FSP signs onto letter to encourage sponsors to Local Coverage Determination (LCD) bill, US HR5721

The FSP supports CAP and others, signing onto a letter to suport the Local Coverage Determination (LCD) bill.

The goal of H.R. 5721, the Local Coverage Determination and Clarification Act is to ensure that coverage decisions are made by qualified health experts through a transparent process based on sound medical evidence. H.R. 5721 will improve transparency and boost accountability among government contractors who make decisions on a daily basis that impact the lives of millions of patients. Specifically, H.R. 5721 would: (1) require Medicare Administrative Contractors (MACs) to hold open and public Carrier Advisory Committee meetings that are on the record; (2) disclose the rationale for their local coverage determination (LCD) and the evidence upon which they relied at the outset of the LCD process rather than when the LCD is finalized; (3) provide interested parties with a meaningful reconsideration process outside of the self-interested review of a MAC that finalized the LCD being objected to; and (4) prohibit MACs from using LCDs as a way of getting around the higher standards of the national coverage determination (NCD) process.

To view H.R. 5721 click here.