| 1 | 1 | | I |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 1703 |
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| 5 | 5 | | To amend title XVIII of the Social Security Act to clarify payment rules |
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| 6 | 6 | | for manual wheelchairs under part B of the Medicare program. |
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| 7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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| 8 | 8 | | FEBRUARY27, 2025 |
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| 9 | 9 | | Mr. J |
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| 10 | 10 | | OYCEof Pennsylvania (for himself and Mr. BUCHANAN) introduced the |
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| 11 | 11 | | following bill; which was referred to the Committee on Energy and Com- |
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| 12 | 12 | | merce, and in addition to the Committee on Ways and Means, for a pe- |
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| 13 | 13 | | riod to be subsequently determined by the Speaker, in each case for con- |
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| 14 | 14 | | sideration of such provisions as fall within the jurisdiction of the com- |
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| 15 | 15 | | mittee concerned |
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| 16 | 16 | | A BILL |
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| 17 | 17 | | To amend title XVIII of the Social Security Act to clarify |
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| 18 | 18 | | payment rules for manual wheelchairs under part B of |
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| 19 | 19 | | the Medicare program. |
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| 20 | 20 | | Be it enacted by the Senate and House of Representa-1 |
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| 21 | 21 | | tives of the United States of America in Congress assembled, 2 |
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| 22 | 22 | | SECTION 1. SHORT TITLE. 3 |
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| 23 | 23 | | This Act may be cited as the ‘‘Choices for Increased 4 |
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| 24 | 24 | | Mobility Act of 2025’’. 5 |
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| 25 | 25 | | VerDate Sep 11 2014 02:00 Mar 15, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1703.IH H1703 |
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| 26 | 26 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 27 | 27 | | •HR 1703 IH |
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| 28 | 28 | | SEC. 2. SPECIAL RULES RELATED TO TREATMENT OF CER-1 |
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| 29 | 29 | | TAIN MANUAL WHEELCHAIRS UNDER THE 2 |
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| 30 | 30 | | MEDICARE PROGRAM. 3 |
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| 31 | 31 | | Section 1834(a) of the Social Security Act (42 U.S.C. 4 |
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| 32 | 32 | | 1395m(a)) is amended by adding at the end the following 5 |
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| 33 | 33 | | new paragraph: 6 |
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| 34 | 34 | | ‘‘(23) S |
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| 35 | 35 | | PECIAL RULES RELATED TO TREAT -7 |
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| 36 | 36 | | MENT OF CERTAIN MANUAL WHEELCHAIRS .— 8 |
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| 37 | 37 | | ‘‘(A) R |
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| 38 | 38 | | EQUIREMENT TO ESTABLISH SEPA -9 |
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| 39 | 39 | | RATE HCPCS CODES FOR CERTAIN MANUAL 10 |
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| 40 | 40 | | WHEELCHAIRS.—With respect to 11 |
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| 41 | 41 | | ultralightweight manual wheelchairs payable 12 |
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| 42 | 42 | | under this subsection furnished on or after Jan-13 |
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| 43 | 43 | | uary 1, 2026, the Secretary shall establish two 14 |
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| 44 | 44 | | or more HCPCS codes, as determined appro-15 |
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| 45 | 45 | | priate by the Secretary, for the base of such a 16 |
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| 46 | 46 | | wheelchair depending on the construction mate-17 |
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| 47 | 47 | | rial used in such base (with 1 or more such 18 |
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| 48 | 48 | | codes for such a base with titanium or carbon 19 |
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| 49 | 49 | | fiber construction material and 1 or more such 20 |
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| 50 | 50 | | codes for such a base without such materials). 21 |
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| 51 | 51 | | ‘‘(B) P |
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| 52 | 52 | | AYMENT AND BENEFICIARY PRO -22 |
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| 53 | 53 | | TECTIONS.— 23 |
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| 54 | 54 | | ‘‘(i) P |
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| 55 | 55 | | AYMENT.—On or after January 24 |
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| 56 | 56 | | 1, 2026, in the case where an individual 25 |
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| 57 | 57 | | purchases or rents from a supplier an 26 |
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| 58 | 58 | | VerDate Sep 11 2014 02:00 Mar 15, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1703.IH H1703 |
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| 59 | 59 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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| 60 | 60 | | •HR 1703 IH |
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| 61 | 61 | | ultralightweight manual wheelchair that 1 |
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| 62 | 62 | | has titanium or carbon fiber construction 2 |
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| 63 | 63 | | material used in the base of such wheel-3 |
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| 64 | 64 | | chair, payment to the supplier shall be 4 |
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| 65 | 65 | | made in the frequency and amount as 5 |
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| 66 | 66 | | would otherwise be made under this sub-6 |
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| 67 | 67 | | section (as described in paragraph (1)(A)) 7 |
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| 68 | 68 | | for such wheelchair. 8 |
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| 69 | 69 | | ‘‘(ii) B |
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| 70 | 70 | | ENEFICIARY CHARGES .—The 9 |
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| 71 | 71 | | supplier may charge the individual the dif-10 |
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| 72 | 72 | | ference between the payment amount de-11 |
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| 73 | 73 | | scribed in clause (i) for such wheelchair 12 |
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| 74 | 74 | | and the supplier’s actual charge for such 13 |
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| 75 | 75 | | wheelchair. 14 |
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| 76 | 76 | | ‘‘(iii) B |
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| 77 | 77 | | ENEFICIARY PROTECTIONS .— 15 |
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| 78 | 78 | | In order to inform an individual of their 16 |
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| 79 | 79 | | potential financial liability under clause 17 |
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| 80 | 80 | | (ii), the Secretary may require a supplier 18 |
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| 81 | 81 | | to issue a notice to the individual (in a 19 |
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| 82 | 82 | | form and manner determined by the Sec-20 |
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| 83 | 83 | | retary) prior to the purchase or rent of 21 |
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| 84 | 84 | | such ultralightweight manual wheelchair by 22 |
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| 85 | 85 | | such individual.’’. 23 |
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| 86 | 86 | | Æ |
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| 87 | 87 | | VerDate Sep 11 2014 02:00 Mar 15, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\H1703.IH H1703 |
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| 88 | 88 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
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