Dear Senator Isakson,
The American Association for Clinical Chemistry (AACC) endorses your legislation, S. 794, the Local
Coverage Determination Clarification Act of 2017, which would make the local coverage determination
(LCD) decision-making process more transparent. Currently, Medicare Administrative Contractors
(MACs) make coverage decisions with limited public input and scrutiny. S.794 would alter this process
by encouraging greater interaction and collaboration between MACs and stakeholders.
AACC is a global scientific and medical professional organization dedicated to clinical laboratory science
and its application to healthcare. AACC brings together more than 50,000 clinical laboratory
professionals, physicians, research scientists, and business leaders from around the world focused on
clinical chemistry, molecular diagnostics, mass spectrometry, translational medicine, lab management,
and other areas of progressing laboratory science. Since 1948, AACC has worked to advance the common
interests of the field, providing programs that advance scientific collaboration, knowledge, expertise, and
AACC believes S.794, if enacted, could lead to better, more consistent policy decisions. Specifically, the
bill would require MACs to:
- publish proposed LCDs on the internet and provide an opportunity for public comment;
- describe the rationale and evidence supporting the draft policy; and
- publicly respond to comments when finalizing an LCD decision.
The legislation would also limit MACs from adopting LCDs developed by other contractors without first
independently evalulating the evidence underlying the policy and its applicablity to the region.
AACC strongly supports the passage of S.794 and looks forward to working with you on this important
matter. If you have any questions, please email Vince Stine, PhD, AACC’s Director of Government
Affairs, at [email protected].
Michael J. Bennett PhD, FRCPath, FACB, DABCC