,,ib ,union ,calendar ,no4 #fef #aaith  
,,congress  #b;d ,session  ,h4 ,r4 #agjc
 ,report ,no4 #aai-gec1 ,part ,i ,,in   
,,the ,,house ,,of ,,representatives    
,february #bg1 #bjbe,mr4 ,joyce of      
,pennsylvania 7for himself and ,mr4     
,buchanan7 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 
,july #ah1 #bjbf;,additional sponsors3  
,ms4 ,schrier1 ,mr4 ,meuser1 ,mr4       
,thompson of ,pennsylvania1 ,mr4        
,moulton1 ,mr4 ,bresnahan1 ,ms4 ,norton1
 ,ms4 ,gillen1 ,mr4 ,van ,orden1 and    
,mr4 ,van ,drew  ,july #ah1             
#bjbf,reported from the ,committee on   
,energy and ,commerce with an           
amendment,strike out all after the      
enacting clause and insert the part     

printed in italic  ,july #ah1           
#bjbf;,committee on ,ways and ,means    
discharged2 committed to the ,committee 
of the ,whole ,house on the ,state of   
the ,union and ordered to be printed,for
 text of introduced bill1 see copy of   
bill as introduced on ,february #bg1    
#bjbe  ,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 #bjbf4 
#b4 ,special rules related to treatment 
of 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#bd7 ,special rules related
 to treatment of certain manual         
wheelchairs  7,a7 ,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 #a1 #bjbh1 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 #a or more such codes for such a  
base with titanium or carbon fiber      
construction material and #a or more    
such codes for such a base without such 
materials74  7,b7 ,payment and          
beneficiary protections  7i7 ,payment   
,on or after ,january #a1 #bjbh1 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 wheelchair1 payment to the      
supplier shall be made in the frequency 
and amount as would otherwise be made   
under this subsection 7as described in  
paragraph 7#a77;,a77 for such           

wheelchair4  7ii7 ,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  
7i7 for such wheelchair4  7iii7         
,beneficiary protections ,in order to   
inform an individual of the individual's
 potential financial liability under    
clause 7ii71 the ,secretary may require 
a supplier to issue a notice to the     
individual 7in a form and manner        
determined by the ,secretary7 prior to  
the purchase or rental of such          
ultralightweight manual wheelchair by   
such individual4  4  ,july #ah1         
#bjbf,reported from the ,committee on   
,energy and ,commerce with an           
amendment,july #ah1 #bjbf;,committee on 
,ways and ,means discharged2 committed  
to the ,committee of the ,whole ,house  
on the ,state of the ,union and ordered 
to be printed