Table Of Contents of the INDEX

 

Account
Sec 1401. -- Comparative Effectiveness Research.
(A) - paragraph (i)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (A) (i)
Automated Concept:

ACCOUNT ;   Recommending to Center national priorities for research described in subsection taking into

Index of Sec 1401. ...
(3) TAKING INTO ACCOUNT POTENTIAL DIFFERENCES. - paragraph (A)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (c) (3) (A)
Automated Concept:

ACCOUNT potential for differences in effectiveness of health care items, services and systems used with various subpopulations ;   Designing to take into

Index of Sec 1401. ...

Appointment
Sec 1401. -- Comparative Effectiveness Research.
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (B)
Automated Concept:

APPOINTMENT to Commission or clinical perspective advisory panel described subsection ;   Considering

Index of Sec 1401. ...

Beneficiary programs
Sec 1401. -- Comparative Effectiveness Research.
(A) IN GENERAL. - paragraph (iv)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (3) (A) (iv)
Automated Concept:

BENEFICIARY programs ;   16 additional members representing broad constituencies of stakeholders including clinicians, patients, researchers, third-party payers and consumers of Federal and State

Index of Sec 1401. ...

Certification: written
Sec 1401. -- Comparative Effectiveness Research.
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (B)
Automated Concept:

CERTIFICATION as referred in section 208(b)(3) of title 18, United States Code or waiver as referred in subparagraph for service on Commission at meeting of Commission ;   Written

Index of Sec 1401. ...

Clinical or practice guidelines
Sec 1401. -- Comparative Effectiveness Research.
(B) STANDARDS AND PROTOCOLS OF CLINICAL EXCELLENCE.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (B)
Automated Concept:

CLINICAL procedures for specific clinical circumstances ;   Term standards and protocols of clinical excellence meaning clinical or practice guidelines consisting of set of directions or principles based on evidence and designed to assist health care practitioner with decisions about appropriate diagnostic, therapeutic or other

Index of Sec 1401. ...

Clinical care
Sec 1401. -- Comparative Effectiveness Research.
(ii) DIVERSE REPRESENTATION OF HEALTH CARE COMMUNITY. - paragraph (IV)

Clinical decision support
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1)
Automated Concept:

CLINICAL decision support, relevant expert organizations and Federal and private health plans and other relevant stakeholders ;   Center providing for dissemination of appropriate findings produced by research supported, conducted or synthesized under section to health care providers, patients, vendors of health information technology focused on

Index of Sec 1401. ...
(1) DISSEMINATION. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1) (E)
Automated Concept:

CLINICAL decision support to promote timely incorporation of findings into clinical practices and promoting ease of use of incorpoations ;   Assisting users of health information technology focused on

Index of Sec 1401. ...

Clinical effectiveness research data networks
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (F)
Automated Concept:

CLINICAL effectiveness research data networks from electronic health records, post marketing drug and medical device surveillance efforts and other forms of electronic health data ;   Encouraging development and use of clinical registries and development of

Index of Sec 1401. ...

Clinical excellence
Sec 1401. -- Comparative Effectiveness Research.
(2) CONSULTATION IN DISSEMINATION OF RESEARCH. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (2) (B)
Automated Concept:

CLINICAL excellence developed by relevant expert organizations ;   Take into consideations standards and protocols of

Index of Sec 1401. ...
(B) STANDARDS AND PROTOCOLS OF CLINICAL EXCELLENCE.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (B)
Automated Concept:

CLINICAL excellence meaning clinical or practice guidelines consisting of set of directions or principles based on evidence and designed to assist health care practitioner with decisions about appropriate diagnostic, therapeutic or other clinical procedures for specific clinical circumstances ;   Term standards and protocols of

Index of Sec 1401. ...

Clinical outcomes
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (G)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (G)
Automated Concept:

CLINICAL outcomes for specific research inquiry to be examined with respect to priority to ensure that information produced from research being clinically relevant to decisions making by clinicians and patients at point of care ;   Evidence gaps in terms of

Index of Sec 1401. ...

