Local Coverage Determination Clarification Act of 2018
USA115th CongressHR-3635| House
| Updated: 9/17/2018
Lynn Jenkins
Republican Representative
Kansas
Cosponsors (81)
David Schweikert (Republican)David Loebsack (Democratic)Adrian Smith (Republican)David Kustoff (Republican)Roger Marshall (Republican)Markwayne Mullin (Republican)Eric A. "Rick" Crawford (Republican)Gregg Harper (Republican)Erik Paulsen (Republican)Joseph P. Kennedy (Democratic)Andy Harris (Republican)Steve Stivers (Republican)Emanuel Cleaver (Democratic)Kathleen M. Rice (Democratic)Raul Ruiz (Democratic)Neal P. Dunn (Republican)C. A. Dutch Ruppersberger (Democratic)Eliot L. Engel (Democratic)Glenn Thompson (Republican)Brad R. Wenstrup (Republican)Terri A. Sewell (Democratic)Bobby L. Rush (Democratic)Marsha Blackburn (Republican)Paul Cook (Republican)Michael F. Doyle (Democratic)Pete Sessions (Republican)Leonard Lance (Republican)Tony Cárdenas (Democratic)Andy Biggs (Republican)Scott H. Peters (Democratic)Paul Tonko (Democratic)David Young (Republican)Tim Walberg (Republican)Bruce Poliquin (Republican)Earl L. "Buddy" Carter (Republican)Collin C. Peterson (Democratic)Carlos Curbelo (Republican)Mike Bishop (Republican)Peter A. DeFazio (Democratic)James B. Renacci (Republican)Ro Khanna (Democratic)Kenny Marchant (Republican)Ann M. Kuster (Democratic)Gus M. Bilirakis (Republican)Sean Patrick Maloney (Democratic)A. Drew Ferguson (Republican)Patrick Meehan (Republican)Bill Flores (Republican)Brendan F. Boyle (Democratic)Fred Upton (Republican)G. K. Butterfield (Democratic)Mike Kelly (Republican)Doris O. Matsui (Democratic)Ryan A. Costello (Republican)Will Hurd (Republican)Kevin Cramer (Republican)Bruce Westerman (Republican)Eleanor Holmes Norton (Democratic)Austin Scott (Republican)Dave Brat (Republican)Diana DeGette (Democratic)Scott DesJarlais (Republican)Janice D. Schakowsky (Democratic)Diane Black (Republican)Ron Kind (Democratic)Joseph Crowley (Democratic)Jerry McNerney (Democratic)Debbie Lesko (Republican)Eddie Bernice Johnson (Democratic)Yvette D. Clarke (Democratic)Bradley Byrne (Republican)Bennie G. Thompson (Democratic)Bill Huizenga (Republican)Earl Blumenauer (Democratic)Seth Moulton (Democratic)Mike Thompson (Democratic)Scott R. Tipton (Republican)Mike Coffman (Republican)John J. Duncan (Republican)Jaime Herrera Beutler (Republican)David P. Roe (Republican)
Ways and Means Committee, Finance Committee, Health Subcommittee, Energy and Commerce Committee
- Introduced
- In Committee
- On Floor
- Passed Chamber
- Enacted
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.
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Timeline
Introduced in House
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.
Referred to the Subcommittee on Health.
Ordered to be Reported in the Nature of a Substitute by Voice Vote.
Committee Consideration and Mark-up Session Held.
Placed on the Union Calendar, Calendar No. 724.
Committee on Energy and Commerce discharged.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-933, Part I.
Ms. Jenkins (KS) moved to suspend the rules and pass the bill, as amended.
Considered under suspension of the rules. (consideration: CR H8122-8124)
DEBATE - The House proceeded with forty minutes of debate on H.R. 3635.
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)
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H8122-8124)
Motion to reconsider laid on the table Agreed to without objection.
Received in the Senate and Read twice and referred to the Committee on Finance.
Health
Administrative law and regulatory proceduresAdministrative remediesDepartment of Health and Human ServicesGovernment information and archivesMedicarePublic contracts and procurement
Local Coverage Determination Clarification Act of 2018
USA115th CongressHR-3635| House
| Updated: 9/17/2018
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.
