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 Roanoke College and Korean Embassy to unveil new Kim Kyusik Center for Korean Studies Clark Palmer March 13, 2026 0 Virginia Tech Men’s Basketball Team declines invite to NIT Clark Palmer March 13, 2026 0 Excel Center and Virginia Western to Sign Partnership Agreement Clark Palmer March 13, 2026 0