mobility device, an individual who, at the time the pre-
scription for the device is written, meets each of the fol-
lowing requirements: 
‘‘(A) The individual has a functional limitation 
of mobility that hinders the individual’s ability to 
perform mobility-related activities of daily living. 
‘‘(B) The use of the class III medical mobility 
device with respect to the individual is for uses of 
the device that have been approved by the Food and 
Drug Administration for the device. 
‘‘(C) The individual demonstrates sufficient 
cognitive and physical ability for the proper and safe 
operation of the device (such as sufficient use of one 
upper extremity and the ability to dial a push button 
telephone or operate a hand operated joystick) under 
such medical standards as the Secretary may speci-
fy. 
‘‘(D) The individual meets drivers licensing cri-
teria established in 1996 by the Epilepsy Founda-
tion of America. 
‘‘(E) The individual is not a resident of an in-
stitution that meets the requirements of subsection 
(e)(1) or section 1819(a)(1). 
‘‘(F) The individual has completed a com-
prehensive training program (that meets standards 
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developed by the Secretary in consultation with ap-
propriate industry representatives) on the safe oper-
ation of the class III medical mobility device and its 
functions. 
‘‘(G) The individual was initially entitled to 
benefits under part A of this title by reason of sec-
tion 226(b). 
‘‘(H) The residence of the individual— 
‘‘(i) has stairs that meet the conditions of 
use of the class III medical mobility device for 
a stair as indicated in the labeling of the device; 
and 
‘‘(ii) does not have a mechanical method to 
ascend or descend such a stair or stairs (such 
as an elevator or such other mechanical meth-
ods as the Secretary may specify). 
‘‘(3) A health care professional specified in this para-
graph is any of the following: 
‘‘(A) A physician (as defined in subsection 
(r)(1)). 
‘‘(B) A physician assistant. 
‘‘(C) A nurse practitioner. 
‘‘(D) A qualified physical therapist. 
‘‘(E) A qualified occupational therapist.’’. 
(c) CONFORMING AMENDMENTS.— 
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(1) PROVISION OF CLASS III MEDICAL MOBILITY 
DEVICE ONLY TO CLASS III MEDICAL MOBILITY-DE-
VICE ELIGIBLE INDIVIDUAL; MEDICAL NECESSITY.— 
Section 1862 of such Act (42 U.S.C. 1395y) is 
amended— 
(A) in subsection (a)(1)— 
(i) in subparagraph (M), by striking 
‘‘and’’ at the end; 
(ii) in subparagraph (N), by striking 
the semicolon at the end and inserting ‘‘, 
and’’; and 
(iii) by inserting after subparagraph 
(N) the following new subparagraph: 
‘‘(O) in the case of a class III medical mo-
bility device (as defined in paragraph (1) of sec-
tion 1861(ccc)), which is furnished other than 
to a class III medical mobility-device eligible in-
dividual (as defined in paragraph (2) of such 
section);’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘(n) CLARIFICATION OF COVERAGE OF AND PAY-
MENT FOR ALL FUNCTIONS OF CLASS III MEDICAL MO-
BILITY DEVICES.—In the case of a class III medical mo-
bility device (as defined in section 1861(ccc)(1)) furnished 
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