,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bijg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #bj1 #bjai,ms4
 ,hassan 7= h]self & ,ms4 ,murk[ski7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,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 /atues1 are affect$ by    
eat+ disord]s dur+ _! lifetimes1 )      
disord]$ eat+ 9 eld]ly p]sons %[+ simil>
 preval5ce rates z y\ng] p]sons4  7#c7  
,eat+ disord]s h "o ( ! highe/ mortality
 rates ( all m5tal illnesses &          
significant mortality & morbidity rates 
associat$ ) eld]ly populations1 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$ 
) appropriate int]v5tions1 yet only     
"o-?ird ( p]sons ) eat+ disord]s receive
 any 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 & o!r specialty

 provid]s  7#e7 ,/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$1 by /rik+ ! semicolon at ! 
end & ins]t+ 2 or2  7,c7 by /rik+       
b5efici>y ) diabetes & ins]t+ ! foll[+3 
b5efici>y-- 7i7 ) diabetes  2 &  7,d7 by
 add+ at ! end ! foll[+ new clause3     
7ii7 beg9n+ ,janu>y #a1 #bjbj1 ) an eat+
 disord] 7z def9$ 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,v77ii7777 aft]      
disease managem5t2  7ii7 by /rik+ :i*   
are furni%$ by & all t foll[s ?r\gh !   
p]iod & ins]t+ 8:i* are furni%$--  7,a7 
by a regi/]$ dietitian or nutrition     
pr(essional 7z def9$ 9 p>agraph 7#b772  
7,b7 pursuant to a ref]ral by--  7i7 a  
physician 7z def9$ 9 subsection 7r77#a77
 a physician 7z def9$ 9 subsection      
7r77#a772 or  7ii7 a psy*ologi/ 7or o!r 
m5tal heal? pr(essional to ! ext5t      
au?oriz$ "u ,/ate law72 &  7,c7 9 ! case
 ( su* s]vices furni%$ to an individual 
= ! purpose ( managem5t ( su* an eat+   
disord]1 at ! times specifi$ 9 p>agraph 
7#d74  2 &  7,b7 by add+ at ! end !     
foll[+ new p>agraph3  7#d7 7,a7 ,=      
purposes ( p>agraph 7#a77;,c71 ! 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 at lea/ !  
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  
,! ,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