I spoke with a doctor at KU Med. The explanation is that it is not by state. But, by individual hospital. It is just that the hospitals in Missouri and Kansas don't accept live liver donors because of the risks to the donor. There is a higher risk of complications for the donor of a liver than to a live kidney donor. Most donors for a liver would be from a family member or best friend. And, most times the patient wouldn't want that person to take the risk. So, I guess that is the answer to my question. I was advised that Nebraska and Colorado in Region 8 do live liver donor. As well as Mayo clinic. However, there is a redistricting push in process which if done would make it harder for the patients in Region 8. I hope the redistricting doesn't take place. Thank you.