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Code · BILL · 114th Congress · H.R. 6 (Reported in House) — To accelerate the discovery, development, and delivery of 21st century cures, and for other purposes. · Sec. 3081

Sec. 3081. Improvements in the Medicare local coverage determination (LCD) process

176 words·~1 min read·/bill/114/hr/6/rh/section-3081

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Section 1862(l)(5) of the Social Security Act ( 42 U.S.C. 1395y(l)(5) ) is amended by adding at the end the following new subparagraph: The Secretary shall require each medicare administrative contractor that develops a local coverage determination to make available on the website of such contractor and in the coverage database on the Medicare website, at least 45 days before the effective date of such determination, the following information: Such determination in its entirety.
Where and when the proposed determination was first made public. Hyperlinks to the proposed determination and a response to comments submitted to the contractor with respect to such proposed determination. A summary of evidence that was considered by the contractor during the development of such determination and a list of the sources of such evidence. An explanation of the rationale that supports such determination. . The amendment made by subsection
(a)shall apply with respect to local coverage determinations that are proposed or revised on or after the date that is 180 days after the date of the enactment of this Act.
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Sec. 3081
Improvements in the Medicare local coverage determination (LCD) process
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