Clinical perspective
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (G)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (G)
Automated Concept:

CLINICAL perspective advisory panels for research priorities under section consulting with patients and other stakeholders and advising Center on research questions ;   Appointing

Index of Sec 1401. ...
(A) IN GENERAL.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (A)
Automated Concept:

CLINICAL perspective advisory panel described in subsection ;   Appointing members of Commission or

Index of Sec 1401. ...
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (B)
Automated Concept:

CLINICAL perspective advisory panel described subsection ;   Considering appointment to Commission or

Index of Sec 1401. ...
(i) DISCLOSURE OF FINANCIAL INTEREST.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (i)
Automated Concept:

CLINICAL perspective advisory panel described in subsection regarding particular matter ;   Prior to meeting of Commission or

Index of Sec 1401. ...
(ii) PROHIBITIONS ON PARTICIPATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (ii)
Automated Concept:

CLINICAL perspective advisory panel described in subsection not participating with respect to particular matter considered in meeting of Commission or clinical perspective advisory panel if member having financial interest to be affected by advice given to Secretary with respect to matter ;   Member of Commission or

Index of Sec 1401. ...
(iii) WAIVER.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (iii)
Automated Concept:

CLINICAL perspective advisory panel described in subsection essential expertise ;   Determining necessary to afford Commission or

Index of Sec 1401. ...
(iii) WAIVER. - paragraph (I)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (iii) (I)
Automated Concept:

CLINICAL perspective advisory panel ;   Participating as non-voting member with respect to particular matter considered in meeting of Commission or

Index of Sec 1401. ...
(II) PROHIBITION ON VOTING STATUS ON CLINICAL PERSPECTIVE ADVISORY PANELS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (iv) (II)
Automated Concept:

CLINICAL perspective advisory panel receiving waiver ;   No more than two nonvoting members of

Index of Sec 1401. ...
(1) ENSURING TRANSPARENCY, CREDIBILITY, AND ACCESS. - paragraph (G)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (c) (1) (G)
Automated Concept:

CLINICAL perspective advisory panel for particular national research priority ;   Research considering advice given to Center by

Index of Sec 1401. ...

Clinical practices
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1) (E)
Automated Concept:

CLINICAL practices and promoting ease of use of incorpoations ;   Assisting users of health information technology focused on clinical decision support to promote timely incorporation of findings into

Index of Sec 1401. ...

Clinical practice guidelines: national
Sec 1401. -- Comparative Effectiveness Research.
(A) RELEVANT EXPERT ORGANIZATIONS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (A)
Automated Concept:

CLINICAL practice guidelines including voluntary health organization ;   Development of national

Index of Sec 1401. ...

Clinical procedures
Sec 1401. -- Comparative Effectiveness Research.
(B) STANDARDS AND PROTOCOLS OF CLINICAL EXCELLENCE.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (B)
Automated Concept:

CLINICAL procedures for specific clinical circumstances ;   Term standards and protocols of clinical excellence meaning clinical or practice guidelines consisting of set of directions or principles based on evidence and designed to assist health care practitioner with decisions about appropriate diagnostic, therapeutic or other

Index of Sec 1401. ...

Clinical registries and development
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (F)
Automated Concept:

CLINICAL effectiveness research data networks from electronic health records, post marketing drug and medical device surveillance efforts and other forms of electronic health data ;   Encouraging development and use of clinical registries and development of

Index of Sec 1401. ...

Clinical research
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (B)
Automated Concept:

CLINICAL research including original research conducted subsequent to date of enactment of section ;   Conduct and support systematic reviews of

Index of Sec 1401. ...

Clinical specialty
Sec 1401. -- Comparative Effectiveness Research.
(A) RELEVANT EXPERT ORGANIZATIONS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (A)
Automated Concept:

CLINICAL specialty or other professional organization representing physicians based on field of medicine  ;  

Index of Sec 1401. ...

Clinical studies
Sec 1401. -- Comparative Effectiveness Research.
(A) RELEVANT EXPERT ORGANIZATIONS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (A)
Automated Concept:

CLINICAL studies ;   Term relevant expert organization meaning organization with expertise in rigorous application of evidence-based scientific methods for design of

Index of Sec 1401. ...

Clinical trial and costs
Sec 1401. -- Comparative Effectiveness Research.
(1) COVERAGE. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (h) (1) (B)
Automated Concept:

CLINICAL trial and costs otherwise to be covered under title with respect to beneficiary ;   Benefits under title XVIII, XIX or XXI in case where individual participating in

Index of Sec 1401. ...

Comparative effectiveness
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (A)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (A)
Automated Concept:

COMPARATIVE effectiveness of full spectrum of health care items, services and systems including pharmaceuticals ;   Conducting, supporting and synthesizing research relevant to

Index of Sec 1401. ...

Comparative effectiveness research
Sec 1401. -- Comparative Effectiveness Research.
(B) DATA COLLECTION. - paragraph (iii)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (3) (B) (iii)
Automated Concept:

COMPARATIVE effectiveness research ;   Center awarding grants or contracts to private entities and governmental agencies with experience in conducting

Index of Sec 1401. ...
(2) DUTIES. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (B)
Automated Concept:

COMPARATIVE effectiveness research recommended to be national priority under subparagraph ;   Monitoring appropriateness of use of CERTF described in subsection with respect to timely production of

Index of Sec 1401. ...

