National Infrastructure Development Bank Act of 2021 This bill establishes the National Infrastructure Development Bank as a government corporation to finance energy, environmental (e.g., drinking water or waste facilities), telecommunications, and transportation infrastructure projects. The bill establishes the National Infrastructure Development Bank Board, which must oversee the infrastructure projects. The board may make loans and loan guarantees to assist in financing infrastructure projects. Further, the board must establish an executive committee, a risk management committee, an audit committee, and a compliance office. To be eligible for financial assistance from the bank, an infrastructure project (1) must have a public benefit, as determined by the board; and (2) may not have a sole use or purpose that is private. An infrastructure project must use iron, steel, and manufactured products that are made in the United States. The bill also establishes accounting and reporting requirements. In particular, the Government Accountability Office must, within five years of this bill's enactment, submit a report to Congress evaluating the bank's activities.
This bill reauthorizes through FY2022 and otherwise revises the Centers for Disease Control and Prevention (CDC) national awareness campaign regarding gynecologic cancers. The CDC must target specified populations of women at higher risk for gynecologic cancers in the campaign. Additionally, the CDC may establish a grant program to evaluate different strategies to increase knowledge and awareness of gynecologic cancers among women and health care providers. In awarding these grants, the CDC must give preference to (1) grantees with expertise in gynecologic cancer education or treatment or expertise in working with groups of women at increased risk of such cancers; and (2) projects that will establish links between health care providers, hospitals, insurance companies, and state health departments.
This bill extends by one year the deadline for completion of proposed management plans for the Appalachian Forest National Heritage Area in West Virginia and Maryland, the Maritime Washington National Heritage Area in Washington, the Mountains to Sound Greenway National Heritage Area in Washington, the Sacramento-San Joaquin Delta National Heritage Area in California, the Santa Cruz Valley National Heritage Area in Arizona, and the Susquehanna National Heritage Area in Pennsylvania.
Veterans Preventive Health Coverage Fairness Act This bill eliminates veterans' copayments for medication, hospital care, and medical services related to preventive health services provided by the Department of Veterans Affairs. The bill expands the definition of preventive health services to include (1) evidence-based items or services that have an A or B rating in the recommendations of the United States Preventive Services Task Force; (2) immunizations that have a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention with respect to the individual involved; and (3) with respect to women, the preventive care and screenings provided for in the Health Resources and Services Administration Preventive Services Guidelines in effect as of January 1, 2017.
Fort McClellan Health Registry Act This bill requires the Department of Veterans Affairs (VA) to establish and maintain the Fort McClellan Health Registry, which must include a list of names of those who were stationed at Fort McClellan, Alabama, between January 1, 1935, and May 20, 1999, and are seeking specified health care or benefits from the VA. Specifically, the registry must include those who apply for hospital, nursing home, domiciliary, or medical care from the VA; file a claim for compensation for service-connected disability; die and are survived by a spouse, child, or parent who files a claim for dependency and indemnity compensation; request a VA health examination; or receive a VA health examination and request to be included in the registry. The registry must also include relevant medical data of the listed individuals if they grant permission or are deceased at the time they are listed. Individuals who have submitted applications, requests, or claims prior to the enactment of this bill must be included in the registry to the extent feasible. The VA must periodically notify individuals listed in the registry of significant research developments on the health consequences of potential exposure to toxic substances or environmental hazards related to service at Fort McClellan. Additionally, the VA must reach out to individuals regarding the provision of health examinations and consultation and counseling services. In establishing and maintaining the registry, the VA must consult with the Department of Defense to acquire necessary information.
This bill requires the Department of Veterans Affairs (VA), the Department of Agriculture (USDA), and the Department of the Interior to jointly establish a pilot program to employ veterans in positions that relate to the conservation and resource management activities of USDA and Interior. The VA, USDA, Interior, and the Department of Defense (DOD) are authorized to enter into a partnership to include the pilot program as part of the Skillbridge program, which is a DOD program to provide training to members who are transitioning out of service in the Armed Forces. The bill also requires the VA to establish guidelines containing best practices for other federal agencies that carry out programs to employ veterans who are transitioning from service in the Armed Forces.
PFAS Registry Act of 2021 This bill directs the Department of Veterans Affairs (VA) to establish a registry for current or past members of the Armed Forces who may have been exposed to per- and polyfluoroalkyl substances due to the environmental release of aqueous film-forming foam at a military installation or other Department of Defense (DOD) location. Additionally, the VA must consult with DOD and the Environmental Protection Agency to make recommendations for additional chemicals that should be included in the registry.
