Rep. Emanuel Cleaver

Humane Research and Testing Act of 2021 This bill establishes the National Center for Alternatives to Animal Research and Testing within the National Institutes of Health to promote alternatives to animal research and testing and to reduce the number of animals used in such research and testing. In addition, federal departments or agencies and federally funded research entities that use animals for research and testing must develop plans to reduce the use of animals in their activities. They must also annually report the number of animals that they use to the center, and the center must make this information publicly available.

Extinction Crisis Emergency Act of 2021 This bill requires the President to declare the global wildlife extinction crisis a national emergency and to take certain actions to restore wildlife. Specifically, the President shall direct the U.S. Fish and Wildlife Service and the National Marine Fisheries Service to review all species that are identified as critically imperiled, critically endangered, endangered, or vulnerable, and to use all authorities to propose and finalize protections for all species that may warrant protection; and establish new national wildlife refuges and new marine protected areas. The Departments of Commerce and the Interior must, after accepting public comment, conduct annual reviews of every nation's compliance with any international fishery conservation program or international program for endangered or threatened species, and take specified actions. The President must enlist all federal agencies to help fight the wildlife extinction crisis by directing each federal agency to take specified actions to prioritize the recovery of endangered species and to rebuild healthy wildlife and plant populations, including by fully integrating climate change concerns into the conservation and recovery of endangered species. The President must direct the Department of Defense to prioritize the protection of endangered species and rare habitats on U.S. military installations around the world.

Empowering Parents' Healthcare Choices Act of 2021 This bill provides a 60-day time frame within which parents with separate health insurance plans may choose which plan provides primary coverage for their newborn child. The bill limits the application of certain standard health insurance provisions that determine which plan becomes the primary coverage of a dependent child based on the order of the parents' birthdays.

Close the Medigap Act of 2021 This bill (1) expands guaranteed issue rights with respect to Medigap policies (Medicare supplemental health insurance policies), (2) eliminates certain limitations on Medigap policies for newly eligible Medicare beneficiaries, and (3) modifies other provisions related to Medigap policies. (Guaranteed issue rights require that a policy be offered to any eligible applicant without regard to health status.)

Universal School Meals Program Act of 2021 This bill revises requirements under the food and nutrition programs of the Department of Agriculture, such as the school lunch and breakfast programs. For example, the bill permanently provides free meals to all school children regardless of income. The bill increases the reimbursement rate for school food authorities participating in the food and nutrition programs. The bill also prohibits school food authorities from (1) physically segregating or otherwise discriminating against any child participating in the free breakfast program, or (2) overtly identifying a child participating in the program with a special token or announcement. Additionally, the bill expands the summer food service program by making all children eligible for participation in the program. Further, the bill revises eligibility determinations for measuring poverty to include runaway or homeless youth, foster children, migratory children, and children participating in specified programs (e.g., Head Start).

Care That's Fair Act This bill authorizes and provides funds for a grant program to analyze racial and ethnic disparities or other factors that may affect health outcomes for Medicaid enrollees. Specifically, the Centers for Medicare & Medicaid Services may award grants to states to analyze (1) variations in health care outcomes and utilization that are related to race and ethnicity for clinically similar enrollees, or (2) clinical and social factors that contribute to poor infant and maternal health outcomes for enrollees.

Supporting Medicaid in the U.S. Territories Act of 2021 This bill extends, increases, and otherwise modifies Medicaid funding for U.S. territories. Specifically, the bill extends (1) the temporarily increased Federal Medical Assistance Percentage (i.e., federal matching rate), and (2) a higher cap on Medicaid funding. Such provisions apply to Puerto Rico through FY2026 and to other territories through FY2029. The bill also requires Puerto Rico to implement an asset verification program and to report on its ability to comply with certain reporting requirements, procurement standards, and other Medicaid program integrity measures.

Strengthening the Vaccines for Children Program Act of 2021 This bill modifies vaccination programs and coverage for children under Medicaid and the Children's Health Insurance Program (CHIP). Specifically, the bill expands and otherwise modifies the Vaccines for Children Program, which provides free vaccinations to individuals 18 years of age or younger who are uninsured or underinsured (i.e., with limited or no insurance for vaccines), are eligible for Medicaid, or are American Indians or Alaskan Natives. The bill expands the program to include children enrolled in CHIP and temporarily provides for additional payments to incentivize provider participation. The Government Accountability Office must report on the related effects of the bill's changes. The bill also expands coverage under Medicaid and CHIP to include vaccine counseling and educational services for children and temporarily requires payments to be made at a rate that is no less than the rate under Medicare for equivalent services. It also temporarily increases the Federal Medical Assistance Percentage (i.e., federal matching rate) for states that conduct culturally appropriate outreach regarding the benefits of vaccinations for children.

Security Screening During COVID-19 Act This bill requires the Transportation Security Administration (TSA) to implement a plan to enhance security operations at airports during the COVID-19 national emergency in order to reduce risk of the spread of the coronavirus at passenger screening checkpoints and among the TSA workforce. The TSA may consult with stakeholders and their workforce when developing the plan. Additionally, the TSA is not required to issue or implement the plan upon the termination of the COVID-19 national emergency. The Government Accountability Office must issue a report on the implementation of the plan within one year after it is issued.

Generating Resilient, Environmentally Exceptional National Streets Act or the GREEN Streets Act This bill establishes national goals to reduce carbon dioxide and other greenhouse gas emissions and improve the resilience of the transportation system. Specifically, the bill directs the Department of Transportation (DOT) to establish minimum standards for states to decrease greenhouse gas emissions and per capita vehicle miles traveled (VMTs) on the National Highway System; DOT to establish measures for states to assess and reduce carbon dioxide; states and metropolitan planning organizations (MPOs) to consider projects and strategies that reduce carbon dioxide and other greenhouse gas emissions and decrease per capita VMT's; states and MPOs to publish an analysis of the impact on per capita VMTs and mobile source greenhouse gas emissions for each project that adds new lanes or otherwise increases traffic capacity and costs more than $25 million; states that are out of compliance with the per capita VMT standards or carbon dioxide or greenhouse gas emission measures to dedicate federal highway funding to achieve compliance; and DOT to establish national transit access standards and performance measures for transit accessibility, transit stop distance, and transit mode share.