,,ii  #aahth ,,congress  #b;d ,session  
,s4 #eaed  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bd1
 #bjbd,mrs4 ,blackburn 7for herself and 
,ms4 ,duckworth7 introduced the         
following bill2 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 program4 
#a4 ,short title ,this ,act may be cited
 as the ,choices for ,increased         
,mobility ,act of #bjbd4  #b4           
,establishing separate ,,hcpcs codes for
 certain manual wheelchairs under the   
,medicare program ,section #ahcd7;a7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7a77 is amended by      
adding at the end the following new     
paragraph3  7#bc7 ,requirement to       
establish separate ,,hcpcs codes for    
certain manual wheelchairs  7,a7 ,in    
general ,with respect to                
ultralightweight manual wheelchairs     

payable under this subsection furnished 
on or after ,january #a1 #bjbe1 the     
,secretary shall establish two or more  
,,hcpcs codes1 as determined appropriate
 by the ,secretary1 for the base of such
 a wheelchair depending on the          
construction material used in such base 
7with one such code that is used to     
identify such a base with titanium or   
carbon fiber materials and one code for 
such a base without such materials74    
7,b7 ,upgrades applicable to certain    
manual wheelchairs ,notwithstanding     
paragraph 7#ai71 on or after ,january   
#a1 #bjbe1 an individual may purchase or
 rent from a supplier an upgraded       
titanium or carbon fiber manual         
wheelchair4  7,c7 ,payment and          
beneficiary protections  7i7 ,in general
 ,notwithstanding paragraph 7#ai71 in   
the case where an individual purchases  
or rents from a supplier an upgraded    
titanium or carbon fiber manual         
wheelchair on or after ,january #a1     
#bjbe1 the supplier may charge the      

individual the difference between the   
,medicare fee schedule amount for the   
non-upgraded manual wheelchair and the  
fair market value for the upgraded      
manual wheelchair4  7ii7 ,beneficiary   
protections ,in order to inform an      
individual of their potential financial 
liability under clause 7i71 the         
,secretary may require a supplier to    
issue an advance beneficiary notice     
under section #ahgi to the individual   
prior to the purchase or rent of an     
upgraded titanium or carbon fiber manual
 wheelchair by the individual4  4