Newborn Screening Saves Lives Reauthorization Act of 2021 This bill reauthorizes through FY2026 and revises several programs and activities relating to newborn screening for certain conditions and genetic, endocrine, and metabolic diseases. Among its changes, the bill reauthorizes and makes mandatory the Hunter Kelly Research Program at the National Institutes of Health, and national surveillance activities conducted by the Centers for Disease Control and Prevention. The bill also aligns statutory requirements for research on non-identified newborn blood spots with federal regulations governing research on human subjects. These blood spots are collected as part of newborn screening programs, and some states make them available for biomedical and public health research. Under current regulations, research on non-identified bio-specimens such as blood spots is not considered to be research on human subjects, to which additional protections apply.
IMPACT to Save Moms Act This bill requires the Centers for Medicare & Medicaid Services to establish the Perinatal Care Alternative Payment Model Demonstration Project to allow states to test payment models for maternity care, including postpartum care, under Medicaid and the Children's Health Insurance Program (CHIP). Additionally, the Medicaid and CHIP Payment and Access Commission must report on specified information relating to the continuity of coverage for pregnant and postpartum women under Medicaid and CHIP.
COVID-19 Nursing Home Protection Act of 2021 This bill provides funds and establishes requirements for Medicare skilled nursing facilities (SNFs) and Medicaid nursing facilities (NFs) to address COVID-19 (i.e., coronavirus disease 2019). Specifically, the bill provides FY2021 funding for COVID-19 strike teams that can be deployed to these facilities to help with vaccinations, clinical care, infection control, or staffing. The amounts provided by the bill are designated as an emergency requirement pursuant to the Statutory Pay-As-You-Go Act of 2010 (PAYGO) and the Senate PAYGO rule. (This excludes the budget effects from being counted for the purposes of enforcing the PAYGO rules.) In addition, the bill requires the Centers for Medicare & Medicaid Services (CMS) to ensure that, during the public health emergency relating to COVID-19, at least one of its contracts with Medicare quality improvement organizations requires that the organization assist SNFs with COVID-19 infection control (e.g., training materials). Finally, the bill provides statutory authority for the requirement that SNFs and NFs report data regarding COVID-19 preparedness, testing, infections, and deaths. Additionally, the CMS must publish on the Nursing Home Compare website certain demographic information, aggregated by state, with respect to COVID-19 infections and deaths in such facilities.
ABLE Age Adjustment Act This bill increases from 26 to 46 the age threshold for tax-favored ABLE (Achieving a Better Life Experience) accounts. (ABLE accounts are designed to enable individuals with disabilities to save for and pay for disability-related expenses. To establish an account, an individual must have a qualifying impairment that began before the individual attained the age threshold.)
Stop Senior Scams Act This bill establishes a Senior Scams Prevention Advisory Group, which must create model educational materials to educate employees of retailers, financial-services companies, and wire-transfer companies about how to identify and prevent scams that affect seniors.
Black Maternal Health Momnibus Act of 2021 This bill directs multi-agency efforts to improve maternal health, particularly among racial and ethnic minority groups, veterans, and other vulnerable populations. It also addresses maternal health issues related to COVID-19 (i.e., coronavirus disease 2019). The Department of Health and Human Services (HHS) and other specified departments must address the social determinants of maternal health, which include child care, housing, food security, transportation, and environmental conditions. The bill also extends to 24 months postpartum eligibility for the Special Supplemental Nutrition Program for Woman, Infants, and Children. Additionally, HHS and other agencies must take actions to grow and diversify the maternal health workforce. To increase access to maternity care, HHS and other agencies must (1) award specified grants; (2) test an alternative payment model for perinatal care under Medicaid and the Children's Health Insurance Program (CHIP); and (3) support training, technology, and telehealth initiatives. The bill also increases research and data collection on maternal morbidity and mortality, particularly among tribal populations and minority groups. The Bureau of Prisons and the Department of Justice must establish programs to improve maternity care for incarcerated populations. The Medicaid and CHIP Payment and Access Commission must also report on the impact of Medicaid ineligibility for pregnant and postpartum prisoners. Additionally, as a condition for certain grants, states and territories must have laws limiting the use of restraints on pregnant individuals in prisons. The bill also directs activities to mitigate adverse maternal health outcomes associated with climate change and to improve maternal vaccination rates.
Stop Corporations and High Earners from Avoiding Taxes and Enforce the Rules Strictly Act or the Stop CHEATERS Act This bill provides additional appropriations through FY2031 for the enforcement activities of the Internal Revenue Service and to increase audits yearly until 2025 to reach specified targets. It also provides additional appropriations for taxpayer services and operations support. The bill establishes new reporting requirements for certain banks or other financial institutions and increases enforcement penalties for accuracy-related underpayments of tax up to a maximum of 40% of the underpayment for taxpayers with a taxable income greater than $5 million.
Teacher Diversity and Retention Act This bill revises certain grant programs related to teacher recruitment and training. First, the bill reauthorizes through FY2027 and otherwise revises the Augustus F. Hawkins Centers of Excellence program, which provides grants to establish teacher preparation programs at minority-serving institutions. It allows grants to be used for school leader preparation programs. In addition, the bill consolidates certain grant programs for teacher preparation into a single grant program. In particular, the Department of Education must award grants to eligible partnerships (e.g., high-need local educational agencies and certain programs at institutions of higher education) to expand teacher preparation programs that embed dual certification in special education and training on social and emotional learning competencies and behavior management practices.
Vaccine Administration Centralization to Coordinate and Improve National Execution Act or the VACCINE Act This bill establishes a grant program for states, tribal nations, and territories to set up or expand COVID-19 (i.e., coronavirus disease 2019) vaccine registration systems. The system must be the jurisdiction's sole means of registering an individual for a vaccine. The Department of Health and Human Services (HHS) must set up a website and a call center to share information with the public about each registration system. HHS must also develop standards to allow for electronic information exchange among the systems. To carry out the program, HHS may use funds from the Public Health Emergency Fund. The authority for this program terminates at the end of the COVID-19 emergency period.
Broadband Competition and Efficient Deployment Act This bill excludes the deployment or modification of certain telecommunications service facility projects from specified review requirements. Specifically, the bill excludes from specified environmental and historic preservation review a project for the placement, construction, or modification of a telecommunications service facility in or on infrastructure that supports or houses a facility for communication by wire.
Helping Experts Accelerate Rare Treatments Act of 2021 This bill addresses rare diseases, including by requiring the Food and Drug Administration to ensure the inclusion of rare disease experts and staff members in various parts of the drug review process. The bill also requires certain reports to address issues related to rare diseases and drugs for treating such diseases (sometimes referred to as orphan drugs if the rarity of the disease makes it difficult for the drug to be profitable).
Commission on Domestic Terrorism Act of 2021 This bill establishes in the legislative branch the National Commission on Domestic Terrorism. The commission shall investigate relevant facts and circumstances relating to the federal government's failure to respond to and prevent acts of domestic terrorism in the past 20 years, including relating to the attack on the Capitol on January 6, 2021; identify, review, and evaluate the lessons learned from such acts regarding the structure, coordination, and management arrangements of the federal government, and, if appropriate, state and local governments and nongovernmental entities, relative to detecting, preventing, and responding to domestic terrorist attacks; and report to the President and Congress.
