; and (B) by adding at the end the following new paragraph: (4) (A) For purposes of paragraph (1), the times specified in this paragraph are, with respect to medical nutrition therapy services furnished to an individual for purposes of management of an eating disorder, the following: (i) 13 hours (including a 1 hour initial assessment and 12 hours of reassessment and intervention) during the 1-year period beginning on the date such individual is first furnished such services. (ii) Subject to subparagraph (B), 4 hours during each subsequent 1-year period. (B) In the case that the physician or psychologist (or other mental health professional to the extent authorized under State law) treating such individual determines that there has been a change with respect to the diagnosis, medical condition, or treatment regimen relating to the eating disorder of such individual that requires the furnishing of medical nutrition therapy services beyond the times specified in subparagraph (A)(ii), the Secretary may provide for an additional number of hours to be available to such individual with respect to a period described in such subparagraph. (C) The Secretary may apply such other reasonable limitations with respect to the furnishing of medical nutrition therapy services for purposes of management of an eating disorder during a period described in subparagraph (A)(ii) as the Secretary determines appropriate. .