Capito, Klobuchar Introduce Bill to Increase Patient Access to Cardiovascular and Pulmonary Care

Source: United States Senator for West Virginia Shelley Moore Capito

WASHINGTON, D.C. – U.S. Senators Shelley Moore Capito (R-W.Va.) and Amy Klobuchar (D-Minn.) this week introduced the Increasing Access to Quality Cardiac Rehabilitation Care Act of 2021. The bipartisan legislation would expand and expedite access to cardiac and pulmonary rehabilitation services by authorizing physician assistants, nurse practitioners, and clinical nurse specialists to order cardiac rehabilitation and pulmonary rehabilitation under Medicare and begin supervising this care in 2022.

“Over the past year, we have seen how vital access to quality health care is,” Senator Capito said. “Never have cardiac rehabilitation and pulmonary rehabilitation been needed more, but we continue to see that not nearly enough patients—especially those in rural and underserved areas—are receiving these services. This legislation will allow additional providers to order and supervise these programs sooner, making it easier to ensure patients are able to access the care they need and deserve.”

“Ensuring timely access to cardiac and pulmonary rehabilitation programs is critical to improving the lives of people who need cardiovascular care, especially in rural areas,” Senator Klobuchar said. “Our bipartisan legislation will expand who can refer patients to these programs, helping connect more people to the care they need and ensuring they get that care faster.”

BACKGROUND:

Cardiac rehabilitation and pulmonary rehabilitation are medically directed and supervised programs designed to improve a patient’s physical, psychological, and social functioning. Currently, only physicians are authorized to order and supervise cardiac or pulmonary rehabilitation for Medicare patients. This restriction can create unnecessary obstacles, delays, and paperwork before patients can receive the rehabilitation services that are needed on a timely basis and make it challenging for programs to operate in areas where physicians are scarce. 

The Increasing Access to Quality Cardiac Rehabilitation Care Act builds upon the innovative Improving Access to Cardiac and Pulmonary Rehabilitation Act—legislation that was passed as part of the Bipartisan Budget Act of 2018, which authorized physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac and pulmonary rehabilitation beginning in 2024.

WIDESPREAD SUPPORT:

The bill is supported by several organizations, including, the American Heart Association, the American Association of Cardiovascular and Pulmonary Rehabilitation, the American College of Cardiology, the American Nurses Association, the American Association for Respiratory Care, the American Academy of Pas, the American Association of Nurse Practitioners, WomenHeart, and the Preventive Cardiovascular Nurses Association.

“Cardiac rehabilitation has real-life benefits for coronary heart disease patients, lowering the risk of CVD-related death by 26 percent,” Nancy Brown, CEO of the American Heart Association, said. “Despite these benefits, participation in cardiac rehabilitation programs remains low. This legislation would increase access and bridge the gap between referral and the start of CR/PR and help Medicare patients more equitably access proven services to help improve their health outcomes.”

“On behalf of the approximately 150,000 PAs in the United States, the American Academy of PAs would like to thank Senators Shelley Moore Capito and Amy Klobuchar for their leadership in reintroducing the Increasing Access to Quality Cardiac Rehabilitation Care Act in the 117th Congress. This legislation will have a major impact on Medicare patients’ lives, expanding access to cardiac and pulmonary rehabilitation programs. These programs are vitally important for patients suffering from a wide variety of conditions.  Currently these programs are often inaccessible for those who need them most, particularly in rural and medically underserved areas. We urge Congress to pass this legislation as quickly as possible to ensure that more patients are able to access these lifesaving treatment programs,” Beth Smolko, DMSc, MMS, PA-C, President of the American Academy of PAs,said.

“The American Association of Nurse Practitioners (AANP) would like to thank Senators Capito and Klobuchar for reintroducing the Increasing Access to Quality Cardiac Rehabilitation Care Act. Patients who receive cardiac and pulmonary rehabilitation have more favorable outcomes – yet Medicare patients lack adequate access to these programs, especially patients in rural and underserved areas,” AANP President, Sophia L. Thomas, DNP, FNP, PNP, FAANP, said. “By removing the outdated federal barrier that excludes nurse practitioners from being authorized to order or supervise these lifesaving programs, Congress is helping to ensure patients have greater access to the right care at the right time. On behalf of the more than 325,000 NPs nationwide, we urge Congress to take swift action on this legislation so that our patients can receive the cardiac and pulmonary rehabilitation services they need and without unnecessary delays.”