Fairly Assessing Service-related Toxic Exposure Residuals Presumptions Act or the FASTER Presumptions Act This bill revises policies and procedures of the Department of Veterans Affairs (VA) related to establishing or modifying presumptions of service-connection based on toxic exposure. The bill sets up a procedure by which the VA must determine whether to establish, remove, or modify via regulations presumptions of service-connection based on toxic exposure. Specifically, the bill establishes within the VA the Formal Advisory Committee on Toxic Exposure, the Science Review Board, and the Working Group to assist with the various procedures in establishing or removing presumptions of service-connection. Such procedures include assessing the exposure of veterans to toxic substances during active service, evaluating research on the health effects of exposure, and making recommendations based on the evidence and research. The bill also establishes the Expert Advisory Panel on Constrictive Bronchiolitis within the VA to develop guidelines for VA research on symptomatic veterans who served on active duty in the Southwest Asia theater of operations and have bronchiolitis. The Department of Defense must develop and implement a plan to strengthen data collection with respect to members of the Armed Forces (including the reserve components) who are exposed to toxic substances while serving. The VA must initiate or sponsor various studies related to veterans who served on active duty in certain locations. Finally, the VA must provide annual training to relevant employees to improve the handling of claims for compensation and benefits that relate to toxic exposure.
SFC Heath Robinson Burn Pit Transparency Act This bill implements reporting requirements and policies related to the treatment and documentation of veterans who have been exposed to open burn pits. A burn pit is an area used for burning solid waste in open air without equipment. First, the bill requires the Department of Veterans Affairs (VA) to submit quarterly reports on veterans' burn pit exposure The bill also requires the VA to collaborate with the Department of Defense to submit an annual report detailing specified information about veterans who have been exposed to open burn pits, such as the number of claims for disability compensation approved and denied (including the rationale for denials). The bill authorizes the survivor of a deceased veteran to report a veteran's exposure to toxic substances from an open burn pit in the Airborne Hazards and Open Burn Pit Registry, even if the veteran was not included prior to their death. VA medical professionals must inform veterans of the registry if they present at a medical facility for treatment related to exposure to toxic chemicals by open burn pits. Finally, the Government Accountability Office must report on the effectiveness of any memorandum of understanding entered into by the VA with respect to the processing of reported cases of burn pit exposure and the coordination of care and provision of health care related to such cases at VA and non-VA facilities.
Veterans Agent Orange Exposure Equity Act This bill expands the presumption of service-connection for diseases associated with exposure to certain herbicide agents for veterans who served in Vietnam between January 9, 1962, and May 7, 1975. 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. Specifically, the bill expands the presumption to cover veterans who served in Thailand at a U.S. Army base or Royal Thai Air Force base between January 9, 1962, and May 7, 1975; at the Royal Thai Army Replacement Training Center, Pranburi Military Reservation between January 1, 1964, and April 30, 1964; in Laos between December 1, 1965, and September 30, 1969; or in Cambodia at Mimot or Krek, Kompon Cham Province between April 16, 1969, and April 30, 1969.
Veterans Burn Pits Exposure Recognition Act of 2021 This bill requires the Department of Veterans Affairs (VA) to concede, for the purposes of health care benefits and wartime disability compensation, that a veteran was exposed to certain toxic substances, chemicals, and hazards from burn pits if such veteran served on active duty in a covered location during a specified time frame (unless there is affirmative evidence to establish that the veteran was not exposed during such service). A burn pit is an area used for burning solid waste in open air without equipment. Specifically, the bill covers the following locations and corresponding time periods: Iraq between August 2, 1990, and February 28, 1991, as well as from March 19, 2003, until burn pits are no longer used in this location; Somalia and Southwest Asia (including Kuwait, Saudi Arabia, Oman, and Qatar) from August 2, 1990, until burn pits are no longer used in these locations; and Afghanistan, Syria, Jordan, Egypt, Lebanon, Yemen, Uzbekistan, the Philippines, and Djibouti from September 11, 2001, until burn pits are no longer used in these locations. Under the bill, if an exposed veteran submits insufficient evidence to establish a service-connection for purposes of disability compensation, the VA shall provide a medical examination and request a medical opinion regarding a causal link between the disability and a toxin, chemical, or hazard.
Veterans' Right to Breathe Act This bill provides a presumption of service-connection to burn pit-exposed veterans for certain diseases. 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. A burn pit-exposed veteran is a veteran who was supporting a contingency operation on or after January 1, 1990, and was stationed at a location where an open burn pit (an area used for burning solid waste in open air without equipment) was used.
