News

The study that started the “Mobility Saves” movement has now been published in a peer-reviewed journal. The recent Military Medicine Supplement published the study: “Economic Value of Prosthetic Services Among Medicare Beneficiaries: A Claims-Based Retrospective Cohort Study”

Military Medicine is the official journal publication of the Association of Military Surgeons of the United States (AMSUS), and this edition arises in conjunction with the topics covered at the December annual meeting of AMSUS.

This study demonstrates, using four years of Medicare data, that timely O&P intervention saves payers’ money.  Dr. Allen Dobson, the author of this research, presented his work at the AMSUS meeting, and the attached manuscript will make this work widely available for citation for use by payers (including both Medicare and private sector providers), and others to show the value of O&P care (page 18).

This edition also includes the manuscript developed by a Multi-Disciplinary Task Force headed by John Fisk, M.D., with physician representatives from both physical medicine and rehabilitation, and orthopedic surgery, a physical therapist, and certified O&P professionals around key issues on the orthotic treatment team, distinctions between off the shelf (OTS) and customized orthotics, the importance of the orthotist’s notes and records, and other key clinical issues (page 11).  This publication is particularly timely in establishing this valuable consensus viewpoint at a time when orthotic care, and its reimbursement are attracting greater attention and scrutiny.

There are also several reasons why we are especially pleased to see both of these articles appearing in Military Medicine.  This journal is a peer-reviewed medical journal, listed in the Index Medicus, which conveys substantial credibility for these papers, placing it in the top tier for purposes of medical citations, and because of the importance of topics covered in this journal to Congressional Appropriations and Department of Defense matters, Military Medicine is circulated to all Congressional Offices, giving these messages great reach to our lawmakers.

Access the articles online.

On December 29th, the Centers for Medicare and Medicaid Services (CMS) released the long anticipated final rule regarding Medicare prior authorization of certain DMEPOS, including most lower limb prostheses.  The final rule, which will be published in the December 30, 2015 Federal Register, will be implemented 60 days after it publication. AOPA has reviewed the final rule, and offers the following preliminary thoughts and comments regarding the provisions of the final rule. AOPA’s primary concern with prior authorization of prostheses is, and always has been, that it will critically delay timely access to the provision of prosthetic devices that are crucial to the rehabilitation needs of Medicare beneficiaries.  In the final rule, CMS acknowledged that proper access to medically necessary care is of the utmost importance, but indicated that it will use sub-regulatory processes to determine appropriate timelines for making prior authorization decisions.  These sub-regulatory processes are inherently arbitrary in that they do not allow for public input and or comment regarding their appropriateness.  AOPA remains concerned that prior authorization of any kind will only serve to hinder the delivery of medically necessary prosthetic care within reasonable timeframes. Another concern that AOPA expressed in its comments on the proposed rule that was not sufficiently addressed in the final rule is that prior authorization does not equate to a guarantee of claim payment nor does it eliminate the exposure of the claim to additional audits.  While the final rule states that an affirmative prior authorization decision indicates that the required documentation for claim payment is present, it also reiterates that it is not an initial claim determination and the claim may ultimately be denied for technical reasons such as invalid proof of delivery documentation. AOPA met with representatives from the Office of Management and Budget (OMB) in August while they were reviewing the proposed rule and registered concerns about the above issues. The few seeming new wrinkles in the final rule is that implementation will not be immediate and universal, but there will be a Master List of 135 HCPCS codes eligible for inclusion in prior authorization.  It appears there will a phase-in process, meaning not all 135 codes will be subject to prior authorization immediately.  Rather, the final rule indicates that CMS will establish a subset of the master list that will determine which HCPCS codes require prior authorization as part of the initial implementation of the final rule.  While the master list includes lower limb prosthetic HCPCS codes that meet or exceed the $1,000 threshold, it remains to be seen which codes will be included in the initial list of codes that will be subject to prior authorization. While the current list does not include any orthotic codes, AOPA remains concerned that future updates to the master list may include orthotic codes that meet the criteria for inclusion in prior authorization. At first glance, the final rule does not recognize two key facts from Medicare’s own data:

1. There is not a problem of unnecessary utilization of lower limb prosthetics, and the -14{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368} reduction in prosthetics payments over the 2010-13 period proves that;
2. Today, Medicare prosthetic patients are 35{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368} LESS LIKELY to receive an advanced tech prosthetic device than they were just 5 years ago (2005-2009).

In addition, the final rule acknowledges AOPA’s concern regarding the need for a more timely response to prior authorization requests but elects to define these timeframes through sub regulatory processes that do not allow for public comment or input. While AOPA will review the final rule more closely in the coming days, After its preliminary review,  AOPA believes that the final rule fails to address AOPA’s concerns regarding the implementation of a prior authorization program that:

1. Does not appear to constitute a guarantee of payment; and
2. Retains the payment threshold of $1,000 for inclusion in prior authorization
3. Does not assure that providers would not be subject to post-payment/RAC audits on the very same issue of medical necessity; and
4. Uses sub-regulatory processes to define appropriate timeframes for response to prior authorization requests; and
5. Exceeds its authority to initiate a limited pilot on prior authorization, done only in selected areas (as was done with power mobility devices) to a national policy impacting all amputee beneficiaries nationwide.

AOPA will provide additional analysis of the final rule as it becomes available.

What has happened to Medicare’s Spending on Prosthetics since 2010?

AOPA has analyzed the data, and the picture is clear. Medicare spent 15{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368} less in 2014 than in 2010 on prosthetics.

Medicare spending on advanced prosthetics has trended down 40{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368}, while spending on older technologies has trended up – 35{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368}. Overall spending has decreased by 14{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368} since 2010.

Medicare Spending has INCREASED on antiquated prosthetics and DECREASED on Newer Technologies.

 

The White House just announced that CMS “will not finalize” the July 16, 2015 Draft LCD. That may be clarified further when comparable announcement text from both CMS and from the DME MACs are released and can be analyzed.  The White House report appears to confirm the information that AOPA shared at the recent San Antonio National Assembly that O&P could be confident that the July 16 proposed LCD for Lower Limb Prosthetics would not be enacted in anything close to its proposed form.

Unfortunately, there are aspects of this document which raise concerns.  The announcement on the CMS website reports that CMS is going to convene “…a multi-disciplinary Lower Limb Prostheses Interagency Workgroup in 2016…the Workgroup will be comprised of clinicians, researchers, policy specialists, and patient advocates from different federal agencies.”

A “working group” that would include both government officials as well as stakeholders from the public would have been more promising.  The immediate concern is that this is NOT a rescission of the Draft LCD.  Some might see this as following a too frequent government step of “kicking the can down the road.”  AOPA, the O&P Alliance, the Amputee Coalition and others had made clear that complete rescission was necessary because the draft was so completely out-of-touch with patient needs AND because there was no scientific data in the medical literature to support the draft. But the medical literature actually supports the present LCD—not a revision and tightening of requirements for beneficiaries to secure a prosthesis.

We recognize and believe it is a positive step that the draft LCD will not be implemented at this time.  However, we continue to believe that the draft LCD should be rescinded by the Medicare Contractors and that CMS should provide patient and provider stakeholders with a meaningful role in the development of future coverage policies for lower limb prostheses.

There is a principle “if it ain’t broke, don’t fix it.”  Prosthetic spend for Medicare has declined for each of the past 4 years, by a total of 14{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368} since the 2010 high.  Looks like even though they are shelving the LCD, they want to convene a special committee, presumably to craft either a new, or revised LCD.

