Georgia 2023-2024 Regular Session

Georgia House Bill HB844 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	24 LC 52 0546S
2		-	The Senate Committee on Regulated Industries and Utilities offered the following
3		-	substitute to HB 844:
	1	+	24 LC 52 0432S
	2	+	House Bill 844 (COMMITTEE SUBSTITUTE)
	3	+	By: Representatives Ehrhart of the 36
	4	+	th
	5	+	and Powell of the 33
	6	+	rd
	7	+
4	8		A BILL TO BE ENTITLED
5	9		AN ACT
6		-	To amend Title 43 of the Official Code of Georgia Annotated, relating to professions and1
	10	+	To amend Title 43 of the Official Code of Georgia Annotated, relating to professions and
	11	+	1
7	12		businesses, so as to repeal and reenact Chapter 11A, the "Dietetics Practice Act"; to provide2
8	13		for the licensure of dietitian nutritionists and nutritionists; to provide for a short title; to3
9	14		provide for the purpose of the chapter; to provide definitions; to establish the Georgia Board4
10	15		of Examiners of Licensed Dietitian Nutritionists and Licensed Nutritionists; to provide for5
11	16		powers, members, officers, and meetings of such board; to provide for the grant of a license6
12	17		without examination; to provide for eligibility for licensure as a dietitian nutritionist and7
13	18		nutritionist; to provide for provisional licenses; to permit applications to be made under oath;8
14	19		to provide for such board to notify applicants of acceptance or rejection; to provide for9
15	20		examinations; to provide for certain requirements of licensees; to provide for refusal,10
16	21		suspension, or revocation of licenses; to provide for exceptions to licensure; to provide for11
17	22		proceedings; to provide for statutory construction; to provide for scope of practice; to provide12
18	23		for a qualified supervisor over a supervised practice experience in the practice of nutrition13
19	24		and dietetics; to amend the Official Code of Georgia Annotated, so as to provide for14
20	25		conforming cross-references; to provide for related matters; to provide for an effective date;15
21	26		to repeal conflicting laws; and for other purposes.16
22	27		BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:17
23		-	- 1 - 24 LC 52 0546S
24		-	PART I18
	28	+	H. B. 844 (SUB)
	29	+	- 1 - 24 LC 52 0432S
	30	+	PART I
	31	+	18
25	32		Practice of Nutrition and Dietetics Act19
26	33		SECTION 1-1.20
27	34		Title 43 of the Official Code of Georgia Annotated, relating to professions and businesses,21
28	35		is amended by repealing and reenacting Chapter 11A, the "Dietetics Practice Act," as22
29	36		follows:23
30		-	"CHAPTER 11A24
	37	+	"CHAPTER 11A
	38	+	24
31	39		43-11A-1.25
32	40		This chapter shall be known and may be cited as the 'Practice of Nutrition and Dietetics26
33	41		Act.'27
34	42		43-11A-2.28
35	43		The General Assembly acknowledges that the application of scientific knowledge relating29
36	44		to nutrition is important in the treatment of disease and in the attainment and maintenance30
37	45		of health and acknowledges further that the rendering of sound dietetic or nutrition services31
38	46		for the treatment or management of diseases or medical conditions in hospitals, nursing32
39	47		homes, school districts, health departments, private practice and consultation, and other33
40	48		settings requires trained and competent professionals. It is declared, therefore, to be the34
41	49		purpose of this chapter to protect the health, safety, and welfare of the public by providing35
42	50		for the licensure and regulation of the activities of persons engaged in the practice of36
43	51		nutrition and dietetics.37
44	52		43-11A-3.38
45	53		As used in this chapter, the term:39
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47	56		(1) 'ACEND' means the Accreditation Council for Education in Nutrition and Dietetics,40
48	57		an accrediting agency for education programs preparing students for careers as registered41
49	58		dietitian nutritionists or nutrition and dietetic technicians, registered, or its successor42
50	59		organization.43
51	60		(2) 'Advertising' means, but is not limited to, issuing or causing to be distributed any44
52	61		card, sign, or other device; causing or permitting any sign or marking on or in any45
53	62		building or structure or in any newspaper, magazine, or directory; or causing or46
54	63		permitting any announcement on radio or any announcement or display on television, a47
55	64		computer network, or an electronic or telephonic medium.48
56	65		(3) 'Applicant' means any person seeking a license under this chapter.49
57	66		(4) 'Board' means the Georgia Board of Examiners of Licensed Dietitian Nutritionists50
58	67		and Licensed Nutritionists established by this chapter.51
59	68		(5) 'Degree' means a degree received from a college or university accredited by the52
60	69		appropriate regional accrediting agency recognized by the Council for Higher Education53
61	70		Accreditation or its successor organization and the United States Department of54
62	71		Education at the time the degree was received and accredited by ACEND, or a validated55
63	72		foreign equivalent as recognized by the board by approval, policy, or rule.56
64	73		(6) 'Dietetics' means the integration and application of dietary principles derived from57
65	74		the science of food, nutrition, biochemistry, metabolism, nutrigenomics, physiology,58
66	75		pharmacology, and food systems and management and from behavioral and social59
67	76		sciences for achieving and maintaining health throughout the life span. The practice of60
68	77		dietetics is primarily the provision of nutrition care services, including medical nutrition61
69	78		therapy provided via the nutrition care process, in-person or through telehealth, to62
70	79		prevent, manage, or treat diseases or medical conditions and to promote wellness. 63
71	80		Consistent with the level of competence, the practice of dietetics may include:64
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73	83		(A) Accepting or transmitting oral, verbal, delegated, or electronically transmitted65
74	84		orders from a referring licensed provider consistent with applicable laws and rules in66
75	85		conjunction with protocols established to implement medical nutrition therapy;67
76	86		(B) Ordering patient diets, including therapeutic diets, via oral, enteral, and parenteral68
77	87		routes;69
78	88		(C) Ordering medical laboratory tests related to nutritional therapeutic treatments70
79	89		consistent with state law;71
80	90		(D) Implementing prescription drug dose adjustments in an inpatient setting for72
81	91		specific disease treatment protocols within the limits of his or her knowledge, skills,73
82	92		judgment, and current evidence-informed clinical practice guidelines as indicated in a74
83	93		facility, medical staff, or medical director approved protocol and as approved and75
84	94		delegated by a licensed prescribing practitioner;76
85	95		(E) Implementing prescription drug dose adjustments in an outpatient setting for77
86	96		specific disease treatment protocols within the limits of his or her knowledge, skills,78
87	97		and judgment and as approved by and under the delegation of a licensed prescribing79
88	98		practitioner;80
89	99		(F) Recommending or ordering vitamin, mineral, and other dietary supplements or81
90	100		discontinuing use of unnecessary vitamin, mineral, and other dietary supplements;82
91	101		(G) Practicing dietetics via telehealth when appropriate for the individual or group83
92	102		receiving the services and when the level of care provided by telehealth meets the84
93	103		required level of care for that individual or group;85
94	104		(H) Developing and managing food service operations for the management or86
95	105		treatment of disease or medical conditions, including operations with the primary87
96	106		function of nutrition care or recommending, ordering, or providing therapeutic diets;88
97	107		and89
98	108		(I) Providing advanced clinical nutrition care services and related support activities90
99	109		consistent with current competencies required of academic and supervised practice91
