In additional than 50 years as a guide wheelchair consumer, Pam Daly has amassed so many wheelchair restore horror tales that she will be able to not preserve observe of which of them she’s instructed — or who she’s instructed them to.
There’s the time her brake fell off whereas she was sitting on the bathroom in a retailer; the time a caster fell off repeatedly whereas she was on trip in New York Metropolis; and the time her chair began emitting an ear-splitting squeaking sound, and that’s simply the highest of the listing.
So, when Rep. Ayanna Pressley’s legislative assistant instructed Daly one among her tales had resonated with the Congresswoman, she wasn’t certain precisely which story he was referring to. It didn’t actually matter although, because it wasn’t the specifics of the story that had captured Pressley’s consideration, as a lot as one of many themes widespread to all her tales: how the necessity for prior authorization inevitably led to unfathomable delays in securing the wheelchair repairs Daly wanted to dwell her life.
Even the best restore required Daly to get approval, typically including weeks, if not months, onto the restore course of for probably the most primary fixes.
“It embarrasses me that I’ve to beg over and time and again for one thing that’s so stupidly simple to do,” Daly says. “It’s actually barbaric.”
When she shares her restore nightmares with nondisabled individuals like Pressley, Daly tries to get them to assume how they’d reply.
“Nobody would put up with this!” says Daly.

Pressley and her employees agreed, and following a gathering with Daly and fellow advocates from SCIboston, the Boston chapter of United Spinal Affiliation, Pressley’s workplace drafted the “Facilitating Entry to Service and Well timed Repairs for Wheelchairs Act” (“FAST Repairs for Wheelchairs Act”). The invoice would prohibit Medicare Benefit plans from requiring prior authorization for wheelchairs and different advanced rehab expertise.
Medicare Benefit, also referred to as Half C, is a privately issued different to conventional Medicare (Elements A and B). Medicare doesn’t require prior authorization for wheelchair repairs however many Medicare Benefit plans do. In response to AARP, as of Might 2025, greater than 35 million individuals — about 51 % of eligible Medicare beneficiaries — had been enrolled in a Medicare Benefit plan.
Vita Brown, advocacy coordinator for SCIboston, factors to the invoice for example of the commonsense, non-partisan laws that may make an actual distinction.
“It’s a quite simple, small invoice that may make a small change, principally ensuring that definitions and necessities line up throughout the board. It’s making it truthful for everyone,” she says. “That’s one thing that lots of people can signal on to fairly simply.”
Brown began attending SCIboston conferences after her accomplice, William, sustained a C3 harm 5 years in the past. She had at all times loved advocacy and bought concerned as SCIboston’s coordinator quickly after. The natural evolution of the invoice — from conferences, to tales from these conferences, to follow-up calls and ultimately a proposed invoice — is a superb instance of the message Brown and Daly attempt to instill in different wheelchair customers seeking to make an impression however not sure how.
“Anybody who has a incapacity is an efficient advocate already as a result of you must do it on a regular basis,” says Brown. “I’m simply giving individuals the understanding that you simply already know the way to do that, we’re simply making use of it barely otherwise.”
To be taught extra about this invoice, or any of the coverage priorities for Roll on Capitol Hill, go to United Spinal’s advocacy web page.