Comparative effectiveness research: previo
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (G)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (G)
Automated Concept:

COMPARATIVE effectiveness research and studies conducted by Center under subsection ;   Make recommendations to Center for priority for periodic reviews of previous

Index of Sec 1401. ...

Comparative effectiveness studies
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (C)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (C)
Automated Concept:

COMPARATIVE effectiveness studies and using methodologies appropriately ;   Continuously developing rigorous scientific methodologies for conducting

Index of Sec 1401. ...
(C) OMBUDSMAN. - paragraph (ii)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (c) (2) (C) (ii)
Automated Concept:

COMPARATIVE effectiveness studies reviewed by Center ;   Ensuring that comments from patients regarding proposed

Index of Sec 1401. ...

Compensation
Sec 1401. -- Comparative Effectiveness Research.
(8) DIRECTOR AND STAFF; EXPERTS AND CONSULTANTS. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (8) (E)
Automated Concept:

COMPENSATION ;   Providing transportation and subsistence for persons serving without

Index of Sec 1401. ...

Compliance: discussion of Center's
Sec 1401. -- Comparative Effectiveness Research.
(1) ANNUAL REPORTS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (f) (1)
Automated Concept:

COMPLIANCE with subsection ;   Report including discussion of Center's

Index of Sec 1401. ...

Confidentiality agreements
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION. - paragraph (D)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1) (D)
Automated Concept:

CONFIDENTIALITY agreements making with respect to use of data under section ;   Dissemination of which violating privacy of research participants or violating

Index of Sec 1401. ...

Consumers
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (I)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (I)
Automated Concept:

HEALTH care decisions improving quality and value ;   Findings of research conducted and supported under section enabling clinicians, patients, consumers and payers to make more informed

Index of Sec 1401. ...
(A) IN GENERAL. - paragraph (iv)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (3) (A) (iv)
Automated Concept:

BENEFICIARY programs ;   16 additional members representing broad constituencies of stakeholders including clinicians, patients, researchers, third-party payers and consumers of Federal and State

Index of Sec 1401. ...

Contract
Contracts
Sec 1401. -- Comparative Effectiveness Research.
(8) DIRECTOR AND STAFF; EXPERTS AND CONSULTANTS. - paragraph (C)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (8) (C)
Automated Concept:

CONTRACTS or making other arrangements ;   Entering into

Index of Sec 1401. ...

Contract: grants or
Sec 1401. -- Comparative Effectiveness Research.
(B) DATA COLLECTION. - paragraph (iii)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (3) (B) (iii)
Automated Concept:

COMPARATIVE effectiveness research ;   Center awarding grants or contracts to private entities and governmental agencies with experience in conducting

Index of Sec 1401. ...

Diagnostic: appropriate
Sec 1401. -- Comparative Effectiveness Research.
(B) STANDARDS AND PROTOCOLS OF CLINICAL EXCELLENCE.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (B)
Automated Concept:

CLINICAL procedures for specific clinical circumstances ;   Term standards and protocols of clinical excellence meaning clinical or practice guidelines consisting of set of directions or principles based on evidence and designed to assist health care practitioner with decisions about appropriate diagnostic, therapeutic or other

Index of Sec 1401. ...

Disclosure report: financial
Sec 1401. -- Comparative Effectiveness Research.
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (B)
Automated Concept:

APPOINTMENT ;   Comptroller General or Secretary reviewing expertise of individual and financial disclosure report filed by individual pursuant to Ethics in Government Act of 1978 for individual under consideations for

Index of Sec 1401. ...

Dissemination
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1)
Automated Concept:

CLINICAL decision support, relevant expert organizations and Federal and private health plans and other relevant stakeholders ;   Center providing for dissemination of appropriate findings produced by research supported, conducted or synthesized under section to health care providers, patients, vendors of health information technology focused on

Index of Sec 1401. ...
(1) DISSEMINATION. - paragraph (D)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1) (D)
Automated Concept:

CONFIDENTIALITY agreements making with respect to use of data under section ;   Dissemination of which violating privacy of research participants or violating

Index of Sec 1401. ...
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (2)
Automated Concept:

DISSEMINATION to individuals with limited English proficiency ;   Center consulting with stakeholders concerning types of dissemination to be useful to end users of information and providing for utilization of multiple formats for conveying findings to different audiences including

Index of Sec 1401. ...

Dissemination of research
Sec 1401. -- Comparative Effectiveness Research.
(2) CONSULTATION IN DISSEMINATION OF RESEARCH.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (2)
Automated Concept:

DISSEMINATION of research from Commission or Center and findings making by Commission or Center to be consistent with processes established under subsection  ;  

Index of Sec 1401. ...

