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Local Coverage Determination Clarification Act of 2016
Legislative Progress
Introduced
September 22, 2016
Latest Action
September 22, 2016
Primary Sponsor
Johnny IsaksonRepublican(GA)
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
0pct
0d open
vs 3,548 other S bills in the 114th — cohort avg 43d
Local Coverage Determination Clarification Act of 2016 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). CMS shall appoint a Medicare Reviews and Appeals Ombudsman to carry out specified duties with regard to LCDs.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (3)
2016 · fourth_quarter · Medicare/Medicaid
HR. 5721 and S. 3392 - Medicare Adminstrative Contractors/Local Coverage Determinations
Client expense: $241,872 · Firm income: Not reported
Read twice and referred to the Committee on Finance.
Introduced in Senate
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Issues related to physician owned distributors of devices Issues related to deficit reduction and Medicare Issues related to Medicare program integrity , including changes to the Stark laws and Anti-Kickback Statute Issues relating to payment reform, ACOs and Bundling Issues related to the CMS program for durable medical equipment Issues related to the development of Medicare payments for telehealth and remote monitoring services Issues related to applying the unique device identifier to Medicare claims forms S. 1253 Patient Access to Disposable Medical Technology Act of 2015 S. 2343, H.R. 4155 Telehealth Innovation and Improvement Act H.R. 4714 the Removing Barriers to Clinical Research Act of 2016 S. 2736 Patient Access to Durable Medical Equipment Act H.R. 5009, S. 2998 Ensuring Access to Critical Breakthrough Products Act H.R. 5721, S. 3392 Local Coverage Determination Clarification Act of 2016
Client expense: $650,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
HR 5721 Local Coverage Determination Clarification Act S 3392 Local Coverage Determination Clarification Act of 2016 HR 3712 / S 2173 Improving Access to Mental Health Act
Client expense: Not reported · Firm income: $50,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Issues related to physician owned distributors of devices Issues related to deficit reduction and Medicare Issues related to Medicare program integrity Issues relating to payment reform, ACOs and Bundling Issues related to the CMS program for durable medical equipment Issues related to the development of Medicare payments for telehealth and remote monitoring services Issues related to applying the unique device identifier to Medicare claims forms S. 1253 Patient Access to Disposable Medical Technology Act of 2015 S. 2343, H.R. 4155 Telehealth Innovation and Improvement Act H.R. 4714 the Removing Barriers to Clinical Research Act of 2016 S. 2736 Patient Access to Durable Medical Equipment Act H.R. 5009, S. 2998 Ensuring Access to Critical Breakthrough Products Act H.R. 5721, S. 3392 Local Coverage Determination Clarification Act of 2016
Client expense: $700,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
HR 5721 Local Coverage Determination Clarification Act S 3392 Local Coverage Determination Clarification Act of 2016 HR 3712 / S 2173 Improving Access to Mental Health Act
Client expense: Not reported · Firm income: $30,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
HR. 5721 and S. 3392 - Medicare Adminstrative Contractors/Local Coverage Determinations
Client expense: $227,455 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE