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S. 5540

BillFederalSenateIn Committee
A bill to amend title XVIII of the Social Security Act to clarify payment rules for manual wheelchairs under part B of the Medicare program.
About This Bill
Committee
Latest Action · December 16, 2024
Read twice and referred to the Committee on Finance.
Congress
118th (2023–2025)
Introduced
December 16, 2024
Cosponsors (1)
1D 0R
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Summary

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This bill amends Medicare's payment rules for manual wheelchairs starting January 1, 2026. It requires the federal government to establish separate billing codes for ultralightweight manual wheelchairs based on whether they use high-end materials like titanium or carbon fiber in the base, versus wheelchairs made with other materials. Under the bill, Medicare will pay suppliers a standard rate for these wheelchairs, but suppliers can charge patients the difference between what Medicare pays and what they actually charge for the chair, meaning patients could face higher out-of-pocket costs for wheelchairs with premium materials. The legislation also requires suppliers to notify patients about their potential additional costs before they purchase or rent these wheelchairs. The bill affects Medicare beneficiaries who need manual wheelchairs and the medical supply companies that provide them.

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