H.R. 9364

[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.

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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

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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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