This bill requires the Centers for Disease Control and Prevention (CDC) to carry out activities to strengthen core public health infrastructure. Core public health infrastructure includes the elements and workforce capabilities that enable health departments to perform critical functions such as disease surveillance and emergency response. Specifically, the CDC must award grants to state health departments for their core infrastructure needs. The CDC may also award grants to address core infrastructure needs on a competitive basis to state, tribal, territorial, or local health departments. In addition, the CDC must develop accreditation standards for health departments and public health laboratories. The CDC must also take steps to expand and improve its own public health infrastructure.
Expand Navigators' Resources for Outreach, Learning, and Longevity Act of 20 21 or the ENROLL Act of 20 21 This bill makes several changes to the navigator program for health insurance exchanges (a program through which entities receive funding to provide education and enrollment assistance). Specifically, the bill addresses certain funding decisions and regulatory actions taken by the Centers for Medicare & Medicaid Services (CMS). For example, the bill increases funding for navigators in federally facilitated exchanges (FFEs) beginning in FY2021. (The CMS decreased annual funding for FFE navigators for the 2017-2018 and 2018-2019 program years.) The bill also counters guidance issued by the CMS regarding navigator criteria by requiring FFE navigators to be chosen without regard to how the entity provides information about association health plans or short-term, limited-duration insurance. The bill also reinstates certain requirements that were removed by the CMS in 2018. Specifically, the bill requires (1) at least two navigators in each FFE, including at least one community and consumer-focused nonprofit group; and (2) that navigators be physically present in the state where the exchange is located.
Expanded Coverage for Former Foster Youth Act This bill modifies certain changes that are scheduled to take effect under the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act relating to the coverage of former foster youth under Medicaid. Under current law, a state Medicaid program must cover former foster youth until the age of 26 if the youth were in the state's foster care system at the age of 18 and were enrolled in the state's Medicaid program while in foster care; a state may choose to also cover former foster youth from other states. The SUPPORT for Patients and Communities Act altered these provisions to require a state Medicaid program to cover former foster youth from other states until the age of 26; such changes apply to former foster youth who reach the age of 18 on or after January 1, 2023. The bill requires state Medicaid programs to also cover former foster youth who were placed in a legal guardianship with a kinship caregiver or were emancipated from foster care before the age of 18. The bill also repeals the provision that requires former foster youth to have been enrolled in a state Medicaid program while in foster care in order to qualify for Medicaid coverage until the age of 26. States must also establish Medicaid outreach and enrollment programs for former foster youth.
Revoking EPA's Tyrannical Ruling Over Approved Commercial Tasks Involving no Violations of Environmental Policy Act or the RETROACTIVE Policy Act This bill limits the period during which the Environmental Protection Agency may prohibit the specification, or restrict the use, of an area as a disposal site for discharges of dredged or fill materials into waters of the United States.
Community Cleanup Act This bill expands existing notice and publication requirements related to remedial action plans for Superfund sites (sites contaminated with hazardous substances). Specifically, the bill requires the notice and analysis of a proposed plan to be transmitted to the highest ranking official of the local government with jurisdiction over the facility subject to the plan. During the public comment period, written and oral comments may be submitted regarding the use of the facility at issue after the remedial action is taken. Notice of the final remedial action plan must be transmitted to the local government officials with jurisdiction over the facility at issue. Finally, the bill expands the minimum publication requirements for proposed and final plans to include (1) an announcement via a radio or television station in the broadcast area surrounding the facility at issue, (2) digital or social media publications, and (3) a posting to the website of the person proposing to adopt a plan for remediation (e.g., the state or Environmental Protection Agency website).
Tradeable Performance Standard Act This bill establishes the Greenhouse Gas Pollution Reduction Program, which creates (1) targets to eliminate greenhouse gas emissions from cogeneration facilities (e.g., combined power plants), electric facilities, and thermal energy facilities; (2) a system to allow such facilities to achieve the targets through a voluntary emission trading program; and (3) a thermal energy reporting program. By 2030, such facilities must reduce greenhouse gas emissions to 60% of 2019 levels. By 2040, the facilities must eliminate the emissions. Facilities that emit more than the targets must purchase emission allowances from those who emit less. The bill provides for the distribution, trading, and tracking of such allowances. The bill establishes civil penalties for facilities that do not meet the targets and do not submit enough allowances. Finally, the Environmental Protection Agency must establish a thermal energy reporting program. Under the program, thermal energy facilities must provide information about the fuel used to produce thermal energy and the greenhouse gas emissions associated with such production. Further, thermal energy facilities must submit information to demonstrate their compliance with this bill.
Ensuring Kids Have Access to Medically Necessary Dental Care Act This bill modifies dental coverage under the Children's Health Insurance Program (CHIP). Specifically, the bill prohibits lifetime or annual limits on CHIP dental coverage. It also requires states to offer dental-only supplemental coverage under CHIP to children who have other health insurance but are otherwise eligible for CHIP (i.e., wraparound coverage); such coverage is currently at the option of the state.
Sewage Treatment Overflow Prevention through Community Sanitation Outreach Act of 2021 or the STOP CSO Act of 2021 This bill revises the National Pollutant Discharge Elimination System permit program to require certain publicly owned water treatment facilities to monitor, report on, and notify the public of sewer overflows. For example, the facilities must notify the public within a specified number of hours after (1) sewer overflows that have the potential to affect human health, and (2) sewer overflows that may imminently and substantially endanger human health.
American High-Speed Rail Act This bill addresses high-speed rail corridor development in the United States, including by providing additional funding for high-speed rail corridor planning, and developing comprehensive, performance-based safety regulations and standards for all high-speed rail projects. The federal share of a project financed under this bill may be up to 100%. The Department of Transportation must prioritize financing capital projects in high-speed rail corridors with respect to which at least 20% of the project cost is funded through specified financial sources.
Women and Lung Cancer Research and Preventive Services Act of 2021 This bill requires the Department of Health and Human Services to conduct an interagency review of the status of women and lung cancer. The review must report on the status of existing research and current knowledge gaps; identify new opportunities for collaborative research to determine the causes of lung cancer and advance prevention, screening, diagnosis, and treatment; and provide recommendations for a national cancer screening strategy and public education campaign.
Energizing American Shipbuilding Act of 2021 This bill directs (1) the Federal Energy Regulatory Commission (FERC) to require specified percentages of liquefied natural gas exports to be transported on vessels built or retrofitted in the United States and documented under its laws, and (2) the President to require specified percentages of crude oil exports to be transported on vessels built or retrofitted in the United States and documented under its laws. FERC and the President may waive these requirements under specified circumstances. The Energy Information Administration must collect and publish information on exports of natural gas and crude oil by vessels, including forecasts and data on those exports.
Pharmacy Benefit Manager Accountability Study Act of 2021 This bill requires the Government Accountability Office to report on the role of pharmacy benefit managers in the pharmaceutical supply chain and recommend legislative actions to lower the cost of prescription drugs. The report must address the use of rebates and fees, the average prior authorization approval time, and the use of step therapy within the 10 largest pharmacy benefit managers.
