SEC. 2. EXPANDING THE AVAILABILITY OF MEDICAL NU-
TRITION THERAPY SERVICES UNDER THE 
MEDICARE PROGRAM. 
(a) IN GENERAL.—Section 1861 of the Social Secu-
rity Act (42 U.S.C. 1395x) is amended— 
(1) in subsection (s)(2)(V), by striking ‘‘in the 
case of’’ and all that follows through ‘‘organiza-
tions’’; and 
(2) in subsection (vv)— 
(A) in paragraph (1)— 
(i) by striking ‘‘disease management’’ 
and inserting ‘‘the prevention, manage-
ment, or treatment of a disease or condi-
tion specified in paragraph (4)’’; 
(ii) by inserting ‘‘or by a physician as-
sistant, nurse practitioner, or clinical nurse 
specialist (as such terms are defined in 
subsection (aa)(5)), or, in the case of such 
services furnished to manage such a dis-
ease or condition that is an eating dis-
order, by a clinical psychologist (as defined 
by the Secretary)’’ before the period at the 
end; and 
(iii) by adding at the end the fol-
lowing new sentence: ‘‘Such term shall not 
include any such services furnished to an 
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individual for the prevention, management, 
or treatment of a renal disease if such in-
dividual is receiving maintenance dialysis 
for which payment is made under section 
1881.’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(4) For purposes of paragraph (1), the diseases and 
conditions specified in this paragraph are the following: 
‘‘(A) Diabetes and prediabetes. 
‘‘(B) A renal disease. 
‘‘(C) Obesity (as defined for purposes of sub-
section (yy)(2)(C) or as otherwise defined by the 
Secretary). 
‘‘(D) Hypertension. 
‘‘(E) Dyslipidemia. 
‘‘(F) Malnutrition. 
‘‘(G) Eating disorders. 
‘‘(H) Cancer. 
‘‘(I) Celiac disease. 
‘‘(J) HIV. 
‘‘(K) AIDS. 
‘‘(L) Any other disease or condition— 
‘‘(i) specified by the Secretary relating to 
unintentional weight loss; 
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‘‘(ii) for which the Secretary determines 
the services described in paragraph (1) to be 
medically necessary and appropriate for the 
prevention, management, or treatment of such 
disease or condition, consistent with any appli-
cable recommendations of the United States 
Preventive Services Task Force; or 
‘‘(iii) for which the Secretary determines 
the services described in paragraph (1) are 
medically necessary, consistent with either pro-
tocols established by registered dietitians or nu-
trition professional organizations or with ac-
cepted clinical guidelines identified by the Sec-
retary.’’. 
(b) EXCLUSION MODIFICATION.—Section 1862(a)(1) 
is amended— 
(1) in subparagraph (O), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (P), by striking the semi-
colon at the end and inserting ‘‘, and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(Q) in the case of medical nutrition therapy 
services (as defined in section 1861(vv)), which are 
not furnished for the prevention, management, or 
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treatment of a disease or condition specified in para-
graph (4) of such section;’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to items and services 
furnished on or after January 1, 2021. 
Æ 
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