This bill amends Medicare's rules for covering manual wheelchairs starting January 1, 2025. It requires Medicare to create separate billing codes for ultralightweight manual wheelchairs based on whether they use premium materials like titanium or carbon fiber versus standard materials. The legislation allows Medicare beneficiaries to upgrade to wheelchairs with these premium materials and pay the difference between Medicare's standard payment rate and the wheelchair's actual cost, rather than being required to accept the standard option. Suppliers would need to inform patients in advance about their potential out-of-pocket costs for upgraded wheelchairs. The bill affects seniors and disabled individuals covered by Medicare who use manual wheelchairs and gives them more choice in selecting higher-performance equipment while clarifying how payments and costs will be divided between Medicare and the patient.