Dissemination: appropriate
Sec 1401. -- Comparative Effectiveness Research.
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (2)
Automated Concept:

DISSEMINATION of research findings in order to ensure effective communication of findings and use and incorporation of findings into relevant activities for purpose of informing higher quality and more effective and efficient decisions regarding medical items and services ;   Center developing protocols and strategies for appropriate

Index of Sec 1401. ...

Dissemination: types of
Sec 1401. -- Comparative Effectiveness Research.
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (2)
Automated Concept:

CONVEYING findings to different audiences including dissemination to individuals with limited English proficiency ;   Center consulting with stakeholders concerning types of dissemination to be useful to end users of information and providing for utilization of multiple formats for

Index of Sec 1401. ...

Drug
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (F)
Automated Concept:

DRUG and medical device surveillance efforts and other forms of electronic health data ;   Encouraging development and use of clinical registries and development of clinical effectiveness research data networks from electronic health records, post marketing

Index of Sec 1401. ...

Executive department
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (J)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (J)
Automated Concept:

EXECUTIVE department for purpose prior to transmittal to Congress and President ;   Reports under subparagraph not to be submitted to Office of Management and Budget or other Federal agency or

Index of Sec 1401. ...

Financial interest
Sec 1401. -- Comparative Effectiveness Research.
(ii) PROHIBITIONS ON PARTICIPATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (ii)
Automated Concept:

FINANCIAL interest to be affected by advice given to Secretary with respect to matter ;   Member of Commission or clinical perspective advisory panel described in subsection not participating with respect to particular matter considered in meeting of Commission or clinical perspective advisory panel if member having

Index of Sec 1401. ...
(D) FINANCIAL INTEREST DEFINED.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (D)
Automated Concept:

FINANCIAL interest meaning financial interest under section 208(a) of title 18, United States coding ;   Term

Index of Sec 1401. ...

Financial interests
Sec 1401. -- Comparative Effectiveness Research.
(i) DISCLOSURE OF FINANCIAL INTEREST.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (i)
Automated Concept:

FINANCIAL interests in accordance with requiring waiver under section 208(b) of title 18, United States Code or other interests as deemed relevant by Secretary  ;  

Index of Sec 1401. ...

Health: patient
Sec 1401. -- Comparative Effectiveness Research.
(A) - paragraph (i) - paragraph (IV)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (A) (i) (IV)
Automated Concept:

HEALTH ;   Potential for new evidence concerning certain categories, health care services or treatments to improve patient

Index of Sec 1401. ...

Health care
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1)
Automated Concept:

CLINICAL decision support, relevant expert organizations and Federal and private health plans and other relevant stakeholders ;   Center providing for dissemination of appropriate findings produced by research supported, conducted or synthesized under section to health care providers, patients, vendors of health information technology focused on

Index of Sec 1401. ...
(B) STANDARDS AND PROTOCOLS OF CLINICAL EXCELLENCE.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (B)
Automated Concept:

CLINICAL procedures for specific clinical circumstances ;   Term standards and protocols of clinical excellence meaning clinical or practice guidelines consisting of set of directions or principles based on evidence and designed to assist health care practitioner with decisions about appropriate diagnostic, therapeutic or other

Index of Sec 1401. ...

Health care: other
Sec 1401. -- Comparative Effectiveness Research.
(ii) DIVERSE REPRESENTATION OF HEALTH CARE COMMUNITY. - paragraph (IV)

Health care decisions: more informed
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (I)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (I)
Automated Concept:

HEALTH care decisions improving quality and value ;   Findings of research conducted and supported under section enabling clinicians, patients, consumers and payers to make more informed

Index of Sec 1401. ...

Health care items
Health care items: effectiveness of
Sec 1401. -- Comparative Effectiveness Research.
(3) TAKING INTO ACCOUNT POTENTIAL DIFFERENCES. - paragraph (A)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (c) (3) (A)
Automated Concept:

HEALTH care items, services and systems used with various subpopulations ;   Designing to take into account potential for differences in effectiveness of

Index of Sec 1401. ...

Health care items: full spectrum of
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (A)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (A)
Automated Concept:

HEALTH care items, services and systems including pharmaceuticals ;   Conducting, supporting and synthesizing research relevant to comparative effectiveness of full spectrum of

Index of Sec 1401. ...

Health care services or treatments
Sec 1401. -- Comparative Effectiveness Research.
(A) - paragraph (i) - paragraph (IV)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (A) (i) (IV)
Automated Concept:

HEALTH care services or treatments to improve patient health ;   Potential for new evidence concerning certain categories,

Index of Sec 1401. ...

