HR2495-119

In Committee

Nutrition CARE Act of 2025

119th Congress Introduced Mar 31, 2025

Summary

What This Bill Does

The Nutrition CARE Act expands Medicare Part B medical nutrition therapy. Beginning January 1, 2026, Medicare beneficiaries with an eating disorder, as defined by the Secretary using the most recent Diagnostic and Statistical Manual of Mental Disorders, would qualify for medical nutrition therapy. Covered services must be furnished by a registered dietitian or nutrition professional and referred by a physician, psychologist, or other state-authorized mental health professional. The bill sets minimum service amounts for eating-disorder management: 13 hours during the first year, including a one-hour initial assessment and 12 hours of reassessment and intervention, and 4 hours in each subsequent year subject to reasonable limits set by the Secretary.

Who Benefits and How

Medicare beneficiaries with eating disorders benefit because outpatient medical nutrition therapy becomes a covered Medicare service. Older adults with eating disorders benefit from earlier nutrition intervention for conditions with serious cardiac, metabolic, gastric, bone, and suicide risks. Registered dietitians and nutrition professionals benefit from a new Medicare-covered service category for eating-disorder treatment. Psychologists and authorized mental health professionals benefit because their referrals can trigger covered nutrition therapy for eating-disorder management.

Who Bears the Burden and How

Medicare Part B bears new benefit costs for at least 13 hours of first-year and 4 hours of subsequent-year nutrition therapy for qualifying beneficiaries. CMS must define covered eating disorders using the DSM, update billing rules, set reasonable service limits, and administer referrals. Medicare Administrative Contractors must process claims for the new eating-disorder medical nutrition therapy category. Federal taxpayers finance the added Medicare spending for covered nutrition therapy services.

Key Provisions

  • Expands Medicare medical nutrition therapy eligibility to beneficiaries with eating disorders beginning January 1, 2026.
  • Requires services to be furnished by registered dietitians or nutrition professionals after referral by a physician, psychologist, or authorized mental health professional.
  • Provides at least 13 hours of covered therapy in the first year, including a one-hour initial assessment and 12 hours of reassessment and intervention.
  • Provides 4 hours in each subsequent year, subject to reasonable limits set by the Secretary.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Adds Medicare medical nutrition therapy coverage for beneficiaries with eating disorders beginning January 1, 2026, including at least 13 hours in the first year and 4 hours in later years by referral from a physician, psychologist, or authorized mental health professional.

Key Policy Areas

Medicare, Mental Health, Nutrition

Primary Purpose

Adds Medicare medical nutrition therapy coverage for beneficiaries with eating disorders beginning January 1, 2026, including at least 13 hours in the first year and 4 hours in later years by referral from a physician, psychologist, or authorized mental health professional.

Policy Domains

Medicare Mental Health Nutrition

Resolution provisions

Identified Gains
  • Medicare beneficiaries with eating disorders
  • Older adults with eating disorders
  • Registered dietitians
  • Psychologists making referrals
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Registered dietitians:
Psychologists making referrals:
Older adults with eating disorders:
Medicare beneficiaries with eating disorders:
Identified Costs
  • Medicare Part B
  • Centers for Medicare and Medicaid Services
  • Medicare Administrative Contractors
  • Federal taxpayers
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Medicare Part B:
Federal taxpayers:
Medicare Administrative Contractors:
Centers for Medicare and Medicaid Services:

Legislative Progress

In Committee
Introduced Committee Passed
Mar 31, 2025

Ms. Chu (for herself, Mr. Fitzpatrick, Mr. Tonko, and Mr. …

Mar 31, 2025

Referred to the Committee on Energy and Commerce, and in …

Mar 31, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare Beneficiaries
2 mentions across 2 clauses
+2 positive

Medicare beneficiaries with eating disorders

Healthcare
2 mentions across 2 clauses
+2 positive

Registered dietitians

Government
2 mentions across 2 clauses
-2 negative

Centers for Medicare and Medicaid Services

Taxpayers
2 mentions across 2 clauses
-2 negative

Taxpayers

2/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Medicare Mental Health Nutrition

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology