Local Coverage Determination Clarification Act of 2018
Bill journey · stage 2 of 5
Under committee review
What it doesSummary introduced in house (Aug 1, 2017)
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.
What just happenedSep 17, 2018
Received in the Senate and Read twice and referred to the Committee on Finance.
Who’s behind it
- Referred in SenateSep 17, 2018
- Engrossed in HouseSep 12, 2018
- Reported in HouseSep 10, 2018
- Introduced in HouseAug 1, 2017
- Sep 17, 2018IntroReferral
Received in the Senate and Read twice and referred to the Committee on Finance.
Finance Committee - Sep 12, 2018FloorH38310
Motion to reconsider laid on the table Agreed to without objection.
- Sep 12, 2018FloorH37300
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H8122-8124)
- Sep 12, 2018Floor8000
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H8122-8124)
- Sep 12, 2018FloorH8D000
DEBATE - The House proceeded with forty minutes of debate on H.R. 3635.
- Sep 12, 2018FloorH30000
Considered under suspension of the rules. (consideration: CR H8122-8124)
- Sep 12, 2018FloorH30300
Ms. Jenkins (KS) moved to suspend the rules and pass the bill, as amended.
- Sep 10, 2018CalendarsH12410
Placed on the Union Calendar, Calendar No. 724.
- Sep 10, 2018DischargeH12300
Committee on Energy and Commerce discharged.
Energy and Commerce Committee - Sep 10, 2018Committee5500
Committee on Energy and Commerce discharged.
Energy and Commerce Committee - Sep 10, 2018CommitteeH12200
Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-933, Part I.
Ways and Means Committee - Sep 10, 2018Committee5000
Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-933, Part I.
Ways and Means Committee - Sep 5, 2018Committee
Ordered to be Reported in the Nature of a Substitute by Voice Vote.
Ways and Means Committee - Sep 5, 2018Committee
Committee Consideration and Mark-up Session Held.
Ways and Means Committee - Aug 4, 2017Committee
Referred to the Subcommittee on Health.
Health Subcommittee - Aug 1, 2017IntroReferralH11100
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Energy and Commerce Committee - Aug 1, 2017IntroReferralH11100
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Ways and Means Committee - Aug 1, 2017IntroReferralIntro-H
Introduced in House
- Aug 1, 2017IntroReferral1000
Introduced in House