Page:United States Statutes at Large Volume 106 Part 3.djvu/301

 PUBLIC LAW 102-410—OCT. 13, 1992 106 STAT. 2095 lines and technology assessments in the information center database. "(3) INTERAGENCY AGREEMENT.— The Administrator shall enter into an agreement providing for the implementation of paragraph (1) with the Director of the National Library of Medicine.". SEC. 4. HEALTH CARE TECHNOLOGY ASSESSMENT. (a) IN GENERAL.—Section 904 (42 U.S.C. 299a-2) is amended— (1) in subsection (a)— (A) by striking "and" at the end of paragraph (4); (B) by striking the period at the end of paragraph (5) and inserting "; and"; and (C) by adding at the end the following paragraph: "(6) by conducting assessments and reassessments of existing and new health care technologies."; (2) in subsection (b)(2)— (A) by striking "cost-effectiveness,"; and (B) by adding at the end the following sentence: "In carrying out such paragraph, the Administrator shall also consider the cost effectiveness of such technologies where cost information is available and reliable."; and (3) in subsection (c) to read as follows: " (c) AGENDA AND PRIORITIES.— "(1) ESTABLISHMENT OF PRIORITIES. —In accordance with paragraph (2), the Administrator, in consultation with the Advisory Council established under section 921, shall establish an annual list of technology assessments under consideration by the Agency, including those assessments performed at the request of the Health Care Financing Administration and the Department of Defense and those assessments performed under subsections (d) and (f). "(2) PUBLIC NOTICE. — The Administrator, in consultation Federal with the Advisory Council, shall publish the list established ^^sister, in paragraph (1) annually in the Federal Register."; publication. (4) in subsection (d), to read as follows: "(d) CONDUCT OF ASSESSMENTS.— "(1) IN GENERAL.— The Administrator may conduct technology assessments in addition to those assessments performed at the request of the Administrator of the Health Care Financing Administration or of the Secretary of Defense. "(2) CRITERIA. — The Administrator shall develop criteria for determining the priority of assessments performed under this subsection. Such criteria shall include— "(A) the prevalence of the health condition for which the technology aims to prevent, diagnose, treat and clinically manage; "(B) variations in current practice; "(C) the economic burden posed by the prevention, diagnosis, treatment, and clinical management of the health condition, including the impact on publicly-funded programs; "(D) aggregate cost of the use of technology; "(E) the morbidity and mortality associated with the health condition; and

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