H.R. 9364

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