The White House said the law modifies payment rules for certain wheelchairs; an advocacy group says provisions affecting ultralightweight manual models take effect in 2028.
The US president signed H.R. 1703, the Choices for Increased Mobility Act of 2026, into law on 10 November 2026, the White House said. The law modifies Medicare payment rules for certain wheelchairs.
NCART, which advocated for the legislation, said it addresses ultralightweight manual wheelchairs and would restore beneficiaries’ ability to choose titanium or carbon fiber upgrades while paying the extra cost of those materials.
The White House announcement did not specify the wheelchair categories, payment amounts or effective date. NCART said new billing codes, payment rules and beneficiary protections take effect on 1 January 2028.
A Bill Sponsor summary, labeled as a 2025 version of the bill, describes separate billing codes for wheelchair bases made with titanium or carbon fiber and those made without them. It says the Centers for Medicare & Medicaid Services must establish the codes.
That summary says Medicare payments to suppliers would remain the same, but suppliers could charge beneficiaries the difference between the payment and the wheelchair’s actual charge. It also says the agency may require suppliers to inform beneficiaries of their potential financial liability.
US Representative John Joyce sponsored the bill, which was introduced on 27 February 2025. It was assigned to the House Ways and Means and Energy and Commerce committees. It was reported in the House on 18 July 2026, engrossed in the House on 20 July, referred in the Senate on 21 July and enrolled on 9 October. The Senate passed it without objection on 30 September 2026, after discharging its Finance Committee from consideration without objection.
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