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2% vs. 3.9%, odds ratio=3.30, P less then 0.001), especially those on dialysis (8.4% vs. 2.0%, odds ratio=4.38, P less then 0.001). Under the safety-net rule, there was a higher KT probability after LTA (26.7% and 53% at 6 months in Eras 1 and 2, respectively, P=0.017). Conclusion After the implementation of the policy, the number of LTA listings among patients on dialysis significantly increased. While their post-transplant survival was not changed, KT listing after LTA increased. The safety-net rule led to high KT probability and low wait