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HR 3635 115th Congress House Health Administrative law and regulatory procedures Administrative remedies Department of Health and Human Services Government information and archives Medicare Public contracts and procurement

Local Coverage Determination Clarification Act of 2018

Introduced: August 21, 2018 See on congress.gov
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This bill died when the 115th Congress ended
It never became law before the 115th Congress (2017–2018) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 15 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Sep 17, 2018
Received in the Senate and Read twice and referred to the Committee on Finance.
Sep 12, 2018
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H8122-8124)
Sep 12, 2018
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, 2018
Motion to reconsider laid on the table Agreed to without objection.
Sep 12, 2018
DEBATE - The House proceeded with forty minutes of debate on H.R. 3635.
Sep 12, 2018
Considered under suspension of the rules. (consideration: CR H8122-8124)
Sep 12, 2018
Ms. Jenkins (KS) moved to suspend the rules and pass the bill, as amended.
Sep 10, 2018
Placed on the Union Calendar, Calendar No. 724.
Sep 10, 2018
Committee on Energy and Commerce discharged.
Sep 10, 2018
Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-933, Part I.
Sep 5, 2018
Ordered to be Reported in the Nature of a Substitute by Voice Vote.
Sep 5, 2018
Committee Consideration and Mark-up Session Held.
Aug 4, 2017
Referred to the Subcommittee on Health.
Aug 1, 2017
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.
Aug 1, 2017
Introduced in House
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 Plain-English summary Congressional Research Service

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's happening now September 17, 2018

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

 Related & companion bills 1
  • S 794 Related bill Local Coverage Determination Clarification Act of 2017
 Bill text 4 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Cosponsors 56
All 56 Democratic 15 Republican 20
Coffman, Mike
· Sep 10, 2018
Renacci, James
· Sep 6, 2018
 R
Dunn, Neal P.
Florida · Sep 5, 2018
 D
Cleaver, Emanuel
Missouri · Aug 21, 2018
Poliquin, Bruce
· Aug 21, 2018
Brat, Dave
· Aug 10, 2018
DUNCAN, JOHN
· Jul 26, 2018
Byrne, Bradley
· Jul 24, 2018
 R
Westerman, Bruce
Arkansas · Jul 17, 2018
 R
Smith, Adrian
Nebraska · Jul 16, 2018
 D
Thompson, Bennie G.
Mississippi · Jul 16, 2018
 R
Crawford, Eric A. "Rick"
Arkansas · Jul 12, 2018
 R
Biggs, Andy
Arizona · Jul 10, 2018
 R
Huizenga, Bill
Michigan · Jul 10, 2018
Hurd, Will
· Jul 10, 2018
Herrera Beutler, Jaime
· Jun 26, 2018
 R
Cramer, Kevin
North Dakota · Jun 6, 2018
Tipton, Scott
· May 8, 2018
 R
Thompson, Glenn
Pennsylvania · May 7, 2018
 D
Clarke, Yvette D.
New York · Apr 24, 2018
Cook, Paul
· Apr 24, 2018
 D
Norton, Eleanor Holmes
District of Columbia · Apr 24, 2018
 R
Walberg, Tim
Michigan · Apr 24, 2018
Black, Diane
· Apr 18, 2018
 R
Kelly, Mike
Pennsylvania · Mar 19, 2018
 D
Khanna, Ro
California · Mar 7, 2018
 D
Peters, Scott H.
California · Mar 1, 2018
 R
Kustoff, David
Tennessee · Feb 14, 2018
Paulsen, Erik
· Feb 7, 2018
 D
Ruiz, Raul
California · Jan 22, 2018
Ferguson, A.
· Jan 18, 2018
 R
Blackburn, Marsha
Tennessee · Dec 21, 2017
Lance, Leonard
· Dec 12, 2017
 R
Marshall, Roger
Kansas · Dec 11, 2017
Young, David
· Dec 11, 2017
Curbelo, Carlos
· Dec 7, 2017
Harper, Gregg
· Dec 7, 2017
 D
Matsui, Doris O.
California · Dec 6, 2017
 D
Thompson, Mike
California · Dec 6, 2017
Bishop, Mike
· Dec 4, 2017
 R
Harris, Andy
Maryland · Dec 4, 2017
 R
DesJarlais, Scott
Tennessee · Nov 30, 2017
 R
Schweikert, David
Arizona · Nov 16, 2017
 R
Carter, Earl L. "Buddy"
Georgia · Nov 14, 2017
 R
Scott, Austin
Georgia · Nov 14, 2017
Costello, Ryan
· Nov 10, 2017
 R
Bilirakis, Gus M.
Florida · Nov 9, 2017
 D
Boyle, Brendan F.
Pennsylvania · Nov 1, 2017
 D
DeGette, Diana
Colorado · Oct 31, 2017
 D
Schakowsky, Janice D.
Illinois · Oct 19, 2017
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Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 3635: Local Coverage Determination Clarification Act of 2018. 115th Congress. Open America. https://openamerica.io/bill/115-HR-3635/
MLA
"H.R. 3635: Local Coverage Determination Clarification Act of 2018." 115th Congress, 2026, Open America, https://openamerica.io/bill/115-HR-3635/.
Bluebook (legal)
H.R. 3635, 115th Cong. (2026), https://openamerica.io/bill/115-HR-3635/.
Markdown link
[H.R. 3635: Local Coverage Determination Clarification Act of 2018](https://openamerica.io/bill/115-HR-3635/)
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