(3) EFFECTIVE DATE OF SECRETARIAL DETER-
MINATION.—A determination by the Secretary with 
respect to a coding or payment determination for an 
included test shall become effective as of the first 
day of the calendar quarter following the calendar 
quarter in which the determination is made. 
(4) PERIODIC
LOOK-BACKS
OF
INTERVAL
OR 
BAND ASSIGNMENTS.—At the request of the inter-
ested party that submitted the initial request for a 
test to be included in the demonstration or of a 
member of the standing panel, the standing panel 
may review the appropriateness of the payment in-
terval or band to which the test is assigned and 
make a recommendation to the Secretary that the 
assignment be changed. The Secretary may accept 
or reject such recommendation, and if the rec-
ommendation is rejected, the Secretary shall provide 
a detailed explanation of the reasons for such rejec-
tion. 
(5) PUBLICATION OF DETERMINATIONS.—The 
Secretary shall publish determinations under this 
subsection in a timely manner on an appropriate 
internet site. 
(h) REPORTS TO CONGRESS.— 
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(1) IN GENERAL.—The Secretary shall submit 
interim and final reports on the demonstration to 
the Committees on Ways and Means and Energy 
and Commerce of the House of Representatives and 
the Committee on Finance of the Senate. The in-
terim report shall be submitted not later than the 
close of the second year of the demonstration, and 
the final report shall be submitted not later than 
180 days after the close of the demonstration. 
(2) CONTENT OF REPORTS.—The reports sub-
mitted under paragraph (1) shall include interim 
and final— 
(A) determinations on whether coding and 
payment assignments under the demonstration 
provide for— 
(i) more equitable and accurate pay-
ment for included tests; and 
(ii) reduced administrative complexity, 
improved efficiency, and improved access 
to care; and 
(B) recommendations on— 
(i) whether the alternative mechanism 
for determining payment and coding for in-
cluded tests should be continued for such 
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tests beyond the 12-calendar-quarter pe-
riod the demonstration is in effect; and 
(ii) whether the application of such 
mechanism should be expanded to include 
other new clinical diagnostic laboratory 
tests for which payment would otherwise 
be made under the fee schedules and limits 
established under section 1833(h) of the 
Social Security Act (42 U.S.C. 1395l(h)). 
(3) COMMENTS
BY
STANDING
PANEL.—The 
standing panel shall submit comments to the com-
mittees referred to in paragraph (1) on the interim 
and final reports of the Secretary. 
(i) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated for each of fiscal years 
2008 through 2013, such sums as may be necessary to 
carry out this section. 
Æ 
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