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 Presbyterian Community Center cuts ribbon on new home in SE Roanoke Gene Marrano May 29, 2026 June is Gun Violence Awareness Month – the local group “Fed Up” will hold an event next Friday Gene Marrano May 29, 2026 Governor Spanberger announces dismissal of Rector of Virginia Tech Board of Visitors Clark Palmer May 28, 2026