“Cardiac rehabilitation is vital. Working with Congress, we have made great strides in recent years to increase patient access to this critical medical therapy by expanding use of the cardiovascular care team in prescribing and supervising cardiac rehab and pulmonary rehab services,” ACC’s Health Affairs Committee Chair Samuel Jones IV, MD, MPH, FACC, said. “Every day in my practice I work with advanced practice providers who are routinely on the front line in critical care environments and who are highly trained and qualified to provide these safe, effective and vital services. Passage of this critical legislation will go a long way toward eliminating unnecessary obstacles and delays to this life-changing – and lifesaving therapy, especially in rural and underserved communities.”

Click here for a one-pager on the bill.

Click here for the full bill text.

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Provisions from Blunt, Klobuchar Legislation to Protect Adopted Children Pass HELP Committee, Head to Senate Floor

Source: United States Senator for Missouri Roy Blunt

WASHINGTON – U.S. Senators Roy Blunt (Mo.) and Amy Klobuchar (Minn.), co-chairs of the Congressional Coalition on Adoption, announced that provisions from their legislation to protect adopted children have passed the Senate Health, Education, Labor, and Pensions Committee as part of the Child Abuse Prevention and Treatment Act (CAPTA) Reauthorization Act.

“Rehoming is an unacceptable practice that puts children at increased risk of abuse and exploitation,” said Blunt. “By classifying rehoming as child abuse, child welfare authorities will have an important tool to keep kids safe.”

“We must do everything we can to protect adopted children and ensure they are placed in safe, loving homes,” said Klobuchar. “With strong bipartisan support, provisions from our bill to prevent unregulated custody transfers have moved out of committee and onto the floor, bringing us one step closer to stopping this harmful practice and improving the adoption process for families and children.”

The following provisions from the Safe Home Act, introduced by Blunt and Klobuchar in February, are included in the CAPTA Reauthorization Act:

     • Providing a definition of unregulated custody transfers

     •  Requiring the Department of Health and Human Services to:

o   Report to Congress on unregulated custody transfers (UCTs);

o   Issue technical assistance to states on preventing, identifying, and responding to UCTs; and

o   Provide information to families on pre-adoption training and post-legal adoption services.

Unregulated custody transfers occur when parents transfer custody of their adopted children outside of the child welfare system – without background checks, home studies, and supervision – increasing the likelihood that the child will experience neglect, exploitation, or physical, emotional, or sexual abuse.

For years, Blunt and Klobuchar have worked to improve the adoption process for Americans.

      • This Congress, they reintroduced the Intercountry Adoption Advisory Committee Act to provide the Secretary of State with authority to establish an Intercountry Adoption Advisory Committee to focus on coordinating the development, refinement, and implementation of policy and programs on intercountry adoption.

      • In a bipartisan letter, Blunt and Klobuchar led 48 colleagues in calling on U.S. Secretary of State Antony Blinken to engage in efforts to resume intercountry adoptions with China, which have been indefinitely paused due to the coronavirus pandemic.

      • In November 2020, during National Adoption Month, they encouraged the Department of State and the Department of Health and Human Services to raise awareness for National Adoption Month and for the importance of domestic and intercountry adoption.

      • In October 2020, they sent a letter urging the Department of State to prioritize policies to promote intercountry adoption and to look specifically at the fee schedule for prospective accrediting entities to ensure they do not impose undue financial burdens on families seeking to adopt internationally.

      • In response to the coronavirus pandemic, they sent a letter in April 2020 asking the Department of State to use all available resources to ensure that intercountry adoptions proceed in a safe and timely manner during the coronavirus pandemic and that American families stranded abroad while completing these adoptions return home safely.

      • In May 2019, they reintroduced the Supporting Adoptive Families Act to help provide pre- and post-adoption support services, including mental health treatment, to help adoptive families stay strong.

      • They previously sent a letter in June 2018 urging the Bureau of Consular Affairs at the Department of State to ensure continued dialogue between the Department of State, Congress, and the Adoption Service Providers in efforts to develop and implement policies that advance affordable and sustainable intercountry adoption.

      • Blunt and Klobuchar also partnered on the Accuracy for Adoptees Act, which became law in early 2014. This legislation cuts red tape for adoptive families and ensures that corrections made to adoptees’ state vital records would be recognized by the federal government.

Blunt, Colleagues Introduce Bill to Make Summer Meal Programs More Flexible

Source: United States Senator for Missouri Roy Blunt

WASHINGTON — Yesterday, U.S. Senator Roy Blunt (Mo.) joined U.S. Senators John Boozman (Ark.), Patrick Leahy (Vt.), and 11 other colleagues to introduce the Hunger-Free Summer for Kids Act. The bill would add flexibility to the U.S. Department of Agriculture’s (USDA) Summer Food Service Program, which offers children free lunch and snacks in the summer.

