14 U.S.C. § 492 : US Code - Section 492: Distinguished service medal

Search 14 U.S.C. § 492 : US Code - Section 492: Distinguished service medal

The President may present, but not in the name of Congress, a
distinguished service medal of appropriate design, with
accompanying ribbon, together with a rosette or other device, to be
worn in lieu thereof, to any person who, while serving in any
capacity with the Coast Guard, distinguishes himself by
exceptionally meritorious service to the Government in a duty of
great responsibility.