100		-	- 4 - 24 LC 52 0546S
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101	112		programs accredited by ACEND and in accordance with the scope and standards of92
102	113		practice for a registered dietitian.93
103	114		(7) 'General nonmedical nutrition information' means information on:94
104	115		(A) Principles of human nutrition and food preparation;95
105	116		(B) Principles of self-care and a healthy relationship with food;96
106	117		(C) Essential nutrients needed by the human body;97
107	118		(D) General and nonindividualized recommended amounts of essential nutrients in the98
108	119		human body;99
109	120		(E) Actions of nutrients in the human body;100
110	121		(F) Nonindividualized effects of deficiencies or excesses of nutrients in the human101
111	122		body; or102
112	123		(G) General education surrounding foods, herbs, and dietary supplements that are good103
113	124		sources of essential nutrients in the human body.104
114	125		(8) 'Licensed dietitian nutritionist' means a person duly licensed under this chapter as105
115	126		meeting the requirements provided for in subsection (a) of Code Section 43-11A-9 to106
116	127		practice nutrition and dietetics, including the provision of medical nutrition therapy.107
117	128		(9) 'Licensed nutritionist' means a person duly licensed under this chapter as meeting the108
118	129		requirements provided for in subsection (b) of Code Section 43-11A-9 to practice109
119	130		nutrition, including the provision of medical nutrition therapy.110
120	131		(10) 'Medical nutrition therapy' means the provision of the following nutrition care111
121	132		services for the treatment or management of a disease or medical condition: nutrition112
122	133		assessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring and113
123	134		evaluation.114
124	135		(11) 'Medical weight control' means medical nutrition therapy provided for the purpose115
125	136		of reducing, maintaining, or gaining weight.116
126	137		(12) 'Nonmedical weight control' means nutrition care services provided for the purpose117
127	138		of reducing, maintaining, or gaining weight that do not constitute the treatment or118
128		-	- 5 - 24 LC 52 0546S
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	140	+	- 5 - 24 LC 52 0432S
129	141		management of a disease or medical condition. Such term includes weight control119
130	142		services for healthy population groups to achieve or maintain a healthy weight.120
131	143		(13) 'Nutrition' means the integration and application of scientific principles derived121
132	144		from the study of nutrition science, cellular and systemic metabolism, biochemistry,122
133	145		physiology, and behavioral sciences for achieving and maintaining health throughout the123
134	146		life span. The practice of nutrition is primarily the provision of nutrition care services,124
135	147		including medical nutrition therapy, in-person or via telehealth, to prevent, manage, or125
136	148		treat diseases or medical conditions and promote wellness. Consistent with the level of126
137	149		competence, the practice of nutrition may include:127
138	150		(A) Accepting or transmitting oral, verbal, delegated, or electronically transmitted128
139	151		orders from a referring licensed provider consistent with applicable laws and rules in129
140	152		conjunction with protocols established to implement medical nutrition therapy;130
141	153		(B) Ordering patient diets, including therapeutic diets. Therapeutic diets consisting of131
142	154		enteral or parenteral nutrition therapy shall only be ordered by a practitioner licensed132
143	155		under this chapter when the practitioner is a registered dietitian or certified nutrition133
144	156		clinician certified by the National Board of Nutrition Support Certification or otherwise134
145	157		satisfies requirements established by the board by rule or regulation that are consistent135
146	158		with the competencies necessary for evaluating, ordering, and administering enteral and136
147	159		parenteral nutrition therapies;137
148	160		(C) Ordering medical laboratory tests related to nutritional therapeutic treatments138
149	161		consistent with state law;139
150	162		(D) Implementing prescription drug dose adjustments in an outpatient setting for140
151	163		specific disease treatment protocols within the limits of his or her knowledge, skills,141
152	164		and judgment and as approved by and under the delegation of a licensed prescribing142
153	165		practitioner;143
154	166		(E) Providing recommendations on vitamin, mineral, and other dietary supplements;144
155	167		and145
156		-	- 6 - 24 LC 52 0546S
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	169	+	- 6 - 24 LC 52 0432S
157	170		(F) Practicing nutrition via telehealth when it is appropriate for the individual or group146
158	171		receiving the services and when the level of care provided by telehealth meets the147
159	172		required level of care for that individual or group.148
160	173		(14) 'Nutrition assessment' means the ongoing, dynamic, and systematic process of149
161	174		ordering, obtaining, verifying, and interpreting biochemical, anthropometric, physical,150
162	175		nutrigenomic, and dietary data to make decisions about the nature and cause of nutrition151
163	176		related problems relative to patient or community needs. Such term includes the initial152
164	177		data collection and evaluation and any reassessment and analysis of patient or community153
165	178		needs and provides the foundation for nutrition diagnosis and nutritional154
166	179		recommendations. Nutrition assessment may require ordering laboratory tests to check155
167	180		and track nutritional status. The collection of such data shall not, by itself, constitute156
168	181		nutrition assessment.157
169	182		(15) 'Nutrition care process' means the systematic problem-solving method that licensed158
170	183		dietitian nutritionists use to critically think and make decisions when providing medical159
171	184		nutrition therapy or to address nutrition related problems and provide safe, effective care.160
172	185		Such term consists of four distinct but interrelated steps: nutrition assessment, nutrition161
173	186		diagnosis, nutrition intervention, and nutrition monitoring and evaluation.162
174	187		(16) 'Nutrition care services' means any part or all of the following services provided163
175	188		within a systematic process:164
176	189		(A) Assessing and evaluating the nutritional needs of individuals and groups and165
177	190		determining resources and constraints in a practice setting, including ordering nutrition166
178	191		related laboratory tests to check and track nutrition status;167
179	192		(B) Identifying nutrition problems and establishing priorities, goals, and objectives that168
180	193		meet nutritional needs and are consistent with available resources and constraints;169
181	194		(C) Creating individualized dietary plans, including therapeutic diets; issuing and170
182	195		implementing dietary orders to meet the nutritional needs of healthy individuals and171
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184	198		individuals in acute and chronic disease states; and monitoring the effectiveness of such172
185	199		dietary plans and orders;173
186	200		(D) Determining and providing appropriate nutrition interventions in health and174
187	201		disease, including nutrition counseling on food and prescription drug interactions;175
188	202		(E) Developing, implementing, and managing nutrition care processes; or176
189	203		(F) Evaluating, making changes to, and maintaining appropriate standards of quality177
190	204		in food and nutrition services.178
191	205		(17) 'Nutrition counseling' means a supportive process, characterized by a collaborative179
192	206		counselor-patient or counselor-client relationship with individuals or groups, to establish180
193	207		food and nutrition priorities, goals, individualized action plans, and general physical181
