H.R.1187 - Medicare Medical Nutrition Therapy Act of 1999106th Congress (1999-2000)
|Sponsor:||Rep. Johnson, Nancy L. [R-CT-6] (Introduced 03/18/1999)|
|Committees:||House - Commerce; Ways and Means|
|Latest Action:||House - 04/07/1999 Referred to the Subcommittee on Health and Environment. (All Actions)|
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Text: H.R.1187 — 106th Congress (1999-2000)All Information (Except Text)
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Introduced in House (03/18/1999)
[Congressional Bills 106th Congress] [From the U.S. Government Printing Office] [H.R. 1187 Introduced in House (IH)] 106th CONGRESS 1st Session H. R. 1187 To amend title XVIII of the Social Security Act to provide for coverage under part B of the Medicare Program of medical nutrition therapy services furnished by registered dietitians and nutrition professionals. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 18, 1999 Mrs. Johnson of Connecticut (for herself, Mr. Brown of Ohio, Mr. Upton, Mrs. Thurman, Mr. Serrano, Mr. McCrery, Mr. Kleczka, Ms. Dunn, Mr. Coyne, Mr. English, Mr. Matsui, Mr. Foley, Mr. Neal of Massachusetts, Mr. Nussle, Mr. Tanner, Mr. Portman, Mr. McNulty, Mr. Tauzin, Mr. Waxman, Mr. Lazio, Mr. Towns, Mr. Pickering, Ms. Eshoo, Mr. Boucher, Ms. DeGette, Mr. Green of Texas, Mr. Pallone, Mr. Sawyer, Mr. Strickland, Ms. Pryce of Ohio, Mr. Frost, Mr. Sessions, Mr. Hall of Ohio, Ms. Slaughter, Mr. Ackerman, Mr. Allen, Mr. Baird, Mr. Baker, Mr. Baldacci, Mr. Barcia, Mr. Bentsen, Ms. Berkley, Mr. Bishop, Mr. Boehlert, Mr. Bonior, Mr. Borski, Ms. Brown of Florida, Mr. Brown of California, Mr. Canady of Florida, Mr. Clay, Ms. Danner, Mr. DeFazio, Mr. Delahunt, Ms. DeLauro, Mr. Ehlers, Mr. Farr of California, Mr. Filner, Mr. Frank of Massachusetts, Mr. Gejdenson, Mr. Gibbons, Mr. Gillmor, Mr. Gonzalez, Mr. Graham, Mr. Gutierrez, Mr. Hilleary, Mr. Hilliard, Mr. Hinchey, Mr. Hoeffel, Mr. Istook, Mr. Jenkins, Ms. Eddie Bernice Johnson of Texas, Ms. Kaptur, Mrs. Kelly, Mr. Kennedy of Rhode Island, Mr. Kind, Mr. King, Mr. Kucinich, Mr. LaFalce, Mr. Lampson, Mr. Larson, Mr. Leach, Mr. Lucas of Oklahoma, Mr. Lucas of Kentucky, Mrs. Maloney of New York, Mr. Maloney of Connecticut, Mr. Mascara, Mrs. McCarthy of New York, Mr. McGovern, Mr. George Miller of California, Mrs. Morella, Mr. Nadler, Mr. Ney, Mr. Oberstar, Mr. Olver, Mr. Ortiz, Mr. Paul, Mr. Payne, Mr. Peterson of Pennsylvania, Mr. Pomeroy, Mr. Price of North Carolina, Ms. Rivers, Mr. Rodriguez, Ms. Roybal-Allard, Mr. Sabo, Mr. Sanders, Mr. Sandlin, Mr. Schaffer, Mr. Shays, Mr. Shows, Mr. Simpson, Ms. Stabenow, Mrs. Tauscher, Mr. Taylor of North Carolina, Mr. Thune, Mr. Vento, Mr. Walsh, Mr. Wamp, Mr. Watkins, Mr. Watt of North Carolina, Mr. Weygand, Mr. Wise, and Mr. Camp) introduced the following bill; which was referred to the Committee on Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to provide for coverage under part B of the Medicare Program of medical nutrition therapy services furnished by registered dietitians and nutrition professionals. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE; FINDINGS. (a) Short Title.--This Act may be cited as the ``Medicare Medical Nutrition Therapy Act of 1999''. (b) Findings.