The foundation and structure within the current LCD is sound but there is an opportunity to improve upon it; there remains a need to establish recognition of the prosthetist’s notes when considering medical necessity. That issue and similar additional requirements to care require continuing efforts to improve beneficiary access.

So, the announcement is a partial win—it means that we will not see the July 16, 2015 draft LCD enacted in its current form. AOPA urges caution in that beyond a White House email, we will need to take the time to examine carefully what the CMS announcement means, to assess any longer term issues/threats, beyond what appears, the near-term assurance that Medicare amputees will not see the kind of immediate degradation in the quality of prosthetic care that the draft LCD would have enforced on them, at least not in the near-term.

AOPA’s leadership and regulatory specialists will review ALL government and contractor communications as they arise, and provide a further analysis once that in-depth review is complete.

The report at this juncture would not be complete without acknowledging with appreciation the hard work of amputees and their O&P providers who supported AOPA, the O&P Alliance and the Amputee Coalition in the all-out effort to stop this LCD from reverting amputees to a 1970’s standard of care.

Read the White House statement.

The Lower Limb LCD Policy Proposal, despite being just a draft proposal, is now being felt in the private sector: United Health Care has now deemed vacuum pumps as not medically necessary, effective October 1, 2015. Read the policy now.

AOPA is pursuing a two part strategy: (a) AOPA partnered with a congressional representative in UHC’s state, who contacted UHC requesting that they set up a high level meeting with AOPA reps; and (b) AOPA is joining in a letter of objection to the policy from the O&P Alliance, together with the Amputee Coalition, due for release this week, challenging the assertion that there is no scientific evidence to support this treatment, and seeking a meeting with UHC’s Medical Director.  We believe the results can be additive and symbiotic, not divisive, in bringing attention to the problem from multiple directions.

We promise to continue to keep you posted on the UHC issues, but we have also received an early indication about another mischievous outgrowth of the commercial sector jumping on the draft LCD as an opportunity for cutbacks–this time from one of the state BCBS plans.  We are waiting to see documentation, but if this proves correct, we will again communicate with the insurer AND communicate to CMS (as we did when the UHC policy first arose) underscoring yet again the need for a quick decision to rescind the draft LCD. Read this news article published in the Minnesota Star Tribune.

Over 100,000 people took President Obama at his word when they shared their names, email addresses and trust in/commitment to government, signing on in 17 days to surpass the 100,000 signatures required to prompt direct White House intervention and action on the draft lower prosthetic LCD. Others were skeptical, seeing the ‘We the People’ process as 90{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368} public relations and only 10{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368} substance. Well, the first response from the White House did nothing to dissuade the PR skeptics.

On Friday evening that report did not represent any action by the White Hiouse on the petition as had been promised. Rather, it did precisely what the President frequently criticizes Congress for doing–the White House report simply kicks the can down the road. It engages in a pious promise to eventually do what’s right, without giving either a hint of what the substantive action might entail, or when a final substantive decision will be rendered.

The interim We the People report came:
* exactly 3 months after the LCD was released as a proposal;
* exactly 60 days after the 100,000th signature on the White House petition;
* exactly 50 days after the DME MAC public meeting, the amputee rally at HHS HQ, and the date when top CMS and HHS senior officials met with O&P stakeholder representatives and promised a prompt, fair solution that would assure that all Medicare amputees will receive appropriate replacement limbs;
* it occurs 15 days after the first of an expected stream of commercial payers began embracing this very deficient draft as if gospel, as a premise to invoke the misguided draft’s content as an excuse to cut costs, ramp up profits, and downgrade amputee care. That’s too long! Inaction and failure to rescind this deficient policy now allows it to disenfranchise amputees, sadly in the year when the Administration touted the 25th anniversary of the Americans with Disabilities Act!

While we remain confident that the final resolution of this draft LCD will be a favorable one for the O&P professional and the patients we serve, the question remains… Is the ‘We the People’ promise merely PR fluff, or will it ultimately proves more substantive? Whichever, it clearly does not reflect timely, fairness and responsiveness. Read the response below:

An initial response to your petition on a Medicare local coverage determination:

Thanks for using We the People, and for sharing your concerns about the local coverage determination for lower limb prostheses proposed by Medicare contractors. In order to get the most up-to-date information concerning your petition, we’ve gone to the Department of Health and Human Services (HHS) — specifically, the Centers for Medicare and Medicaid Services (CMS), and the Administration for Community Living (ACL).

You can learn more about LCDs and how they’re determined here.

The coverage determination process is still ongoing, but CMS wants to make clear that they’re committed to providing high quality care to all Medicare beneficiaries. They also wanted to make sure you know that HHS has met with stakeholders on this important issue, and both CMS and its contractors understand the questions that have been raised about access to the right prosthetic care — including related technologies — for Medicare beneficiaries.

We will be in touch with another update.

–The We the People Team

 See the petition and response on the “We the People” website.

The Data Doesn’t Lie

Medicare Data Shows That:

1. The 2011 OIG Report, Dear Physician Letter, and RAC Audits, misread an upward trend in prosthetic spending that had already reversed*;

2. For better or worse, Medicare has practiced medicine and changed the prevailing standard of amputee care for the worse; and

3. They appear to be completely oblivious to the last 4 years of Medicare’s own data—2010-13 proves that 2005-10 data is outdated and the real picture is a 180 degree reversal of direction—dramatic reversion to less effective, cheaper technologies of 1970s in proposed LCDs would make decline in Medicare quality of amputee patient care that much worse

*OIG Report missed that the 2005-10 increases reflected initial private sector availability of quantum leap in technology stemming from Iraq/Afghanistan, federally funded research to improve amputee care. The data proves that related cost increases for 2005-10 had already started to decline before OIG, “Dear Physician and RACs drove down quality of care to try to reduce Medicare expenditures that unbeknownst to them had already started to fall.

Copyright, 2015, American Orthotic and Prosthetic Association. All Rights Reserved.

Major stories

1. Associated Press (as appearing on ABCNews.com) 
2. Wall Street Journal
3. CNN 
4. The Washington Post 
5. Read AOPA President Charlie Dankmeyer, Jr., CPO’s Opinion Editorial on the LCD Draft in the  Washington Times 
6. Associations Now feature on AOPA

AOPA’s Rally footage

Other Stories:

