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United States · Bill · HR

H.R. 3635 (115th)

Local Coverage Determination Clarification Act of 2018

referredUnited States· United States Congress· EN

Introduced

1 August 2017

Last action

17 September 2018 · Introduced

Status

Received in the Senate and Read twice and referred to the Committee on Finance.

Sponsors

Rep. Jenkins, Lynn [R-KS-2], Rep. Kind, Ron [D-WI-3], Rep. Meehan, Patrick [R-PA-7], Rep. Sessions, Pete [R-TX-17], Rep. Crowley, Joseph [D-NY-14], Sen. Mullin, Markwayne [R-OK], Rep. Peterson, Collin C. [D-MN-7], Rep. Marchant, Kenny [R-TX-24], Rep. Engel, Eliot L. [D-NY-16], Rep. Upton, Fred [R-MI-6], Rep. Sewell, Terri A. [D-AL-7], Rep. Moulton, Seth [D-MA-6], Rep. Tonko, Paul [D-NY-20], Rep. Loebsack, David [D-IA-2], Rep. Rush, Bobby L. [D-IL-1], Rep. Schakowsky, Janice D. [D-IL-9], Rep. Roe, David P. [R-TN-1], Rep. Stivers, Steve [R-OH-15], Rep. Blumenauer, Earl [D-OR-3], Rep. DeGette, Diana [D-CO-1], Rep. Boyle, Brendan F. [D-PA-2], Rep. Bilirakis, Gus M. [R-FL-12], Rep. Costello, Ryan A. [R-PA-6], Rep. Scott, Austin [R-GA-8], Rep. Carter, Earl L. "Buddy" [R-GA-1], Rep. Schweikert, David [R-AZ-1], Rep. Doyle, Michael F. [D-PA-14], Rep. Kuster, Ann M. [D-NH-2], Rep. DesJarlais, Scott [R-TN-4], Rep. Harris, Andy [R-MD-1], Rep. Bishop, Mike [R-MI-8], Rep. Matsui, Doris O. [D-CA-7], Rep. Thompson, Mike [D-CA-4], Rep. Harper, Gregg [R-MS-3], Rep. Cárdenas, Tony [D-CA-29], Carlos Curbelo, Rep. Young, David [R-IA-3], Sen. Marshall, Roger [R-KS], Rep. Lance, Leonard [R-NJ-7], Rep. Flores, Bill [R-TX-17], Sen. Blackburn, Marsha [R-TN], Rep. McNerney, Jerry [D-CA-9], Rep. Ferguson, A. Drew, IV [R-GA-3], Rep. Ruiz, Raul [D-CA-25], Rep. Paulsen, Erik [R-MN-3], Rep. Maloney, Sean Patrick [D-NY-18], Rep. Kustoff, David [R-TN-8], Rep. Peters, Scott H. [D-CA-50]

Subjects

Healthcare

Source updated

6 December 2025

Healthcare

Summary

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.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 1 August 2017

    Introduced

    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.

    Source: IntroReferral

  2. 1 August 2017

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 1 August 2017

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 4 August 2017

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

  5. 5 September 2018

    Reported

    Ordered to be Reported in the Nature of a Substitute by Voice Vote.

    Source: Committee

  6. 5 September 2018

    Committee

    Committee Consideration and Mark-up Session Held.

    Source: Committee

  7. 10 September 2018

    Calendars

    Placed on the Union Calendar, Calendar No. 724.

    Source: Calendars

  8. 10 September 2018

    Discharge

    Committee on Energy and Commerce discharged.

    Source: Discharge

  9. 10 September 2018

    Committee

    Committee on Energy and Commerce discharged.

    Source: Committee

  10. 10 September 2018

    Reported

    Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-933, Part I.

    Source: Committee

  11. 10 September 2018

    Reported

    Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-933, Part I.

    Source: Committee

  12. 12 September 2018

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

  13. 12 September 2018

    Passed

    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H8122-8124)

    Source: Floor

  14. 12 September 2018

    Passed

    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)

    Source: Floor

  15. 12 September 2018

    Floor

    DEBATE - The House proceeded with forty minutes of debate on H.R. 3635.

    Source: Floor

  16. 12 September 2018

    Floor

    Considered under suspension of the rules. (consideration: CR H8122-8124)

    Source: Floor

  17. 12 September 2018

    Floor

    Ms. Jenkins (KS) moved to suspend the rules and pass the bill, as amended.

    Source: Floor

  18. 17 September 2018

    Introduced

    Received in the Senate and Read twice and referred to the Committee on Finance.

    Source: IntroReferral

Votes

No vote records are attached yet.

Versions

Documents

9 official files

Referred in Senate (text)

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  • Referred in Senate (text)

    Referred in Senate · EN · 17 September 2018

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  • Referred in Senate (PDF)

    Referred in Senate · EN · 17 September 2018

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  • Engrossed in House (text)

    Engrossed in House · EN · 12 September 2018

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  • Engrossed in House (PDF)

    Engrossed in House · EN · 12 September 2018

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  • Reported in House (text)

    Reported in House · EN · 10 September 2018

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  • Reported in House (PDF)

    Reported in House · EN · 10 September 2018

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  • Introduced in House (text)

    Introduced in House · EN · 1 August 2017

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  • Introduced in House (PDF)

    Introduced in House · EN · 1 August 2017

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  • Introduced in House

    summary · EN · 1 August 2017

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Sponsors

Showing 48 of 85 sponsors and actors.

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