Choices for Increased Mobility Act of 2026

SI-generated grade · five published checks · not individually reviewed by a person · methodology

This bill is a narrow administrative measure that directs the Centers for Medicare & Medicaid Services to establish billing codes for certain wheelchair materials. It does not expand federal power beyond existing Medicare authority, does not infringe on any constitutional rights, and does not centralize decision-making beyond what is necessary for a federal insurance program. The provision allowing suppliers to bill beneficiaries for cost differences is a matter of contract and disclosure, not a taking or a denial of due process.

• ✓ Passes · Enumerated powers
  The federal government has authority to administer Medicare under the Spending Clause (Article I, Section 8, Clause 1) and the Necessary and Proper Clause (Article I, Section 8, Clause 18). Establishing billing codes for Medicare-covered equipment is a routine exercise of that authority.
• ✓ Passes · Bill of Rights
  The bill does not implicate any of the first ten amendments. It does not restrict speech, religion, assembly, press, petition, arms, quartering, search and seizure, self-incrimination, due process, takings, trial rights, or cruel and unusual punishment. It merely adjusts administrative details of a voluntary federal insurance program.
• ✓ Passes · Individual sovereignty
  The bill does not restrict individual freedom. It creates optional billing codes and allows suppliers to inform beneficiaries of potential financial liability. Beneficiaries retain the freedom to choose their wheelchair and to accept or decline cost differences. The government is not compelling any individual to act against their will.
• ✓ Passes · Decentralization
  The bill concerns the administration of a federal program (Medicare) that is inherently national in scope. An individual or local community cannot administer Medicare billing codes. The federal government is the appropriate level for this action because Medicare is a federal program. The bill does not consolidate decision-making upward; it merely refines existing federal administration.
• ✓ Passes · Due process and takings
  The bill does not deprive anyone of property without due process. It does not take property for public use without just compensation. The provision allowing suppliers to bill beneficiaries for cost differences is a contractual arrangement, not a government taking. Beneficiaries are informed of potential liability, satisfying notice requirements.

Sources: Congress.gov: HR 1703 summary