1. Chicago Tribune – http://www.chicagotribune.com/news/sns-bc-us–medicare-artificial-feet-20150827-story.html
2. CNBC – http://www.cnbc.com/2015/08/27/the-associated-press-amputees-decry-medicare-payment-overhaul-for-artificial-feet.html
3. Yahoo! Tech – https://www.yahoo.com/tech/s/amputees-decry-medicare-payment-overhaul-artificial-feet-070941167–politics.html?nf=1
4. Yahoo! Finance – https://finance.yahoo.com/news/amputees-decry-medicare-payment-overhaul-070913677.html
5. MSN News – http://www.msn.com/en-ca/news/other/amputees-decry-medicare-payment-overhaul-for-artificial-feet/ar-BBm8uX5
6. News & World Report‎ – http://www.usnews.com/news/politics/articles/2015/08/27/amputees-decry-medicare-payment-overhaul-for-artificial-feet
7. Business Insider – http://www.businessinsider.com/ap-amputees-decry-medicare-payment-overhaul-for-artificial-feet-2015-8
8. Scripps Media – http://www.thedenverchannel.com/news/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
9. UPI – http://www.upi.com/Health_News/2015/08/26/New-Medicare-rule-may-make-it-harder-for-amputees-to-get-prosthetics/1321440614623/
10. com – http://www.politico.com/tipsheets/politico-pulse/2015/08/eighth-sting-video-part-of-strategic-release-cmp-founder-says-another-cms-to-ahip-move-aco-savings-fall-in-2014-019784
11. Denver Post – http://www.denverpost.com/breakingnews/ci_28711333/amputees-decry-medicare-payment-overhaul-artificial-feet?source=rss
12. Houston Chronicle – http://www.chron.com/business/technology/article/Amputees-decry-Medicare-payment-overhaul-for-6468252.php
13. Miami Herald – http://www.miamiherald.com/news/article32513055.html
14. San Francisco Chronicle – http://www.sfgate.com/business/technology/article/Amputees-decry-Medicare-payment-overhaul-for-6468252.php
15. Atlanta Journal Constitution – http://www.ajc.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
16. Louis Post-Dispatch – http://www.stltoday.com/news/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_f6315c9c-10eb-55a3-b3c0-8e391143bb87.html
17. Kansas City Star – http://www.kansascity.com/news/article32513055.html
18. San Diego Union Tribune – http://www.sandiegouniontribune.com/news/2015/aug/27/amputees-decry-medicare-payment-overhaul-for/
19. Sacramento Bee – http://www.sacbee.com/news/article32513055.html
20. Las Vegas Sun – http://lasvegassun.com/news/2015/aug/27/amputees-decry-medicare-payment-overhaul-for-artif/
21. Austin (TX) American Statesman – http://www.statesman.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
22. Washington Times – http://www.washingtontimes.com/news/2015/aug/27/amputees-decry-medicare-payment-overhaul-for-artif/
23. Chicago Daily Herald – http://www.dailyherald.com/article/20150827/business/308279939
24. Charlotte (NC) Observer – http://www.charlotteobserver.com/news/article32513055.html
25. Baltimore Sun – http://www.baltimoresun.com/health/bs-md-medicare-prosthetics-20150825-story.html
26. Baltimore Sun (story #2) – http://www.baltimoresun.com/health/bs-md-amputees-meeting-20150826-story.html
27. Washington Examiner – http://www.washingtonexaminer.com/amputees-protest-proposed-restrictions-for-prosthetics/article/2570897
28. Seattle Post-Intelligencer – http://www.seattlepi.com/business/technology/article/Amputees-decry-Medicare-payment-overhaul-for-6468252.php
29. San Antonio (TX) Express-News – http://www.expressnews.com/business/technology/article/Amputees-decry-Medicare-payment-overhaul-for-6468252.php
30. News & Observer (Raleigh, NC) – http://www.newsobserver.com/news/article32513055.html
31. Columbus (OH) Dispatch – http://www.dispatch.com/content/stories/local/2015/08/25/medicare-changes-prostheses.html
32. Minneapolis Star Tribune – http://www.startribune.com/protest-seeks-to-block-medicare-policy-changes-on-prosthetics-payments/323037561/
33. Palm Beach Post – http://palmbeachhealthbeat.blog.palmbeachpost.com/2015/08/25/advocates-say-medicare-rule-change-would-devastate-amputees/
34. Richmond Times-Dispatch – http://www.richmond.com/news/national-world/collection_3fb340c8-ec04-5c82-9820-e1a67a42e8e5.html
35. Memphis Commercial Appeal – http://www.commercialappeal.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
36. Connecticut Post (Bridgeport, CT) – http://www.ctpost.com/business/technology/article/Amputees-decry-Medicare-payment-overhaul-for-6468252.php
37. Tampa (FL) Tribune – http://www.tbo.com/ap/national/amputees-decry-medicare-payment-overhaul-for-artificial-feet-ap_nationald9cf0870b02843568469cc1599da3992
38. Lexington (KY) Herald-Leader – http://www.kentucky.com/2015/08/27/4007291/amputees-decry-medicare-payment.html
39. The Oklahoman (Oklahoma City, OK) – http://newsok.com/article/feed/881163
40. Richmond (VA) Times-Dispatch – http://www.richmond.com/news/latest-news/ap/article_1f90a512-3b4e-502f-9e67-f31d6487bfe9.html
41. Albany (NY) Times-Union – http://www.timesunion.com/business/technology/article/Amputees-decry-Medicare-payment-overhaul-for-6468252.php
42. Tulsa (OK) World – http://www.tulsaworld.com/news/government/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_dfb74e09-a536-56a8-b98e-8b76c0d1cd3c.html
43. Albuquerque (NM) Journal – http://www.abqjournal.com/635010/biz/biz-most-recent/amputees-decry-medicare-payment-overhaul-for-artificial-feet.html
44. Arizona Daily Star (Tucson, AZ) – http://tucson.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_da68c853-ba34-5fca-a1aa-6ea657f7e7c1.html
45. Wisconsin State Journal (Madison, WI) – http://host.madison.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_526ebd0e-d7dd-5acd-ad47-eb20baead3a6.html
46. The Virginian-Pilot (Norfolk, VA) – http://hamptonroads.com/2015/08/amputees-decry-medicare-payment-overhaul-artificial-feet
47. The State (Columbia, SC) – http://www.thestate.com/news/article32513055.html
48. Fresno (CA) Bee – http://www.fresnobee.com/news/article32513055.html
49. Knoxville (TN) News-Sentinel – http://www.knoxnews.com/news/nation-and-world/amputees-decry-medicare-payment-overhaul-for-artificial-feet_41695794
50. New Jersey Herald – http://www.njherald.com/story/29889752/amputees-decry-medicare-payment-overhaul-for-artificial-feet
51. West Virginia State Journal – http://www.statejournal.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
52. The Roanoke (VA) Times – http://www.roanoke.com/news/wire_headlines/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_49a3b8c1-d713-5ce5-a442-98366889b4fc.html
53. Palm Beach (FL) Post – http://www.palmbeachpost.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
54. Beaumont (TX) Enterprise –http://www.beaumontenterprise.com/business/technology/article/Amputees-decry-Medicare-payment-overhaul-for-6468252.php
55. Waco (TX) Tribune – http://www.wacotrib.com/news/ap_nation/headlines/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_b20d6cf9-7256-5fdb-ac29-b9ee44fd4c41.html
56. Laredo (TX) Morning Times – http://www.lmtonline.com/featured-ap/article_285b6b73-ac67-5991-8380-5a5bb8ccb4ec.html
57. Winston-Salem (NC) Journal – http://www.journalnow.com/news/nation_world_ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_fa6ad0e5-ddb3-5bea-943b-28225f863fd4.html
58. Bismarck (ND) Tribune – http://bismarcktribune.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_03a659fe-2ecd-5814-946f-93d64719b352.html
59. Chattanooga (TN) Times Free Press –http://www.timesfreepress.com/news/national/health/story/2015/aug/27/amputees-decry-medicare-payment-overhaul-arti/321997/
