I 
114TH CONGRESS 
1ST SESSION H. R. 3356 
To amend titles XVIII and XIX of the Social Security Act with respect 
to the qualification of the director of food services of a Medicare skilled 
nursing facility or a Medicaid nursing facility. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 29, 2015 
Ms. JENKINS of Kansas (for herself and Mr. BLUMENAUER) introduced the 
following bill; which was referred to the Committee on Ways and Means, 
and in addition to the Committee on Energy and Commerce, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To amend titles XVIII and XIX of the Social Security Act 
with respect to the qualification of the director of food 
services of a Medicare skilled nursing facility or a Med-
icaid nursing facility. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Safe Food for Seniors 
Act of 2015’’. 
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SEC. 2. QUALIFICATION OF DIRECTOR OF FOOD SERVICES 
OF A MEDICARE SKILLED NURSING FACILITY 
OR A MEDICAID NURSING FACILITY. 
(a) MEDICARE SKILLED NURSING FACILITIES.—Sec-
tion 1819(b)(4)(A) of the Social Security Act (42 U.S.C. 
1395i–3(b)(4)(A)) is amended by adding at the end the 
following: ‘‘With respect to meeting any staffing require-
ment imposed by the Secretary for purposes of satisfying 
clause (iv), in the case that the facility does not employ 
a full-time qualified dietitian (as defined in paragraph (2) 
of section 483.35(a) of title 42, Code of Federal Regula-
tions, as in effect as of the date of the enactment of the 
Safe Food for Seniors Act of 2013) but complies with such 
section by designating a director of food services (as de-
scribed in paragraph (1) of such section), the director of 
food services shall be a Certified Dietary Manager meeting 
the applicable requirements published by the Certifying 
Board for Dietary Managers, a Dietetic Technician, Reg-
istered meeting the applicable requirements published by 
the Commission on Dietetic Registration, or an individual 
with equivalent military or academic qualifications (as 
specified by the Secretary).’’. 
(b) 
MEDICAID
NURSING
FACILITIES.—Section 
1919(b)(4)(A) of the Social Security Act (42 U.S.C. 
1396r(b)(4)(A)) is amended by adding at the end the fol-
lowing: ‘‘With respect to meeting any staffing requirement 
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imposed by the Secretary for purposes of satisfying clause 
(iv), in the case that the facility does not employ a full- 
time qualified dietitian (as defined in paragraph (2) of sec-
tion 483.35(a) of title 42, Code of Federal Regulations, 
as in effect as of the date of the enactment of the Safe 
Food for Seniors Act of 2013) but complies with such sec-
tion by designating a director of food services (as de-
scribed in paragraph (1) of such section), the director of 
food services shall be a Certified Dietary Manager meeting 
the applicable requirements published by the Certifying 
Board for Dietary Managers, a Dietetic Technician, Reg-
istered meeting the applicable requirements published by 
the Commission on Dietetic Registration, or an individual 
with equivalent military or academic qualifications (as 
specified by the Secretary).’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date that is 180 days 
after the date of enactment of this Act. 
Æ 
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