# 114-hr-5721: Local Coverage Determination Clarification Act of 2016

114-hr-5721, Local Coverage Determination Clarification Act of 2016, is a 114th Congress bill sponsored by Rep. Jenkins, Lynn [R-KS-2] (R-KS); status Referred to the Subcommittee on Health. (as of 2025-11-18).

- Canonical: https://policyrisk.com/legislation/114-hr-5721
- As of: 2025-11-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 114-hr-5721
- Congress: 114
- Title: Local Coverage Determination Clarification Act of 2016
- Status: Referred to the Subcommittee on Health.
- Introduced: 2016-07-11
- Sponsor: Rep. Jenkins, Lynn [R-KS-2] (R-KS)
- Cosponsors: 15
- Policy area: Health
- Touches household money: no
- Last recorded action: 2025-11-18

## Summary

Local Coverage Determination Clarification Act of 2016 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). CMS shall appoint a Medicare Reviews and Appeals Ombudsman to carry out specified duties with regard to LCDs.

## Cosponsors (15)

- Rep. Kind, Ron [D-WI-3] (D-WI), 2016-07-11T00:00:00.000Z
- Rep. Harper, Gregg [R-MS-3] (R-MS), 2016-07-14T00:00:00.000Z
- Rep. Sessions, Pete [R-TX-17] (R-TX), 2016-09-09T00:00:00.000Z
- Rep. Blum, Rod [R-IA-1] (R-IA), 2016-09-09T00:00:00.000Z
- Rep. Marchant, Kenny [R-TX-24] (R-TX), 2016-09-20T00:00:00.000Z
- COLLIN PETERSON (D-MN), 2016-09-21T00:00:00.000Z
- Rep. Price, Tom [R-GA-6] (R-GA), 2016-09-22T00:00:00.000Z
- Rep. Kuster, Ann M. [D-NH-2] (D-NH), 2016-09-26T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2016-11-29T00:00:00.000Z
- Rep. Stivers, Steve [R-OH-15] (R-OH), 2016-11-29T00:00:00.000Z
- Rep. Renacci, James B. [R-OH-16] (R-OH), 2016-11-29T00:00:00.000Z
- Sen. Blackburn, Marsha [R-TN] (R-TN), 2016-11-29T00:00:00.000Z
- JOSEPH CROWLEY (D-NY), 2016-11-29T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2016-12-05T00:00:00.000Z
- Rep. Thompson, Mike [D-CA-4] (D-CA), 2016-12-08T00:00:00.000Z

## Related bills

- 114-hr-2722: Breast Cancer Awareness Commemorative Coin Act
- 114-hr-160: Protect Medical Innovation Act of 2015
- 114-hr-3929: Office of Strategic Services Congressional Gold Medal Act
- 114-hr-2992: Merchant Marine of World War II Congressional Gold Medal Act
- 114-hr-2903: Craft Beverage Modernization and Tax Reform Act of 2015
- 114-hr-699: Email Privacy Act

## Sources
- [114-hr-5721 on Congress.gov](https://www.congress.gov/bill/114th-congress/house-bill/5721)

## Related
- [114-hr-2722: Breast Cancer Awareness Commemorative Coin Act](https://policyrisk.com/legislation/114-hr-2722)
- [114-hr-160: Protect Medical Innovation Act of 2015](https://policyrisk.com/legislation/114-hr-160)
- [114-hr-3929: Office of Strategic Services Congressional Gold Medal Act](https://policyrisk.com/legislation/114-hr-3929)
- [114-hr-2992: Merchant Marine of World War II Congressional Gold Medal Act](https://policyrisk.com/legislation/114-hr-2992)
- [114-hr-2903: Craft Beverage Modernization and Tax Reform Act of 2015](https://policyrisk.com/legislation/114-hr-2903)
- [114-hr-699: Email Privacy Act](https://policyrisk.com/legislation/114-hr-699)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/114-hr-5721 (as of 2025-11-18).