Technical Reset to Advance the Instruction of Nurses Act or the TRAIN Act This bill modifies the methodology and application of Medicare Advantage nursing and allied health education payments for hospitals. Specifically, for 2010-2019, the bill eliminates the annual cap on total payments and excludes any resulting increase from factoring into calculations for graduate medical education payments for such hospitals. (The Centers for Medicare & Medicaid Services recently issued guidance providing for the recalculation and correction of certain payments to account for the annual payment cap.)
Vet Center Support Act This bill requires the Department of Veterans Affairs (VA) to report on the mental health care furnished by the VA to veterans in states and territories of the United States that have a ratio of one Vet Center per 100,000 or more veterans.
Fort McClellan Health Registry Act This bill requires the Department of Veterans Affairs (VA) to establish and maintain the Fort McClellan Health Registry, which must include a list of names of those who were stationed at Fort McClellan, Alabama, between January 1, 1935, and May 20, 1999, and are seeking specified health care or benefits from the VA. Specifically, the registry must include those who apply for hospital, nursing home, domiciliary, or medical care from the VA; file a claim for compensation for service-connected disability; die and are survived by a spouse, child, or parent who files a claim for dependency and indemnity compensation; request a VA health examination; or receive a VA health examination and request to be included in the registry. The registry must also include relevant medical data of the listed individuals if they grant permission or are deceased at the time they are listed. Individuals who have submitted applications, requests, or claims prior to the enactment of this bill must be included in the registry to the extent feasible. The VA must periodically notify individuals listed in the registry of significant research developments on the health consequences of potential exposure to toxic substances or environmental hazards related to service at Fort McClellan. Additionally, the VA must reach out to individuals regarding the provision of health examinations and consultation and counseling services. In establishing and maintaining the registry, the VA must consult with the Department of Defense to acquire necessary information.
This bill requires the Department of Veterans Affairs (VA), the Department of Agriculture (USDA), and the Department of the Interior to jointly establish a pilot program to employ veterans in positions that relate to the conservation and resource management activities of USDA and Interior. The VA, USDA, Interior, and the Department of Defense (DOD) are authorized to enter into a partnership to include the pilot program as part of the Skillbridge program, which is a DOD program to provide training to members who are transitioning out of service in the Armed Forces. The bill also requires the VA to establish guidelines containing best practices for other federal agencies that carry out programs to employ veterans who are transitioning from service in the Armed Forces.
Daniel J. Harvey Jr. and Adam Lambert Improving Servicemember Transition to Reduce Veteran Suicide Act This bill requires the Department of Defense (DOD) and the Department of Veterans Affairs (VA) to jointly implement a five-year pilot program to assess the feasibility and advisability of providing specified counseling and services as part of the Transition Assistance Program for members of the Armed Forces as a means of reducing the incidence of suicide among veterans. Specifically, the pilot program would involve a three-hour counseling module and the provision of contact information for a counseling or similar facility in the locality where the veteran intends to reside. Additionally, the participating veterans must submit medical records in connection with their service in the Armed Forces, regardless of whether they intend to file a claim for benefits for a service-connected disability. Under the program, a social worker or behavioral health coordinator from the VA must contact the veteran within 90 days after the member is discharged or released from service to schedule a follow-up appointment. At least 10 DOD Transition Assistance Centers must be jointly selected to carry out the pilot program.
PFAS Registry Act of 2021 This bill directs the Department of Veterans Affairs (VA) to establish a registry for current or past members of the Armed Forces who may have been exposed to per- and polyfluoroalkyl substances due to the environmental release of aqueous film-forming foam at a military installation or other Department of Defense (DOD) location. Additionally, the VA must consult with DOD and the Environmental Protection Agency to make recommendations for additional chemicals that should be included in the registry.
Palomares Veterans Act of 2021 This bill includes veterans who participated in the cleanup of radioactive materials at Palomares, Spain, as radiation-exposed veterans for purposes of the Department of Veterans Affairs presumption of service-connection for specified cancers. Under a presumption of service-connection, specific disabilities diagnosed in certain veterans are presumed to have been caused by the circumstances of their military service. Health care benefits and disability compensation may then be awarded.
Veterans Agent Orange Exposure Equity Act This bill expands the presumption of service-connection for diseases associated with exposure to certain herbicide agents for veterans who served in Vietnam between January 9, 1962, and May 7, 1975. Under a presumption of service-connection, specific conditions diagnosed in certain veterans are presumed to have been caused by the circumstances of their military service. Health care benefits and disability compensation may then be awarded. Specifically, the bill expands the presumption to cover veterans who served in Thailand at a U.S. Army base or Royal Thai Air Force base between January 9, 1962, and May 7, 1975; at the Royal Thai Army Replacement Training Center, Pranburi Military Reservation between January 1, 1964, and April 30, 1964; in Laos between December 1, 1965, and September 30, 1969; or in Cambodia at Mimot or Krek, Kompon Cham Province between April 16, 1969, and April 30, 1969.
Veterans Burn Pits Exposure Recognition Act of 2021 This bill requires the Department of Veterans Affairs (VA) to concede, for the purposes of health care benefits and wartime disability compensation, that a veteran was exposed to certain toxic substances, chemicals, and hazards from burn pits if such veteran served on active duty in a covered location during a specified time frame (unless there is affirmative evidence to establish that the veteran was not exposed during such service). A burn pit is an area used for burning solid waste in open air without equipment. Specifically, the bill covers the following locations and corresponding time periods: Iraq between August 2, 1990, and February 28, 1991, as well as from March 19, 2003, until burn pits are no longer used in this location; Somalia and Southwest Asia (including Kuwait, Saudi Arabia, Oman, and Qatar) from August 2, 1990, until burn pits are no longer used in these locations; and Afghanistan, Syria, Jordan, Egypt, Lebanon, Yemen, Uzbekistan, the Philippines, and Djibouti from September 11, 2001, until burn pits are no longer used in these locations. Under the bill, if an exposed veteran submits insufficient evidence to establish a service-connection for purposes of disability compensation, the VA shall provide a medical examination and request a medical opinion regarding a causal link between the disability and a toxin, chemical, or hazard.
This resolution recognizes and expresses support for the efforts of democracy and human rights activists in Cuba.
This resolution recognizes and expresses support for the efforts of democracy and human rights activists in Cuba.
Farm System Reform Act of 2021 This bill places a moratorium on large concentrated animal feeding operations; requires country-of-origin labeling for beef, pork, and dairy products; and otherwise revises provisions related to the marketing of livestock, poultry, and meat.
