1. Short title This Act may be cited as the Timely Access to Coverage Decisions Act of 2023 . 2. Ensuring timely review of local coverage determination requests under the Medicare program Section 1862(l)(5) of the Social Security Act ( 42 U.S.C. 1395y(l)(5) ) is amended by adding at the end the following new subparagraph: (E) Timeframe for decisions on requests for local coverage determinations (i) In general The Secretary shall require each Medicare administrative contractor that receives a document that identifies itself as a request for a local coverage determination on or after the date that is 90 days after the date of the enactment of this subparagraph to determine whether such request is a complete request or an incomplete request not later than 30 days after such contractor receives such document. (ii) Notification with respect to incomplete requests In the case a Medicare administrative contractor makes a determination described in clause (i) with respect to a document so described that such document is an incomplete request for a local coverage determination, not later than 60 days after the date on which such contractor received such document, such contractor shall transmit to the entity that submitted such document a notification of such determination that includes a specification of each item of additional information needed to make such document a complete request for a local coverage determination. (iii) Decision timeline for complete requests In the case a Medicare administrative contractor makes a determination described in clause (i) with respect to a document so described that such document is an complete request for a local coverage determination, not later than 9 months after the date on which such contractor received such document, such contractor shall— (I) complete any necessary research relating to such request; (II) consult with outside experts on such request; (III) undertake a 45-day public comment period on such request; and (IV) issue a decisions with respect to such request. .