Health data: electronic
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (F)
Automated Concept:

HEALTH data ;   Encouraging development and use of clinical registries and development of clinical effectiveness research data networks from electronic health records, post marketing drug and medical device surveillance efforts and other forms of electronic

Index of Sec 1401. ...

Health organization: voluntary
Sec 1401. -- Comparative Effectiveness Research.
(A) RELEVANT EXPERT ORGANIZATIONS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (A)
Automated Concept:

HEALTH organization ;   Development of national clinical practice guidelines including voluntary

Index of Sec 1401. ...

Health plans: Federal and private
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1)
Automated Concept:

HEALTH plans and other relevant stakeholders ;   Center providing for dissemination of appropriate findings produced by research supported, conducted or synthesized under section to health care providers, patients, vendors of health information technology focused on clinical decision support, relevant expert organizations and Federal and private

Index of Sec 1401. ...

Health records: electronic
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (F)
Automated Concept:

DRUG and medical device surveillance efforts and other forms of electronic health data ;   Encouraging development and use of clinical registries and development of clinical effectiveness research data networks from electronic health records, post marketing

Index of Sec 1401. ...

Inapproations political
Sec 1401. -- Comparative Effectiveness Research.
(1) ENSURING TRANSPARENCY, CREDIBILITY, AND ACCESS. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (c) (1) (B)
Automated Concept:

INAPPROATIONS political or stakeholder influence ;   Establishment of agenda and conduct of research to be insulated from

Index of Sec 1401. ...

Incorpoations: ease of use of
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1) (E)
Automated Concept:

INCORPOATIONS ;   Assisting users of health information technology focused on clinical decision support to promote timely incorporation of findings into clinical practices and promoting ease of use of

Index of Sec 1401. ...

Incorporation
Incorporation of findings
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1) (E)
Automated Concept:

CLINICAL practices and promoting ease of use of incorpoations ;   Assisting users of health information technology focused on clinical decision support to promote timely incorporation of findings into

Index of Sec 1401. ...

Incorporation: effective communication of
Sec 1401. -- Comparative Effectiveness Research.
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (2)
Automated Concept:

INCORPORATION of findings into relevant activities for purpose of informing higher quality and more effective and efficient decisions regarding medical items and services ;   Center developing protocols and strategies for appropriate dissemination of research findings in order to ensure effective communication of findings and use and

Index of Sec 1401. ...

Information
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (G)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (G)
Automated Concept:

INFORMATION produced from research being clinically relevant to decisions making by clinicians and patients at point of care ;   Evidence gaps in terms of clinical outcomes for specific research inquiry to be examined with respect to priority to ensure that

Index of Sec 1401. ...
(A) OBTAINING OFFICIAL DATA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (3) (A)
Automated Concept:

INFORMATION to Center on agreed upon schedule ;   Head of department or agency furnishing that

Index of Sec 1401. ...
(B) DATA COLLECTION. - paragraph (iii)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (3) (B) (iii)
Automated Concept:

INFORMATION for use by Center in making reports and recommendations ;   Interesting party to submit

Index of Sec 1401. ...
(2) DUTIES. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (F)
Automated Concept:

INFORMATION produced through data being timely and credible ;   Make recommendations to Center for policies allowing for public access of data produced under section when ensuring that

Index of Sec 1401. ...
(2) DUTIES. - paragraph (H)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (H)
Automated Concept:

INFORMATION produced by research being objective ;   Annually reviewing processes of Center and make reports to Congress and President regarding research conducted, supported or synthesized by Center to confirm that

Index of Sec 1401. ...
(9) OBTAINING OFFICIAL DATA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (9)
Automated Concept:

INFORMATION to Commission on agreed upon schedule ;   Head of department or agency furnishing

Index of Sec 1401. ...

Information: appropriate
Sec 1401. -- Comparative Effectiveness Research.
(1) IN GENERAL.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (d) (1)
Automated Concept:

INFORMATION contained in report to be posted on official public Internet site of Center and Commission as applicable ;   Appropriate

Index of Sec 1401. ...

Information: credible research and
Sec 1401. -- Comparative Effectiveness Research.
(1) IN GENERAL.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (1)
Automated Concept:

INFORMATION resulting from research ;   Establishing independent Comparative Effectiveness Research Commission to advise Center and evaluating activities carried out by Center under subsection to ensure activities resulting in highly credible research and

Index of Sec 1401. ...

Information: United States
Sec 1401. -- Comparative Effectiveness Research.
(A) OBTAINING OFFICIAL DATA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (3) (A)
Automated Concept:

INFORMATION necessary to enable to carry out that section ;   Center securing directly from department or agency of United States

Index of Sec 1401. ...
(9) OBTAINING OFFICIAL DATA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (9)
Automated Concept:

INFORMATION necessary to enable Commission to carry out that section ;   Commission securing directly from department or agency of United States

Index of Sec 1401. ...

