Rep. Adrian Smith

Haulers of Agriculture and Livestock Safety Act of 2021 or the HAULS Act of 202 1 This bill modifies exemptions with respect to commercial motor vehicle safety regulations involving the transportation of agricultural commodities and farm supplies. The bill allows the federal hours-of-service rules exemption regarding maximum driving and on-duty time for drivers transporting agricultural commodities and farm supplies to apply year-round. Current law provides an exception from the federal hours-of-service rules for the transportation of agricultural commodities within a 150 air-mile radius of the normal work reporting location only during planting and harvest periods which are determined by each state. Additionally, the Department of Transportation must revise the definition of agricultural commodity to include specific commodities that are covered by the federal hours-of-service rules exception.

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.

Veterinary Medicine Loan Repayment Program Enhancement Act This bill modifies the requirements for calculating taxable income to exclude from gross income payments under the federal veterinary medicine loan repayment program or any state loan repayment or forgiveness program that is intended to provide for increased access to veterinary services in such state.

This resolution condemns Iranian state-sponsored terrorist attacks against U.S. citizens and officials and Iranian dissidents and expresses support for the people of Iran who are engaged in legitimate and peaceful protests against the Iranian regime.

Rural Behavioral Health Access Act of 2021 This bill allows for Medicare payment of outpatient critical access hospital (CAH) services consisting of telehealth behavioral therapy, including (1) audio-only services, if an individual does not have access to technology with both audio and visual capabilities; and (2) services provided to an individual who has not received in-person care at the CAH, if there is a plan of care that includes an in-person visit not later than one year after telehealth services are provided.

State Tax Freedom Act This bill removes a prohibition on states and territories using COVID-19 relief funding under the American Rescue Plan Act of 2021 to offset a reduction in revenue resulting from a reduction in taxes or a delay in the imposition of a tax or tax increase. Additionally, the bill requires the Department of the Treasury to refund the state, territory, or tribal government any money that was repaid to the federal government since enactment of the American Rescue Plan Act of 2021 due to the state cutting taxes.

Reopening America by Supporting Workers and Businesses Act of 2021 This bill permits states to provide a one-time lump sum payment, through July 1, 2021, to individuals who (1) were eligible for COVID-19 pandemic unemployment compensation during any week after enactment of this bill, and (2) are no longer eligible as a result of becoming thereafter reemployed. Payments of $1,200 shall be paid to individuals who work at least 30 hours and $600 to individuals who work at least 20 hours but less than 30. The payments are available for claimants (1) who are not employed by a government entity, (2) who return to work for at least four consecutive weeks, and (3) whose annual salary does not exceed $75,000. Before receipt of a payment, the individuals' employers must verify their hours and earnings. Additionally, the bill (1) accelerates a scheduled increase in funding for reemployment services and eligibility assessments (RESEA), (2) allows states to use RESEA funds to serve all workers receiving unemployment benefits, and not just those most likely to exhaust their benefits; and (3) allows states to provide reemployment services to individuals receiving pandemic unemployment assistance and pandemic emergency unemployment compensation. Finally, the bill reinstates the requirement that unemployment claimants certify they are able, available, and actively seeking work.

Emmett Till and Mamie Till-Mobley Congressional Gold Medal Act of 2021 This bill provides for the posthumous presentation of a Congressional Gold Medal in commemoration of Emmett Till and Mamie Till-Mobley. After the award the medal shall be given to the National Museum of African American History and Culture.

Access to Genetic Counselor Services Act of 2021 This bill provides for coverage under Medicare of genetic counseling services that are furnished by genetic counselors. Covered services include those services, as well as incidental services and supplies, that would otherwise be covered under Medicare if provided by a physician.