H.R. 1703

Choices for Increased Mobility Act of 2026

Official summary

Written by the Congressional Research Service.

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.

Text of the bill

Expand all
Sec. 2. Special rules related to treatment of certain manual wheelchairs under the Medicare program Changed · Jul 18

Where this section came from

  1. Feb 27, 2025 · Introduced in House Referred to House Committee on Ways and Means, Feb 27 Referred to House Committee on Energy and Commerce, Feb 27
  2. Jul 18, 2026 · Reported in House Marked up by House Committee on Energy and Commerce, May 21 Reported by House Committee on Energy and Commerce, Jul 18 Committee members' individual votes aren't in our records.
What changed in the text

… 2 unchanged passages …

( 23 24 ) 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 2028 , 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 2028 , 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 supplier's amount actual described charge in clause (i) for such wheelchair and the supplier's payment actual amount charge described in clause (i) for such wheelchair. (iii) Beneficiary protections. In order to inform an individual of their the individual’s 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 rental of such ultralightweight manual wheelchair by such individual.

]

What is a markup?

A markup is a committee meeting where members go through a bill and vote on changes before sending it to the full chamber.

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:

Text this section adds to the law

(24) 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, 2028, 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, 2028, 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 supplier's actual charge for such wheelchair and the payment amount described in clause (i) for such wheelchair.

(iii) Beneficiary protections. In order to inform an individual of the individual’s 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 rental of such ultralightweight manual wheelchair by such individual.