194	208		activity guidance that acknowledge and foster responsibility for self-care to promote182
195	209		health and wellness or to treat or manage an existing disease or medical condition.183
196	210		(18) 'Nutrition diagnosis' means identifying and labeling nutritional problems managed184
197	211		and treated by a licensed dietitian nutritionist but does not include a medical diagnosis185
198	212		of the health status of an individual.186
199	213		(19) 'Nutrition intervention' means purposefully planned interventions, including187
200	214		nutrition counseling, intended to positively change a nutrition related behavior, risk188
201	215		factor, environmental condition, or aspect of the health status of an individual, his or her189
202	216		family or caregivers, target groups, or the community at large. Such term includes190
203	217		approving, ordering, and monitoring therapeutic diets and counseling on food and191
204	218		prescription drug interactions.192
205	219		(20) 'Nutrition monitoring and evaluation' means: identifying patient outcomes relevant193
206	220		to a nutrition diagnosis, intervention plans, and goals; comparing those outcomes with a194
207	221		patient's previous health status, intervention plans, and goals or with a reference standard195
208	222		to determine the progress made in achieving desired outcomes of nutrition care services;196
209	223		and determining whether planned nutrition interventions should be continued, revised,197
210	224		or concluded.198
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212	227		(21) 'Patient' means an individual recipient of nutrition care services, whether in an199
213	228		outpatient, inpatient, or nonclinical setting.200
214	229		(22) 'Provisionally licensed dietitian nutritionist' or 'provisionally licensed nutritionist'201
215	230		means a person provisionally licensed as provided for in Code Section 43-11A-10.202
216	231		(23) 'Qualified supervisor' means an individual providing supervision who assumes full203
217	232		professional responsibility for the work of the supervisee by verifying, directing, and204
218	233		approving the provided nutrition care services, medical nutrition therapy, and other work205
219	234		being supervised, as provided for in Code Section 43-11A-19.206
220	235		(24) 'Registered dietitian nutritionist' means a person who is credentialed by the207
221	236		Commission on Dietetic Registration or its successor organization as a registered dietitian208
222	237		nutritionist or a registered dietitian and is authorized to use such title and the designation209
223	238		'RDN' or 'RD.'210
224	239		(25) 'Supervisee' means a student, intern, or trainee providing nutrition care services and211
225	240		other work under the supervision of a qualified supervisor, as provided for in Code212
226	241		Section 43-11A-19.213
227	242		(26) 'Telehealth' means the use of electronic information and telecommunications214
228	243		technologies to provide services under this chapter between a healthcare provider in one215
229	244		location and an individual in another location to support clinical healthcare, public health,216
230	245		patient health related education, and health administration.217
231	246		(27) 'Therapeutic diet' means a diet intervention prescribed by a licensed physician or218
232	247		other authorized nonphysician practitioner that provides food or nutrients via oral,219
233	248		enteral, or parenteral routes as part of the treatment of a disease or clinical condition to220
234	249		modify, eliminate, decrease, or increase identified micronutrients and macronutrients in221
235	250		a patient's diet, or to provide mechanically altered food when indicated.222
236	251		(28) 'Unrestricted practice of medical nutrition therapy' means the provision of medical223
237	252		nutrition therapy by an individual who is responsible for his or her own practice or224
238	253		treatment procedures.225
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240	256		43-11A-4.226
241	257		(a) The Georgia Board of Examiners of Licensed Dietitians in existence prior to227
242	258		July 1, 2024, is continued in existence thereafter as the Georgia Board of Examiners of228
243	259		Licensed Dietitian Nutritionists and Licensed Nutritionists. Those persons serving as229
244	260		members of the board immediately prior to July 1, 2024, shall continue to serve out their230
245	261		respective terms of office and until their successors are appointed and qualified. The board231
246	262		shall consist of seven members as follows:232
247	263		(1) Five members shall be licensed dietitian nutritionists and one member shall be a233
248	264		licensed nutritionist; provided, however, that, of those six members, at least one member234
249	265		shall be from each of the following areas of the practice of nutrition and dietetics: clinical235
250	266		nutrition and dietetics, community or public health nutrition and dietetics, and the private236
251	267		practice of nutrition and dietetics; provided, further, that at least one member shall be an237
252	268		educator on the faculty of a college or university specializing in the field of nutrition and238
253	269		dietetics; and239
254	270		(2) One member shall represent the public at large.240
255	271		(b) Members of the board shall be appointed by the Governor with the confirmation of the241
256	272		Senate. Members of the board shall take office on the first day of July immediately242
257	273		following the expired terms of that office and shall serve for terms of four years and until243
258	274		their successors are appointed and qualified. Those persons serving as members of the244
259	275		board immediately prior to July 1, 2024, shall continue to serve out their respective terms245
260	276		of office and until their respective successors are appointed and qualified. Any person246
261	277		appointed to the board when the Senate is not in session may serve on the board without247
262	278		Senate confirmation until the Senate acts on that appointment. No member shall serve on248
263	279		the board for more than two consecutive terms. Any vacancy shall be filled by the249
264	280		Governor subject to confirmation of the Senate.250
265	281		(c) All members of the board shall be reimbursed as provided for in subsection (f) of Code251
266	282		Section 43-1-2.252
267		-	- 10 - 24 LC 52 0546S
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268	285		(d) All members of the board shall take the constitutional oath of office.253
269	286		43-11A-5.254
270	287		(a) Professional members of the board shall:255
271	288		(1) Be citizens of the United States and residents of this state;256
272	289		(2) Have engaged in the practice of nutrition and dietetics for compensation for not less257
273	290		than five years; and258
274	291		(3) Be licensed under this chapter.259
275	292		(b) Consumer members of the board shall be appointed by the Governor from the public260
276	293		at large, shall be citizens of the United States and residents of this state, and shall have no261
277	294		connection whatsoever with the practice of nutrition or dietetics.262
278	295		(c) The Governor may remove members of the board, after notice and opportunity for263
279	296		hearing, for incompetence, neglect of duty, unprofessional conduct, conviction of any264
280	297		felony, failure to meet the qualifications of this chapter, or committing any act prohibited265
281	298		by this chapter.266
282	299		(d) Initial members of the board may be exempt from the requirements established in267
283	300		paragraphs (2) and (3) of subsection (a) of this Code section, provided that such members268
284	301		possess the qualifications for a license under this chapter and apply for such license within269
285	302		six months of the availability of such license.270
286	303		43-11A-6.271
287	304		The board shall meet annually and shall elect from its members a chairperson, a vice272
288	305		chairperson, and any other officers as deemed necessary who shall hold office according273
289	306		to the rules adopted by the board. In addition to its annual meeting, the board shall hold274
