10 USC 1079c – Provisional coverage for emerging services and supplies
(a)
Terms Used In 10 USC 1079c
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
(b)
(1) clinical trials published in refereed medical literature;
(2) formal technology assessments;
(3) the positions of national medical policy organizations;
(4) national professional associations;
(5) national expert opinion organizations; and
(6) such other validated evidence as the Secretary considers appropriate.
(c)
(d)
(2) Prior to the expiration of provisional coverage of a service or supply, the Secretary shall determine the coverage, if any, that will follow such provisional coverage and take appropriate action to implement such determination. If the Secretary determines that the implementation of such determination regarding coverage requires legislative action, the Secretary shall make a timely recommendation to Congress regarding such legislative action.
(3) The Secretary, at any time, may—
(A) terminate the provisional coverage under subsection (a) of a service or supply, regardless of whether such termination is before the end of the period described in paragraph (1);
(B) establish or disestablish terms and conditions for such coverage; or
(C) take any other action with respect to such coverage.
(e)
(f)