“The federal government’s rigid, one-size-fits-all approach to child hunger simply isn’t doing enough to solve the problem,” said Blunt. “Too many Missouri kids are going hungry during the summer months because they’re unable to access existing programs, through no fault of their own. I urge all of my colleagues to support this bipartisan bill to give food banks and other organizations the flexibility they need to ensure students have year-round access to nutritious meals.

“The summer meals program is in desperate need of an update as many of the rules date back to the 1960s,” said Boozman. “The one-size-fits-all solution is simply unworkable under normal conditions, much less during periods of stress like what we experienced over the past year. The flexibilities Congress granted during the pandemic offer a good recipe for how to successfully serve more children in need. We want to ensure that all options—from off-site, grab-and-go models, to home delivery, to electronic benefits transfer—remain on the table.”

“This pandemic has taught us so much about the importance of expanding access and increasing flexibility for children to receive meals in non-traditional settings,” said Leahy. “The summer shouldn’t be a time where children, particularly in rural areas, struggle to find their next meal. This bill would implement many of the lessons learned during the pandemic to allow states to better meet the nutrition needs of their communities and ensure that no child goes hungry during the summer months.

The bipartisan legislation applies lessons learned from the pandemic to existing child nutrition programs to make them more efficient, flexible, and better equipped to reach children in need during the summer months. The bill gives states additional options to reach hungry children in communities without a centralized feeding site during the summer, some of which mirror authorities Congress established to help USDA carry out this mission while students received instruction virtually during the COVID-19 pandemic.

Current summer meals regulations require children to travel to a central location and eat together. This works well in some communities. However, in rural areas, it can be difficult for children to reach a site, if one even exists. In suburban and urban areas, inclement weather or violence can keep children from these sites and cause them to miss meals.

The Hunger-Free Summer for Kids Act proposes two alternative options states can utilize through the program. The first would allow for meals to be consumed off-site through innovative means like mobile feeding and backpack meal programs. The other option would authorize the summer Electronic Benefit Transfer (EBT) program which would provide eligible families $30 per summer month per child to purchase eligible food items from Supplemental Nutrition Assistance Program (SNAP) approved retailers. In USDA pilot programs, summer EBT was shown to reduce child hunger by over 30%.

Similar steps taken during the pandemic to reduce exposure risks for COVID-19 proved quite successful in maximizing participation. For instance, the Families First Coronavirus Response Act authorized nationwide waivers allowing off-site meal distribution to a parent or guardian to take home to their children. Additionally, the Pandemic EBT program is essentially the same approach this bill proposes for families to use during the summer.

The bill is endorsed by the following groups: Feeding America, Share Our Strength, Tusk Philanthropies, Bread for the World, MAZON: A Jewish Response to Hunger, the Alliance to End Hunger, and Save the Children.

In addition to Blunt, Boozman, and Leahy, the legislation was introduced by U.S. Senators Mitch McConnell (Ky.), Michael Bennet (Colo.), John Cornyn (Texas), Sherrod Brown (Ohio), John Hoeven (N.D.), Cindy Hyde-Smith (Miss.), Deb Fischer (Neb.), Jerry Moran (Kan.), Roger Marshall (Kan.), Chuck Grassley (Iowa), and John Thune (S.D.).

Portman Op-Ed for Fortune: “People Still Aren’t Saving Enough for Retirement. Congress Can Help”

Source: United States Senator for Ohio Rob Portman

June 11, 2021 | Portman Difference

In a new op-ed for Fortune, Senator Portman highlights the opportunity in front of Congress right now to help more Americans achieve a financially secure retirement.

Even before the pandemic, a Government Accountability Office (GAO) report found that nearly half of all near-retirees over age 55 have no retirement savings at all. The Bureau of Labor Statistics’ National Compensation Survey shows that while 67 percent of private-sector workers have access to an employer-sponsored plan, that number drops to 49 percent for individuals working for the smallest businesses and 39 percent for part-time workers. Actual participation rates in workplace plans lag even further behind, especially for those individuals in the bottom quartile of wage earners. Among those lowest-paid workers, only about one in five earn retirement benefits, with just 22 percent of low-income workers participating in a retirement plan. The final challenge is the lack of adequate lifetime savings as Americans are living longer post-retirement.

In his op-ed, Portman argues that we can solve these challenges through bipartisan Retirement Security & Savings Act (S. 1770), a broad set of reforms designed to strengthen Americans’ retirement security. The bill addresses four major opportunities in the existing retirement system: (1) allowing people who have saved too little to set more aside for their retirement; (2) helping small businesses offer 401(k)s and other retirement plans; (3) expanding access to retirement savings plans, including for low-income Americans without coverage; and (4) providing more certainty and flexibility during Americans’ retirement years. The measure includes more than 50 provisions to accomplish these objectives.

Excerpts of the op-ed can be found below and the full op-ed can be found here.

