FAST Repairs for Wheelchairs Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9364 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 9364

 To amend title XVIII of the Social Security Act to prohibit Medicare
   Advantage plans from imposing prior authorization with respect to
             repairs to complex rehabilitation technology.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             June 18, 2026

 Ms. Pressley (for herself, Ms. Matsui, Ms. Schakowsky, Mrs. Dingell,
Mr. Cohen, Mr. Davis of Illinois, Mr. Garcia of California, Mr. Hoyer,
Ms. Kelly of Illinois, Mr. Moulton, Ms. Norton, Ms. Tlaib, Ms. Tokuda,
 and Mrs. Trahan) introduced the following bill; which was referred to
 the Committee on Ways and Means, and in addition to the Committee on
Energy and Commerce, 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 prohibit Medicare
   Advantage plans from imposing prior authorization with respect to
             repairs to complex rehabilitation technology.

    Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Facilitating Access to Service and
Timely Repairs for Wheelchairs Act'' or the ``FAST Repairs for
Wheelchairs Act''.

SEC. 2. REMOVING PRIOR AUTHORIZATION REQUIREMENTS UNDER MEDICARE
              ADVANTAGE PLANS.

    Section 1852(a)(1)(B) of the Social Security Act (42 U.S.C. 1395w-
22(a)(1)(B)) is amended by adding at the end the following new clause:
                            ``(vii) Prohibition of prior authorization
                        for maintenance and repairs to complex
                        rehabilitation technology.--
                                    ``(I) In general.--In the case of
                                complex rehabilitation technology, for
                                plan years beginning on or after
                                January 1 following the date of
                                enactment of this clause, an MA plan
                                may not impose any prior authorization
                                requirements, prescription
                                requirements, or medical documentation
                                requirements with respect to the
                                coverage of repairs made to such a
                                technology under such plan.
                                    ``(II) Clarification.--Subclause
                                (I) shall not prohibit prior
                                authorization for the initial
                                evaluation of the medical necessity of
                                the complex rehabilitation technology
                                or the replacement of complex
                                rehabilitation technology due to loss
                                or irreparable damage, when such
                                technology reaches its reasonable
                                useful lifetime, or when such
                                technology has been in use for 5 years.
                                    ``(III) Complex rehabilitation
                                technology defined.--For the purposes
                                of this clause, the term `complex
                                rehabilitation technology' means--
                                            ``(aa) certain complex
                                        rehabilitative power
                                        wheelchairs, complex
                                        rehabilitative manual
                                        wheelchairs, and certain manual
                                        wheelchairs, as those terms are
                                        used in section 1847(a)(2)(A);
                                        and
                                            ``(bb) any related
                                        accessories to the items
                                        described in item (aa) when
                                        furnished in connection with
                                        such items.''.
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