Comprehensive Care for Alzheimer's Act This bill allows the Center for Medicare and Medicaid Innovation (CMMI) to test a Dementia Care Management Model that provides comprehensive care to Medicare beneficiaries with Alzheimer's disease or a related dementia. Under the model, participating health care providers receive payment under Medicare for comprehensive care management services that are provided to individuals with diagnosed dementia, excluding Medicare Advantage enrollees, hospice care recipients, and nursing home residents. Required services include medication management, care coordination, and health, financial, and environmental monitoring, as well as trainings and other support services for unpaid caregivers. Providers must furnish services through interdisciplinary teams and must ensure access to a team member or primary care provider 24-7. The CMMI must set payments and determine quality measures for the model in accordance with specified requirements. The bill also allows the CMMI to design a similar model under Medicaid.
Sponsored bills
Naturally Offsetting Emissions by Managing and Implementing Tillage Strategies Act of 2021 or the NO EMITS Act This bill directs the Department of Agriculture (USDA) to carry out activities to improve soil health, including to address climate change. Specifically, USDA must establish a program that provides agricultural producers incentives (i.e., payments) for and technical assistance with adopting or maintaining practices or cropping systems to improve soil health, award grants to states and Indian tribes for implementing soil health programs, and use a portion of funds of the Commodity Credit Corporation to provide agricultural producers with technical assistance for mitigating and adapting to climate change. The bill also (1) makes practices related to livestock production eligible for certain competitive grants under the On-Farm Conservation Innovation Trials program, and (2) increases funding for the program.
Wage Equity Act of 2021 This bill addresses workplace wage discrimination based on sex. Specifically, it limits the acceptable reasons for wage disparities based on sex to legitimate business-related factors unrelated to sex. Italso protects from liability for such discrimination those employers who conduct a job and wage analysis audit to identify wage disparities and take reasonable steps to remedy any such disparities. Further, the bill prohibits employers from relying on, or requesting, the wage history of a prospective employee for hiring and wage determination purposes unless it is voluntarily provided by the prospective employee. Employers generally may not prohibit employees from inquiring about, or discussing, wage information concerning another employee or from requesting information from an employer about wage differentials. Finally, the bill permits the Department of Labor to establish a grant program for negotiation skills education for women and girls. It also requires the Government Accountability Office to study and report on the causes and effects of sex-based wage disparities.
Resetting the Impact Act of 2021 or the TRIA Act of 2021 This bill requires certain data collection and recommendations relating to a Medicare post-acute care prospective payment system to incorporate the effects of COVID-19 on providers and patients. Current law requires the Centers for Medicare & Medicaid Services (CMS) and the Medicare Payment Advisory Commission to develop a prototype for a unified Medicare payment system for post-acute care that is based primarily on patient characteristics (e.g., cognitive ability, functional status, or impairments) rather than the provider setting (e.g., skilled nursing facility, home health agency, inpatient rehabilitation facility, or long-term care hospital). The bill requires the prototype to account for the role of post-acute care providers during public health emergencies, particularly in light of the COVID-19 emergency and the related effects on such providers and their patients. The bill also delays the development of the prototype until two years after the later of January 1, 2022, and the date by which the CMS has collected eight calendar quarters of data after the emergency ends and other changes have been implemented.
Protecting Access to Ground Ambulance Medical Services Act of 2021 This bill modifies Medicare payment of ground ambulance services in rural areas. Specifically, the bill extends the specialized rate increase for such services for an additional five years (until January 1, 2028). The bill also requires the Centers for Medicare & Medicaid Services to (1) allow an area that has 1,000 or fewer individuals per square mile to retain its status as a rural area even if it would otherwise no longer qualify, and (2) establish an appeals process for providers to seek reconsideration of a change in an area's status.
Advancing Uniform Transportation Opportunities for Veterans Act or the AUTO for Veterans Act This bill authorizes the Department of Veterans Affairs (VA) to provide (or assist in providing) an eligible veteran or service member with an additional automobile or other conveyance under the VA automobile allowance and adaptive equipment program. Currently, a veteran or service member with a specified service-connected disability or impairment may not receive more than one automobile or other conveyance under the program. The bill authorizes the additional benefit for such veterans and service members if 10 years have passed since the person last received such benefit.
Supporting Eating Disorders Recovery Through Vital Expansion Act or the SERVE Act This bill provides for inpatient and outpatient treatment of eating disorders under TRICARE for dependents of members of the uniformed services. Dependents are eligible for such care regardless of (1) their age, except with respect to residential service; and (2) whether the eating disorder is their primary or secondary diagnosis. The bill also requires the Department of Defense (DOD) and the Department of Homeland Security (with respect to the Coast Guard) to identify, treat, and rehabilitate members of the armed forces who have an eating disorder. Finally, DOD and the Department of Veterans Affairs must jointly develop, publish, and disseminate clinical practice criteria and guidelines on the identification and treatment of eating disorders.
This bill extends from April 15 to May 17 the date of the first installment of the estimated income tax for individuals for 2021.
Voluntary Protection Program Act This bill provides statutory authority for the voluntary protection program within the Occupational Safety and Health Administration. Under the program, workplaces that implement comprehensive safety and health management systems are exempt from certain paperwork and inspection requirements.
Improving Adoption Outcomes and Affordability Act of 20 21 This bill requires the Administration for Children and Families (ACF) to provide counseling services for mothers who are considering placing or have placed a child for adoption. The ACF also must provide training for hospital staff and postadoption or postplacement support services.