60. Chattanooga (TN) Times Free Press (story #2) –http://www.timesfreepress.com/news/local/story/2015/aug/23/local-amputee-jordthomcriticizes-medicare-pro/321232/
61. Idaho Statesman (Boise, ID) – http://www.idahostatesman.com/2015/08/27/3957000_amputees-decry-medicare-payment.html?rh=1
62. The Olympian (Olympia, WA) – http://www.theolympian.com/news/business/article32513055.html
63. Casper (WY) Star-Tribune – http://trib.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_7e944710-262c-59db-9326-b695c48e52aa.html
64. Naples Daily News – http://www.naplesnews.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
65. Knoxville (TN) News Sentinel – http://www.knoxnews.com/news/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
66. Tuscaloosa (AL) News – http://www.tuscaloosanews.com/article/20150827/APW/308279923
67. Daytona Beach (FL) News-Journal – http://www.news-journalonline.com/article/20150827/APW/308279923
68. Greensboro (NC) News & Record – http://www.greensboro.com/news/us_world_ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_8852a25a-5094-5d69-8a7e-356a560980aa.html
69. Roanoke (VA) Times – http://www.roanoke.com/news/local/proposed-medicare-change-would-knock-new-legs-out-from-amputees/article_b7f44572-721f-5722-a033-53a1ef0910dc.html
70. State Journal-Register (Springfield, IL) – http://www.sj-r.com/article/ZZ/20150827/NEWS/308279982/0/SEARCH
71. Durango (CO) Herald – http://www.durangoherald.com/article/20150827/APW/308279923/Amputees-decry-Medicare-payment-overhaul-for-artificial-feet
72. Island Packet (Hilton Head, SC) – http://www.islandpacket.com/2015/08/27/3897158_amputees-decry-medicare-payment.html?rh=1
73. Myrtle Beach (SC) Sun News – http://www.myrtlebeachonline.com/news/article32513055.html
74. The Missoulian (Missoula, MT) – http://missoulian.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/image_bbb384b5-bdc0-5805-b096-53ce22181c99.html
75. Wichita (KS) Eagle – http://www.kansas.com/news/article32513055.html
76. The Press of Atlantic City (NJ) – http://www.pressofatlanticcity.com/news/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_c701f63b-b632-5464-aef5-4c2a68226a9c.html
77. The Gazette (Colorado Springs, CO) – http://gazette.com/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article/feed/265603
78. Billings (MT) Gazette – http://billingsgazette.com/news/science/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_faafff5d-f494-554e-922a-f8ed9c305309.html
79. Post Bulletin (Rochester, MN) – http://www.postbulletin.com/life/health/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_802ade9c-b8e2-5613-a9b6-8168b086c9fe.html
80. Dayton (OH) Daily News – http://www.daytondailynews.com/news/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
81. Sioux City (IA) Journal – http://siouxcityjournal.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_f27ebee4-dda2-5a8c-af01-49abdbdd64c3.html
82. Rapid City (SD) Journal – http://rapidcityjournal.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_c0b80ce6-96aa-5e0f-9951-9e58381a087a.html
83. Merced (CA) Sun-Star – http://www.mercedsunstar.com/news/article32513055.html
84. Gainesville (FL) Sun – http://www.gainesville.com/article/20150827/APW/308279923
85. Sturgis (SD) Journal – http://www.sturgisjournal.com/article/ZZ/20150827/NEWS/308279982
86. Opelika-Auburn (AL) News – http://www.oanow.com/apwire/news/national/article_f7c399db-0fb2-502b-bc18-46dd632cc802.html
87. Houma (LA) Today – http://www.houmatoday.com/article/20150827/APW/308279923
88. Telegram & Gazette (Worcester, MA) –http://www.telegram.com/article/20150827/NEWS/150829350/101492
89. Fremont (NE) Tribune – http://fremonttribune.com/news/state-and-regional/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_b190a0ba-da14-5b2b-9730-e1f8a88a4f17.html
90. The Tribune (San Luis Obispo County, CA) –http://www.sanluisobispo.com/2015/08/27/3779632/amputees-decry-medicare-payment.html
91. Sun Herald (Gulfport, MS) – http://www.sunherald.com/2015/08/27/6384623/amputees-decry-medicare-payment.html
92. La Crosse (WI) Tribune – http://lacrossetribune.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_70f7cee7-dded-5561-8db1-4009346ebb5f.html
93. Macon (GA) Telegraph – http://www.macon.com/news/article32513055.html
94. Greenwich (CT) Time – http://www.greenwichtime.com/business/technology/article/Amputees-decry-Medicare-payment-overhaul-for-6468252.php
95. Odessa (TX) American – http://www.oaoa.com/people/health/article_afb758b7-b233-59ab-a559-072d7312fdac.html
96. News & Advance (Lynchburg, VA) – http://www.newsadvance.com/news/national/wire/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_7d9557e9-6bb1-56f3-b519-eb68c8d50597.html
97. Corvallis (OR) Gazette Times – http://www.gazettetimes.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_b74d1dbb-a267-5a29-ab38-11ccb6373842.html
98. Scottsbluff (NE) Star Herald – http://www.starherald.com/news/nation_world/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_b3da92a3-b015-5abe-a650-366441f89584.html
99. News Herald (Morganton, NC) – http://www.morganton.com/news/us/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_b4c160be-33cc-5ac1-80c6-2739d7335d4b.html
100. Times and Democrat (Orangeburg, SC) – http://thetandd.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_784af326-5cd2-5e0f-9382-ea1f47b016fa.html
101. The Herald-Palladium (St. Joseph, MI) – http://www.heraldpalladium.com/news/wire/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_0a69df3a-2794-5b07-8e5b-d3c5c33389fa.html
102. The Sentinel (Carlisle, PA) – http://cumberlink.com/news/science/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_01aeb56d-4d9e-571c-ba2d-fbfc2c77da8d.html
103. The Eagle (Bryce-College Station, TX) – http://www.theeagle.com/news/politics/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_fe96b010-6b3f-5df5-ba7e-6d8480e72f8e.html
104. Daily American (Somerset, PA) – http://www.dailyamerican.com/life/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_637755e0-4d40-5004-b2f5-a3e3bc0ecd50.html
105. Cadillac (MI) Evening News –http://www.cadillacnews.com/ap_story/business/20150827_ap_d9cf0870b02843568469cc1599da3992.html
106. Waterloo Cedar Falls (IA) Courier – http://wcfcourier.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_ec98d8eb-0d7a-5929-968c-c8322936935c.html
107. Winona (MN) Daily News – http://www.winonadailynews.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_ffc2cddd-8d2f-5885-ac2b-3fc8bcc41e24.html
108. Hickory (NC) Daily Record – http://www.hickoryrecord.com/news/us/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_eb29b038-6e99-5af0-ad95-e198ed279212.html
109. Argus Press (Owosso, MI) – http://www.argus-press.com/news/national/article_8a3655bd-9b8a-5130-ad8c-4d96d2768873.html
110. Morning News (Florence, SC) – http://www.scnow.com/news/headlines/article_e5142786-a5c5-571b-9ee9-345fab3b687c.html
111. Statesville (NC) Record & Landmark – http://www.statesville.com/news/us/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_a26793ca-a0db-550e-b39c-fffb64fcab2c.html
112. Independent Tribune (Concord, NC) – http://www.independenttribune.com/news/us/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_d716c4cf-ca44-5894-85fc-f8dbc11f0f0d.html
113. Lompoc (CA) Record – http://lompocrecord.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_940b0ec3-6d71-5c27-92bf-d146cfef9d05.html
114. Kokomo (IN) Tribune – http://www.kokomotribune.com/news/nation_world_news/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_e55e51e4-4cb1-11e5-9dbe-6f490a13940b.html
