I IIOtiicongress 2dSession To amend titles XVIU and XIX ofthe Social SecurityAct with res]iect tothetiualificationofthedirectoi-offoodsei-vicesofaMedicareskilled nursingfacilityoraMedicaidnui-sing-facility. IN THE HOUSE OF REPRESENTATIVES Septembi<;r2(i,2008 Mr.DavidDamsofTennessee(forhimself,Mr.Latilui,andMr.Johnson ofIllinois)introducedthefollowingbill;whichwasreferi-edtotheCom- mitteeonWaysandMeans,andinadditiontotheCommitteeonEnergy andCommerce,forajieiiodtobesubseciuentlydeterjiiinedbytheS])eak- er,ineachcaseforconsiderationofsuchprovisionsasfallwithintheju- risdictionoftheccmimitteeconcei'iied To amend titles XVIII and XIX ofthe Social SecurityAct \^^th respect to the qualification of the director of food services ofa Medicare skilled nursing facilityor a Med- icaidnursingfacility. 1 Beitenacted,t)ytheSenateandHouseofRepresenta- 2 tiresoftheUnitedStatesofAmericainCongressassembled, ensLIBRDRY IIIIIillIIIIIIIIIliliiiiili 3 & ]L73Lfl 3 1 SECTION1.QUALIFICATIONOFDIRECTOROFFOODSERV- 2 ICESOFAMEDICARESKILLEDNURSINGFA- 3 CILITYORAMEDICAIDNURSINGFACILITY. 4 (a) In Genei^l.—Sections 1819(b)(4)(A) and 5 1919(b)(4)(A) of the Social Security Act (42 U.S.C. 6 1395i-3(b)(4)(A), 1396r(b)(4)(A)) are each amended by 7 adding-attheendthefollowing: "Withrespecttomeeting 8 thestaffingrequirementimposedbytheSecretaiytocany 9 out clause (iv), the full-time director offood senices of 10 thefacility, ifnotaqualifieddietitian (as definedin sec- 11 tion483.35(a)(2)oftitle42,CodeofFederalRegidations, 12 asineffectasofthedateoftheenactmentofthissection), 13 shallbeaCertifiedDietaiyIManagermeetingtherequire- 14 ments ofthe Certifsdng Board for Dietary Managers or 15 have equivalent militaiy or academic quahfications (as 16 specifiedbytheSecretaiy).". — 17 (b) Effectrt^ Date. The amendments made by 18 subsection (a) shall take effect on the date that is 180 19 daysafterthedateofenactmentofthisAct. O 'HR7139IH