Information: users of
Sec 1401. -- Comparative Effectiveness Research.
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (2)
Automated Concept:

CONVEYING findings to different audiences including dissemination to individuals with limited English proficiency ;   Center consulting with stakeholders concerning types of dissemination to be useful to end users of information and providing for utilization of multiple formats for

Index of Sec 1401. ...

Information technology
Information technology: users of health
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1) (E)
Automated Concept:

CLINICAL decision support to promote timely incorporation of findings into clinical practices and promoting ease of use of incorpoations ;   Assisting users of health information technology focused on

Index of Sec 1401. ...

Information technology: vendors of health
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1)
Automated Concept:

CLINICAL decision support, relevant expert organizations and Federal and private health plans and other relevant stakeholders ;   Center providing for dissemination of appropriate findings produced by research supported, conducted or synthesized under section to health care providers, patients, vendors of health information technology focused on

Index of Sec 1401. ...

Internal organization and operation of Commission
Sec 1401. -- Comparative Effectiveness Research.
(8) DIRECTOR AND STAFF; EXPERTS AND CONSULTANTS. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (8) (F)
Automated Concept:

INTERNAL organization and operation of Commission ;   Prescribing rules and regulations as deeming necessary with respect to

Index of Sec 1401. ...

Medical items and services
Sec 1401. -- Comparative Effectiveness Research.
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (2)
Automated Concept:

MEDICAL items and services ;   Center developing protocols and strategies for appropriate dissemination of research findings in order to ensure effective communication of findings and use and incorporation of findings into relevant activities for purpose of informing higher quality and more effective and efficient decisions regarding

Index of Sec 1401. ...

Medicine
Medicine: field of
Sec 1401. -- Comparative Effectiveness Research.
(A) RELEVANT EXPERT ORGANIZATIONS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (A)
Automated Concept:

MEDICINE ;   Clinical specialty or other professional organization representing physicians based on field of

Index of Sec 1401. ...

Medicine: practice of
Sec 1401. -- Comparative Effectiveness Research.
(3) PROTECTING THE PHYSICIAN-PATIENT RELATIONSHIP.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (h) (3)
Automated Concept:

MEDICINE ;   Nothing in section to be construed to authorize Federal officer or employee to exercise supervision or control over practice of

Index of Sec 1401. ...

Nonvoting: two
Sec 1401. -- Comparative Effectiveness Research.
(II) PROHIBITION ON VOTING STATUS ON CLINICAL PERSPECTIVE ADVISORY PANELS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (iv) (II)
Automated Concept:

CLINICAL perspective advisory panel receiving waiver ;   No more than two nonvoting members of

Index of Sec 1401. ...

Payments: other
Sec 1401. -- Comparative Effectiveness Research.
(8) DIRECTOR AND STAFF; EXPERTS AND CONSULTANTS. - paragraph (D)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (8) (D)
Automated Concept:

PAYMENTS relating to work of Commission ;   Make advance, progress and other

Index of Sec 1401. ...

Periodic reviews
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (G)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (G)
Automated Concept:

COMPARATIVE effectiveness research and studies conducted by Center under subsection ;   Make recommendations to Center for priority for periodic reviews of previous

Index of Sec 1401. ...

Privacy of research
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION. - paragraph (D)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (1) (D)
Automated Concept:

CONFIDENTIALITY agreements making with respect to use of data under section ;   Dissemination of which violating privacy of research participants or violating

Index of Sec 1401. ...

Production
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (B)
Automated Concept:

COMPARATIVE effectiveness research recommended to be national priority under subparagraph ;   Monitoring appropriateness of use of CERTF described in subsection with respect to timely production of

Index of Sec 1401. ...

Professional organization
Sec 1401. -- Comparative Effectiveness Research.
(A) RELEVANT EXPERT ORGANIZATIONS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (A)
Automated Concept:

MEDICINE ;   Clinical specialty or other professional organization representing physicians based on field of

Index of Sec 1401. ...

Proficiency: limited English
Sec 1401. -- Comparative Effectiveness Research.
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (e) (2)
Automated Concept:

PROFICIENCY ;   Center consulting with stakeholders concerning types of dissemination to be useful to end users of information and providing for utilization of multiple formats for conveying findings to different audiences including dissemination to individuals with limited English

Index of Sec 1401. ...

Public access of data
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (F)
Automated Concept:

INFORMATION produced through data being timely and credible ;   Make recommendations to Center for policies allowing for public access of data produced under section when ensuring that

Index of Sec 1401. ...

