Choices for Increased Mobility Act of 2025
This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish specific billing codes under Medicare for certain materials used in ultralightweight manual wheelchairs.
Specifically, the CMS must establish at least two billing codes for the base of the wheelchair, with at least one code for a base with titanium or carbon fiber construction material and at least one code for a base without these materials. Suppliers receive the same payment under Medicare for these wheelchairs as would otherwise apply, but may bill beneficiaries for any difference between the payment and the actual charge for the wheelchair. The CMS may require suppliers to inform beneficiaries of their potential financial liability in these cases.
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1703 Introduced in House (IH)]
<DOC>
119th CONGRESS
1st Session
H. R. 1703
To amend title XVIII of the Social Security Act to clarify payment
rules for manual wheelchairs under part B of the Medicare program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 27, 2025
Mr. Joyce of Pennsylvania (for himself and Mr. Buchanan) introduced the
following bill; which was referred to the Committee on Energy and
Commerce, and in addition to the Committee on Ways and Means, for a
period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to clarify payment
rules for manual wheelchairs under part B of the Medicare program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Choices for Increased Mobility Act
of 2025''.
SEC. 2. SPECIAL RULES RELATED TO TREATMENT OF CERTAIN MANUAL
WHEELCHAIRS UNDER THE MEDICARE PROGRAM.
Section 1834(a) of the Social Security Act (42 U.S.C. 1395m(a)) is
amended by adding at the end the following new paragraph:
``(23) Special rules related to treatment of certain manual
wheelchairs.--
``(A) Requirement to establish separate hcpcs codes
for certain manual wheelchairs.--With respect to
ultralightweight manual wheelchairs payable under this
subsection furnished on or after January 1, 2026, the
Secretary shall establish two or more HCPCS codes, as
determined appropriate by the Secretary, for the base
of such a wheelchair depending on the construction
material used in such base (with 1 or more such codes
for such a base with titanium or carbon fiber
construction material and 1 or more such codes for such
a base without such materials).
``(B) Payment and beneficiary protections.--
``(i) Payment.--On or after January 1,
2026, in the case where an individual purchases
or rents from a supplier an ultralightweight
manual wheelchair that has titanium or carbon
fiber construction material used in the base of
such wheelchair, payment to the supplier shall
be made in the frequency and amount as would
otherwise be made under this subsection (as
described in paragraph (1)(A)) for such
wheelchair.
``(ii) Beneficiary charges.--The supplier
may charge the individual the difference
between the payment amount described in clause
(i) for such wheelchair and the supplier's
actual charge for such wheelchair.
``(iii) Beneficiary protections.--In order
to inform an individual of their potential
financial liability under clause (ii), the
Secretary may require a supplier to issue a
notice to the individual (in a form and manner
determined by the Secretary) prior to the
purchase or rent of such ultralightweight
manual wheelchair by such individual.''.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
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