The national coverage determination process must be used
Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6221, Sec. 6221.
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The national coverage determination process must be used
The document says “shall”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 6221 in the PDF
What the document says
“In making determinations under paragraph (1)(C) regarding the coverage of a new test, the Secretary shall use the process for making national coverage determinations (as defined in section 1869(f)(1)(B)) under this title.”
The new subsection requires the Secretary to use the national coverage determination process, as defined in section 1869(f)(1)(B) of the Social Security Act, when deciding whether a new test is reasonable and necessary and appropriate.
What the document actually says
“In making determinations under paragraph (1)(C) regarding the coverage of a new test, the Secretary shall use the process for making national coverage determinations (as defined in section 1869(f)(1)(B)) under this title.”
That sentence, in plain words
When the health chief decides on a new test, one set process must be used. It is the one for national coverage rulings.
What this is about
That process has set steps, open comment and a written ruling. It applies across the whole country. It is slower than a one-off call.
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Consolidated Appropriations Act, 2026, Public Law 119-75, sec. 6221, 140 Stat. 661 (2026). https://www.govinfo.gov/content/pkg/PLAW-119publ75/html/PLAW-119publ75.htm
This page
“The national coverage determination process must be used,” Consolidated Appropriations Act, 2026, section 6221, Sec. 6221. Read the Mandate, https://readthemandate.org/consolidated-appropriations-act-2026/proposal/sec6221-ncd-process/ (retrieved October 10, 2026).
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