

GRAND PRIZE

Up to 1 award $1,000,000 prize

The single best solution across both tracks that demonstrates the highest potential for national impact and long-term sustainability

How to Enter

The entry process is designed to ensure solvers receive adequate technical guidance before the final submission.

  • Register: Beginning April 15, 2026 participants can express their interest by registering for the challenge.
    Register Today!
  • Attend an Informational Webinar (optional):
    Participants are encouraged to attend at least one of two webinars to hear a comprehensive review of the challenge objective, submission guidelines and eligibility requirements and participate in a live Q and A session.Webinar Registration – May 12th at 1pm EST
  • Submit your Challenge Entry:
    All entries must be uploaded by June 15, 2026 5pm PDT. Solvers must choose one of two tracks and submit the required “Challenge Entry” as a PDF with no more than 12 pages (excluding the cover page and Appendixes). Submissions must include a technical abstract, evidence of functionality, and a human-co-design statement.
    Submit your Challenge Entry

Solvers must choose one of the following two tracks and submit the required “Challenge Entry” as a PDF document with no more than 12 pages (excluding the cover page and appendixes).

Two Paths to Participation.

TRACK A

Solutions in Practice

For interventions already piloted or active. Prepare your impact data and “Implementation Playbook” to demonstrate how your model can scale nationwide. This track requires:

  • Narrative (Max 1,500 words)
  • Impact Data
  • Human Co-Design Statement
  • Implementation Guide (“Playbook”)

TRACK B

Scalable Prototypes

For high-fidelity digital tools or care models ready for pilot testing. Focus on your functional beta version, wireframes, and compliance plan. This track requires:
  • Narrative (Max 1,500 words)
  • Evidence of Potential Efficacy (Functional beta/wireframes or standardized protocols)
    •  For Digital Tools: A functional beta version or detailed wireframes,  including a technical architecture diagram.
    • For Care Models: A complete set of standardized protocols, screening instruments, or decision-support tools.
  • Path to Implementation (Milestone-based timeline)
  • Compliance Plan (Addressing Section 508 accessibility and FIPS 199 security standards)

Evaluation and Judging

All qualifying entries will be assessed by a panel of judges who are federal employees and external experts with expertise directly relevant to this Challenge. The process includes a preliminary evaluation for eligibility and completeness, followed by a review against the judging criteria.

 
15

Alignment to Challenge Focus Areas

Does the proposed solution demonstrate clear and credible potential to measurably increase living donation rates by addressing the specific goals of one or more defined focus areas?
25

Clinical Feasibility

Is the idea practical? Can it be implemented and scaled with existing resources without requiring excessive specialized equipment?

35

Donor Experience

Does the solution address the challenge’s designated focus areas, for donor candidates, making the process demonstrably easier to start and complete?
25

Technical Sustainability

Does the application demonstrate a clear plan for making advancements permanent? Is the solution designed to thrive for years after the initial prize money is awarded?

FAQs

General Information

No, there will not be another opportunity to submit an application for this specific prize challenge after the June deadline.

While we cannot predict the exact number of final submissions, we have seen a significant amount of interest since the challenge launched in April. Typically, the majority of applications are submitted during the final week before the deadline.

Awards & Judging

No more than 9 projects will be funded.

No, this is a prize award. Upon winning, there are no stipulations or specified timeframes regarding the use of the funds, allowing recipients to allocate them at their discretion.

This is a one time prize award, to be used as you best see fit.

The review panel will be a combination of federal Subject Matter Experts (SMEs) and additional external SMEs from outside the federal government. All reviewers will have experience and expertise relevant to this unique challenge.

No. This is a one-time prize award. Should you win, there are no restrictions or specific timeframes; you may use the funds as you best see fit to advance your work.

Eligibility & Participation

Any entity type—including teams from transplant centers—is welcome to submit, provided you meet all requirements outlined in the eligibility, legal, and administrative rules. Please note that this is a prize competition seeking solutions in use or promising prototypes/concepts, not a traditional research funding grant.

Yes. As long as the entity meets the requirements outlined in the eligibility and administrative rules, you are welcome to submit to either track.

Yes, a person or organization may submit more than one entry in one or both tracks, provided that each entry represents a distinguishable idea or concept.

No.

Yes. If a non-U.S. citizen partners with an eligible U.S. organization, or teams up with a U.S. citizen who serves as the Team Lead, the solution could qualify as an eligible submission.

Tracks & Submissions

If the early beta version has already been piloted, you should apply to Track A. If it is a prototype that has not yet been launched or piloted, you should apply to Track B.

Yes. As a public resource, you may use USRDS data to help illustrate the importance and impact of your solution.

The Human Co-Design Statement should provide documentation of how people with kidney diseases or donors were involved in the development and evaluation of the current model.

If it has already been tested and piloted, and your goal is to expand the solution into other areas, this falls under “Solutions already piloted” and is most appropriate for Track A. The solution will still need to meet all other criteria for Track A.

Providing a link within the PDF is allowed, however, judges are not required to click on links within a submission for judging purposes, so as part of your submission you are asked to include For Digital Tools: A functional beta version or detailed wireframes, including a technical architecture diagram.

Links are allowed to be included, however judges are not required to click on links within a submission for judging purposes.

The rules document does not explicitly require HL7 FHIR standards. However, for Track B, the compliance plan must specifically detail how the solution will meet Section 508 accessibility and FIPS 199 security standards.

As part of your submission, please ensure that your required PDF (maximum 12 pages) includes screenshots or images of your solution that clearly demonstrate a functional beta version. You should also include detailed wireframes and a technical architecture diagram to illustrate how the app works.

