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51 U.S.C. § 20149 — Medical monitoring and research relating to human space flight
Federal law — U.S. Code and appendices · legal_authorities
**(a) In General.—** Notwithstanding any other provision of law, the Administrator may provide for—
(1) the medical monitoring and diagnosis of a former United States government astronaut or a former payload specialist for conditions that the Administrator considers potentially associated with human space flight; and
(2) the treatment of a former United States government astronaut or a former payload specialist for conditions that the Administrator considers associated with human space flight, including scientific and medical tests for psychological and medical conditions.
**(b) Requirements.—**
(1) **No cost sharing.—** — The medical monitoring, diagnosis, or treatment described in subsection (a) shall be provided without any deductible, copayment, or other cost sharing obligation.
(2) **Access to local services.—** — The medical monitoring, diagnosis, and treatment described in subsection (a) may be provided by a local health care provider if it is unadvisable due to the health of the applicable former United States government astronaut or former payload specialist for that former United States government astronaut or former payload specialist to travel to the Lyndon B. Johnson Space Center, as determined by the Administrator.
(3) **Secondary payment.—** — Payment or reimbursement for the medical monitoring, diagnosis, or treatment described in subsection (a) shall be secondary to any obligation of the United States Government or any third party under any other provision of law or contractual agreement to pay for or provide such medical monitoring, diagnosis, or treatment. Any costs for items and services that may be provided by the Administrator for medical monitoring, diagnosis, or treatment under subsection (a) that are not paid for or provided under such oth
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Source location: Title 51, Chapter 201, § 20149; chapter-201-national-aeronautics-and-space-program.md
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**(a) In General.—** Notwithstanding any other provision of law, the Administrator may provide for—
(1) the medical monitoring and diagnosis of a former United States government astronaut or a former payload specialist for conditions that the Administrator considers potentially associated with human space flight; and
(2) the treatment of a former United States government astronaut or a former payload specialist for conditions that the Administrator considers associated with human space flight, including scientific and medical tests for psychological and medical conditions.
**(b) Requirements.—**
(1) **No cost sharing.—** — The medical monitoring, diagnosis, or treatment described in subsection (a) shall be provided without any deductible, copayment, or other cost sharing obligation.
(2) **Access to local services.—** — The medical monitoring, diagnosis, and treatment described in subsection (a) may be provided by a local health care provider if it is unadvisable due to the health of the applicable former United States government astronaut or former payload specialist for that former United States government astronaut or former payload specialist to travel to the Lyndon B. Johnson Space Center, as determined by the Administrator.
(3) **Secondary payment.—** — Payment or reimbursement for the medical monitoring, diagnosis, or treatment described in subsection (a) shall be secondary to any obligation of the United States Government or any third party under any other provision of law or contractual agreement to pay for or provide such medical monitoring, diagnosis, or treatment. Any costs for items and services that may be provided by the Administrator for medical monitoring, diagnosis, or treatment under subsection (a) that are not paid for or provided under such other provision of law or contractual agreement, due to the application of deductibles, copayments, coinsurance, other cost sharing, or otherwise, are reimbursable by the Administrator on behalf of the former United States government astronaut or former payload specialist involved to the extent such items or services are authorized to be provided by the Administrator for such medical monitoring, diagnosis, or treatment under subsection (a).
(4) **Conditional payment.—** — The Administrator may provide for conditional payments for or provide medical monitoring, diagnosis, or treatment described in subsection (a) that is obligated to be paid for or provided by the United States or any third party under any other provision of law or contractual agreement to pay for or provide such medical monitoring, diagnosis, or treatment if—
(A) payment for (or the provision of) such medical monitoring, diagnosis, or treatment services has not been made (or provided) or cannot reasonably be expected to be made (or provided) promptly by the United States or such third party, respectively; and
(B) such payment (or such provision of services) by the Administrator is conditioned on reimbursement by the United States or such third party, respectively, for such medical monitoring, diagnosis, or treatment.
**(c) Exclusions.—** The Administrator may not—
(1) provide for medical monitoring or diagnosis of a former United States government astronaut or former payload specialist under subsection (a) for any psychological or medical condition that is not potentially associated with human space flight;
(2) provide for treatment of a former United States government astronaut or former payload specialist under subsection (a) for any psychological or medical condition that is not associated with human space flight; or
(3) require a former United States government astronaut or former payload specialist to participate in the medical monitoring, diagnosis, or treatment authorized under subsection (a).
**(d) Privacy.—** Consistent with applicable provisions of Federal law relating to privacy, the Administrator shall protect the privacy of all medical records generated under subsection (a) and accessible to the Administration.
