Veterans Census-Enabled National Treatment Equitable Resource Supplement for Mental Health Act of 2021 or the Vet CENTERS for Mental Health Act of 2021 This bill requires the Department of Veterans Affairs (VA) to ensure the number of Vet Centers in certain states is increased by at least one additional center if the VA determines the state meets specified requirements. The VA must also establish a community-based outpatient clinic in each state that does not share a land border with another state, is located at least 2,000 miles from the contiguous United States, and contains no such clinic.
Revising and Expediting Actions for the Crisis Hotline for Veterans Act or the REACH for Veterans Act This bill requires the Department of Veterans Affairs (VA) to update training and procedures for call responders of the Veterans Crisis Line. Specifically, the VA must enter into an agreement with an outside organization to review the training for crisis line call responders. The VA must update the training if any deficiencies are identified after the review. Among other requirements, the VA must develop guidelines on retraining and quality management for when a call responder has an adverse event or needs improvement, annually perform a common cause analysis for identified callers to the crisis line who died by suicide in situations where the crisis line was the last point of contact, develop enhanced guidance and procedures to respond to calls to the crisis line related to substance use and overdose risk, review the current emergency dispatch standard operating procedure of the crisis line, and solicit feedback from veterans service organizations on how to conduct outreach regarding the move to 988 as the new suicide and mental health crisis hotline. Each call responder must be subject to at least two calls per month that are silently monitored by a supervisor to check for quality of conduct. The Veterans Crisis Line, Office of Mental Health and Suicide Prevention of the VA, and National Center for Patient Safety of the VA must establish quality management processes and expectations for staff of the crisis line.
Making Advances in Mammography and Medical Options for Veterans Act This bill addresses the Department of Veterans Affairs (VA) provision of mammograms and breast cancer treatment. Among other requirements, the VA must submit a strategic plan for improving breast imaging services for veterans, implement a three-year pilot program to provide telemammography services for veterans who live in locations where access to breast imaging services at a VA facility is difficult or unfeasible, upgrade all mammography services at its facilities to use three-dimensional breast imaging, update guidelines to increase the use of testing for the breast cancer gene and genetic counseling for veterans diagnosed with breast cancer, and update its policies and directives to ensure that it confirms the accessibility of a breast imaging site when referring a veteran with a spinal cord injury or disorder to a non-VA provider. In addition, the VA must enter into a partnership with at least one cancer center of the National Cancer Institute of the National Institutes of Health in each Veterans Integrated Service Network to expand access to high-quality cancer care for women veterans. In implementing such partnerships, the VA must ensure that veterans with breast cancer who reside in rural areas or states without a partner cancer center are able to receive care through telehealth. Finally, the VA must collaborate with the Department of Defense and report on all current research and health care collaborations between the departments on treating veterans and members of the Armed Forces with breast cancer.
Manufacturing American Dynamism in Entrepreneurship and Harnessing Education to Retool Employees Act or the MADE HERE Act This bill requires the National Institute of Standards and Technology, the Department of Energy, and the Department of Defense to establish a manufacturing cluster program to award resources and grants to eligible manufacturing clusters, and it establishes an interagency entity to oversee and coordinate the activities of manufacturing cluster programs at federal agencies. A manufacturing cluster is a geographic concentration of companies and institutions within a particular field of manufacturing that engage collaboratively in workforce development, technology development, supply chain sourcing, and other activities. The program shall be comprised of three phases wherein awards shall be distributed to manufacturing clusters for (1) the development of a detailed implementation plan, (2) the implementation of such plan, and (3) continuing the activities of the cluster. Phase two and three awards may be used for purposes such as developing and deploying educational programs for cluster members, funding efforts with respect to supply chain sourcing and innovation, and developing shared infrastructure or resources for cluster members.