290	307		at least two other meetings each year as provided by the rules adopted by the board.275
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292	310		43-11A-7.276
293	311		The board shall have the power to:277
294	312		(1) Enforce the provisions of this chapter, and it shall be granted all of the necessary278
295	313		duties, powers, and authority to carry out this responsibility;279
296	314		(2) Draft, adopt, amend, repeal, and enforce such rules as it deems necessary for the280
297	315		administration and enforcement of this chapter in the protection of public health, safety,281
298	316		and welfare;282
299	317		(3) License duly qualified applicants by examination, endorsement, or reinstatement;283
300	318		(4) Implement a disciplinary process;284
301	319		(5) Enforce qualifications for licensure;285
302	320		(6) Set standards for competency of licensees continuing in or returning to practice;286
303	321		(7) Issue orders when a license is surrendered to the board while a complaint,287
304	322		investigation, or disciplinary action against such license is pending;288
305	323		(8) Adopt, revise, and enforce rules regarding advertising by licensees, including, but not289
306	324		limited to, rules to prohibit false, misleading, or deceptive practices;290
307	325		(9) Adopt, publish in print or electronically, and enforce a code of ethics;291
308	326		(10) Establish examination and licensing fees;292
309	327		(11) Request and receive the assistance of state educational institutions or other state293
310	328		agencies;294
311	329		(12) Prepare information of consumer interest describing the regulatory functions of the295
312	330		board and describing the procedures by which consumer complaints are filed with and296
313	331		resolved by the board. The board shall make the information available to the general297
314	332		public and appropriate state agencies;298
315	333		(13) Establish continuing education requirements;299
316	334		(14) Adopt a seal which shall be affixed only in such manner as prescribed by the board;300
317	335		and301
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319	338		(15) Conduct a national background check, as provided for in Code Sections 43-11A-11302
320	339		and 43-11A-15, by the submission of fingerprints to the Federal Bureau of Investigation303
321	340		through the Georgia Crime Information Center; provided, however, that reports from304
322	341		such background checks shall not be shared with entities outside of this state.305
323	342		43-11A-8.306
324	343		(a) The board shall adopt rules and regulations implementing a process by which307
325	344		transitioning service members may qualify for licensure, as provided for in Code308
326	345		Section 43-1-34.309
327	346		(b) The board shall issue an expedited license by endorsement to any individual who is a310
328	347		spouse of a service member or transitioning service member stationed within the State of311
329	348		Georgia, as provided for in Code Section 43-1-35.312
330	349		(c) The board may grant, upon application and payment of proper fees, a license without313
331	350		examination to a person who, at the time of application, holds a valid license or314
332	351		certification as a licensed or certified dietitian nutritionist, dietitian, or nutritionist issued315
333	352		by another state, political territory, or jurisdiction acceptable to the board if, in the board's316
334	353		opinion, the requirements for such license or certification are substantially the same as the317
335	354		requirements of this chapter and rules and regulations promulgated by the board.318
336	355		43-11A-9.319
337	356		(a) Each applicant for a license as a licensed dietitian nutritionist shall be at least 18 years320
338	357		of age, submit a completed application upon a form and in such manner as the board321
339	358		prescribes, pay any applicable fees, and:322
340	359		(1) Present evidence satisfactory to the board that the applicant holds a current and valid323
341	360		registration as a registered dietitian nutritionist; or324
342	361		(2) Submit proof of:325
343	362		(A) Completion of a master's or doctoral degree;326
344		-	- 13 - 24 LC 52 0546S
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345	365		(B) Satisfactory completion of a planned, documented, supervised experience in the327
346	366		practice of nutrition and dietetics accredited by ACEND, consisting of not less than328
347	367		1,000 hours of supervised practice under the supervision of a qualified supervisor as329
348	368		provided for in Code Section 43-11A-19; provided, however, that an applicant shall330
349	369		complete such experience within five years of earning the degree required under331
350	370		subparagraph (A) of this paragraph; provided, further, that the board in its discretion332
351	371		may grant an extension for a limited time for extraordinary circumstances;333
352	372		(C) Passage of the examination for registered dietitian nutritionists administered by the334
353	373		Commission on Dietetic Registration or its successor organization; provided , however,335
354	374		that, if such passage occurred more than five years before license application, the336
355	375		applicant shall demonstrate completion of 75 hours of continuing education that satisfy337
356	376		the continuing education criteria of the board for each five-year period338
357	377		post-examination; and339
358	378		(D) Completion of such other requirements as may be prescribed by the board.340
359	379		(b) Each applicant for a license as a licensed nutritionist shall be at least 18 years of age,341
360	380		submit a completed application upon a form and in such manner as the board prescribes,342
361	381		pay any applicable fees, and submit proof of:343
362	382		(1) Completion of a master's or doctoral degree with a major course of study in human344
363	383		nutrition, food and nutrition, community nutrition, public health nutrition, nutrition345
364	384		education, nutrition science, clinical nutrition, applied clinical nutrition, nutrition346
365	385		counseling, nutrition and functional medicine, nutritional biochemistry, nutrition and347
366	386		integrative health, or a comparable major or in a field of clinical healthcare; provided,348
367	387		however, that the applicant has completed coursework leading to competence in medical349
368	388		nutrition therapy, including, but not limited to:350
369	389		(A) Fifteen semester hours of courses on clinical or life sciences, including at least351
370	390		three semester hours on human anatomy and physiology or an equivalent subject; and352
371		-	- 14 - 24 LC 52 0546S
	391	+	H. B. 844 (SUB)
	392	+	- 14 - 24 LC 52 0432S
372	393		(B) Fifteen semester hours of courses on nutrition and metabolism, including at least353
373	394		six semester hours on biochemistry;354
374	395		(2) Satisfactory completion of a planned, documented, and supervised practice355
375	396		experience demonstrating competence in providing nutrition care services and medical356
376	397		nutrition therapy approved by the board and meeting all of the following requirements:357
377	398		(A) An applicant shall complete a supervised practice experience under this paragraph358
378	399		within five years of completing the requirements provided for in paragraph (1) of this359
379	400		subsection; provided, however, that the board in its discretion may grant an extension360
380		-	for a limited time for extraordinary circumstances; ~~and361~~
	401	+	for a limited time for extraordinary circumstances;361
381	402		(B) A supervised practice experience provided for in this paragraph shall:362
382	403		(i) Involve at least 1,000 hours in the following practice areas, with a minimum363
383	404		of 200 hours in each practice area: conducting nutrition assessment and nutrition364
384	405		diagnosis, nutrition intervention, and nutrition monitoring and evaluation;365
385	406		(ii) Be under the supervision of a qualified supervisor as provided for in Code366
386	407		Section 43-11A-19; and367
