Page:United States Statutes at Large Volume 106 Part 3.djvu/305

 PUBLIC LAW 102-410—OCT. 13, 1992 106 STAT. 2099 (i) by inserting after the subsection designation the following sentence: The Administrator shall select the chairpersons and the members of the panels convened as well as other participants in the guideline process under this section."; and (ii) by adding at the end the following sentences: "In making such selections, the Administrator shall ensiu'e that a balance is maintained between individuals selected from academic settings and individuals selected without full-time academic appointments. At least two other members of such panels shall be individuals who do not derive their primary source of revenue directly from the performance of procedures discussed in the guideline. The Administrator shall ensure that at least one participant in the guideline process shall have expertise in epidemiology as well as familiarity with the clinical condition or treatment in question. The Administrator shall also ensure that at least one participant in the guideline process shall have expertise in health services research or health economics as well as familiarity with the clinical condition or treatment in question.". (B) The amendments made by subparagraph (A) shall apply only with respect to panels convened under section 913 of the Public Health Service Act on or after the date of enactment of this Act. (2) STUDY OF PROCESS.— (A) The Administrator for Health Care Policy and Research shall conduct or support a study to evaluate the process described in section 913 of the Public Health Service Act for the development of guidelines, standards, and review criteria. The evaluation shall address— (i) the optimal methods for setting priorities for guideline topics; (ii) the different methods for generating guidelines, comparing the cost of producing the Adelines and the validity and utility of the guidelmes produced; and (iii) the methods for assessing the quality of practice guidelines, including an evaluation of the validity, reliability, and impact oi the guidelines. (B) Not later than June 1, 1995, the Administrator for Health Care Policy and Research shall submit to the Committee on Energy and Commerce of the House of Representatives, and to the Committee on Labor and Human Resources of the Senate, a report concerning the study conducted under subparagraph (A). SEC. 6. PREVENTION. (a) PROGRAM AGENDA. —Section 914(a)(2)(A) (42 U.S.C. 299b- 3(a)(2)(A)) is amended— (1) by striking clause (i); (2) by redesignating clauses (ii) and (iii) as clauses (iii) and (iv), respectively; and (3) by inserting before clause (iii) (as so redesignated) the following clauses: "(i) to improve methods for disease prevention; 42 USC 299b-2 note. 42 USC 299b-2 note. Reports.

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