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 United Way cuts ribbon on new home in SW Roanoke County Gene Marrano April 14, 2026 State asks you to hold off outdoor burning until May Evan Jones April 14, 2026 Messaging expert says referendum ads are designed to confuse Evan Jones April 14, 2026