**(e) Regulations.—** The Administrator shall promulgate such regulations as are necessary to carry out this section.
**(f) Definition of United States Government Astronaut.—** In this section, the term “United States government astronaut” has the meaning given the term “government astronaut” in section 50902, except it does not include an individual who is an international partner astronaut.
**(g) Data Use and Disclosure.—** The Administrator may use or disclose data acquired in the course of medical monitoring, diagnosis, or treatment of a former United States government astronaut or a former payload specialist under subsection (a), in accordance with subsection (d). Former United States government astronaut or former payload specialist participation in medical monitoring, diagnosis, or treatment under subsection (a) shall constitute consent for the Administrator to use or disclose such data.
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Federal law — U.S. Code and appendices · legal_authorities
**(a)** On or after the first Monday in January but not later than the first Monday in February of each year, the President shall submit a budget of the United States Government for the following fiscal year. Each budget shall include a budget message and summary and supporting information. The President shall include in each budget the following:
(1) information on activities and functions of the Government.
(2) when practicable, information on costs and achievements of Government programs.
(3) other desirable classifications of information.
(4) a reconciliation of the summary information on expenditures with proposed appropriations.
(5) except as provided in subsection (b) of this section, estimated expenditures and proposed appropriations the President decides are necessary to support the Government in the fiscal year for which the budget is submitted and the 4 fiscal years after that year.
(6) estimated receipts of the Government in the fiscal year for which the budget is submitted and the 4 fiscal years after that year under—
(A) laws in effect when the budget is submitted; and
(B) proposals in the budget to increase revenues.
(7) appropriations, expenditures, and receipts of the Government in the prior fiscal year.
(8) estimated expenditures and receipts, and appropriations and proposed appropriations, of the Government for the current fiscal year.
(9) balanced statements of the—
(A) condition of the Treasury at the end of the prior fiscal year;
(B) estimated condition of the Treasury at the end of the current fiscal year; and
(C) estimated condition of the Treasury at the end of the fiscal year for which the budget is submitted if financial proposals in the budget are adopted.
(10) essential information about the debt of the Government.
Source: Supplied U.S. Code snapshot — release unconfirmed · 31 U.S.C. § 1105
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Federal law — U.S. Code and appendices · legal_authorities
In this title:
(1) **Administration.—** — The term “Administration” means the National Aeronautics and Space Administration.
(2) **Administrator.—** — The term “Administrator” means the Administrator of the National Aeronautics and Space Administration.
Source: Supplied U.S. Code snapshot — release unconfirmed · 51 U.S.C. § 10101
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Federal law — U.S. Code and appendices · legal_authorities
Page 45
TITLE 51—NATIONAL AND COMMERCIAL SPACE PROGRAMS
§ 20149
in third persons that would not otherwise
exist by law.
(2) OTHER AUTHORITY.—Nothing in this sec-
tion may be construed as prohibiting the Ad-
ministrator from indemnifying a provider or
any other NASA contractor under other law,
including under Public Law 85–804 (50 U.S.C.
1431 et seq.).
(3) ANTI-DEFICIENCY
ACT.—Notwithstanding
any other provision of this section—
(A) all obligations under this section are
subject to the availability of funds; and
(B) nothing in this section may be con-
strued to require obligation or payment of
funds in violation of sections 1341, 1342, 1349
through 1351, and 1511 through 1519 of title
31, United States Code (commonly referred
to as the ‘‘Anti-Deficiency Act’’).
(j) RELATIONSHIP TO OTHER LAWS.—The Admin-
istrator may not provide indemnification under
this section for an activity that requires a li-
cense or permit under chapter 509.
(k) DEFINITIONS.—In this section:
(1)
GOVERNMENT
ASTRONAUT.—The
term
‘‘government astronaut’’ has the meaning
given the term in section 50902.
(2) LAUNCH
SERVICES.—The term ‘‘launch
services’’ has the meaning given the term in
section 50902.
(3) PROVIDER.—The term ‘‘provider’’ means a
person that provides domestic launch services
or domestic reentry services to the Govern-
ment.
(4) REENTRY
SERVICES.—The term ‘‘reentry
services’’ has the meaning given the term in
section 50902.
(5) RELATED ENTITY.—The term ‘‘related en-
tity’’ means a contractor or subcontractor.
(6) THIRD
PARTY.—The term ‘‘third party’’
means a person except—
(A) the United States Government;
(B) related entities of the Government in-
volved in launch services or reentry services;
(C) a provider;
(D) related entities of the provider in-
volv
Source: Supplied 2024 U.S. Code historical extraction · 51 U.S.C. § 20149
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