Public comment
Sec 1401. -- Comparative Effectiveness Research.
(1) ENSURING TRANSPARENCY, CREDIBILITY, AND ACCESS. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (c) (1) (F)
Automated Concept:

PUBLIC comment on methods and findings of research ;   Center providing opportunities for stakeholders involved to review and provide

Index of Sec 1401. ...

Public Internet site of Center and Commission
Sec 1401. -- Comparative Effectiveness Research.
(1) IN GENERAL.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (d) (1)
Automated Concept:

PUBLIC Internet site of Center and Commission as applicable ;   Appropriate information contained in report to be posted on official

Index of Sec 1401. ...

Public internet website of Commission
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (J)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (J)
Automated Concept:

PUBLIC internet website of Commission after date of transmittal ;   Reports to be published on

Index of Sec 1401. ...

Pursuant
Sec 1401. -- Comparative Effectiveness Research.
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (B)
Automated Concept:

APPOINTMENT ;   Comptroller General or Secretary reviewing expertise of individual and financial disclosure report filed by individual pursuant to Ethics in Government Act of 1978 for individual under consideations for

Index of Sec 1401. ...

Specific clinical circumstances
Sec 1401. -- Comparative Effectiveness Research.
(B) STANDARDS AND PROTOCOLS OF CLINICAL EXCELLENCE.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (i) (3) (B)
Automated Concept:

CLINICAL excellence meaning clinical or practice guidelines consisting of set of directions or principles based on evidence and designed to assist health care practitioner with decisions about appropriate diagnostic, therapeutic or other clinical procedures for specific clinical circumstances ;   Term standards and protocols of

Index of Sec 1401. ...

Specific research inquiry
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (G)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (G)
Automated Concept:

INFORMATION produced from research being clinically relevant to decisions making by clinicians and patients at point of care ;   Evidence gaps in terms of clinical outcomes for specific research inquiry to be examined with respect to priority to ensure that

Index of Sec 1401. ...

Surveillance efforts: medical device
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (F)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (a) (2) (F)
Automated Concept:

HEALTH data ;   Encouraging development and use of clinical registries and development of clinical effectiveness research data networks from electronic health records, post marketing drug and medical device surveillance efforts and other forms of electronic

Index of Sec 1401. ...

Title
Sec 1401. -- Comparative Effectiveness Research.
(1) COVERAGE. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (h) (1) (B)
Automated Concept:

TITLE with respect to beneficiary ;   Benefits under title XVIII, XIX or XXI in case where individual participating in clinical trial and costs otherwise to be covered under

Index of Sec 1401. ...

Title 18
Title 18: section 208(a) of
Sec 1401. -- Comparative Effectiveness Research.
(D) FINANCIAL INTEREST DEFINED.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (D)
Automated Concept:

TITLE 18, United States coding ;   Term financial interest meaning financial interest under section 208(a) of

Index of Sec 1401. ...

Title 18: section 208(b) of
Sec 1401. -- Comparative Effectiveness Research.
(i) DISCLOSURE OF FINANCIAL INTEREST.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (i)
Automated Concept:

TITLE 18, United States Code or other interests as deemed relevant by Secretary ;   Financial interests in accordance with requiring waiver under section 208(b) of

Index of Sec 1401. ...

Title 18: section 208(b)(1) of
Sec 1401. -- Comparative Effectiveness Research.
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (B)
Automated Concept:

TITLE 18 ;   Later requiring written determination as referred in section 208(b)(1) of

Index of Sec 1401. ...

Title 18: section 208(b)(3) of
Sec 1401. -- Comparative Effectiveness Research.
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (B)
Automated Concept:

TITLE 18, United States Code or waiver as referred in subparagraph for service on Commission at meeting of Commission ;   Written certification as referred in section 208(b)(3) of

Index of Sec 1401. ...

Title XI
Sec 1401. -- Comparative Effectiveness Research.
(a) IN GENERAL.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a)
Automated Concept:

TITLE XI of Social Security Act amended by adding at end following new part  ;  

Index of Sec 1401. ...

Title XVIII
Sec 1401. -- Comparative Effectiveness Research.
(1) COVERAGE. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (h) (1) (B)
Automated Concept:

CLINICAL trial and costs otherwise to be covered under title with respect to beneficiary ;   Benefits under title XVIII, XIX or XXI in case where individual participating in

Index of Sec 1401. ...

Transmittal
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (J)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (J)
Automated Concept:

TRANSMITTAL to Congress and President ;   Reports under subparagraph not to be submitted to Office of Management and Budget or other Federal agency or executive department for purpose prior to

Index of Sec 1401. ...

