[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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