Eligibility and Rules

Eligibility

To be eligible to win a prize under this Challenge, a Participant (whether an individual, team, or entity) 

  • Shall have registered to participate in the Challenge as an individual, team, or entity under the rules and instructions promulgated by HHS as published in this announcement, including but not limited to, the “Prize Payment Rules” and the “How to Enter” section of this announcement. 
  • Shall have complied with all the requirements set forth in this announcement; 
  • In the case of a private entity, shall be incorporated in and maintain a primary place of business in the United States, and in the case of an individual, whether participating singly or in a group (team), shall be a citizen or permanent resident of the United States;
  • Shall not be a Federal entity or Federal employee acting within the scope of their employment; 
  • Shall not be an employee of the Department of Health and Human Services (HHS, or any other component of HHS) acting in their personal capacity; 
  • Who is employed by a Federal agency or entity other than HHS (or any component of HHS), shall consult with an agency Ethics Official to determine whether the Federal ethics rules will limit or prohibit the acceptance of a prize under this Challenge;
  • Shall not be a judge of the Challenge, or any other party involved with the design, production, execution, or distribution of the Challenge or the immediate family of such a party (i.e., spouse, parent, step-parent, child, or step-child). 
  • Shall be 18 years of age or older at the time of submission. 

Conflicts of Interest

A Participant (whether an individual, team, or entity) shall not be deemed ineligible because the Participant used Federal facilities or consulted with Federal employees during the Challenge if the facilities and employees are made available to all Participants participating in the Challenge on an equitable basis.

Legal and Administrative Rules

Participation

  • Participants (whether individuals, teams, or entities) may not use Federal funds from a grant award or cooperative agreement to develop their Challenge submissions or to fund efforts in support of their Challenge submissions.
  • Federal contractors may not use Federal funds from a contract to develop Challenge submissions or to fund efforts in support of Challenge submissions. Costs associated with such activities are unallowable and are not allocable to Government contracts.
  • By participating in this Challenge, each Participant (whether an individual, team, or entity) agrees to assume any and all risks and waive claims against the Federal government and its related entities, except in the case of willful misconduct, for any injury, death, damage, or loss of property, revenue, or profits, whether direct, indirect, or consequential, arising from participation in this Challenge, whether the injury, death, damage, or loss arises through negligence or otherwise. 
  • Based on the subject matter of the Challenge, the type of activities that it will possibly involve, as well as an analysis of the likelihood of any claims for death, bodily injury, property damage, or loss potentially resulting from Challenge participation, no Participant (whether an individual, team, or entity) participating in the Challenge is required to obtain liability insurance, or demonstrate financial responsibility, or agree to indemnify the Federal government against third party claims for damages arising from or related to Challenge activities in order to participate in this Challenge.
  • By participating in this Challenge, each Participant (whether an individual, team, or entity) warrants that they are the sole author or owner of, or has the right to use, any copyrightable works that the submission comprises, that the works are wholly original with the Participant (or is an improved version of an existing work that the Participant has sufficient rights to use and improve), and that the submission does not infringe any copyright or any other rights of any third party of which the Participant is aware. 
  • By participating in this Challenge, each Participant (whether an individual, team, or entity) grants to HHS an irrevocable, paid-up, royalty-free nonexclusive worldwide license to reproduce, publish, post, link to, share, and display publicly the submission on the web or elsewhere, and a nonexclusive, nontransferable, irrevocable, paid-up license to practice, or have practiced for or on its behalf, the solution throughout the world. Each Participant will retain all other intellectual property rights in their submissions, as applicable. By participating in this Challenge, each Participant warrants that there are no legal obstacles to providing the above-referenced nonexclusive licenses of the Participant’s rights to the Federal government. To receive an award, Participants will not be required to transfer their intellectual property rights to HHS, but Participants must grant to the Federal government the nonexclusive licenses recited herein. 
  • Each Participant (whether an individual, team, or entity) agrees to follow all applicable Federal, state, and local laws, regulations, and policies.
  • Each Participant (whether an individual, team, or entity) participating in this Challenge must comply with all rules and requirements included in this announcement, and participation in this Challenge constitutes each Participant’s full and unconditional agreement to abide by the rules and requirements. Winning is contingent upon fulfilling all requirements herein.
  • As a condition for receiving a cash prize in this Challenge, each Participant (whether an individual, team, or entity) that has been selected as a winner must complete and submit all required winner verification and payment documents to HHS. Failure to return all required verification and payment documents by the date specified in the formal winner notification may be a basis for disqualification of a cash prize winning submission.
  • By participating in this Challenge, each Participant (whether an individual, team, or entity) agrees that HHS may disqualify its submission if, in HHS’ judgment, the submission is inconsistent with HHS’ public health mission, may be ineffective or harmful, or any other reason deemed necessary.

Prize Payment

  • For each eligible Participant under the “Eligibility Rules,” HHS will use that Participant’s registration as an individual, team, or entity on the “HHS Challenge Participant Registration Form” to determine who receives payment of any HHS prize money.
    • For an eligible winning Participant registered as an individual, HHS will pay the individual. 
    • For a winning Participant registered as a team with an eligible Team Leader, HHS will pay the entire prize for that team to the Team Leader, and division of the prize money is at the discretion of the Team Leader. HHS will not arbitrate, intervene, advise on, or resolve any matters among team members.   
    •  For an eligible winning Participant registered as an entity, HHS will pay the entity.   
  • Entities participating in this Challenge are encouraged, but not required, to request and obtain a free Unique Entity ID (UEI), if they have not already done so, via SAM.gov as this may expedite prize payment. Additional information can be found at https://sam.gov/content/entity-registration.

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