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Second only to the National Intelligence Cross and the Intelligence Star among the intelligence community's awards for bravery, the medal is an authorized decoration for display on U.S. military uniforms, where it is worn after all U.S. military personal decorations and unit awards and before any military campaign/service awards and foreign decorations.
The same ranks and insignia are used and National Guardsmen are eligible to receive all United States military awards.
On 28 June 2012, as the United States Supreme Court struck down the Stolen Valor Act of 2005, an act which installed criminal penalties on persons making false claims about being awarded valor awards for service in the United States military.