New proposed guidelines concern president of Virginia Prosthetics Gene Marrano August 26, 2015 1 minute read The president of Virginia Prosthetics and Orthotics says proposed changes in “Local Cover Determinations” for lower limb replacements is bad news for Medicare patients, veterans and the privately insured. More from WFIR’s Gene Marrano: Share: Post navigation Previous: Auction to benefit Carilion Breast Care CenterNext: Prosecutors to argue on McDonnell’s freedom bid Related Stories Governor defends existing Google data center deals amid Roanoke-area protests Ian Price April 30, 2026 Pediatric ABA Program for young children with autism arrives in Roanoke later this year Gene Marrano April 30, 2026 VA Drivers Raise $115,000 for the Blue Ridge Parkway Foundation Emma Thomas April 30, 2026