Rep. Steven M. Palazzo

Preserving Rules Ordered for The Entities Covered Through 340B Act of 2021 or the PROTECT 340B Act of 2021 This bill prohibits pharmacy benefit managers (PBMs) and health insurance plans from discriminating against health providers participating in the 340B drug pricing program, including pharmacies contracted with such providers to dispense 340B drugs. The 340B program allows certain providers to receive covered outpatient drugs at reduced prices from manufacturers. Specifically, PBMs and insurance plans may not reimburse 340B participants at a lower rate than other entities not participating in the program; impose differing terms (such as fees, charge-backs, or audits) on 340B participants; interfere with an individual's choice to receive drugs from a 340B participant; require 340B participants to identify which drugs fall within the program; or refuse to contract with a 340B participant on the basis that they utilize the program. Violations of this bill are subject to a civil penalty of not more than $5,000 per violation per day. These prohibitions also apply to prescription drug (Part D) sponsors under Medicare. The bill also provides for a process to prevent duplicate 340B drug discounts to states under Medicaid.

Volunteer First Responder Housing Act This bill expands eligibility to qualified volunteer first responders for assistance under (1) the Department of Agriculture Single Family Housing Guaranteed Loan Program, and (2) certain Department of Housing and Urban Development single-family property disposition programs.

Regional Ocean Partnership Act of 2021 This bill allows the National Oceanic and Atmospheric Administration (NOAA) to designate and support Regional Ocean Partnerships between coastal states that share a common ocean or coastal area. Specifically, NOAA may designate a partnership as a Regional Ocean Partnership if it (1) is established to coordinate the interstate management of coastal resources; (2) focuses on the environmental issues affecting the ocean and coastal areas of the coastal states participating in the partnership; (3) complements existing state coastal and ocean management efforts on an interstate scale, focusing on shared regional priorities; (4) does not have a regulatory function; and (5) is not duplicative of an existing Regional Ocean Partnership. The bill designates the following entities as Regional Ocean Partnerships: the Gulf of Mexico Alliance, the Northeast Regional Ocean Council, the Mid-Atlantic Regional Council on the Ocean, and the West Coast Ocean Alliance. Each partnership must maintain mechanisms for consultation and engagement with the federal government, tribal governments, and nongovernmental entities, such as academic organizations. A partnership may use provided federal funds to award grants and enter into contracts for certain purposes, including to monitor the water quality and living resources of multistate ocean and coastal ecosystems.

Metropolitan Statistical Area Preservation Act This bill prohibits the Office of Management and Budget (OMB) from establishing, for purposes of designating areas as metropolitan statistical areas (MSAs), a minimum population for the urban area of such MSA that is more than 50,000. The OMB may, for statistical purposes only, establish other statistical area designations with higher minimum population requirements for such urban areas.

Toxic Exposure in the American Military Act or the TEAM Act This bill requires the Department of Veterans Affairs (VA) to expand health care, benefits, and resources for veterans with conditions related to exposure to toxic substances. Specifically, the bill expands eligibility for VA hospital care, medical services, and nursing home care to include veterans who (1) were exposed to toxic substances, radiation, or other conditions, and were awarded certain medals (e.g., the Armed Forces Service Medal); (2) are eligible for inclusion in the Airborne Hazards and Open Burn Pit Registry; or (3) have been identified by the Department of Defense to have been possibly exposed during service to an open burn pit, toxic substance, or specified hazardous sites. (A burn pit is an area used for burning solid waste in open air without equipment.) The bill establishes a presumption of service-connection for diseases associated with exposure to certain toxic substances and that become manifest within a certain time period; the VA must specify such diseases and requirements through regulations. 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. The bill also requires the VA to take specified actions to (1) evaluate scientific evidence regarding associations between diseases and exposure to toxic substances; (2) train its health care personnel on identifying, treating, and assessing illnesses related to such exposure; and (3) provide resources to veterans exposed to toxic substances.

Flexible Financing for Rural America Act This bill allows rural utility service providers to submit to the Department of Agriculture (USDA) a request to adjust the interest rate or modify the terms of certain loans. The request shall include a report summarizing how the adjustment or modification will assist the borrower in providing critical utility services to a rural community. Specifically, on receipt of a request, USDA or the Department of the Treasury (in the case of a loan owned by the Federal Financing Bank) must adjust the interest rate on the loan to match certain interest rates for obligations of comparable maturity to the term remaining on the loan (or a higher rate requested by the borrower), and make modifications to the loan terms as necessary to address changes in the financial position of the borrower due to the COVID-19 public health emergency and to promote the financial sustainability of the borrower. In carrying out the adjustments or modifications, USDA or Treasury shall not impose or collect any fee from, or impose any penalty on, a borrower. The bill also provides funding to implement the adjustments and modifications and for the liquidation of residual intragovernmental amounts owed by the Federal Financing Bank in connection with certain loans.

This bill limits the availability of funds available for FY2022 for the Office of the Secretary of Defense for the Director of Cost Assessment and Program Evaluation until the Department of the Navy enters into a contract for certain amphibious shipbuilding programs.

This joint resolution recognizes and affirms the sovereign and unilateral authority of states to defend themselves against invasion.

This resolution calls on the people of the United States to observe Memorial Day to honor the men and women who died in the pursuit of freedom and peace.

This resolution reaffirms the commitment of the United States to the independence, territorial integrity, and sovereignty of Uzbekistan. It also recognizes Uzbekistan's progress in recent years on important political, economic, democratic, and social reforms.