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Timeline
Introduced in House
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.
Referred to the Subcommittee on Health.
Ordered to be Reported in the Nature of a Substitute by Voice Vote.
Committee Consideration and Mark-up Session Held.
Placed on the Union Calendar, Calendar No. 724.
Committee on Energy and Commerce discharged.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-933, Part I.
Ms. Jenkins (KS) moved to suspend the rules and pass the bill, as amended.
Considered under suspension of the rules. (consideration: CR H8122-8124)
DEBATE - The House proceeded with forty minutes of debate on H.R. 3635.
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)
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H8122-8124)
Motion to reconsider laid on the table Agreed to without objection.
Received in the Senate and Read twice and referred to the Committee on Finance.
Lynn Jenkins
Republican Representative
Kansas
Cosponsors (81)
David Schweikert (Republican)David Loebsack (Democratic)Adrian Smith (Republican)David Kustoff (Republican)Roger Marshall (Republican)Markwayne Mullin (Republican)Eric A. "Rick" Crawford (Republican)Gregg Harper (Republican)Erik Paulsen (Republican)Joseph P. Kennedy (Democratic)Andy Harris (Republican)Steve Stivers (Republican)Emanuel Cleaver (Democratic)Kathleen M. Rice (Democratic)Raul Ruiz (Democratic)Neal P. Dunn (Republican)C. A. Dutch Ruppersberger (Democratic)Eliot L. Engel (Democratic)Glenn Thompson (Republican)Brad R. Wenstrup (Republican)Terri A. Sewell (Democratic)Bobby L. Rush (Democratic)Marsha Blackburn (Republican)Paul Cook (Republican)Michael F. Doyle (Democratic)Pete Sessions (Republican)Leonard Lance (Republican)Tony Cárdenas (Democratic)Andy Biggs (Republican)Scott H. Peters (Democratic)Paul Tonko (Democratic)David Young (Republican)Tim Walberg (Republican)Bruce Poliquin (Republican)Earl L. "Buddy" Carter (Republican)Collin C. Peterson (Democratic)Carlos Curbelo (Republican)Mike Bishop (Republican)Peter A. DeFazio (Democratic)James B. Renacci (Republican)Ro Khanna (Democratic)Kenny Marchant (Republican)Ann M. Kuster (Democratic)Gus M. Bilirakis (Republican)Sean Patrick Maloney (Democratic)A. Drew Ferguson (Republican)Patrick Meehan (Republican)Bill Flores (Republican)Brendan F. Boyle (Democratic)Fred Upton (Republican)G. K. Butterfield (Democratic)Mike Kelly (Republican)Doris O. Matsui (Democratic)Ryan A. Costello (Republican)Will Hurd (Republican)Kevin Cramer (Republican)Bruce Westerman (Republican)Eleanor Holmes Norton (Democratic)Austin Scott (Republican)Dave Brat (Republican)Diana DeGette (Democratic)Scott DesJarlais (Republican)Janice D. Schakowsky (Democratic)Diane Black (Republican)Ron Kind (Democratic)Joseph Crowley (Democratic)Jerry McNerney (Democratic)Debbie Lesko (Republican)Eddie Bernice Johnson (Democratic)Yvette D. Clarke (Democratic)Bradley Byrne (Republican)Bennie G. Thompson (Democratic)Bill Huizenga (Republican)Earl Blumenauer (Democratic)Seth Moulton (Democratic)Mike Thompson (Democratic)Scott R. Tipton (Republican)Mike Coffman (Republican)John J. Duncan (Republican)Jaime Herrera Beutler (Republican)David P. Roe (Republican)
Ways and Means Committee, Finance Committee, Health Subcommittee, Energy and Commerce Committee
Health
- Introduced
- In Committee
- On Floor
- Passed Chamber
- Enacted
Administrative law and regulatory proceduresAdministrative remediesDepartment of Health and Human ServicesGovernment information and archivesMedicarePublic contracts and procurement