S. 247Senate119th Congress (2025-2027)In Committee

Choices for Increased Mobility Act of 2025

Introduced January 24, 2025

AI-Generated Summary

Updated November 24, 2025 at 3:17 AM UTC

The Choices for Increased Mobility Act of 2025 updates the Social Security Act to clarify how Medicare Part B pays for ultralightweight manual wheelchairs. It requires new billing codes that distinguish wheelchairs with titanium or carbon‑fiber bases from those without, and sets payment rules that let suppliers bill beneficiaries for any cost not covered by Medicare, provided they give a clear notice of the potential charge. The changes affect Medicare beneficiaries who need these wheelchairs and the suppliers who provide them, and take effect on January 1, 2026.

Key Provisions

  • The Secretary of Health and Human Services must create separate HCPCS codes for ultralightweight manual wheelchairs based on whether the base is made of titanium or carbon fiber versus other materials.
  • Starting January 1, 2026, Medicare will pay suppliers for ultralightweight manual wheelchairs with titanium or carbon‑fiber bases at the standard Part B rate.
  • Suppliers may charge beneficiaries the difference between the Medicare payment amount and the wheelchair’s actual price.
  • Suppliers must give beneficiaries a notice, in a format the Secretary decides, explaining any out‑of‑pocket costs before the wheelchair is purchased or rented.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

January 24, 2025

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SenateIntro Referral

Introduced in Senate

January 24, 2025

SenateIntro Referral

Read twice and referred to the Committee on Finance.

January 24, 2025

Bill Text

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Introduced in SenateIssued January 24, 2025

II

119th CONGRESS

1st Session

S. 247

IN THE SENATE OF THE UNITED STATES

January 24, 2025

Mrs. Blackburn (for herself and Ms. Duckworth) introduced the following bill; which was read twice and referred to the Committee on Finance

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.

1.

Short title

This Act may be cited as the Choices for Increased Mobility Act of 2025.

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.

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