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 Mill Mountain Zoo welcomes pair of Patagonian maras Web Staff June 19, 2026 Dr. Verletta White, Superintendent of Roanoke City Schools, to step down in one more year Gene Marrano June 18, 2026 Fire chief presents plan to replace 75-year-old Roanoke Fire Station No. 2 Ian Price June 18, 2026