,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #gcje  ,,in ,,the ,,house ,,of  
,,representatives  ,december #ac1       
#bjah,mr4 ,sam ,johnson of ,texas 7for  
himself and ,mrs4 ,mc,morris ,rodgers7  
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committee on ,ways and ,means1 for a   
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to clarify payment rules 
for manual wheelchairs under part ,b of 
the ,medicare program4  #a4 ,short title
 ,this ,act may be cited as the ,choices
 for ,increased ,mobility ,act of #bjah4
  #b4 ,clarifying payment rules for     
manual wheelchairs under part ,b of the 
,medicare program  7a7 ,exclusion       
,section #ahfb7;a77#a7 of the ,social   
,security ,act 7#db ,u4,s4,c4           

#aciey7a77#a77 is amended--  7#a7 in    
subparagraph 7,o71 by striking and at   
the end2  7#b7 in subparagraph 7,p71 by 
striking the semicolon at the end and   
inserting 1 and2 and  7#c7 by adding at 
the end the following new subparagraph3 
7,q7 in the case of a manual wheelchair 
furnished on or after ,january #a1      
#bjai1 where such expenses exceed the   
amount recognized under section         
#ahcd7;a77#a77;,b77ii7 for such         
wheelchair by reason of inclusion of any
 titanium construction materials        
included in the base of such wheelchair2
  4  7b7 ,no effect on fee schedule     
,section #ahcd7;a77#a7 of such ,act 7#db
 ,u4,s4,c4 #aciem7a77#a77 is amended by 
adding at the end the following new     
subparagraph3  7,j7 ,exclusion of       
certain manual wheelchair components    
from fee schedule amount ,beginning     
,january #a1 #bjai1 any payment amount  
recognized under subparagraph 7,b77ii7  
with respect to a manual wheelchair     
shall be treated as not including       

payment for any titanium construction   
materials included in the base of such  
wheelchair4  4