,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #baha  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bc1 #bjac ,mr4  
,la?am 7= himself & ,mr4 ,blum5au]7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means1 & 9    
addition to ! ,committee on ,en]gy &    
,comm]ce1 = a p]iod to be subsequ5tly   
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d titles ,,xviii & ,,xix
 ( ! ,social ,security ,act ) respect to
 ! qualification ( ! director ( food    
s]vices ( a ,m$ic>e skill$ nurs+        
facility or a ,m$icaid nurs+ facility4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,safe ,food = ,s5iors ,act ( #bjac4   
#b4 ,qualification ( director ( food    
s]vices ( a ,m$ic>e skill$ nurs+        
facility or a ,m$icaid nurs+ facility   
7a7 ,m$ic>e skill$ nurs+ facilities     
,section #ahai7;b77#d77;,a7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acie;i-#c7;b77#d77;,a77 is am5d$ by    

add+ at ! end ! foll[+3 ,) respect to   
meet+ any /aff+ requirem5t impos$ by !  
,secret>y = purposes ( satisfy+ clause  
7iv71 9 ! case t ! facility does n      
employ a full-"t qualifi$ dietitian 7z  
def9$ 9 p>agraph 7#b7 ( section         
#dhc4ce7;a7 ( title #db1 ,code ( ,f$]al 
,regulations1 z 9 effect z ( ! date ( ! 
enactm5t ( ! ,safe ,food = ,s5iors ,act 
( #bjac7 b complies ) su* section by    
designat+ a director ( food s]vices 7z  
describ$ 9 p>agraph 7#a7 ( su* section71
 ! director ( food s]vices %all be a    
,c]tifi$ ,diet>y ,manag] meet+ !        
applicable requirem5ts publi%$ by !     
,c]tify+ ,bo>d = ,diet>y ,manag]s1 a    
,dietetic ,te*nician1 ,regi/]$ meet+ !  
applicable requirem5ts publi%$ by !     
,commission on ,dietetic ,regi/ration1  
or an individual ) equival5t milit>y or 
academic qualifications 7z specifi$ by !
 ,secret>y744  7b7 ,m$icaid nurs+       
facilities ,section #aiai7;b77#d77;,a7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acifr7b77#d77;,a77 is am5d$ by add+ at

 ! end ! foll[+3 ,) respect to meet+ any
 /aff+ requirem5t impos$ by ! ,secret>y 
= purposes ( satisfy+ clause 7iv71 9 !  
case t ! facility does n employ a       
full-"t qualifi$ dietitian 7z def9$ 9   
p>agraph 7#b7 ( section #dhc4ce7;a7 (   
title #db1 ,code ( ,f$]al ,regulations1 
z 9 effect z ( ! date ( ! enactm5t ( !  
,safe ,food = ,s5iors ,act ( #bjac7 b   
complies ) su* section by designat+ a   
director ( food s]vices 7z describ$ 9   
p>agraph 7#a7 ( su* section71 ! director
 ( food s]vices %all be a ,c]tifi$      
,diet>y ,manag] meet+ ! applicable      
requirem5ts publi%$ by ! ,c]tify+ ,bo>d 
= ,diet>y ,manag]s1 a ,dietetic         
,te*nician1 ,regi/]$ meet+ ! applicable 
requirem5ts publi%$ by ! ,commission on 
,dietetic ,regi/ration1 or an individual
 ) equival5t milit>y or academic        
qualifications 7z specifi$ by !         
,secret>y744  7c7 ,effective date ,!    
am5dm5ts made by ?is section %all take  
effect on ! date t is #ahj days aft] !  
date ( enactm5t ( ?is ,act4