,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #cgaa ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #aa1 #bjai,ms4 ,judy ,*u ( ,cali=nia 7= h]self1 ,mr4 ,crd5as1 ,ms4 ,cl>ke ( ,new ,york1 ,mr4 ,fitzpatrick1 ,mrs4 ,lee ( ,nevada1 ,mr4 ,rask91 ,mr4 ,r\da1 ,mr4 ,tonko1 ,ms4 ,ca/or ( ,florida1 & ,mr4 ,"y7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = 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 title ,,xviii ( ! ,social ,security ,act to provide cov]age ( m$ical nutrition !rapy s]vices = individuals ) eat+ disord]s "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,nutrition ,c\nsel+ ,aid+ ,recov]y = ,eat+ ,disord]s ,act ( #bjai or ! ,nutrition ,,c>e ,act ( #bjai4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,eat+ disord]s1 includ+ ! specific disord]s ( anorexia n]vosa1 bulimia n]vosa1 b+e eat+ disord]1 avoidant_/re/rictive food intake disord]1 & o!r specifi$ fe$+ or eat+ disord]s1 are sev]e biologically bas$ m5tal illnesses caus$ by a complex int]action ( g5etic1 biological1 social1 behavioral1 & psy*ological factors4 7#b7 ,ov] #cj1jjj1jjj individuals 9 ! ,unit$ ,/ates ( all ages1 races1 sizes1 sexual ori5tations1 e?nicities1 & socioeconomic /atuses1 are affect$ by eat+ disord]s dur+ _! lifetimes4 7#c7 ,eat+ disord]s h "o ( ! highe/ mortality rates ( all m5tal illnesses1 z eat+ disord]s c become fatal due to he>t failure1 kidney failure1 /roke1 hypoglycemia1 & ga/ric rupture4 ,additionally1 longitud9al /udies h f\nd t ! suicide risk = ^? ) an eat+ disord] is #bc times ! expect$ risk4 7#d7 ,eat+ disord]s c be successfully treat$ ) int]v5tions at ! appropriate durations & levels ( c>e1 yet only "o-?ird ( p]sons ) eat+ disord]s receive any m$ical1 psy*iatric1 or !rapeutic c>e4 ,be/ practice treatm5t ( eat+ disord]s includes pati5ts1 _! families1 & a compreh5sive team ( pr(essionals su* z social work]s1 m5tal heal? c\nselors1 prim>y c>e practition]s1 psy*iatri/s1 psy*ologi/s1 dietitians1 art !rapi/s1 & o!r specialty provid]s4 7#e7 ,/udies exam9+ ! preval5ce ( eat+ disord]s & insul9 re/riction among p ) diabetes %[ t up to #ce p]c5t ( wom5 ) diabetes re/rict insul9 9 ord] to lose weight at "s po9t 9 _! life4 7#f7 ,rese>* %[s t disord]$ eat+ among old] adults consi/5tly f9d t rates ( disord]$ eat+ among ! eld]ly are simil> to ^? ( y\ng] p]sons4 7#g7 ,weight loss 9 ! eld]ly may signal an undiagnos$ m$ical illness or may be ! result ( a kn[n m$ical condition &_/or its ph>macologic treatm5t4 7#h7 ,eat+ disord]s 9 ! eld]ly are associat$ ) significant morbidity & mortality1 & a wide range ( heal? issues arise second>y to eat+ disord]s1 includ+ c>diac1 metabolic1 ga/ric1 & bone conditions2 diagnosis & prop] treatm5t ( ?is population are ess5tial4 7#i7 ,eat+ disord]s 9 ! eld]ly are p>ticul>ly s]i\s because *ronic disord]s or diseases may already compromise a pati5t's heal?4 ,inadequate nutrition c result 9 memory deficits1 cognitive decl9e1 decubitus ulc]s1 impair$ heal+ ( sores1 w\nds1 or infections1 & dizz9ess1 disori5tation1 & falls4 7#aj7 ,/udies f9d t individuals ) *ronic illnesses &_/or disabilities are f\r times m likely to h anorexia n]vosa or bulimia n]vosa comp>$ to ! g5]al population4 #c4 ,provid+ cov]age ( m$ical nutrition !rapy s]vices = individuals ) eat+ disord]s "u ! ,m$ic>e program ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$-- 7#a7 9 subsection 7s77#b77,v7-- 7,a7 by r$esignat+ clauses 7i7 ?r\gh 7iii7 z subclauses 7,i7 ?r\gh 7,,iii71 respectively1 & adju/+ ! m>g9s accord+ly2 7,b7 9 subclause 7,,iii71 z s r$esignat$1 by /rik+ ! semicolon at ! end & ins]t+ 2 &2 7,c7 by /rik+ b5efici>y ) diabetes & ins]t+ ! foll[+3 b5efici>y-- 7i7 ) diabetes 2 & 7,d7 by add+ at ! end ! foll[+ new clause3 7ii7 beg9n+ ,janu>y #a1 #bjbj1 ) an eat+ disord] 7z def9$ by ! ,secret>y 9 accordance ) mo/ rec5t edition ( ! ,diagno/ic & ,/ati/ical ,manual ( ,m5tal ,disord]s publi%$ by ! ,am]ican ,psy*iatric ,association72 2 & 7#b7 9 subsection 7vv7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ 7includ+ managem5t ( an eat+ disord] 7z def9$ = purposes ( subsection 7s77#b77,v77ii777 aft] disease managem5t2 & 7ii7 by ins]t+ or psy*ologi/ 7or o!r m5tal heal? pr(essional to ! ext5t au?oriz$ "u ,/ate law7 &1 9 ! case ( su* s]vices furni%$ to an individual = ! purpose ( managem5t ( su* an eat+ disord]1 at ! times specifi$ 9 p>agraph 7#d7 be=e ! p]iod at ! end2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 7,a7 ,= purposes ( p>agraph 7#a71 ! times specifi$ 9 ?is p>agraph are1 ) respect to m$ical nutrition !rapy s]vices furni%$ to an individual = purposes ( managem5t ( an eat+ disord]1 ! foll[+3 7i7 #ac h\rs 7includ+ a #a h\r initial assessm5t & #ab h\rs ( reassessm5t & int]v5tion7 dur+ ! #a-ye> p]iod beg9n+ on ! date su* individual is fir/ furni%$ su* s]vices4 7ii7 ,subject to subp>agraph 7,b71 #d h\rs dur+ ea* subsequ5t #a-ye> p]iod4 7,b7 ,9 ! case t ! physician or psy*ologi/ 7or o!r m5tal heal? pr(essional to ! ext5t au?oriz$ "u ,/ate law7 treat+ su* individual det]m9es t !re has be5 a *ange ) respect to ! diagnosis1 m$ical condition1 or treatm5t regim5 relat+ to ! eat+ disord] ( su* individual t requires ! furni%+ ( m$ical nutrition !rapy s]vices beyond ! times specifi$ 9 subp>agraph 7,a77ii71 ! ,secret>y may provide = an additional numb] ( h\rs to be available to su* individual ) respect to a p]iod describ$ 9 su* subp>agraph4 7,c7 ,! ,secret>y may apply su* o!r reasonable limitations ) respect to ! furni%+ ( m$ical nutrition !rapy s]vices = purposes ( managem5t ( an eat+ disord] dur+ a p]iod describ$ 9 subp>agraph 7,a77ii7 z ! ,secret>y det]m9es appropriate4 4