--Congress finds as follows: (1) Medical nutrition therapy is a medically necessary and cost-effective way of treating and controlling many diseases and medical conditions affecting the elderly, including HIV/ AIDS, cancer, kidney disease, diabetes, heart disease, pressure ulcers, severe burns, and surgical wounds. (2) Medical nutrition therapy saves health care costs by speeding recovery and reducing the incidence of complications, resulting in fewer hospitalizations, shorter hospital stays, and reduced drug, surgery, and treatment needs. (3) A study conducted by The Lewin Group shows that, after the third year of coverage, savings would be greater than costs for coverage of medical nutrition therapy for all medicare beneficiaries, with savings projected to grow steadily in following years. (4) The Agency for Health Care Policy and Research has indicated in its practice guidelines that nutrition is key to both the prevention and the treatment of pressure ulcers (also called bed sores) which annually cost the health care system an estimated $1.3 billion for treatment. (5) Almost 17 million patients each year are treated for illnesses or injuries that stem from or place them at risk of malnutrition. (6) Because medical nutrition therapy is not covered under part B of the medicare program and because more and more health care is delivered on an outpatient basis, many patients are denied access to the effective, low-tech treatment they need, resulting in an increased incidence of complications and a need for higher cost treatments. SEC. 2. MEDICARE COVERAGE OF MEDICAL NUTRITION THERAPY SERVICES. (a) Coverage.--Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395x(s)(2)) is amended-- (1) by striking ``and'' at the end of subparagraph (S); (2) by striking the period at the end of subparagraph (T) and inserting ``; and''; and (3) by adding at the end the following new subparagraph: ``(U) medical nutrition therapy services (as defined in subsection (uu)(1));''. (b) Services Described.--Section 1861 of such Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection: ``Medical Nutrition Therapy Services; Registered Dietitian or Nutrition Professional ``(uu)(1) The term `medical nutrition therapy services' means nutritional diagnostic, therapy, and counseling services for the purpose of disease management which are furnished by a registered dietitian or nutrition professional (as defined in paragraph (2)) pursuant to a referral by a physician (as defined in subsection (r)(1)). ``(2) Subject to paragraph (3), the term `registered dietitian or nutrition professional' means an individual who-- ``(A) holds a baccalaureate or higher degree granted by a regionally accredited college or university in the United States (or an equivalent foreign degree) with completion of the academic requirements of a program in nutrition or dietetics, as accredited by an appropriate national accreditation organization recognized by the Secretary for this purpose; ``(B) has completed at least 900 hours of supervised dietetics practice under the supervision of a registered dietitian or nutrition professional; and ``(C)(i) is licensed or certified as a dietitian or nutrition professional by the State in which the services are performed, or ``(ii) in the case of an individual in a State which does not provide for such licensure or certification, meets such other criteria as the Secretary establishes. ``(3) Subparagraphs (A) and (B) of paragraph (2) shall not apply in the case of an individual who as of the date of the enactment of this subsection is licensed or certified as a dietitian or nutrition professional by the State in which medical nutrition therapy services are performed.''. (c) Payment.--Section 1833(a)(1) of such Act (42 U.S.C. 1395l(a)(1)) is amended-- (1) by striking ``and'' before ``(S)'', and (2) by inserting before the semicolon at the end the following: ``, and (T) with respect to medical nutrition therapy services (as defined in section 1861(uu)), the amount paid shall be 80 percent of the lesser of the actual charge for the services or the amount determined under the fee schedule established under section 1848(b) for the same services if furnished by a physician''. (d) Effective Date.--The amendments made by this section apply to services furnished on or after January 1, 2000. <all>