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 UW shows off new home at an upcoming open house Denise Membreno April 7, 2026 Lebanese Festival preparing to celebrate 25th anniversary Clark Palmer April 7, 2026 Kaine touts next round of funding for McAfee Knob parking lot improvements Gene Marrano April 6, 2026