,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #dgc  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #d1 #bjac    
,mr4 ,connolly 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 ,9 g5]al   
,sections #ahai7;b77#d77;,a7 &          
#aiai7;b77#d77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acie;i-#c7;b77#d77;,a71                

#acifr7b77#d77;,a77 are ea* am5d$ by    
add+ at ! end ! foll[+3 ,) respect to   
meet+ ! /aff+ requirem5t impos$ by !    
,secret>y to c>ry out clause 7iv71 !    
full-"t director ( food s]vices ( !     
facility1 if n a qualifi$ dietitian 7z  
def9$ 9 section #dhc4ce7;a77#b7 ( title 
#db1 ,code ( ,f$]al ,regulations1 z 9   
effect z ( ! date ( ! enactm5t ( ?is    
section71 %all be a ,c]tifi$ ,diet>y    
,manag] meet+ ! requirem5ts ( ! ,c]tify+
 ,bo>d = ,diet>y ,manag]s or h equival5t
 milit>y or academic qualifications 7z  
specifi$ by ! ,secret>y744  7b7         
,effective date ,! am5dm5ts made by     
subsection 7a7 %all take effect on !    
date t is #ahj days aft] ! date (       
enactm5t ( ?is ,act4