Ensures timely review of local coverage determination requests under the Medicare program.

The bill amends title XVIII of the Social Security Act to ensure timely review of local coverage determination requests under the Medicare program. It mandates that Medicare administrative contractors determine whether a formal reconsideration request is complete or incomplete within 60 days of receipt. For complete requests, contractors must finalize the determination within one year, including public meetings, expert panel advice, and a 45-day waiting period before the final determination takes effect.

Ensures timely review of local coverage determination requests under the Medicare program.

The bill amends title XVIII of the Social Security Act to ensure timely review of local coverage determination requests under the Medicare program. It mandates that Medicare administrative contractors determine whether a formal reconsideration request is complete or incomplete within 60 days of receipt. For complete requests, contractors must finalize the determination within one year, including public meetings, expert panel advice, and a 45-day waiting period before the final determination takes effect.