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 AEW Collision returns to Berglund Center tomorrow night Web Staff July 10, 2026 Roanoke Valley enters Step One voluntary water conservation as drought drains reservoirs Ian Price July 9, 2026 LewisGale debuts new sim center for training Gene Marrano July 8, 2026