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 The Tiny Cargo Company has big plans for its scale up at new facility Gene Marrano February 23, 2026 0 Roanoke College Poll: Virginians support tougher gun laws but doubt the impact Clark Palmer February 23, 2026 0 Virginia Tech to host Afghan female soldiers and student author for storytelling event Web Staff February 23, 2026 0