387	408		(iii) Prepare an applicant, as determined by the board, to provide nutrition care368
388	409		services for various populations of diverse cultures, genders, and ages, and to be able369
389	410		to competently formulate actionable medical nutrition therapies and nutrition370
390	411		interventions, nutrition education, nutrition counseling, and ongoing nutrition care371
391	412		services for the prevention, modulation, and management of a range of acute and372
392	413		chronic medical conditions;373
393	414		(3) Satisfaction of examination requirements by:374
394	415		(A) Passage of the certified nutrition specialist examination administered by the Board375
395	416		for Certification of Nutrition Specialists or its successor organization, or passage of an376
396	417		equivalent examination on all aspects of the practice of nutrition and dietetics that is377
397	418		accredited by the National Commission for Certifying Agencies or its successor378
398	419		organization and that is approved by a two-thirds' vote of the board; provided, however,379
399		-	- 15 - 24 LC 52 0546S
	420	+	H. B. 844 (SUB)
	421	+	- 15 - 24 LC 52 0432S
400	422		that, if such passage occurred more than five years before the license application, the380
401	423		applicant shall demonstrate to the satisfaction of the board completion of 75 hours of381
402	424		continuing education per each five-year period post-examination; or382
403	425		(B) Demonstration the applicant holds a current and valid certification from the Board383
404	426		for Certification of Nutrition Specialists or its successor organization that allows the384
405	427		applicant to use the title 'certified nutrition specialist' or the designation 'CNS'; and385
406	428		(4) Completion of such other requirements as may be prescribed by the board.386
407	429		(c) All persons licensed or who have submitted an application for licensure prior to387
408	430		July 1, 2024, shall remain licensed, be eligible for reactivation, or be eligible for licensure388
409	431		under the requirements in place at the time of licensure or application, so long as the389
410	432		applicant or licensee remains in good standing and maintains an active or inactive license390
411	433		if obtained or once it is obtained. Such persons shall be licensed as dietitian nutritionists.391
412	434		43-11A-10.392
413	435		The board, at its discretion, may issue a provisional license for an individual to practice as393
414	436		a provisionally licensed dietitian nutritionist or provisionally licensed nutritionist for one394
415	437		year under the supervision of a licensed dietitian nutritionist or licensed nutritionist upon395
416	438		the filing of an application with appropriate fees and submission of evidence of successful396
417	439		completion of a substantial portion of the requirements for licensure as provided for in397
418	440		Code Section 43-11A-9; provided, however, that the board, at its discretion, may allow398
419	441		such licensee to renew such provisional license for a length of time determined by the399
420	442		board; provided, further, that the board may require a renewal fee for such licensee to400
421	443		maintain such provisional license.401
422	444		43-11A-11.402
423	445		(a) As used in this Code section, the term 'conviction data' means a record of a finding or403
424	446		verdict of guilty or plea of guilty or plea of nolo contendere with regard to any crime,404
425		-	- 16 - 24 LC 52 0546S
	447	+	H. B. 844 (SUB)
	448	+	- 16 - 24 LC 52 0432S
426	449		regardless of whether an appeal of the conviction has been sought, or a record of a405
427	450		sentencing to first offender treatment without an adjudication of guilt.406
428	451		(b) With respect to the provisions of Code Section 43-11A-15, the board shall be407
429	452		authorized to obtain conviction data with respect to an applicant or licensee. The board408
430	453		may require an applicant or licensee who has been convicted of, pled nolo contendere to,409
431	454		or been granted first offender treatment upon being charged with any criminal offense other410
432	455		than a traffic violation or any traffic violation that involved driving under the influence of411
433	456		alcohol or drugs, homicide or feticide by vehicle, fleeing the scene of an accident,412
434	457		attempting to elude a police officer, or impersonating a law enforcement officer to submit413
435	458		to the board two complete sets of classifiable fingerprints of the applicant or licensee. 414
436	459		Upon receipt thereof, the board shall submit both sets of fingerprints to the Georgia Crime415
437	460		Information Center which shall promptly transmit one set of fingerprints to the Federal416
438	461		Bureau of Investigation for a search of bureau records and an appropriate report. The417
439	462		Georgia Crime Information Center shall retain the other set of fingerprints and promptly418
440	463		conduct a search of its own records and records to which it has access. The Georgia Crime419
441	464		Information Center shall notify the board in writing of any derogatory finding, including,420
442	465		but not limited to, any conviction data regarding the fingerprint records check or if there421
443	466		is no such finding. All conviction data received by the board shall be used by it for the422
444	467		exclusive purpose of carrying out its responsibilities under this chapter, shall not be a423
445	468		public record, shall be privileged, and shall not be disclosed to any other person or agency424
446	469		except as provided in Code Section 43-11A-15.425
447	470		(c) The board may require that all applications be made under oath.426
448	471		43-11A-12.427
449	472		After evaluation of an application and other evidence submitted, the board shall notify each428
450	473		applicant that the application and evidence submitted are satisfactory and accepted or429
451		-	- 17 - 24 LC 52 0546S
	474	+	H. B. 844 (SUB)
	475	+	- 17 - 24 LC 52 0432S
452	476		unsatisfactory and rejected. If the application and evidence are unsatisfactory and rejected,430
453	477		the notice shall state the reasons for the rejection.431
454	478		43-11A-13.432
455	479		Examinations to determine qualifications for licensure as provided for in Code433
456	480		Section 43-11A-9 shall be administered to qualified applicants at least twice each calendar434
457	481		year. The examinations may be administered by a national testing service. The board shall435
458	482		notify each examinee of the results of the examination.436
459	483		43-11A-14.437
460	484		(a) A license issued by the board is the property of the board and shall be surrendered on438
461	485		demand.439
462	486		(b) The licensee shall display the license certificate in an appropriate and public manner.440
463	487		(c) The licensee shall inform the board of any change of address.441
464	488		(d) If a licensee is not in violation of this chapter at the time of application for renewal and442
465	489		if such licensee fulfills current requirements of continuing education as established by the443
466	490		board and pays any requisite fees, such license shall be renewed biennially.444
467	491		(e) Each licensee is responsible for renewing his or her license before the expiration date.445
468	492		(f) Under procedures and conditions established by the board, a licensee may request that446
469	493		his or her license be declared inactive; provided, however, that such licensee may apply for447
470	494		active status at any time and, upon meeting the conditions set by the board, shall be448
471	495		declared active.449
472	496		43-11A-15.450
473	497		The board may refuse to grant or renew a license to an applicant; administer a public or451
474	498		private reprimand, but a private reprimand shall not be disclosed to any person except the452
475	499		licensee; suspend the license of any licensee for a definite period or for an indefinite period453
476		-	- 18 - 24 LC 52 0546S
	500	+	H. B. 844 (SUB)
	501	+	- 18 - 24 LC 52 0432S
477	502		in connection with any condition which may be attached to the restoration of such license;454
