Thursday, October 12, 2017

21CC LCD Text (Section 4009)

https://www.congress.gov/bill/114th-congress/house-bill/34/text


SEC. 4009. IMPROVING MEDICARE LOCAL COVERAGE DETERMINATIONS.

    (a) In General.--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:
                    ``(D) Local coverage determinations.--The Secretary 
                shall require each Medicare administrative contractor 
                that develops a local coverage determination to make 
                available on the Internet website of such contractor and 
                on the Medicare Internet website, at least 45 days 
                before the effective date of such determination, the 
                following information:
                          ``(i) Such determination in its entirety.
                          ``(ii) Where and when the proposed 
                      determination was first made public.
                          ``(iii) Hyperlinks to the proposed 
                      determination and a response to comments submitted 
                      to the contractor with respect to such proposed 
                      determination.
                          ``(iv) 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.
                          ``(v) An explanation of the rationale that 
                      supports such determination.''.

    (b) <<NOTE: 42 USC 1395y note.>>  Effective Date.--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 enactment of this Act.

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