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I
116TH CONGRESS
1ST SESSION H. R. 2293
To amend title XVIII of the Social Security Act to exclude complex rehabilita-
tive manual wheelchairs from the Medicare competitive acquisition pro-
gram, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
APRIL 12, 2019
Mr. LARSON of Connecticut (for himself, Mr. ZELDIN, Ms. STEFANIK, Mr.
FITZPATRICK, Mr. HIGGINS of New York, Mr. TONKO, Mr. KELLY of
Pennsylvania, Mr. EMMER, Mr. RUSH, Ms. CLARKE of New York, Mr.
LANGEVIN, Mr. SWALWELL of California, Ms. JAYAPAL, Mr. SIRES, Mr.
CONNOLLY, Mr. RUPPERSBERGER, Mr. DEFAZIO, Mr. MEEKS, Mr.
LOEBSACK, Mr. KING of New York, Mr. ESPAILLAT, Ms. BONAMICI, and
Miss RICE of New York) introduced the following bill; which was referred
to the Committee on Energy and Commerce, and in addition to the Com-
mittee on Ways and Means, for a period to be subsequently determined
by the Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
A BILL
To amend title XVIII of the Social Security Act to exclude
complex rehabilitative manual wheelchairs from the Medi-
care competitive acquisition program, and for other pur-
poses.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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•HR 2293 IH
SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Protecting Access to
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Wheelchairs Act’’.
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SEC. 2. EXCLUSION OF COMPLEX REHABILITATIVE MAN-
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UAL WHEELCHAIRS FROM MEDICARE COM-
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PETITIVE ACQUISITION PROGRAM; NON-AP-
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PLICATION OF MEDICARE FEE-SCHEDULE
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ADJUSTMENTS FOR CERTAIN WHEELCHAIR
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ACCESSORIES AND CUSHIONS.
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(a) EXCLUSION OF COMPLEX REHABILITATIVE MAN-
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UAL WHEELCHAIRS FROM COMPETITIVE ACQUISITION
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PROGRAM.—Section 1847(a)(2)(A) of the Social Security
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Act (42 U.S.C. 1395w–3(a)(2)(A)) is amended—
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(1) by inserting ‘‘, complex rehabilitative man-
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ual wheelchairs (as determined by the Secretary),
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and certain manual wheelchairs (identified, as of Oc-
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tober 1, 2018, by HCPCS codes E1235, E1236,
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E1237, E1238, and K0008 or any successor to such
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codes)’’ after ‘‘group 3 or higher’’; and
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(2) by striking ‘‘such wheelchairs’’ and insert-
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ing ‘‘such complex rehabilitative power wheelchairs,
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complex rehabilitative manual wheelchairs, and cer-
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tain manual wheelchairs’’.
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(b) NON-APPLICATION OF MEDICARE FEE SCHED-
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ULE ADJUSTMENTS FOR WHEELCHAIR ACCESSORIES AND
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SEAT AND BACK CUSHIONS WHEN FURNISHED IN CON-
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•HR 2293 IH
NECTION
WITH
COMPLEX
REHABILITATIVE
MANUAL
1
WHEELCHAIRS.—
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(1) IN GENERAL.—Notwithstanding any other
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provision of law, the Secretary of Health and
4
Human Services shall not, during the period begin-
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ning on July 1, 2019, and ending on December 31,
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2020, use information on the payment determined
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under the competitive acquisition programs under
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section 1847 of the Social Security Act (42 U.S.C.
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1395w–3) to adjust the payment amount that would
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otherwise
be
recognized
under
section
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1834(a)(1)(B)(ii)
of
such
Act
(42
U.S.C.
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1395m(a)(1)(B)(ii)) for wheelchair accessories (in-
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cluding seating systems) and seat and back cushions
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when furnished in connection with complex rehabili-
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tative manual wheelchairs (as determined by the
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Secretary), and certain manual wheelchairs (identi-
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fied, as of October 1, 2018, by HCPCS codes
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E1235, E1236, E1237, E1238, and K0008 or any
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successor to such codes).
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(2) IMPLEMENTATION.—Notwithstanding any
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other provision of law, the Secretary may implement
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this subsection by program instruction or otherwise.
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Æ
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