115. Killeen (TX) Daily Herald – http://kdhnews.com/news/politics/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_a3b4ac39-3fcc-5d62-b67f-728eb6c78ae3.html
116. Bristol (VA) Herald Courier – http://www.heraldcourier.com/news/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_8df022f8-472c-5a59-ad71-ea432614d151.html
117. Chippewa (WI) Herald- http://chippewa.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/image_48cfd412-b86f-5708-842f-dd9bace833c6.html
118. Daily Times (Maryville, TN) – http://www.thedailytimes.com/community/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_410c1890-d692-58c9-ad0a-83fd5c93365c.html
119. The Dispatch (Clay Center, KS) – http://www.ccenterdispatch.com/article_aeca5e2d-2d49-55af-a7e1-74c1c649d693.html
120. Watertown (SD) Public Opinion –http://www.thepublicopinion.com/news/associated_press/science_and_technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_40a29d8b-8d6d-5419-a13c-699cde31da53.html
121. Bellefontaine (OH) Examiner – http://www.examiner.org/newsx/ap-news/54116-amputees-decry-medicare-payment-overhaul-for-artificial-feet
122. Albany (OR) Democrat-Herald – http://democratherald.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_47827842-e2d9-5fff-bccb-00d956fbb79a.html
123. Cox Media – http://www.cox.com/myconnection/today/news/science-and-tech/article.cox?moduleType=apNews&articleId=7f01adcbd18c4661b839371962894f10
124. Daily Progress (Charlottesville, VA) – http://www.dailyprogress.com/news/politics/wire/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_65ef178d-9007-5112-8e37-0c97f99d5ba7.html
125. Ocala (FL) Star-Banner – http://www.ocala.com/article/20150827/APW/308279923
126. Yakima (WA) Herald-Republic – http://www.yakimaherald.com/lifestyle/health/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_a49b5f3f-a756-5d40-9258-d9cad9e56aa0.html
127. Bastrop (LA) Daily Enterprise –http://www.bastropenterprise.com/article/ZZ/20150827/NEWS/308279982
128. Daily Nonpareil (Council Bluffs, IA) –http://www.nonpareilonline.com/news/political_news/wire/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_bff5d637-7f72-5d32-90ba-67c518493fac.html
129. The Times of Northwest Indiana – http://www.nwitimes.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_bcb0b7b2-fe84-5d1f-b2d2-99590d377f93.html
130. Pontiac (IL) Daily Leader – http://www.pontiacdailyleader.com/article/ZZ/20150827/NEWS/308279982
131. Hope (AR) Star – http://www.hopestar.com/article/ZZ/20150827/NEWS/308279982/-1/News
132. Beauregard (LA) Daily News –http://www.beauregarddailynews.net/article/ZZ/20150827/NEWS/308279982
133. Helena Arkansas Daily World – http://www.helena-arkansas.com/article/ZZ/20150827/NEWS/308279982
134. Bozeman (MT) Daily Chronicle – http://www.bozemandailychronicle.com/ap_news/health/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_86e05622-f552-58ba-9c3b-ec677973a96e.html
135. The Ledger (Lakeland, FL) – http://www.theledger.com/article/20150827/APW/308279923
136. Canton (IL) Daily Ledger – http://www.cantondailyledger.com/article/ZZ/20150827/NEWS/308279982
137. Star Courier (Kewanee, IL) – http://www.starcourier.com/article/ZZ/20150827/NEWS/308279982
138. The Daily News (Kelso, WA) – http://tdn.com/lifestyles/health-med-fit/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_2390b07c-bae7-5787-9490-5485682eb46e.html
139. Bennington (VT) Banner – http://www.benningtonbanner.com/health/ci_28711333/amputees-decry-medicare-payment-overhaul-artificial-feet
140. McPherson (KS) Sentinel – http://www.mcphersonsentinel.com/article/ZZ/20150827/NEWS/308279982
141. Sun Chronicle (Attleboro, MA) – http://www.thesunchronicle.com/news/state/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_f925d21c-cc03-5b37-bfa8-315d160e5e9e.html
142. Daily American (West Frankfort, IL) –http://www.dailyamericannews.com/article/ZZ/20150827/NEWS/308279982
143. Waynesville (MO) Daily Guide –http://www.waynesvilledailyguide.com/article/ZZ/20150827/NEWS/308279982
144. Journal Times (Racine, WI) – http://journaltimes.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_27827fde-c666-53a9-aa9f-93bf05f828f8.html
145. Pratt (KS) Tribune – http://www.pratttribune.com/article/ZZ/20150827/NEWS/308279982
146. Standard-Times (New Bedford, MA) –http://www.southcoasttoday.com/article/ZZ/20150827/NEWS/308279982
147. McDonough County Voice (Macomb, IL) –http://www.mcdonoughvoice.com/article/ZZ/20150827/NEWS/308279982
148. Springfield (OH) News-Sun – http://www.springfieldnewssun.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
149. Herald & Review (Decatur, IL) – http://herald-review.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_12f4f745-809e-5723-89b4-7125074bd053.html
150. Grand Island (NE) Independent – http://www.theindependent.com/news/state/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_ad50d8d3-9c53-5fa1-a23e-ee7d8fac3d3d.html
151. Hastings (NE) Tribune – http://www.hastingstribune.com/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_da8085ac-0a27-560f-aa04-3a009c3d1542.html
152. Daily Journal (Park Hills, MO) – http://dailyjournalonline.com/news/tech/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_40166060-a88e-5f37-a542-c4d0a3400368.html
153. Cortez (CO) Journal – http://www.cortezjournal.com/article/20150827/APW/308279923/Amputees-decry-Medicare-payment-overhaul-for-artificial-feet
154. Belleville (IL) News-Democrat – http://www.bnd.com/news/article32513055.html
155. Daily Siftings Herald (Arkadelphia, AR) –http://www.siftingsherald.com/article/ZZ/20150827/NEWS/308279982
156. Rolla (MO) Daily News –
157. http://www.therolladailynews.com/article/ZZ/20150827/NEWS/308279982
158. LNP Media Group/Lancaster (PA) Online – http://lancasteronline.com/news/health/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_a106b464-a52e-594f-86d2-12f584dca80e.html
159. Decatur (AL) Daily – http://www.decaturdaily.com/news/other_news/national/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_783702a4-29e4-52a6-b094-f3bd104f8276.html
160. Galveston County (TX) Daily News – http://www.galvnews.com/news_ap/health/article_f6f58b27-155b-5d7b-9dd2-b55729df0cb1.html
161. Spartanburg (SC) Herald-Journal – http://www.goupstate.com/article/20150827/APW/308279923
162. Maysville (KY) Ledger Independent – http://www.maysville-online.com/lifestyles/health-med-fit/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_6af8edf6-4ac4-5c56-b6af-68135e09cdc4.html
163. Gadsden (AL) Times – http://www.gadsdentimes.com/article/20150827/APW/308279923
164. Yankton (SD) Daily Press & Dakotan – http://www.yankton.net/news/state_ap_ne/article_efe8c076-3bf9-5570-b4f4-210cd1f6871e.html
165. Daily Republican (Marion, IL) –http://www.dailyrepublicannews.com/article/ZZ/20150827/NEWS/308279982
166. Connecticut Post, Hearst News – http://blog.ctnews.com/kantrowitz/2015/08/26/dont-turn-back-the-clock-on-standard-of-care-for-two-million-american-amputees/
167. The World (Coos Bay, OR) –
168. http://theworldlink.com/news/national/economy/tech/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_882194ae-0d10-53b8-a542-ec9a3940d7d7.html
169. Dothan (AL) Eagle – http://www.dothaneagle.com/news/ap/politics/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_fda35110-bcc7-5d72-9356-2ac2e37dd9f3.html
170. Daily Comet (Thibodaux, LA) – http://www.dailycomet.com/article/20150827/APW/308279923
171. Santa Maria (CA) Times – http://santamariatimes.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_294bea9e-b9ca-55f0-a6fd-1ac5392826fe.html
172. Journal News (Hamilton, OH) – http://www.journal-news.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
