,,ii  #aaith ,,congress  #ast ,session  
,s4 #bdg  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,january #bd1       
#bjbe,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 #bjbe4  #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#bc7 
,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 #bjbf1 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 #bjbf1 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 payment      
amount described in clause 7i7 for such 
wheelchair and the supplier's actual    
charge for such wheelchair4  7iii7      
,beneficiary protections ,in order to   
inform an individual of their 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    
rent of such ultralightweight manual    
wheelchair by such individual4  4