United States 119th Congress Status: In Committee Bipartisan · 19 D · 5 R cosponsors

HR 6199 — Medical Nutrition Therapy Act of 2025

Last action — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced November 20, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Advancing 42% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 24 sponsors

    1 primary, 23 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (19 D · 5 R) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Medical Nutrition Therapy Act of 2025This bill expands Medicare coverage of medical nutrition therapy services.Currently, Medicare covers such services for individuals with diabetes or kidney disease under certain circumstances; such services must also be provided by a registered dietitian or nutrition professional pursuant to a physician referral. The bill extends coverage to individuals with other diseases and conditions, including obesity, eating disorders, cancer, and HIV/AIDS; such services may also be referred by a physician assistant, nurse practitioner, clinical nurse specialist, or (for eating disorders) a clinical psychologist.

Bill Text

How this bill changes current law

5 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill expands the definition and availability of medical nutrition therapy services under Medicare to include more chronic conditions and a wider range of healthcare providers.

  • 42 U.S.C. 1395x

    in the case of

    Removes restrictive language, allowing broader application of services.

  • 42 U.S.C. 1395x

    disease management → the prevention, management, or treatment of a disease or condition specified in paragraph (4)

    Broadens the scope of coverage for medical nutrition therapy to include prevention and treatment of specified conditions.

  • 42 U.S.C. 1395x

    by a physician → by-- (A) a physician (as defined in subsection (r)(1)); (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).

    Expands the types of qualified healthcare providers who can furnish medical nutrition therapy.

  • 42 U.S.C. 1395x

    For purposes of paragraph (1), the diseases and conditions specified in this paragraph are the following: (A) Diabetes. (B) Prediabetes. (C) A renal disease. (D) Obesity (as defined for purposes of subsection (yy)(2)(C) or as otherwise defined by the Secretary). (E) Hypertension. (F) Dyslipidemia. (G) Malnutrition. (H) Eating disorders. (I) Cancer. (J) Gastrointestinal diseases, including Celiac disease. (K) HIV. (L) AIDS. (M) Cardiovascular disease. (N) Any other disease or condition-- (i) specified by the Secretary relating to unintentional weight loss; (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 applicable 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 either with protocols established by registered dietitian or nutrition professional organizations or with accepted clinical guidelines identified by the Secretary.

    Enumerates specific diseases and conditions that qualify for medical nutrition therapy services.

  • 42 U.S.C. 1395y

    in the case of medical nutrition therapy services (as defined in section 1861(vv)), which are not furnished for the prevention, management, or treatment of a disease or condition specified in paragraph (4) of such section;

    Introduces a new exclusion for medical nutrition therapy services not related to specified conditions.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  4. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsors

Sponsorship breakdown

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1 sponsors · 23 co-sponsors · 523 not signed on

Sponsors (1)

Co-sponsors (23)

Not signed on (523)

523 members have not signed on to this bill.

Show all 523 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HR 6199 do?
Medical Nutrition Therapy Act of 2025This bill expands Medicare coverage of medical nutrition therapy services.Currently, Medicare covers such services for individuals with diabetes or kidney disease under certain circumstances; such services must also be provided by a registered dietitian or nutrition professional pursuant to a physician referral. The bill extends coverage to individuals with other diseases and conditions, including obesity, eating disorders, cancer, and HIV/AIDS; such services may also be referred by a physician assistant, nurse practitioner, clinical nurse specialist, or (for eating disorders) a clinical psychologist.
Who sponsors HR 6199?
HR 6199 is sponsored by Kelly, Robin L. (Democratic), Kiggans, Jennifer A. (Republican), Veasey, Marc A. (Democratic), Miller, Carol D. (Republican), Sewell, Terri A. (Democratic), Casten, Sean (Democratic), Tlaib, Rashida (Democratic), Barragán, Nanette Diaz (Democratic), Lieu, Ted (Democratic), Davids, Sharice (Democratic), McDonald Rivet, Kristen (Democratic), Case, Ed (Democratic), Van Drew, Jefferson (Republican), Dexter, Maxine (Democratic), Riley, Josh (Democratic), Norton, Eleanor Holmes (Democratic), Balint, Becca (Democratic), Deluzio, Christopher R. (Democratic), Craig, Angie (Democratic), Walkinshaw, James R. (Democratic), Tenney, Claudia (Republican), Valadao, David G. (Republican), Pocan, Mark (Democratic), and Carson, André (Democratic).
What is the current status of HR 6199?
This bill is in committee in the House. Introduced November 20, 2025. It must pass committee before a floor vote.
Where can I track HR 6199?
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