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LegalText 38 U.S.C. § 5109 Independent medical opinions us united_states_code code_section 38 VETERANS BENEFITS 51 CLAIMS, EFFECTIVE DATES, AND PAYMENTS 5109 38 U.S.C. § 5109 current 119-100 2026-06-26 official https://uscode.house.gov/download/releasepoints/us/pl/119/100/xml_usc38@119-100.zip /us/usc/t38/s5109 data/legal/raw/us/code/title-38/usc38.xml 80c0dd69805d013a1c122b78a81eab401a4144d3abdd3618545bf40e8862161f 372998691b72ade88787dfa7633dbda4954bd1b037ec7926c5e06e9b1d17fc66 bb7f49f47e5f3be58bf20aeb16024421f6325e400d706b2056084774bef09e6d 2026-07-04 official
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38 U.S.C. § 5109 - Independent medical opinions

Text

(a) When, in the judgment of the Secretary, expert medical opinion, in addition to that available within the Department, is warranted by the medical complexity or controversy involved in a case being considered by the Department, the Secretary may secure an advisory medical opinion from one or more independent medical experts who are not employees of the Department.

(b) The Secretary shall make necessary arrangements with recognized medical schools, universities, or clinics to furnish such advisory medical opinions. Any such arrangement shall provide that the actual selection of the expert or experts to give the advisory opinion in an individual case shall be made by an appropriate official of such institution.

(c) The Secretary shall furnish a claimant with notice that an advisory medical opinion has been requested under this section with respect to the claimants case and shall furnish the claimant with a copy of such opinion when it is received by the Secretary.

(d) (1) The Board of Veterans Appeals shall remand a claim to direct the agency of original jurisdiction to obtain an advisory medical opinion from an independent medical expert under this section if the Board finds that the Veterans Benefits Administration should have exercised its discretion to obtain such an opinion.

(2) The Boards remand instructions shall include the questions to be posed to the independent medical expert providing the advisory medical opinion.

(Added Pub. L. 100687, div. A, title I, § 103(a)(1), Nov. 18, 1988, 102 Stat. 4107, § 3009; renumbered § 5109, Pub. L. 10240, title IV, § 402(b)(1), May 7, 1991, 105 Stat. 238; amended Pub. L. 10283, § 4(a)(3), (4), (b)(1), (2)(E), Aug. 6, 1991, 105 Stat. 404, 405; Pub. L. 11555, § 2(j), Aug. 23, 2017, 131 Stat. 1109.)

Notes

Editorial Notes

Amendments2017—Subsec. (d). Pub. L. 11555 added subsec. (d). 1991—Pub. L. 10240 renumbered section 3009 of this title as this section. Subsec. (a). Pub. L. 10283, § 4(b)(1), (2)(E), substituted “Secretary” for “Administrator” in two places. Pub. L. 10283, § 4(a)(3), (4), substituted “Department” for “Veterans Administration” wherever appearing. Subsecs. (b), (c). Pub. L. 10283, § 4(b)(1), (2)(E), substituted “Secretary” for “Administrator” wherever appearing.

Statutory Notes and Related Subsidiaries

Effective Date of 2017 AmendmentAmendment by Pub. L. 11555 applicable to all claims for which the Secretary of Veterans Affairs provides notice of a decision under section 5104 of this title on or after the later of 540 days after Aug. 23, 2017, or 30 days after the date on which the Secretary submits to Congress a certification of certain capabilities of the Department of Veterans Affairs to carry out the new appeals system established by Pub. L. 11555 and to address appeals of decisions on legacy claims, with provision for early applicability of the new appeals system to certain claims, see section 2(x) of Pub. L. 11555, set out as a note under section 101 of this title, and bracketed note thereunder.

Effective DateSection effective Sept. 1, 1989, see section 401(a) of Pub. L. 100687, set out as a note under section 7251 of this title.