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The Choices for Increased Mobility Act of 2026 aims to improve how Medicare handles payments for certain manual wheelchairs, specifically ultralightweight models that use advanced materials such as titanium or carbon fiber. Starting January 1, 2028, the bill requires the Secretary of Health and Human Services to establish separate billing codes for these wheelchairs based on the materials used in their construction. This change recognizes that wheelchairs made with these materials often cost more than standard models. Under the new rules, Medicare will pay suppliers the usual amount for these wheelchairs, but suppliers can charge patients the difference between the Medicare payment and the actual cost of the wheelchair. To protect patients, suppliers may be required to provide clear notices about potential out-of-pocket costs before purchase or rental. This bill matters because it addresses the growing availability and use of advanced-material wheelchairs, ensuring Medicare payment policies reflect their higher costs while informing beneficiaries about their financial responsibilities. The practical effect is that patients seeking these specialized wheelchairs may have to pay more upfront, but they will receive better information about costs, and suppliers will have clearer billing procedures.