Us Congress 2025-2026 Regular Session

Us Congress Senate Bill SB247 Compare Versions

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11 II
22 119THCONGRESS
33 1
44 STSESSION S. 247
55 To amend title XVIII of the Social Security Act to clarify payment rules
66 for manual wheelchairs under part B of the Medicare program.
77 IN THE SENATE OF THE UNITED STATES
88 JANUARY24, 2025
99 Mrs. B
1010 LACKBURN(for herself and Ms. DUCKWORTH) introduced the following
1111 bill; which was read twice and referred to the Committee on Finance
1212 A BILL
1313 To amend title XVIII of the Social Security Act to clarify
1414 payment rules for manual wheelchairs under part B of
1515 the Medicare program.
1616 Be it enacted by the Senate and House of Representa-1
1717 tives of the United States of America in Congress assembled, 2
1818 SECTION 1. SHORT TITLE. 3
1919 This Act may be cited as the ‘‘Choices for Increased 4
2020 Mobility Act of 2025’’. 5
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2323 •S 247 IS
2424 SEC. 2. SPECIAL RULES RELATED TO TREATMENT OF CER-1
2525 TAIN MANUAL WHEELCHAIRS UNDER THE 2
2626 MEDICARE PROGRAM. 3
2727 Section 1834(a) of the Social Security Act (42 U.S.C. 4
2828 1395m(a)) is amended by adding at the end the following 5
2929 new paragraph: 6
3030 ‘‘(23) S
3131 PECIAL RULES RELATED TO TREAT -7
3232 MENT OF CERTAIN MANUAL WHEELCHAIRS .— 8
3333 ‘‘(A) R
3434 EQUIREMENT TO ESTABLISH SEPA -9
3535 RATE HCPCS CODES FOR CERTAIN MANUAL 10
3636 WHEELCHAIRS.—With respect to 11
3737 ultralightweight manual wheelchairs payable 12
3838 under this subsection furnished on or after Jan-13
3939 uary 1, 2026, the Secretary shall establish two 14
4040 or more HCPCS codes, as determined appro-15
4141 priate by the Secretary, for the base of such a 16
4242 wheelchair depending on the construction mate-17
4343 rial used in such base (with 1 or more such 18
4444 codes for such a base with titanium or carbon 19
4545 fiber construction material and 1 or more such 20
4646 codes for such a base without such materials). 21
4747 ‘‘(B) P
4848 AYMENT AND BENEFICIARY PRO -22
4949 TECTIONS.— 23
5050 ‘‘(i) P
5151 AYMENT.—On or after January 24
5252 1, 2026, in the case where an individual 25
5353 purchases or rents from a supplier an 26
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5757 ultralightweight manual wheelchair that 1
5858 has titanium or carbon fiber construction 2
5959 material used in the base of such wheel-3
6060 chair, payment to the supplier shall be 4
6161 made in the frequency and amount as 5
6262 would otherwise be made under this sub-6
6363 section (as described in paragraph (1)(A)) 7
6464 for such wheelchair. 8
6565 ‘‘(ii) B
6666 ENEFICIARY CHARGES .—The 9
6767 supplier may charge the individual the dif-10
6868 ference between the payment amount de-11
6969 scribed in clause (i) for such wheelchair 12
7070 and the supplier’s actual charge for such 13
7171 wheelchair. 14
7272 ‘‘(iii) B
7373 ENEFICIARY PROTECTIONS .— 15
7474 In order to inform an individual of their 16
7575 potential financial liability under clause 17
7676 (ii), the Secretary may require a supplier 18
7777 to issue a notice to the individual (in a 19
7878 form and manner determined by the Sec-20
7979 retary) prior to the purchase or rent of 21
8080 such ultralightweight manual wheelchair by 22
8181 such individual.’’. 23
8282 Æ
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