Flood Risk Transparency for Homebuyers Act This bill requires the Department of Housing and Urban Development (HUD) to disclose certain flood hazards to prospective buyers when listing a one-to-four-unit residential property for sale. The requirement applies to every such HUD-owned property located in a special flood hazard area and requires HUD to disclose (1) the estimated monthly cost to insure the property under the National Flood Insurance Program in the zip code where the property is located and (2) whether the property is a severe repetitive loss property. A one-to-four-unit residential property is considered a severe repetitive loss property under existing law if the property is covered by flood insurance under the National Flood Insurance Program and has incurred flood-related damage resulting in either (1) four or more separate claim payments each exceeding $5,000, or (2) two or more separate claim payments that cumulatively exceed the value of the property. Severe repetitive loss properties are subject to higher flood insurance rates under the National Flood Insurance Program, but may be eligible for grants to mitigate the flood risk under certain circumstances.
Prioritizing Readiness and Competitiveness Act or the PRC Act This bill rescinds certain unexpended funds for activities in Afghanistan and transfers such funds for certain Department of Defense (DOD) activities. Specifically, the bill rescinds unexpended funds previously made available for various activities in Afghanistan, including for (1) maintaining security forces, (2) maintaining diplomatic personnel, (3) combatting corruption, and (4) reintegrating former Taliban members and other extremists. The President must transfer the rescinded funds to DOD for (1) activities to maintain or expand domestic industrial base capabilities essential for national defense, (2) the Navy's shipbuilding and conversion account, and (3) Defense Advanced Research Projects Agency activities for strengthening the U.S. advantage in strategic technologies.
Protecting Americans' Genomic Information Act of 2021 This bill requires the Department of Health and Human Services (HHS) to address national security concerns when conducting or supporting biomedical research that involves human genomic sequencing and sensitive, identifiable information. Specifically, HHS must implement a risk framework to assess whether such research conducted by the National Institutes of Health or other HHS agencies and offices poses risks to national security and identify approaches to mitigate those risks, including through security controls and training for those that manage or have access to such research. After the framework is developed, HHS must implement data access controls, ensure that data access committees include members with national security expertise, and update relevant data access and sharing policies. The bill also requires HHS to brief Congress about these activities.
Stabilizing Medicare Access to Rehabilitation and Therapy Act or the SMART Act This bill modifies the application of a certain Medicare payment methodology for outpatient physical therapy services and outpatient occupational therapy services that are furnished by a therapy assistant. Under current law, effective January 1, 2022, payment for such services is 85% of the otherwise applicable rate. The bill delays this effective date by one year and excludes services that are furnished in rural or medically underserved areas from this payment methodology. The bill also specifies that supervision requirements for outpatient physical therapy services that are furnished through private practice may not be more stringent for purposes of Medicare coverage than under state law.
Primary and Virtual Care Affordability Act This bill extends until December 31, 2023, the exemption for telehealth services from certain high deductible health plan rules. It also provides a high deductible health plan safe harbor for the absence of a deductible for certain primary care services provided in any plan year beginning on or before December 31, 2023 (COVID-19 emergency period). The Government Accountability Office must complete a study, and report on, the effects of the safe harbor for certain primary care services provided during the COVID-19 emergency period.
S 2973 establishes an Inspector General (IG) position specifically for the National Institutes of Health (NIH). The bill amends the Inspector General Act of 1978 to add the NIH Director to the list of agency heads requiring an IG, replacing the National Reconnaissance Office reference. It mandates that the President appoint an IG for the NIH within 180 days of the bill's enactment, following the standard process outlined in the existing Act. This is a procedural bill creating a new oversight role within the NIH, directly affecting the agency's internal accountability structure.
Good Samaritan Health Professionals Act of 2021 This bill extends liability protection for harm caused by acts or omissions by volunteer health care professionals in the course of providing certain health care services during specified public-health or national emergencies or major disasters. However, such liability protection shall not apply if (1) the harm was caused by willful or criminal misconduct, gross negligence, reckless misconduct, or a conscious flagrant indifference to the rights or safety of the individual harmed; or (2) the health care professional provided services under the influence of alcohol or an intoxicating drug.
Better Enforcement of Grievous Offenses by unNaturalized Emigrants or the BE GONE Act This bill expands, for immigration purposes, the definition of aggravated felony to include sexual assault and aggravated sexual violence. (Under current law, a conviction for an aggravated felony is grounds for deportation and may bar an individual from other immigration-related benefits.)
