After a Congressional Gold Medal bill has been approved by both houses of Congress and signed into law by the President, officials of the United States Mint meet with the sponsors of the legislation and members of the honoree's family to discuss possible designs for the medal.
Photographs of the honoree are also examined during this meeting. Mint engravers then prepare a series of sketches of possible designs for consideration and comment by the Commission of Fine Arts and subsequently the Secretary of the Treasury, who makes the final decision on the medal's design.
Once the Secretary of the Treasury, in consultation with the honoree's family, has made a selection, the design is sculptured, a die is made, and the medal is struck at the Philadelphia Mint. The Mint then notifies the White House and arrangements are made for a formal presentation by the President.
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