Local Coverage Determination Clarification Act of 2017
Latest action · Mar 30, 2017 Read twice and referred to the Committee on Finance.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedMar 30, 2017
- Passed SenateNot reached
- Passed HouseNot reached
- To the PresidentNot reached
- Became lawNot reached
Summary
Local Coverage Determination Clarification Act of 2017
This bill amends title XVIII (Medicare) of the Social Security Act to revise the process by which Medicare administrative contractors (MACs) issue and reconsider local coverage determinations (LCDs) that: (1) are new, (2) restrict or substantively revise existing LCDs, or (3) are otherwise specified in regulation. (MACs are private insurers that process Medicare claims within specified geographic areas.)
Before such an LCD may take effect, the MAC issuing the determination must, with respect to each geographic area to which the determination applies:
- publish online a proposed version of the determination and other specified, related information;
- convene one or more public meetings to review the draft determination, receive comments, and secure the advice of an expert panel;
- post online a record of the minutes from each such meeting;
- provide a period for submission of written public comments; and
- post online specified information related to the rationale for the final determination.
Upon the filing of an applicable request by an interested party with regard to the reconsideration of a specified LCD, the MAC that issued the determination shall:
- provide specified information related to whether the determination failed to correctly apply qualifying relevant evidence, exceeds the scope of its intended purpose, fails to apply as intended, or is otherwise erroneous;
- preserve the determination, modify the determination, or rescind the determination in part; and
- make publicly available a written description of such action.
An interested party may appeal a reconsideration decision to the Centers for Medicare & Medicaid Services (CMS).
The CMS shall appoint a Medicare Reviews and Appeals Ombudsman to carry out specified duties with regard to LCDs.
Cosponsors 22
Members who signed on, in the order they did. Signatures ran from Mar 30, 2017 to Dec 18, 2018; 3 are original cosponsors, there from the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| D-MI | Debbie Stabenow | Original | Mar 30, 2017 |
| R-AR | John Boozman | Original | Mar 30, 2017 |
| D-DE | Thomas R. Carper | Original | Mar 30, 2017 |
| R-KS | Pat Roberts | Apr 24, 2017 | |
| R-IA | Chuck Grassley | Apr 27, 2017 | |
| R-MS | Roger F. Wicker | Jul 20, 2017 | |
| D-IL | Tammy Duckworth | Aug 3, 2017 | |
| R-KS | Jerry Moran | Sep 6, 2017 | |
| R-SD | Mike Rounds | Sep 6, 2017 | |
| D-MI | Gary C. Peters | Oct 2, 2017 | |
| D-NH | Jeanne Shaheen | Nov 7, 2017 | |
| R-SD | John Thune | Nov 7, 2017 | |
| D-DE | Christopher A. Coons | Nov 13, 2017 | |
| D-IN | Joe Donnelly | Dec 12, 2017 | |
| R-LA | Bill Cassidy | May 8, 2018 | |
| R-AR | Tom Cotton | May 14, 2018 | |
| R-LA | John Kennedy | Jun 19, 2018 | |
| D-NV | Catherine Cortez Masto | Jun 26, 2018 | |
| D-AL | Doug Jones | Jul 10, 2018 | |
| R-KY | Rand Paul | Jul 24, 2018 | |
| R-FL | Marco Rubio | Oct 1, 2018 | |
| R-MS | Cindy Hyde-Smith | Dec 18, 2018 |
Committees 1
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| Senate | Finance Committee | Referred Mar 30, 2017 |
Actions 2
Everything that happened, newest first.
- Mar 30, 2017Introduced in Senate
- Mar 30, 2017Read twice and referred to the Committee on Finance.
Related bills 2
Companion bills and other measures the record links to this one.
| Bill | Title | Relationship | Latest action |
|---|---|---|---|
| S 3392 | Local Coverage Determination Clarification Act of 2016 | Reintroduction of | Sep 22, 2016 |
| HR 3635 | Local Coverage Determination Clarification Act of 2018 | Related bill | Sep 17, 2018 |
Titles 2
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- A bill to amend title XVIII of the Social Security Act in order to improve the process whereby Medicare administrative contractors issue local coverage determinations under the Medicare program, and for other purposes.
- Short Titles as Introduced
- Local Coverage Determination Clarification Act of 2017
Subjects
Assigned by the Library of Congress. Policy area: Health.
Text 1
Each version as it was printed, newest first.
- Mar 30, 2017Introduced in Senate
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.
