Page:United States Statutes at Large Volume 106 Part 3.djvu/306

 106 STAT. 2100 PUBLIC LAW 102-410—OCT. 13, 1992 "(ii) to improve methods of diagnosis, treatment, and clinical management for the benefit of a significant number of individuals;"; and (b) DUTIES.— Section 912 (42 U.S.C. 299b-l) is amended by adding at the end the following subsection: "(f) DEVELOPMENT OF CERTAIN GUIDELINES AND STANDARDS. — Not later than January 1, 1996, the Administrator shall ensure that a set of guidelines, standards, performance measures, and review criteria, are developed under subsection (a)(1) that address the prevention of not fewer than three conditions that account for significant national health expenditures. In carrying out this subsection the Administrator shall consult with the United States Preventive Services Task Force and other recognized experts in the field of disease prevention.". SEC. 7. ADDITIONAL REQUIREMENTS. Section 914 (42 U.S.C. 299b-3) is amended— (1) in subsection (a)(2), by adding at the end the following subparagraph: "(C) The Administrator shall develop and publish a methodology for establishing priorities for guideline topics. Such methodology may include the considerations described in section 904(c)(2) or 914(a)(2), and other considerations Federal determined by the Administrator to be appropriate. Using ^u^^*T ^^^^ methodology, the Administrator shall establish and pu ica ion. publish annually in the Federal Register a list of guideline topics under consideration."; and (2) in subsection (e), by adding at the end the following sentence: "Evaluations shall be developed prior to the completion and release of the guideline, so that baseline data concerning practice patterns and health care costs may be obtained as part of the evaluation.". SEC. 8. ADVISORY COUNCIL. Section 921 (42 U.S.C. 299c) is amended— (1) by striking subsection (d); (2) by redesignating subsections (e) through (k) as subsections (d) through (j), respectively; and (3) in subsection (e) (as so redesignated), by striking "subsection (e)" and inserting "subsection (d)". SEC. 9. FINANCIAL CONFLICTS OF INTEREST. Section 924 (42 U.S.C. 299c-3) is amended— (1) by redesignating subsections (a) through (c) as subsections (b) through (d), respectively; and (2) by inserting before subsection (b) (as so redesignated) the following subsection: "(a) FINANCIAL CONFLICTS OF INTEREST. —With respect to projects for which awards of grants, cooperative agreements, or contracts are authorized to be made under this title, the Administrator shall by regulation define— "(1) the specific circumstances that constitute financial interests in such projects that will, or may be reasonably expected to, create a bias in favor of obtaining results in the projects that are consistent with such interests; and "(2) the actions that will be taken by the Administrator in response to any such interests identified by the Administrator.".

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