Sen. Richard Blumenthal

Ensuring Lasting Smiles Act This bill requires private health insurance plans to cover diagnosis and treatment of congenital anomalies and birth defects, such as reconstructive services and items. Coverage must include services and items that functionally improve, repair, or restore any body part that is medically necessary for normal bodily functions or appearance, as determined by the treating physician. Coverage limits and cost-sharing requirements for such services and items may not be more restrictive than those applicable to all medical and surgical benefits under the plan.

Responsibility for Unaccompanied Minors Act This bill amends provisions relating to responsibilities of the Department of Health and Human Services (HHS) for the care of unaccompanied alien children. The Office of Refugee Resettlement of HHS may provide care for an unaccompanied alien child until the conclusion of the child's immigration proceedings or the child reaching 18 years of age, whichever occurs first. Before placing an unaccompanied alien child with a sponsor, the office shall evaluate the child's future need for follow-up services. Before placing an accompanied alien child, HHS shall (1) require the proposed sponsor to execute a sponsor care agreement, (2) notify the welfare agency of the state where the child will be placed, and (3) conduct a background check of the sponsor and all adults living in the household in which the child will reside. Under the care agreement, each sponsor shall agree to (1) provide for the child's physical and mental well-being, and (2) ensure the child's presence at immigration proceedings and compliance with all court and agency orders. HHS shall assume physical custody of a child if the non-parent or legal guardian sponsor fails to comply with the care agreement. HHS shall periodically report to Congress on instances where a sponsor failed to comply with a care agreement. The Department of Justice shall increase the number of immigration judge teams by at least 225.

Department of Veterans Affairs Employee Fairness Act of 2021 This bill repeals provisions excluding any matter or question concerning professional conduct or competence; peer review; or the establishment, determination, or adjustment of employee compensation from the applicability of collective bargaining rights for Veterans Health Administration employees.

Handgun Purchaser Licensing Act This bill authorizes a grant program for states, local governments, and Indian tribes to implement and evaluate handgun purchaser licensing requirements.

End Double Taxation of Successful Consumer Claims Act This bill allows a deduction from gross income (above-the-line deduction) for attorney fees and court costs in connection with a claim of a consumer protection violation.

COVID Community Care Act This bill provides FY2021 supplemental appropriations for the Department of Health and Human Services (HHS) to prevent, prepare for, and respond to COVID-19 (i.e., coronavirus disease 2019). Specifically, the bill provides appropriations to the HHS Public Health and Social Services Emergency Fund and the Indian Health Service for implementing programs to prevent, prepare for, and respond to COVID-19 in medically underserved communities and among tribal populations, respectively. The bill designates the funding as emergency spending, which is exempt from discretionary spending limits.

Keeping Women and Girls Safe from the Start Act of 2021 This bill requires the Department of State to carry out activities under the Safe from the Start program to prevent, mitigate, and respond to gender-based violence in humanitarian emergencies around the world. (The Safe from the Start program addresses childhood exposure to violence.) These activities shall include (1) training and capacity building for humanitarian personnel; (2) deployment of, and support for, gender advisors and female humanitarian aid workers; (3) use of standards, guidelines, and best practices to address gender-based violence; (4) expanding and improving empowerment activities; and (5) establishing accountability mechanisms and monitoring and reporting tools to prevent and respond to incidents of sexual or other gender-based exploitation or abuse. The State Department must submit an annual report that includes an analysis of data and research regarding the key drivers of gender-based violence in humanitarian emergencies, as well as a detailed description of the programs, diplomatic efforts, and other activities taken to implement Safe from the Start.

Home Loan Quality Transparency Act of 2021 This bill expands requirements for public disclosures by depository institutions and credit unions regarding mortgages and home equity lines of credit. Specifically, institutions originating fewer than 500 mortgage loans or open-end lines of credit annually are no longer exempt from certain financial reporting.

Lori Jackson Domestic Violence Survivor Protection Act This bill makes changes to the federal statutory framework that prohibits the shipment, transport, receipt, or possession of firearms or ammunition by an individual who is subject to a qualifying domestic violence court order. Under current law, a qualifying domestic violence court order must meet certain criteria, including to (1) be issued after a hearing of which the individual had notice and an opportunity to participate; and (2) restrain the individual from harassing, stalking, or threatening an intimate partner (i.e., a current or former spouse, a co-parent of a child, or a current or former cohabitant) or the child of an intimate partner. This bill expands the scope of qualifying domestic violence court orders to include an order that is issued after an ex parte hearing (i.e., a hearing with only one party present); restrains the individual from harassing, stalking, or threatening a dating partner or former dating partner; or restrains the individual from intimidating a witness. Current law also prohibits an individual who is convicted of a misdemeanor crime of domestic violence from shipping, transporting, receiving, or possessing firearms or ammunition. These restrictions generally only apply to spouses, co-parents, and cohabitants, and to offenses that involve physical force or deadly weapons. This bill expands the scope of these restrictions to include dating partners and offenses that involve stalking.

Protecting Americans with Pre-Existing Conditions Act of 2021 This bill nullifies specified guidance and final rule provisions pertaining to Section 1332 waivers (also known as State Innovation Waivers or State Relief and Empowerment Waivers) issued by the Department of the Treasury and the Department of Health and Human Services. The provisions allow states to forego certain requirements of the Patient Protection and Affordable Care Act in order to implement experimental plans for health care coverage, as long as the resulting coverage meets certain statutory criteria. The provisions, which supersede earlier guidance from 2015, alter agency interpretation of how states may satisfy the statutory criteria for waiver approval. For example, the provisions (1) redefine acceptable coverage under such waivers to include short-term, limited-duration insurance and association health plans; (2) allow the comprehensiveness and affordability of coverage under such waivers to be assessed based on projected availability, rather than enrollment; and (3) allow the level of coverage to be assessed based on the effects over the entire course of the waiver, rather than per year.