,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cjaj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #d1 #bjbc,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 ( #bjbc or ! ,nutrition  
,,c>e ,act ( #bjbc4  #b4 ,f9d+s         
,congress f9ds ! foll[+3 7#a7           
#bh1hjj1jjj individuals 9 ! ,unit$      
,/ates1 or #i p]c5t ( ! national        
population1 w h an eat+ disord] 9 _!    
lifetime4 ,x is e/imat$ t #a1fai1cjj to 
#b1jhj1fjj individuals on ,m$ic>e "p ,b 
are affect$ by an eat+ disord]1 includ+ 
#dbj1ejj to #efj1gjj b5efici>ies :o     
id5tify z ,black1 ,indig5\s1 or ,p (    
,color4  7#b7 #aj1bjj dea?s p] ye> 9 !  

,unit$ ,/ates occur z a direct result ( 
an eat+ disord]1 equat+ to #a dea? e #eb
 m9utes4 ,eat+ disord]s h "o ( ! highe/ 
mortality rates ( all m5tal illness due 
to s]i\s m$ical comorbidities su* z     
/roke1 diabetes1 & ga/ric rupture1 9    
addition to ! fact t longitud9al /udies 
h f\nd t ! suicide risk = ^? ) an eat+  
disord] is #bc times ! expect$ risk4    
7#c7 ,eat+ disord]s c be successfully   
treat$ ) c>e encompass+ ! #d pill>s (   
successful treatm5t3 m$ical1 psy*iatric1
 !rapy1 & m$ical nutrition !rapy4 ,9    
g5]al1 ,m$ic>e provides "s1 b n all1 c>e
 necess>y = eat+ disord]s treatm5t4 ,x  
doesn't cov] m$ical nutrition !rapy at !
 outpati5t level & provides no cov]age  
at ! int5sive outpati5t or resid5tial   
treatm5t levels4  7#d7 ,eat+ disord]s   
are exp5sive4 ,! ye>ly economic co/ (   
eat+ disord]s is #fd1gjj1jjj1jjj1 )     
families & individuals exp]i5c+ an      
economic loss ( #bc1ejj1jjj1jjj p] ye>4 
,ea* ye>1 eat+ disord]s are directly    
responsible = #bc1efj inpati5t          

hospitalizations co/+ #bji1gjj1jjj &    
#ec1iah em]g5cy room visits co/+        
#bi1cjj1jjj4  7#e7 ,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? & make a    
pati5t m prone to s]i\s comorbidities   
associat$ ) eat+ disord]s1 includ+      
c>diac1 metabolic1 ga/ric1 & bone       
conditions4 ,e>ly diagnosis & prop]     
treatm5t ( ?is population is ess5tial4  
#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 #bjbd1 ) 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 /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#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