478	503		limit or restrict the license of any licensee as the board deems necessary for the protection455
479	504		of the public; revoke any license; condition the penalty upon, or withhold formal456
480	505		disposition pending, the applicant's or licensee's submission to such care, counseling, or457
481	506		treatment as the board may direct; or impose a fine not to exceed $500.00 for each violation458
482	507		of a law, rule, or regulation relating to the profession regulated by this chapter upon a459
483	508		finding by a majority of the board that the licensee or applicant has:460
484	509		(1) Failed to demonstrate the qualifications or standards for a license contained in this461
485	510		chapter or under the laws, rules, or regulations under which licensure is sought or held. 462
486	511		It shall be incumbent upon the applicant to demonstrate to the satisfaction of the board463
487	512		that such applicant meets all the requirements for the issuance of a license, and, if the464
488	513		board is not satisfied as to the applicant's qualifications, it may deny a license without a465
489	514		prior hearing; provided, however, that the applicant shall be allowed to appear before the466
490	515		board if he or she so desires;467
491	516		(2) Knowingly made misleading, deceptive, untrue, or fraudulent representations in the468
492	517		practice of a business or profession licensed under this title or on any document469
493	518		connected therewith, or practiced fraud or deceit or intentionally made any false470
494	519		statement in obtaining a license to practice the licensed business or profession, or made471
495	520		a false statement or deceptive registration with the board;472
496	521		(3) Been convicted of any felony or of any crime involving moral turpitude in the courts473
497	522		of this state or any other state, territory, or country or in the courts of the United States;474
498	523		as used in this paragraph and paragraph (4) of this Code section, the term 'felony' shall475
499	524		include any offense which, if committed in this state, would be deemed a felony, without476
500	525		regard to its designation elsewhere; and, as used in this paragraph, the term 'convicted'477
501	526		shall include a finding or verdict of guilty or a plea of guilty, regardless of whether an478
502	527		appeal of the conviction has been sought;479
503		-	- 19 - 24 LC 52 0546S
	528	+	H. B. 844 (SUB)
	529	+	- 19 - 24 LC 52 0432S
504	530		(4) Been arrested, charged, and sentenced for the commission of any felony, or any crime480
505	531		involving moral turpitude, where:481
506	532		(A) A plea of nolo contendere was entered to the charge;482
507	533		(B) First offender treatment without adjudication of guilt pursuant to the charge was483
508	534		granted; or484
509	535		(C) An adjudication or sentence was otherwise withheld or not entered on the charge.485
510	536		The plea of nolo contendere or the order entered pursuant to the provisions of Article 3486
511	537		of Chapter 8 of Title 42, relating to probation of first offenders, or other first offender487
512	538		treatment shall be conclusive evidence of arrest and sentencing for such crime;488
513	539		(5) Had his or her license to practice a business or profession licensed under this title489
514	540		revoked, suspended, or annulled by any lawful licensing authority other than the board;490
515	541		had other disciplinary action taken against him or her by any such lawful licensing491
516	542		authority other than the board; was denied a license by any such lawful licensing492
517	543		authority other than the board, pursuant to disciplinary proceedings; or was refused the493
518	544		renewal of a license by any such lawful licensing authority other than the board, pursuant494
519	545		to disciplinary proceedings;495
520	546		(6) Engaged in any unprofessional, immoral, unethical, deceptive, or deleterious conduct496
521	547		or practice harmful to the public, which conduct or practice materially affects the fitness497
522	548		of the licensee or applicant to practice a business or profession licensed under this title,498
523	549		or of a nature likely to jeopardize the interest of the public, which conduct or practice499
524	550		need not have resulted in actual injury to any person or be directly related to the practice500
525	551		of the licensed business or profession but shows that the licensee or applicant has501
526	552		committed any act or omission which is indicative of bad moral character or502
527	553		untrustworthiness; unprofessional conduct shall also include any departure from, or the503
528	554		failure to conform to, the minimal standards of acceptable and prevailing practice of the504
529	555		business or profession licensed under this title;505
530		-	- 20 - 24 LC 52 0546S
	556	+	H. B. 844 (SUB)
	557	+	- 20 - 24 LC 52 0432S
531	558		(7) Knowingly performed any act which in any way aids, assists, procures, advises, or506
532	559		encourages any unlicensed person or any licensee whose license has been suspended or507
533	560		revoked by a professional licensing board to practice a business or profession licensed508
534	561		under this title or to practice outside the scope of any disciplinary limitation placed upon509
535	562		the licensee by the board;510
536	563		(8) Violated a statute, law, or any rule or regulation of this state, any other state, the511
537	564		professional licensing board regulating the business or profession licensed under this title,512
538	565		the United States, or any other lawful authority, without regard to whether the violation513
539	566		is criminally punishable, which statute, law, or rule or regulation relates to or in part514
540	567		regulates the practice of a business or profession licensed under this title, when the515
541	568		licensee or applicant knows or should know that such action is violative of such statute,516
542	569		law, or rule or regulation; or violated a lawful order of the board previously entered by517
543	570		the board in a disciplinary hearing, consent decree, or license reinstatement;518
544	571		(9) Been adjudged mentally incompetent by a court of competent jurisdiction within or519
545	572		outside of this state; any such adjudication shall automatically suspend the license of any520
546	573		such person and shall prevent the reissuance or renewal of any license so suspended for521
547	574		as long as the adjudication of incompetence is in effect; or522
548	575		(10) Displayed an inability to practice a business or profession licensed under this title523
549	576		with reasonable skill and safety to the public or has become unable to practice the524
550	577		licensed business or profession with reasonable skill and safety to the public by reason525
551	578		of illness or use of alcohol, drugs, narcotics, chemicals, or any other type of material.526
552	579		43-11A-16.527
553	580		(a) Except as provided in Code Section 43-11A-18, no person shall engage in or offer to528
554	581		provide medical nutrition therapy unless the person is licensed under this chapter.529
555	582		(b) Except as provided in subsection (e) of this Code section, no person shall designate or530
556	583		hold himself or herself out as a licensed dietitian nutritionist or use or assume the title531
557		-	- 21 - 24 LC 52 0546S
	584	+	H. B. 844 (SUB)
	585	+	- 21 - 24 LC 52 0432S
558	586		'dietitian nutritionist,' 'licensed dietitian nutritionist,' 'dietitian,' 'dietician,' or any other title532
559	587		indicating that the person is a licensed dietitian nutritionist, or append to or use in533
560	588		conjunction with that person's name the designation 'LDN' or 'LD' unless the person is a534
561	589		licensed dietitian nutritionist.535
562	590		(c) Except as provided in subsection (e) of this Code section, no person shall designate or536
563	591		hold himself or herself out as a licensed nutritionist or append to or use in conjunction with537
564	592		that person's name the designation 'LN' unless the person is licensed as a nutritionist under538
