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Congress·In Committee·S. 3934

Sens. Collins and Peters Push to Expand Medicare Coverage for Nutrition Counseling to More Health Conditions

Medical Nutrition Therapy Act of 2026

Legislative Progress

Senate
House
President
Law

Key Points

  • Currently, Medicare only covers medical nutrition therapy for people with diabetes or kidney disease. This bill would expand that coverage to many more conditions including obesity, high blood pressure, cancer, malnutrition, eating disorders, cardiovascular disease, and HIV/AIDS.

    From policy text

    Coverage for medical nutrition therapy is only available to Medicare Part B beneficiaries with diabetes or a renal disease, despite medical nutrition therapy being part of the standard of care, in clinical guidelines, and medically necessary for many more chronic conditions.
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  • The bill targets the large majority of Medicare patients dealing with multiple chronic conditions. Over two-thirds of those on fee-for-service Medicare have two or more chronic illnesses, many of which could benefit from nutrition-based care.

    From policy text

    Over two-thirds of Medicare fee-for-service beneficiaries have 2 or more chronic conditions, many of which can be prevented, delayed, treated, or managed through nutrition.
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  • More types of healthcare providers would be able to refer patients for nutrition therapy. In addition to physicians, nurse practitioners, physician assistants, clinical nurse specialists, and — for eating disorders — clinical psychologists could all order these services.

    From policy text

    ``(B) a physician assistant (as defined in subsection (aa)(5)); ``(C) a nurse practitioner (as defined in subsection (aa)(5)); ``(D) a clinical nurse specialist (as defined in subsection (aa)(5)(B)); or ``(E) in the case of such services furnished to manage such a disease or condition that is an eating disorder, a clinical psychologist (as defined by the Secretary).''
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  • If enacted, the expanded coverage would not begin immediately. The new benefits would kick in two years after the bill is signed into law, giving the healthcare system time to prepare.

    From policy text

    The amendments made by this section shall apply with respect to items and services furnished in years beginning on or after the date that is 2 years after the date of the enactment of this Act.
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  • The bill also gives the HHS Secretary authority to add even more qualifying conditions in the future, beyond the ones listed, if nutrition therapy is deemed medically necessary based on clinical guidelines or professional organization protocols.

    From policy text

    ``(iii) for which the Secretary determines the services described in paragraph (1) are medically necessary, consistent either with protocols established by registered dietitian or nutrition professional organizations or with accepted clinical guidelines identified by the Secretary.''
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Healthcare

Impact Analysis

Personal Impact

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

Milestones

2 milestones2 actions
Feb 26, 2026Senate

Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S709)

Feb 26, 2026

Introduced in Senate

What Happens Next

Projected impacts based on AI analysis

2 years after enactment

Expanded nutrition therapy coverage begins for Medicare beneficiaries

Medicare patients with conditions like obesity, high blood pressure, cancer, and eating disorders can start receiving covered nutrition counseling — previously only available for diabetes and kidney disease.

Source Information

Document Type

Congressional Bill

Official Title

Medical Nutrition Therapy Act of 2026

Bill NumberS 3934
Congress119th Congress
ChamberSenate
Latest ActionRead twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S709)

Sponsor

Cosponsors

(1)
D: 1

Analysis generated by AI. Always verify with official sources.