Federal RuleAug 21
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DOL Rewrites Disability Rules for 'Merit-Based Opportunity' Push
RuleLabor DepartmentFederal Contract Compliance Programs OfficeSignificant Wallet
119-hr-1703119th CongressWALLET
Choices for Increased Mobility Act of 2026
Sponsored By: Representative Joyce, John [R-PA-13]
Passed Senate
Summary
Creates Medicare payment and notice rules that separate ultralightweight manual wheelchairs by construction material. This bill would require new HCPCS codes and a payment-and-notice framework for ultralightweight manual wheelchair bases, with special rules for those using titanium or carbon fiber, effective January 1, 2028.
Show full summary
- Medicare beneficiaries who get ultralightweight manual wheelchairs with titanium or carbon fiber bases may be charged the difference between the supplier's actual price and the Medicare payment. Suppliers may need to give a pre-purchase notice explaining that potential liability.
- Durable medical equipment suppliers would receive payment under the existing Medicare Part B rules for these wheelchairs and may bill patients for any amount above that payment.
- The Secretary of Health and Human Services must establish at least two HCPCS codes for wheelchair bases, including at least one code for titanium or carbon fiber bases and one for other bases, and may set the form and timing of required beneficiary notices.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
New Medicare wheelchair payment and notice rules
The bill would require at least two Medicare Part B billing codes for ultralightweight manual wheelchairs furnished starting January 1, 2028. These codes would separate bases using titanium or carbon fiber from bases without those materials. For titanium or carbon fiber models, Medicare would keep its usual payment amount and schedule. Suppliers would be allowed to charge patients the difference between their actual price and Medicare's payment. The government would have the option to require suppliers to warn patients about those costs before purchase or rental.
Sponsors & CoSponsors
Sponsor
Joyce, John [R-PA-13]
PA • R
Cosponsors
Rep. Buchanan, Vern [R-FL-16]
FL • R
Sponsored 2/27/2025
Rep. Schrier, Kim [D-WA-8]
WA • D
Sponsored 3/5/2025
Rep. Meuser, Daniel [R-PA-9]
PA • R
Sponsored 3/14/2025
Rep. Thompson, Glenn [R-PA-15]
PA • R
Sponsored 5/20/2025
Rep. Moulton, Seth [D-MA-6]
MA • D
Sponsored 9/15/2025
Rep. Bresnahan, Robert P. [R-PA-8]
PA • R
Sponsored 9/30/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 10/14/2025
Rep. Gillen, Laura [D-NY-4]
NY • D
Sponsored 10/17/2025
Rep. Van Orden, Derrick [R-WI-3]
WI • R
Sponsored 5/21/2026
Rep. Van Drew, Jefferson [R-NJ-2]
NJ • R
Sponsored 6/8/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov