H.R. 1703House119th Congress (2025-2027)Passed Congress

Choices for Increased Mobility Act of 2026

Sponsored by John JoyceRep. John Joyce (R-PA)
Introduced February 27, 2025

AI-Generated Summary

Updated October 9, 2026 at 3:42 AM UTC

The Choices for Increased Mobility Act of 2026 updates Medicare rules for ultralightweight manual wheelchairs. It adds new billing codes that separate wheelchairs with titanium or carbon‑fiber bases from those without, and it sets how Medicare will pay for them and what costs beneficiaries may owe. The changes apply to Medicare beneficiaries who obtain these wheelchairs after January 1, 2028.

Key Provisions

  • The Secretary must create separate HCPCS billing codes for ultralightweight manual wheelchairs based on whether the base is made of titanium or carbon fiber versus other materials.
  • Starting January 1, 2028, Medicare will pay suppliers for titanium or carbon‑fiber wheelchairs at the standard rate for that code.
  • Suppliers may charge beneficiaries the difference between the supplier’s actual price and the Medicare payment amount.
  • The Secretary can require suppliers to give beneficiaries a notice explaining any out‑of‑pocket liability before purchase or rental.

Legislative Activity

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19 earlier actions
SenateFloor Latest Action

Message on Senate action sent to the House.

October 14, 2026

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HouseIntro Referral

Introduced in House

February 27, 2025

HouseIntro Referral

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.

February 27, 2025

HouseCommittee

Referred to the Subcommittee on Health.

February 27, 2026

HouseCommittee

Subcommittee Consideration and Mark-up Session Held

May 13, 2026

HouseCommittee

Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

May 13, 2026

HouseCommittee

Committee Consideration and Mark-up Session Held

May 21, 2026

HouseCommittee

Ordered to be Reported by the Yeas and Nays: 45 - 0.

May 21, 2026

HouseCommittee

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-753, Part I.

July 18, 2026

HouseCommittee

Committee on Ways and Means discharged.

July 18, 2026

HouseCalendars

Placed on the Union Calendar, Calendar No. 656.

July 18, 2026

HouseFloor

Mr. Guthrie moved to suspend the rules and pass the bill, as amended.

July 20, 2026 • 2:30 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H4636-4637)

July 20, 2026 • 2:30 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 1703.

July 20, 2026 • 2:30 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4636-4637)

July 20, 2026 • 2:35 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4636-4637)

July 20, 2026 • 2:35 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

July 20, 2026 • 2:35 PM

SenateIntro Referral

Received in the Senate and Read twice and referred to the Committee on Finance.

July 21, 2026

SenateCommittee

Senate Committee on Finance discharged by Unanimous Consent.

September 30, 2026

SenateFloor

Passed Senate without amendment by Voice Vote. (consideration: CR S5299)

September 30, 2026

SenateFloor

Message on Senate action sent to the House.

October 14, 2026

Floor Debate

4 members

What members said about H.R. 1703 on the floor

3 Republicans1 Democrat
Brett Guthrie
Rep. Brett GuthrieR-KY-2 · Jul 20, 2026

Mr. Speaker, I move to suspend the rules and pass the bill (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…

Frank Pallone, Jr.
Rep. Frank Pallone, Jr.D-NJ-6 · Jul 20, 2026

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise to speak on H.R. 1703, the Choices for Increased Mobility Act. Mr. Speaker, this bill will clarify Medicare payment rules…

John Joyce
Rep. John JoyceR-PA-13 · Jul 20, 2026

Mr. Speaker, I rise today in support of my legislation, H.R. 1703, the Choices for Increased Mobility Act. This important piece of legislation clarifies the payment rules for manual wheelchairs under…

John Thune
Sen. John ThuneR-SD · Sep 30, 2026

Mr. President, I ask unanimous consent that the Committee on Finance be discharged and the Senate proceed to the immediate consideration of H.R. 1703. I ask unanimous consent that the bill be…

Bill Text

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Enrolled BillPublication date not provided

One Hundred Nineteenth Congress of the United States of America

At the Second Session

Begun and held at the City of Washington on Saturday, the third day of January, two thousand and twenty-six

H. R. 1703

AN ACT

To amend title XVIII of the Social Security Act to clarify payment rules for manual wheelchairs under part B of the Medicare program.

1.

Short title

This Act may be cited as the Choices for Increased Mobility Act of 2026.

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:

(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.

.

Speaker of the House of Representatives.

Vice President of the United States and President of the Senate.