Transmittal: date of
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (J)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (J)
Automated Concept:

TRANSMITTAL ;   Reports to be published on public internet website of Commission after date of

Index of Sec 1401. ...

Transparent process
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (H)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (2) (H)
Automated Concept:

TRANSPARENT process including consultations with appropriate stakeholders ;   Consistent with standards of evidence developed under section and developed through

Index of Sec 1401. ...

Transportation and subsistence
Sec 1401. -- Comparative Effectiveness Research.
(8) DIRECTOR AND STAFF; EXPERTS AND CONSULTANTS. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (8) (E)
Automated Concept:

COMPENSATION ;   Providing transportation and subsistence for persons serving without

Index of Sec 1401. ...

Voting
Sec 1401. -- Comparative Effectiveness Research.
(iii) WAIVER. - paragraph (I)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: SEC 1181. (b) (12) (C) (iii) (I)
Automated Concept:

CLINICAL perspective advisory panel ;   Participating as non-voting member with respect to particular matter considered in meeting of Commission or

Index of Sec 1401. ...


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111th CONGRESS
1st Session


    To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.


IN THE HOUSE OF REPRESENTATIVES

July 14, 2009

    Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned


A BILL

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SEC. 1401. Comparative effectiveness research.

(a) In general.—Title XI of the Social Security Act is amended by adding at the end the following new part:

“Part DComparative Effectiveness Research

    Comparative effectiveness research

“Sec. 1181. (a) Center for comparative effectiveness research established.—

“(1) IN GENERAL.—The Secretary shall establish within the Agency for Healthcare Research and Quality a Center for Comparative Effectiveness Research (in this section referred to as the ‘Center’) to conduct, support, and synthesize research (including research conducted or supported under section 1013 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003) with respect to the outcomes, effectiveness, and appropriateness of health care services and procedures in order to identify the manner in which diseases, disorders, and other health conditions can most effectively and appropriately be prevented, diagnosed, treated, and managed clinically.

“(2) DUTIES.—The Center shall—

“(A) conduct, support, and synthesize research relevant to the comparative effectiveness of the full spectrum of health care items, services and systems, including pharmaceuticals, medical devices, medical and surgical procedures, and other medical interventions;

“(B) conduct and support systematic reviews of clinical research, including original research conducted subsequent to the date of the enactment of this section;

“(C) continuously develop rigorous scientific methodologies for conducting comparative effectiveness studies, and use such methodologies appropriately;

“(D) submit to the Comparative Effectiveness Research Commission, the Secretary, and Congress appropriate relevant reports described in subsection (d)(2);

“(E) not later than one year after the date of the enactment of this section, enter into an arrangement under which the Institute of Medicine of the National Academy of Sciences shall conduct an evaluation and report on standards of evidence for highly credible research;

“(F) encourage, as appropriate, the development and use of clinical registries and the development of clinical effectiveness research data networks from electronic health records, post marketing drug and medical device surveillance efforts, and other forms of electronic health data; and

“(G) appoint clinical perspective advisory panels for research priorities under this section, which shall consult with patients and other stakeholders and advise the Center on research questions, methods, and evidence gaps in terms of clinical outcomes for the specific research inquiry to be examined with respect to such priority to ensure that the information produced from such research is clinically relevant to decisions made by clinicians and patients at the point of care.

“(3) POWERS.—

“(A) OBTAINING OFFICIAL DATA.—The Center may secure directly from any department or agency of the United States information necessary to enable it to carry out this section. Upon request of the Center, the head of such department or agency shall furnish that information to the Center on an agreed upon schedule.

“(B) DATA COLLECTION.—In order to carry out its functions, the Center shall—

“(i) utilize existing information, both published and unpublished, where possible, collected and assessed either by its own staff or under other arrangements made in accordance with this section;

“(ii) carry out, or award grants or contracts for, original research and experimentation, where existing information is inadequate; and

“(iii) adopt procedures allowing any interested party to submit information for the use by the Center in making reports and recommendations.

In carrying out clause (ii), the Center may award grants or contracts (or provide for intergovernmental transfers, as applicable) to private entities and governmental agencies with experience in conducting comparative effectiveness research, such as the National Institutes of Health and other relevant Federal health agencies.

“(C) ACCESS OF GAO TO INFORMATION.—The Comptroller General shall have unrestricted access to all deliberations, records, and nonproprietary data of the Center and Commission under subsection (b), immediately upon request.

“(D) PERIODIC AUDIT.—The Center and Commission under subsection (b) shall be subject to periodic audit by the Comptroller General.

(b) Comparative Effectiveness Research Trust Fund; financing for the trust fund.—For the provision establishing a Comparative Effectiveness Research Trust Fund and financing such Trust Fund, see section 1802.


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