Choices for Increased Mobility Act of 2026

Enumerated powers · passes

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.

Bill of Rights · passes

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.

Individual liberty · passes

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.

Decentralization · passes

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.

Due process and takings · passes

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.