565	593		this chapter.539
566	594		(d) Except as provided in subsection (e) of this Code section, no person shall designate or540
567	595		hold himself or herself out as a nutritionist unless the person is licensed under this chapter.541
568	596		(e) Use of an earned, federally trademarked nutrition credential is not prohibited; provided,542
569	597		however, that such use shall not give a person the right to practice medical nutrition543
570	598		therapy or to use the general titles of 'dietitian,' 'dietitian nutritionist,' or 'nutritionist' unless544
571	599		such person is also licensed under this chapter. Notwithstanding any law to the contrary,545
572	600		a person may use a lawfully earned federally trademarked title, including the following:546
573	601		(1) A registered dietitian or registered dietitian nutritionist may use the titles 'registered547
574	602		dietitian' or 'registered dietitian nutritionist' and use in conjunction with his or her name548
575	603		the designation 'RD' or 'RDN'; and549
576	604		(2) A certified nutrition specialist may use the title 'certified nutrition specialist' and use550
577	605		in conjunction with his or her name the designation 'CNS.'551
578	606		(f) Any person violating the provisions of this Code section shall be guilty of a552
579	607		misdemeanor.553
580	608		43-11A-17.554
581	609		Proceedings under this chapter shall be governed by Chapter 13 of Title 50, the 'Georgia555
582	610		Administrative Procedure Act.'556
583		-	- 22 - 24 LC 52 0546S
	611	+	H. B. 844 (SUB)
	612	+	- 22 - 24 LC 52 0432S
584	613		43-11A-18.557
585	614		Nothing in this chapter shall be construed to affect:558
586	615		(1) A supervisee who is:559
587	616		(A) Practicing as a part of a course of study or as part of a supervised practice560
588	617		experience to satisfy the educational or supervised practice experience requirements561
589	618		provided for in Code Section 43-11A-9;562
590	619		(B) Completing a supervised practice experience provided for in Code563
591	620		Section 43-11A-19 not more than five years after completing the education564
592	621		requirements provided for in Code Section 43-11A-9; and565
593	622		(C) Practicing while supervised by a qualified supervisor as provided for in Code566
594	623		Section 43-11A-19; provided, however, that such supervisee shall not engage in the567
595	624		unrestricted practice of medical nutrition therapy; provided, further, that such568
596	625		supervisee shall use a title that clearly indicates his or her status as a supervisee;569
597	626		(2) A dietitian or nutritionist serving in the armed forces of the United States or any other570
598	627		federal agency who is using government issued titles and who is engaging in the practice571
599	628		of medical nutrition therapy, provided such title use and such practice are related to such572
600	629		individual's service or employment;573
601	630		(3) Persons licensed to practice the professions of dentistry, medicine, osteopathy,574
602	631		chiropractic, nursing, or pharmacy engaging in the practice of medical nutrition therapy575
603	632		when incidental to the practice of their professions; provided, however, that such persons576
604	633		shall not use any protected titles as provided in Code Section 43-11A-16;577
605	634		(4) A nonresident dietitian, dietitian nutritionist, or nutritionist practicing medical578
606	635		nutrition therapy for up to 30 days per year if such person holds a valid license from579
607	636		another state and the requirements for such license are, in the board's opinion,580
608	637		substantially the same or higher than the requirements of this chapter;581
609	638		(5) Employees of a department, agency, or division of state, county, or local government,582
610	639		or a person who contracts with any of the foregoing for purposes of providing nutrition583
611		-	- 23 - 24 LC 52 0546S
	640	+	H. B. 844 (SUB)
	641	+	- 23 - 24 LC 52 0432S
612	642		care services for the Women, Infants, and Children program and who is authorized within584
613	643		the discharge of official duties to use the title of nutritionist and provides such services585
614	644		within the discharge of his or her official duties;586
615	645		(6) A person who assists the provision of medical nutrition therapy if such person587
616	646		performs only support activities that are not discretionary and do not require the exercise588
617	647		of professional judgment for their performance and such person is directly supervised by589
618	648		a licensed dietitian nutritionist, licensed nutritionist, or healthcare provider licensed in590
619	649		this state acting within the scope of such provider's license; provided, however, that such591
620	650		person shall not use any protected titles as provided in Code Section 43-11A-16;592
621	651		(7) A person who does not represent himself or herself using protected titles as provided593
622	652		in Code Section 43-11A-16 and who provides medical weight control services for persons594
623	653		with obesity as part of:595
624	654		(A) An instructional program that has been approved in writing by a licensed dietitian596
625	655		nutritionist, licensed nutritionist, or healthcare provider licensed or certified in this state597
626	656		whose authorized scope of practice includes medical nutrition therapy; or598
627	657		(B) A plan of care that is overseen by a healthcare provider licensed in this state whose599
628	658		scope of practice otherwise authorizes such provider to provide and delegate medical600
629	659		nutrition therapy; provided, however, that the medical weight control services are not601
630	660		discretionary and do not require the exercise of professional judgment;602
631	661		(8) A person who disseminates nonindividualized, written, general nutrition information603
632	662		in connection with the marketing and distribution of dietary supplements, food, herbs, or604
633	663		food materials, including, but not limited to, explanations of their federally regulated605
634	664		label claims, any known drug-nutrient interactions, their role in various diets, or606
635	665		suggestions as how to best use and combine them; provided, however, that such607
636	666		information does not constitute medical nutrition therapy; provided, further, that such608
637	667		person shall not use any protected titles as provided in Code Section 43-11A-16 and shall609
638		-	- 24 - 24 LC 52 0546S
	668	+	H. B. 844 (SUB)
	669	+	- 24 - 24 LC 52 0432S
639	670		not hold himself or herself out as qualified to engage in the practice of medical nutrition610
640	671		therapy;611
641	672		(9) The practice of the tenets of any religion, sect, or denomination whatsoever;612
642	673		provided, however, that a member of such religion, sect, or denomination shall not use613
643	674		any protected titles as provided in Code Section 43-11A-16 and shall not hold himself or614
644	675		herself out as qualified to engage in the practice of medical nutrition therapy;615
645	676		(10) A person who provides individualized nutrition recommendations for the wellness616
646	677		and primary prevention of chronic disease, health coaching, holistic and wellness617
647	678		education, guidance, motivation, behavior change management, services for nonmedical618
648	679		weight control, or other nutrition care services, provided that:619
649	680		(A) Such services do not constitute medical nutrition therapy;620
650	681		(B) Such person does not use protected titles as provided in Code Section 43-11A-16;621
651	682		and622
652	683		(C) Such person does not hold himself or herself out as licensed or qualified to engage623
653	684		in the practice of medical nutrition therapy; or624
654	685		(11) A person who is an operator or employee of a health food store or business that sells625
655	686		health products, including dietary supplements, food, herbs, or food materials, and who626
656	687		provides verbal general nonmedical nutrition information that does not constitute medical627
