42 CFR §426.505
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)The Board conducts a fair and impartial hearing, avoids unnecessary delay, maintains order, and ensures that all proceedings are recorded.
- (b)The Board defers only to reasonable findings of fact, reasonable interpretations of law, and reasonable applications of fact to law by the Secretary.
- (c)The Board has the authority to do any of the following:
- (1)Review complaints by an aggrieved party (or aggrieved parties).
- (2)Dismiss complaints that fail to comply with § 426.500.
- (3)Set and change the date, time, and place of a hearing upon reasonable notice to the parties.
- (4)Continue or recess a hearing for a reasonable period of time.
- (5)Hold conferences to identify or simplify the issues, or to consider other matters that may aid in the expeditious disposition of the proceeding.
- (6)Consult with scientific and clinical experts on its own motion, concerning clinical or scientific evidence.
- (7)Set schedules for submission of exhibits and written reports of experts.
- (8)Administer oaths and affirmations.
- (9)Examine witnesses.
- (10)Issue subpoenas requiring the attendance of witnesses at hearings as permitted by this part.
- (11)Issue subpoenas requiring the production of existing documents before, and relating to, the hearing as permitted by this part.
- (12)Rule on motions and other procedural matters.
- (13)Stay the proceeding in accordance with § 426.340.
- (14)Regulate the scope and timing of documentary discovery as permitted by this part.
- (15)Regulate the course of a hearing and the conduct of representatives, parties, and witnesses.
- (16)Receive, rule on, exclude, or limit evidence, as provided in this regulation.
- (17)Take official notice of facts, upon motion of a party.
- (18)Decide cases, upon the motion of a party, by summary judgment when there is no disputed issue of material fact.
- (19)Conduct any conference, argument, or hearing in person or, upon agreement of the parties, by telephone, picture-tel, or any other means.
- (20)Issue decisions.
- (21)Exclude a party from an NCD review for failure to comply with a Board order or procedural request without good cause.
- (22)Stay the proceedings for a reasonable time when all parties voluntarily agree to mediation or negotiation, and provide mediation services upon request.
- (d)The Board does not have authority to do any of the following under this part:
- (1)Conduct an LCD review or conduct LCD hearings, except as provided by § 426.465.
- (2)Conduct an NCD review or conduct NCD hearings on its own motion or on the motion of a nonaggrieved party.
- (3)Issue a decision based on any new evidence without following § 426.340, regarding procedures for review of new evidence.
- (4)Review any decisions by CMS to develop a new or revised NCD.
- (5)Conduct a review of any draft NCDs, coverage decision memoranda, or withdrawn NCDs.
- (6)Conduct a review of the merits of an unacceptable NCD complaint as discussed in § 426.510.
- (7)Conduct an NCD review of any policy that is not an NCD, as defined in § 400.202 of this chapter.
- (8)Allow participation by individuals or entities other than—
- (i)The aggrieved party and/or his or her representative;
- (ii)CMS and/or the contractor;
- (iii)Experts called by the parties or Board; or
- (iv)Third parties with a clearly identifiable and substantial interest in the outcome of the dispute who have petitioned for and been granted permission by the Board to participate in the proceedings as amicus curiae.
- (9)Compel the parties to participate in a mediation process or to engage in settlement negotiations.
- (10)Deny a request for withdrawal of a complaint by an aggrieved party.
- (11)Compel CMS to conduct studies, surveys, or develop new information to support an NCD record.
- (12)Deny CMS the right to reconsider, revise, or withdraw an NCD.
- (13)Subject to the timely filing requirements, deny an aggrieved party, CMS, or its contractor the right to appeal an ALJ decision.
- (14)Find invalid applicable Federal statutes, regulations, or rulings.
- (15)Enter a decision specifying terms to be included in an NCD.