; and (bb) licensed or certified to perform such employment in accordance with applicable State law; and (II) includes— (aa) a physician; and (bb) a registered nurse; (iii) the term employee of a qualified hospice program — (I) means a person who is— (aa) employed by, or pursuant to arrangements made by, a qualified hospice program; and (bb) licensed or certified to perform such employment in accordance with applicable State law; and (II) includes— (aa) a physician; and (bb) a registered nurse; (iv) the terms hospice care and hospice program have the meanings given those terms in section 1861(dd) of the Social Security Act ( 42 U.S.C. 1395x(dd) ); (v) the term hospice patient means an individual receiving hospice care; and (vi) the term qualified hospice program means a hospice program that— (I) has written policies and procedures for assisting in the disposal of a controlled substance of a hospice patient in each of the cases described in subparagraph (A)(ii); (II) at the time when the controlled substance of a hospice patient is first ordered— (aa) provides a copy of the written policies and procedures described in subclause (I) to the hospice patient, or the representative of the hospice patient, and the family of the hospice patient; and (bb) discusses the policies and procedures described in subclause (I) with the hospice patient, or the representative of the hospice patient, and the family of the hospice patient in a language and manner that those individuals understand to ensure that those individuals are educated regarding the safe disposal of controlled substances; (III) documents in the clinical record of the hospice patient that the written policies and procedures described in subclause (I) were provided and discussed