173. Times Daily (Florence, AL) – http://www.timesdaily.com/news/nation/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_988c5c0b-b35b-51c3-bd70-b730930dedb9.html
174. Redding (CA) Record Searchlight – http://www.redding.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
175. Evansville (IN) Courier & Press – http://www.courierpress.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
176. Anderson (SC) Independent Mail – http://www.independentmail.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
177. San Angelo (TX) Standard Times – http://www.gosanangelo.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
178. Kitsap (WA) Sun – http://www.kitsapsun.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
179. Ventura County Star – http://www.vcstar.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
180. Storm Lake (IA) Pilot-Tribune – http://www.stormlakepilottribune.com/story/2224602.html
181. com – http://www.richmond.com/life/health/article_8fc9fbd5-0706-541b-9ddf-134ff04f612a.html
182. Newser – http://www.newser.com/article/7f01adcbd18c4661b839371962894f10/industry-campaign-against-medicare-payment-overhaul-gets-backing-of-famous-amputees.html
183. com – http://townhall.com/news/politics-elections/2015/08/27/amputees-decry-medicare-payment-overhaul-for-artificial-feet-n2044386
184. Insurance News Net – https://insurancenewsnet.com/oarticle/2015/08/23/local-amputee-slams-medicare-proposal-limiting-access-to-high-tech-prostheses.html
185. MD Magazine – http://www.hcplive.com/medical-news/medicare-protest-set-amputee-benefits-threatened
186. com – https://news.nurse.com/2015/08/21/groups-say-reimbursement-proposal-a-setback-for-amputees/
187. Rehab Management – http://www.rehabpub.com/2015/08/hearing-rally-august-26-air-concerns-proposed-medicare-prosthetics-reimbursement-policy/
188. Tech Times – http://www.techtimes.com/articles/79395/20150826/medicare-proposal-could-make-it-harder-for-amputees-to-get-prosthetics.htm
189. New Mobility magazine – http://www.newmobility.com/2015/08/hands-off-our-legs-amputees-to-protest-new-medicare-rule/
190. Healio – http://www.healio.com/orthotics-prosthetics/legislation/news/online/{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368}7B102d17e5-aa53-40c5-b49a-f0c793be46a3{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368}7D/aopa-amputee-coalition-share-impact-of-proposed-lcd-on-amputees
191. Healio (story #2) – http://www.healio.com/orthotics-prosthetics/orthotics/news/online/{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368}7Be58eb054-a66d-429c-8e9a-3d65954b433b{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368}7D/limb-loss-community-speaks-out-against-lcd-proposal-at-open-comment-meeting
192. O&P magazine – http://www.oandp.com/articles/NEWS_2015-08-26_02.asp
193. Surgical Products – http://www.surgicalproductsmag.com/blogs/2015/08/groups-respond-proposed-changes-medicare
194. Disabled World magazine – http://www.disabled-world.com/medical/healthcare/us-medicare/setback.php
195. National Center for Public Policy Research blog –http://www.conservativeblog.org/amyridenour/2015/8/24/are-amputees-medicares-next-victims.html
196. Strategic Health Care Weekly e-Bulletin – http://strategichealthcare.net/2015/08/24/8242015-weekly-e-bulletin/
197. WUSA TV/Washington DC – http://www.wusa9.com/story/news/health/2015/08/27/amputees-decry-medicare-payment-overhaul-artificial-feet/32469405/
198. WFXT TV/Boston, MA – http://www.myfoxboston.com/story/29889727/amputees-decry-medicare-payment-overhaul-for-artificial-feet
199. WHDH TV/Boston, MA – http://www.whdh.com/story/29892636/amputees-decry-medicare-payment-overhaul-for-artificial-feet
200. KVVU TV/Las Vegas – http://www.fox5vegas.com/story/29889768/amputees-decry-medicare-payment-overhaul-for-artificial-feet
201. WSB TV/Atlanta, GA – http://www.wsbtv.com/news/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
202. KIRO TV/Seattle, WA – http://www.kirotv.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
203. KPTV/Portland, OR – http://www.kptv.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
204. WTHR TV/Indianapolis, IN – http://www.wthr.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
205. KPHO TV/Phoenix, AZ – http://www.kpho.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
206. KLKN TV/Lincoln, NE – http://www.klkntv.com/story/29889728/amputees-decry-medicare-payment-overhaul-for-artificial-feet
207. KUSI TV/San Diego, CA – http://www.kusi.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
208. KCTV/Kansas City, MO – http://www.kctv5.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
209. WPXI TV/Pittsburgh, PA – http://www.wpxi.com/news/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
210. WSMV TV/Nashville, TN – http://www.wsmv.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
211. WLWC TV/Providence, RI – http://www.thecwprov.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
212. WCSC TV/Charleston, SC – http://www.live5news.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
213. KGMB TV/Honolulu, HI – http://www.hawaiinewsnow.com/story/29889768/amputees-decry-medicare-payment-overhaul-for-artificial-feet
214. KMPH TV/Fresno, CA – http://www.kmph-kfre.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
215. WAVE TV/Louisville, KY – http://www.wave3.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
216. WDRB TV/Louisville, KY – http://www.wdrb.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
217. WLEX TV/Lexington, KY – http://www.lex18.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
218. WBBH TV/Fort Myers, FL – http://www.nbc-2.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
219. WHBQ TV/Memphis, TN – http://www.myfoxmemphis.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
220. WJAX TV/Jacksonville, FL – http://www.actionnewsjax.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
221. WOKV TV/Jacksonville, FL – http://www.wokv.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
222. WRAL TV/Raleigh, NC – http://www.wral.com/amputees-decry-medicare-payment-overhaul-for-artificial-feet/14857170/?comment_order=forward
223. WISH TV/Indianapolis, IN – http://wishtv.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
224. WOWK TV/Charleston, WV – http://www.wowktv.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
225. WSOC TV/Charlotte, NC – http://www.wsoctv.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/pCpTmX/
226. WCMH TV/Columbus, OH – http://nbc4i.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
227. KXAN TV/Austin, TX – http://kxan.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
228. WRIC TV/Richmond, VA – http://wric.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
229. WWBT TV/Richmond, VA – http://www.nbc12.com/story/29889729/amputees-decry-medicare-payment-overhaul-for-artificial-feet
230. WTVR TV Richmond VA – https://www.google.com/webhp?sourceid=chrome-instant&ion=1&espv=2&ie=UTF-8#q=cbs{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368}206{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368}20richmond
231. WGNO TV/Metairie & New Orleans  – http://wgno.com/2015/08/26/amputees-fight-medicare-proposal-to-limit-prosthetics/
232. WKMG TV/Orlando, FL – http://www.clickorlando.com/lifestyle/health/amputees-fight-proposal-to-limit-prosthetics/34933858
233. WKBW TV/Buffalo, NY – http://www.wkbw.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
