WASHINGTON (September 23, 2026) — The College of American Pathologists (CAP) issued the following statement from CAP President Qihui “Jim” Zhai, MD, FCAP, issued the following statement on the introduction of bipartisan legislation in the Senate to improve Medicare’s local coverage determination (LCD) process:
“Patients should not face delays in care because Medicare coverage decisions are developed through processes that lack transparency, consistency, or meaningful stakeholder input,” said Dr. Zhai. “Local Coverage Determinations play an important role in ensuring access to medically necessary services, and it is critical that these policies are based on clear evidence and informed by practicing physicians and patients.
“This legislation represents an important step toward improving the LCD process by strengthening transparency, increasing accountability, and creating more opportunities for stakeholder engagement. These reforms will help ensure coverage decisions are made through a fair, predictable, and evidence-based process.
“We commend the bipartisan Senate sponsors for advancing this legislation and for recognizing the importance of timely, transparent coverage policies that support patient access to medically necessary care.”
Sen. Tom Cotton (R-Ark.), a sponsor of the legislation, said, “Arkansas seniors deserve access to high-quality medical treatments, and they shouldn’t have to wait on the slow clock of government to obtain coverage for them. Our bill would require Medicare administrators to give seniors prompt, transparent decisions about their coverage, ensuring they can address their health concerns in a timely manner.”
Sen. Ben Ray Luján (D-N.M.), a sponsor of the legislation, said, “Medicare beneficiaries should not have to wait years for cutting edge treatments while medical science and technology advance rapidly. Patients deserve a coverage process that is timely, transparent, and informed by qualified health experts. My Timely Access to Coverage Decisions Act will bring greater accountability and certainty to Medicare coverage decisions so patients can access the care they need without unnecessary delays.”