657	688		nutrition therapy; provided, however, that such person shall not use any protected titles628
658	689		as provided in Code Section 43-11A-16.629
659	690		43-11A-19.630
660	691		(a) Except as provided for in subsection (b) of this Code section, a qualified supervisor631
661	692		shall be licensed under this chapter or exempt under paragraph (2) of Code632
662	693		Section 43-11A-18.633
663	694		(b) If a supervisee is providing medical nutrition therapy, a qualified supervisor shall:634
664		-	- 25 - 24 LC 52 0546S
	695	+	H. B. 844 (SUB)
	696	+	- 25 - 24 LC 52 0432S
665	697		(1) Be a licensed dietitian nutritionist, licensed nutritionist, or a healthcare provider635
666	698		licensed or certified in any state or territory, including licensed or certified dietitians,636
667	699		dietitian nutritionists, or nutritionists, whose scope of practice includes the provision of637
668	700		medical nutrition therapy;638
669	701		(2) When a state does not provide for licensure or certification of dietitians, dietitian639
670	702		nutritionists, or nutritionists, meet such other criteria as the board may establish by rule640
671	703		or regulation, including being a registered dietitian, certified nutrition specialist, or641
672	704		licensed healthcare provider whose scope of practice includes the provision of medical642
673	705		nutrition therapy; or643
674	706		(3) Be an employee of the federal government authorized within the discharge of his or644
675	707		her official duties to provide medical nutrition therapy.645
676	708		(c) A qualified supervisor shall:646
677	709		(1) Only supervise a clinical activity or nutrition care service for which the qualified647
678	710		supervisor is authorized to perform;648
679	711		(2) Develop and carry out a program for advancing and optimizing the quality of649
680	712		nutrition care services provided by a supervisee; provided, however, that such qualified650
681	713		supervisor and supervisee shall identify and document:651
682	714		(A) The goals for such supervised practice experience;652
683	715		(B) The assignment of clinical tasks as appropriate to the supervisee's evolving level653
684	716		of competence;654
685	717		(C) The supervisee's relationship and the amount and type of access to the qualified655
686	718		supervisor; and656
687	719		(D) The process for evaluating the supervisee's performance;657
688	720		(3) Oversee the activities of and approve and accept responsibility for the nutrition care658
689	721		services rendered by the supervisee;659
690	722		(4) At a minimum, be physically on-site and present where the supervisee is providing660
691	723		nutrition care services or be immediately and continuously available to the supervisee by661
692		-	- 26 - 24 LC 52 0546S
	724	+	H. B. 844 (SUB)
	725	+	- 26 - 24 LC 52 0432S
693	726		means of two-way real-time audiovisual technology that allows for direct,662
694	727		contemporaneous interaction by sight and sound between the qualified supervisor and the663
695	728		supervisee; provided, however, that, if the qualified supervisor assigns to a supervisee a664
696	729		nutrition care service that is to be provided in a setting where the qualified supervisor is665
697	730		not routinely present, such qualified supervisor shall ensure that the means and methods666
698	731		of supervision are adequate to ensure appropriate patient care, which may include667
699	732		synchronous videoconferencing or another method of communication, and oversight that668
700	733		is appropriate to the care setting and the education and experience of the supervisee, as669
701	734		determined by the board by approval, policy, or rule;670
702	735		(5) Review on a regular basis the charts, records, and clinical notes of any supervisee and671
703	736		maintain responsibility for such supervisee's clinical record keeping;672
704	737		(6) Be available to render assistance during the provision of nutrition care services when673
705	738		requested by the patient; provided, however, that, if such qualified supervisor is not674
706	739		available, such qualified supervisor shall arrange for another qualified healthcare provider675
707	740		lawfully able to render nutrition care services to be available; and676
708	741		(7) Limit the assignment of nutrition care services to those services that are within the677
709	742		training and experience of the supervisee and customary to the practice of the qualified678
710	743		supervisor."679
711	744		PART II680
712	745		Conforming cross-references681
713	746		SECTION 2-1.682
714	747		Title 43 of the Official Code of Georgia Annotated, relating to professions and businesses,683
715	748		is amended by revising subparagraph (c)(5)(D) of Code Section 43-1-33, relating to684
716	749		advertisement, signage, and identifier requirements for health care practitioners, as follows:685
717		-	- 27 - 24 LC 52 0546S
	750	+	H. B. 844 (SUB)
	751	+	- 27 - 24 LC 52 0432S
718	752		"(D) Dietitian nutritionist or nutritionist licensed or registered pursuant to Chapter 11A686
719	753		of this title;"687
720	754		SECTION 2-2.688
721	755		Said title is further amended in Code Section 43-34-316, relating to exceptions, by revising689
722	756		paragraph (5) as follows:690
723	757		"(5) Any person using genetic data for purposes of nutritional counseling who is licensed691
724	758		as a dietitian nutritionist or nutritionist under Chapter 11A of this title or exempt from692
725	759		such licensure pursuant to paragraph (10) of Code Section 43-11A-18."693
726	760		SECTION 2-3.694
727	761		The Official Code of Georgia Annotated is amended by replacing "clinical dietitian" and695
728	762		"dietitian" with "dietitian nutritionist or nutritionist" and by replacing "dietitians" with696
729	763		"dietitian nutritionists or nutritionists" wherever such terms occur in:697
730	764		(1) Code Section 9-11-9.1, relating to affidavit to accompany charge of professional698
731	765		malpractice;699
732	766		(2) Code Section 31-2A-14, relating to Georgia Diabetes Control Grant Program,700
733	767		advisory committee, administration of authorized grant programs, and grant criteria;701
734	768		(3) Code Section 31-8-192, relating to definitions relative to health share volunteers in702
735	769		medicine;703
736	770		(4) Code Section 33-20A-3, relating to definitions relative to patient protection;704
737	771		(5) Code Section 33-20E-2, relating to application to insurers and definitions;705
738	772		(6) Code Section 33-24-59.27, relating to right to shop for insurance coverage, disclosure706
739	773		of pricing information, and notice;707
740	774		(7) Code Section 33-39-3, relating to definitions relative to the collection, use, and708
741	775		disclosure of information gathered by insurance institutions;709
742	776		(8) Code Section 43-1-28, relating to volunteers in health care specialties;710
743		-	- 28 - 24 LC 52 0546S
744		-	(9) Code Section 51-2-5.1, relating to relationship between hospital and health care711
	777	+	H. B. 844 (SUB)
	778	+	- 28 - 24 LC 52 0432S
	779	+	(9) Code Section 51-2-5.1, relating to relationship between hospital and health care
	780	+	711
745	781		provider prerequisite to liability, notice regarding independent contractor status, and712
746	782		factors for consideration in determining status; and713
747	783		(10) Code Section 51-16-1, relating to definitions relative to pandemic business safety.714
748	784		SECTION 2-4.715
749	785		Said Code is further amended by replacing "dietetics" with "nutrition and dietetics" wherever716
750	786		such term occurs in:717
751	787		(1) Code Section 43-1-28, relating to volunteers in health care specialties; and718
752	788		(2) Code Section 43-22A-13, relating to compliance with state and federal regulations.719
753	789		PART III720
754	790		Effective date and repealer721
755	791		SECTION 3-1.722
756	792		This Act shall become effective upon its approval by the Governor or upon its becoming law723
757	793		without such approval.724
758	794		SECTION 3-2.725
759	795		All laws and parts of laws in conflict with this Act are repealed.726
	796	+	H. B. 844 (SUB)
760	797		- 29 -