234. WDBJ TV/Roanoke, VA – http://www.wdbj7.com/video/proposed-medicare-policy-for-amputees-could-be-setback/34829914
235. WWLP TV/Springfield, MA – http://wwlp.com/2015/08/26/amputees-fight-medicare-proposal-to-limit-prosthetics/
236. ABC15 TV/Phoenix, AZ – http://www.abc15.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
237. WXYZ TV/Detroit, MI – http://www.wxyz.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
238. KSHB TV/Kansas City, KS – http://www.kshb.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
239. 10News TV/San Diego, CA – http://www.10news.com/news/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
240. WMAR TV/Baltimore, MD – http://www.abc2news.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
241. WCPO TV/Cincinnati, OH – http://www.wcpo.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
242. WRTV TV/Indianapolis, IN – http://www.theindychannel.com/news/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
243. ABC Action News/Tampa Bay, FL – http://www.abcactionnews.com/news/national/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
244. Good Morning Chattanooga, ABC – http://app.criticalmention.com/app/#clip/view?15607175/token/a38f80c8-3e7c-4f06-ad32-2bb223a89d48
245. KERO 23 TV/Bakersfield, CA – http://www.turnto23.com/news/amputees-unite-against-new-medicare-proposal-for-prosthetic-limb-coverage
246. WISC TV/Madison, WI – http://www.channel3000.com/health/amputees-fight-proposal-to-limit-prosthetics/34933858
247. WBAY TV/Green Bay, WI – http://wbay.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
248. WAVY TV/Portsmouth, VA – http://wavy.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
249. WTEN TV/Albany, NY – http://news10.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
250. WHEC TV/Rochester, NY – http://www.whec.com/article/stories/s3890180.shtml
251. KTBS TV/Shreveport, LA – http://www.ktbs.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
252. WCAX TV/Burlington, VT – http://www.wcax.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
253. WHIO TV/Dayton, OH – http://www.whio.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
254. WDTN TV/Dayton OH – http://wdtn.com/2015/08/26/amputees-concerned-for-their-future-mobility/
255. Fox 8 TV/High Point NC – http://app.criticalmention.com/app/#clip/view?15607476/token/a38f80c8-3e7c-4f06-ad32-2bb223a89d48
256. WPSD TV/Paducah KY – http://app.criticalmention.com/app/#clip/view?15607476/token/a38f80c8-3e7c-4f06-ad32-2bb223a89d48
257. KTUL TV/Tulsa, OK – http://app.criticalmention.com/app/#clip/view?15607131/token/a38f80c8-3e7c-4f06-ad32-2bb223a89d48
258. WPTZ TV/Plattsburgh, NY – http://www.wptz.com/health/amputees-fight-proposal-to-limit-prosthetics/34933858
259. WKRG TV/Mobile, AL – http://wkrg.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
260. KHGI TV/Kearney, NE – http://www.nebraska.tv/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
261. WJHL TV/Johnson City, TN – http://wjhl.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
262. WRBL TV/Columbus, GA – http://wrbl.com/ap/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
263. WRBL TV/Columbus GA – http://wrbl.com/2015/08/24/columbus-amputees-could-face-significant-cuts-to-reimbursement-for-prosthetic-care/
264. KXLH TV/Helena, MT – http://www.kxlh.com/story/29887043/amputees-fight-medicare-proposal-to-limit-prosthetics
265. KTRV TV/Great Falls, MT – http://www.krtv.com/story/29887043/amputees-fight-medicare-proposal-to-limit-prosthetics
266. WHIZ TV/Zanesville, OH – https://www.whiznews.com/content/news/national/2015/08/27/amputees-decry-medicare-payment-overhaul-for-artificial-feet
267. WVVA TV/Bluefield, WV – http://www.wvva.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
268. KSWO TV/Lawton, OK – http://www.kswo.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
269. KIII TV/Corpus Christi, TX – http://www.kiiitv.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
270. KRIS TV/Corpus Christi, TX – http://www.kristv.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
271. KZTV/Corpus Christi, TX – http://www.kztv10.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
272. WBMA TV/Birmingham, AL – http://www.abc3340.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
273. WSJV TV/South Bend, IN – http://www.fox28.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
274. WHNS TV/Greenville, SC – http://www.foxcarolina.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
275. WSET TV/Lynchburg, VA – http://www.wset.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
276. WWTV/Cadillac, MI – http://www.9and10news.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
277. KTTC TV/Rochester, MN – http://www.kttc.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
278. WKOW TV/Madison, WI – http://www.wkow.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
279. WTOL TV/Toledo, OH – http://www.toledonewsnow.com/story/29889768/amputees-decry-medicare-payment-overhaul-for-artificial-feet
280. WBOC TV/Salisbury, MD – http://www.wboc.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
281. KNDO TV/Yakima, WA – http://www.nbcrightnow.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
282. KWWL TV/Waterloo, IA – http://www.kwwl.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
283. KWES TV/Odessa, TX – http://www.newswest9.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
284. WQOW TV/Eau Claire, WI – http://www.wqow.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
285. WVIR TV/Charlottesville, VA – http://www.nbc29.com/story/29889729/amputees-decry-medicare-payment-overhaul-for-artificial-feet
286. KTUL TV/Tulsa, OK – http://www.ktul.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
287. WSFA TV/Montgomery, AL – http://www.wsfa.com/story/29889768/amputees-decry-medicare-payment-overhaul-for-artificial-feet
288. KFDA TV/Amarillo, TX – http://www.newschannel10.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
289. WAFF TV/Huntsville, AL – http://www.waff.com/story/29889768/amputees-decry-medicare-payment-overhaul-for-artificial-feet
290. WREX TV/Rockford, IL – http://www.wrex.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
291. KOKI TV/Tulsa, OK – http://www.fox23.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
292. KTIV TV/Sioux City, IA – http://www.ktiv.com/story/29889728/amputees-decry-medicare-payment-overhaul-for-artificial-feet
293. WVNS TV/Lewisburg, WV – http://www.wvnstv.com/story/29889729/amputees-decry-medicare-payment-overhaul-for-artificial-feet
294. WGGB TV/Springfield, MA – http://www.westernmassnews.com/story/29889727/amputees-decry-medicare-payment-overhaul-for-artificial-feet
295. KBMT TV/Beaumont, TX – http://www.12newsnow.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
296. WAOW TV/Wausau, WI – http://www.waow.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
297. KTMF TV/Missoula, MT – http://www.abcfoxmontana.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
298. WXOW TV/La Crosse, WI – http://www.wxow.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
299. WFMJ TV/Youngstown, OH – http://www.wfmj.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
300. WDAM TV/Laurel, MS – http://www.wdam.com/story/29889768/amputees-decry-medicare-payment-overhaul-for-artificial-feet
301. KXMC TV/Minot, ND – http://www.kxnet.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
302. KAUZ TV/Wichita Falls, TX – http://www.newschannel6now.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
