1. Short title This Act may be cited as the Ensuring Access to Quality Complex Rehabilitation Technology Act of 2019 . 2. Findings Congress finds the following: (1) There is a small and specific population of Medicare beneficiaries who have significant disabilities and medical conditions who require complex and individually configured medical equipment, items, and technologies. These items and technologies are referred to as complex rehabilitation technology (or CRT ) and include specialized wheel­chairs, specialized seating and positioning, and other types of adaptive equipment and items that are uniquely configured and fitted to the specific individual. Individuals in this population often qualify for Medicare based on their disability (rather than their age) and have significant disabilities and medical conditions that may include, but are not limited to, cerebral palsy, muscular dystrophy, multiple sclerosis, spinal cord injury, amyotrophic lateral sclerosis (ALS), traumatic brain injury, and spina bifida. This small population comprises less than 15 percent of the Medicare beneficiaries who receive wheelchairs. (2) Current provisions addressing Medicare benefit categories and related definitions do not sufficiently define certain complex rehabilitation technology items and do not adequately describe and distinguish these items as compared to other types of Medicare-covered medical items and equipment. (3) This current lack of definitional clarity for complex rehabilitation technology items results in access challenges for beneficiaries with significant disabilities and medical conditions, as these items are often grouped with standardized, nonspecialized products that significantly differ with respect to the complexity and the individualized configuration involved, as well as certain evaluation requirements, clinical coverage criteria, and other considerations. (4) To provide adequate access for the small population of Medicare beneficiaries with significant disabilities and medical conditions who require