303. WTOP AM/Federal News Radio/Washington DC – http://federalnewsradio.com/government-news/2015/08/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
304. KLBJ FM/Austin, TX – http://www.newsradioklbj.com/news/technology/high-tech/amputees-decry-medicare-payment-overhaul-artificial-feet
305. Cybercast News Service – http://www.cnsnews.com/news/article/amputees-decry-medicare-payment-overhaul-artificial-feet
306. Salem Radio Network – http://www.srnnews.com/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
307. WDBO FM/Orlando, FL – http://www.news965.com/ap/ap/top-news/amputees-decry-medicare-payment-overhaul-for-artif/nnRtD/
308. KSL AM/Salt Lake City, UT – https://www.ksl.com/?sid=36193048
309. KXRA FM/Alexandria, MN –http://www.voiceofalexandria.com/everything_else/health_and_beauty/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_442c0cd3-4173-5120-9a30-ac760a69258e.html
310. WTN Talk Radio/Nashville, TN – http://www.997wtn.com/news/amputees-fight-medicare-proposal-to-limit-prosthetics/
311. KMJ Talk Radio/Fresno, CA – http://www.kmjnow.com/news/amputees-fight-medicare-proposal-to-limit-prosthetics/
312. KKOH Talk Radio/Reno, NV – http://www.kkoh.com/news/amputees-fight-medicare-proposal-to-limit-prosthetics/
313. WVNN Radio/Athens, AL – http://www.wvnn.com/news/amputees-fight-medicare-proposal-to-limit-prosthetics/
314. Newsday (Long Island, NY) – http://www.newsday.com/news/nation/amputees-decry-medicare-payment-overhaul-for-artificial-feet-1.10782541
315. Arizona Daily Sun (Flagstaff, AZ) – http://azdailysun.com/lifestyles/health-med-fit/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_757c825f-0c72-5581-9d75-f71c26403f23.html
316. Aiken (SC) standard – http://www.aikenstandard.com/article/20150827/AIK0107/150829457
317. Akron (OH) Beacon Journal – http://www.ohio.com/news/nation/amputees-decry-medicare-payment-overhaul-for-artificial-feet-1.619648
318. Waterbury (CT) Republican-American – http://www.rep-am.com/articles/2015/08/28/news/national/904127.txt
319. Naples (FL) Herald – http://naplesherald.com/2015/08/27/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
320. Modesto (CA) Bee – http://www.modbee.com/news/article32513055.html
321. Napa Valley (CA) Register – http://napavalleyregister.com/ap/washington/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_844b2d49-b865-5cfa-b8e8-426db2d90d9b.html
322. Jackson Hole (WY) News & Guide – http://www.jhnewsandguide.com/jackson_hole_daily/our_world_people/our_world/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_36d300d6-36c2-5a69-879b-772326e89e99.html
323. News Tribune (Tacoma, WA) – http://www.thenewstribune.com/news/business/article32513055.html
324. Stamford (CT) Advocate – http://www.stamfordadvocate.com/business/technology/article/Amputees-decry-Medicare-payment-overhaul-for-6468252.php
325. Lockport (NY) Union-Sun & Journal – http://www.lockportjournal.com/news/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_06693a4a-41c4-53f7-a48a-166d99ca4d70.html
326. The Pantagraph (Bloomington-Normal, IL) – http://www.pantagraph.com/ap/washington/amputees-decry-medicare-overhaul-for-artificial-feet/article_a92d3e3f-e8c9-5b59-b61d-75c74e341351.html
327. Marietta (GA) Daily Journal – http://mdjonline.com/pages/full_story/push?article-Amputees+decry+Medicare+payment+overhaul+for+artificial+feet+{cd9c44e368fb6cee2d09ae9816b0d094fbe47d90389af7031507558183226368}20&id=26828469
328. Cherokee (GA) Tribune – http://cherokeetribune.com/view/full_story/26828465/article-Amputees-decry-Medicare-payment-overhaul-for-artificial-feet-?
329. Tri-City Herald (Kennewick, WA) – http://www.tri-cityherald.com/2015/08/27/3711585/amputees-decry-medicare-payment.html
330. East Oregonian (Pendleton, OR) – http://www.eastoregonian.com/amputees-decry-medicare-payment-overhaul-for-artificial-feet-eo-ap-webfeeds-news-nation-worldd9cf0870b02843568469cc1599da3992
331. Norwich (CT) Bulletin – http://www.norwichbulletin.com/article/ZZ/20150827/NEWS/308279982/0/SEARCH
332. Independent Record (Helena, MT) – http://helenair.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_3ddc63a9-658c-56d5-993e-d89c8de150ad.html
333. Imperial Valley (CA) Press – http://www.ivpressonline.com/news/apgeneral/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_e513b99a-2268-55d1-bb34-c8dcdd3f32d0.html
334. Observer–Reporter (Washington, PA) – http://www.observer-reporter.com/article/20150827/NEWS05/150829529
335. Pharos-Tribune (Logansport, IN) – http://www.pharostribune.com/news/nation_world/article_5d685257-5252-5ac8-b65d-4475d0a5d536.html
336. Oswego (NY) Palladium-Times – http://www.palltimes.com/news/local/article_8a0e9670-0dc3-57a4-abc2-5ddd6cf327a4.html
337. Columbus (NE) Telegraph – http://columbustelegram.com/news/state-and-regional/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_f45a942c-5c73-5c84-ba2d-6dd6f8f7fdd6.html
338. Star Democrat (Easton, MD) – http://www.stardem.com/ap/washington/article_cfe82f3a-01de-5927-be6c-d4769ae06ae9.html
339. Joseph (MO) News-Press – http://www.newspressnow.com/news/technology/article_601f7902-515a-5df5-98da-076ed0d6ee67.html
340. Post-Star (Glen Falls, NY) – http://poststar.com/business/technology/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_2365a62d-d619-5a42-b91e-4b0d1b4938d9.html
341. Quincy (IL) Herald-Whig – http://www.whig.com/story/29889752/amputees-decry-medicare-payment-overhaul-for-artificial-feet
342. The Herald (Rock Hill, SC) – http://www.heraldonline.com/news/article32513055.html
343. Seymour (IN) Tribune – http://www.tribtown.com/view/story/d9cf0870b02843568469cc1599da3992/US–Medicare-Artificial-Feet
344. Greenfield (IN) Reporter – http://www.greenfieldreporter.com/view/story/d9cf0870b02843568469cc1599da3992/US–Medicare-Artificial-Feet
345. Artesia (NM) Daily Press – https://www.artesianews.com/1095560/amputees-decry-medicare-payment-overhaul-for-artificial-feet.html
346. Ledger-Enquirer (Columbus, GA) – http://www.ledger-enquirer.com/news/article32513055.html
347. Wayne (PA) Independent – http://www.wayneindependent.com/article/ZZ/20150827/NEWS/308279982
348. Beatrice (NE) Daily Sun – http://beatricedailysun.com/news/state-and-regional/amputees-decry-medicare-payment-overhaul-for-artificial-feet/article_3c65ade5-484d-5ae3-8a95-b9d2736aa6e1.html
349. Bradford (PA) Era – http://www.bradfordera.com/news/article_41c0cdda-4d12-11e5-8377-1fd955fc8ec4.html
350. WVUE-TV (New Orleans, LA) – http://www.fox8live.com/story/29889768/amputees-decry-medicare-payment-overhaul-for-artificial-feet
351. WCAV-TV/Charlottesville Newsplex (Charlottesville, VA) – http://www.newsplex.com/home/headlines/Bombing-Survivor-Veteran-Campaign-Against-New-Requirements-for-Artificial-Feet-323112661.html
352. KOTV (Tulsa, OK) – http://www.newson6.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
353. WCIV-TV (Charleston, SC) – http://www.abcnews4.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
354. KWTV (Oklahoma City, OK) – http://www.news9.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
355. WKPT-TV (Kingsport, TN) – http://abc19.tv/amputees-decry-medicare-payment-overhaul-for-artificial-feet/
356. WBRC-TV (Birmingham, AL) – http://www.myfoxal.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
357. WLNE-TV (New Bedford, MA) – http://www.abc6.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
358. KOAA-TV (Pueblo, CO) – http://www.koaa.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet
359. WNEM-TV (Flint/Tri-Cities, MI) – http://www.wnem.com/story/29889767/amputees-decry-medicare-payment-overhaul-for-artificial-feet