People Still Aren’t Saving Enough for Retirement. Congress Can Help.

By U.S. Senator Rob Portman

Fortune

It’s good to encourage everyone to save more for their own secure retirement. More private retirement savings is good for the economy, and it is key to people’s standard of living in their later years, particularly as people are living longer lives. Right now, Congress has the opportunity to provide everyone more peace of mind in retirement through similar bipartisan legislation in the House and the Senate.

Last December, I chaired a bipartisan Senate finance subcommittee hearing focused on this opportunity. The consensus in our hearing was that we have the common ground needed between the Senate and the House to pass bipartisan retirement reform that will make a real difference. Recently, I reintroduced the Retirement Security and Savings Act (Cardin-Portman) alongside my colleague Sen. Ben Cardin, Democrat from Maryland, to do just that.

Cardin-Portman contains dozens of provisions designed to help more Americans achieve a safe and secure retirement by addressing four major challenges in our retirement system. First, it will help low-income and part-time workers save more for retirement. Before the pandemic, only one in four American workers in the lowest income bracket participated in a workplace retirement plan, and among part-time workers in the private sector, only 22% had access to a savings plan. Experts believe that these low levels of retirement savings for these groups were even further eroded during the COVID-19 pandemic.

Our bill expands the Saver’s Credit tax credit to help more low-income Americans increase their retirement savings and makes the credit directly refundable into a retirement account. It also increases the credit amount available for many low-income savers, and requires employers to allow part-time workers who have completed two years of service to participate in 401(k) plans. This means that the single mother working part-time to support herself and her children will have a chance to sock away some retirement savings.

Cardin-Portman will help these near-retirees to more quickly build up their nest eggs by increasing the catch-up retirement plan contribution limits after age 60, letting workers save more money in less time. The law will also encourage employers to make larger contributions to their employees’ retirement funds through both tax credits and regulatory improvements. More Baby Boomers will be able to have the kind of financially secure retirement their parents enjoyed.

Our bill will help small businesses offer plans by strengthening the tax credit they receive for starting a new retirement plan and creating a tax credit and legal relief for small business plans that do things to get more workers covered, like automatic enrollment features and a minimum 3% employer match. It also includes another credit for small business plans with automatic re-enrollment every three years.

Cardin-Portman provides a strong base for overhauling our private retirement system to provide more savings opportunities to those who need it the most. I’m pleased to say that 25 of its provisions are included in the leading retirement bill in the House of Representatives, Neal-Brady, which has already cleared the House Ways and Means Committee with strong bipartisan support.

I look forward to working with my Senate colleagues to do the same and help more Americans have a safe and secure retirement.

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King Urges Biden Administration to Tackle Explosion of Plastic Pollution at G7 Summit

Source: United States Senator for Maine Angus King

WASHINGTON, D.C. – Ahead of this week’s G7 Summit, U.S. Senator Angus King (I-Maine) is joining a group of Congressional colleagues to push the Biden administration to work toward a global agreement that addresses the ecological threat posed by marine plastic litter and microplastics. In their letter to President Biden, King and his fellow lawmakers emphasized that this crisis requires American leadership on the international stage, and encouraged the administration to engage in international discussions and implement domestic policies that will effectively minimize plastic waste.

“Plastic pollution has exploded into a global crisis that threatens our public health, economic security, and the future of our planet. We need bold action to tackle this crisis and we have a unique moment to work with our colleagues around the world to break free from plastic pollution,” the lawmakers wrote in their letter. “We are writing to encourage your Administration’s full participation in international dialogues to establish a binding global agreement to address plastic pollution.”

“The G7 Leaders’ Summit represents a vital opportunity to demonstrate American leadership on a critical international issue. It is important to address plastic pollution as an environmental, environmental justice, and climate crisis through green recovery efforts as the world aims to build back better from the COVID-19 pandemic,” they continued. “We encourage your Administration to participate in discussions to launch a global agreement to address marine plastic litter and microplastics in advance of the Fifth Session of the United Nations Environment Assembly. We urge your Administration to advocate for a binding agreement that addresses both land- and sea-based sources and looks to upstream solutions for addressing this challenge through source reduction.”

Senator King was a cosponsor the Save Our Seas 2.0 Act, which tackles the problem of plastic waste on a global scale by spurring innovation and finding uses for the plastic waste that already exists to keep it from entering the oceans. The legislation was signed into law in December 2020. In November 2020, Senator King received the inaugural “Hero” Award from the National Park Foundation in honor of his lifelong environmental stewardship and advocacy.

Full text of the letter is available here and follows below.

+++

Dear President Biden,

We write to you to share our strong support for protecting our environment and our ocean from the devastating impacts of plastic pollution. We were excited to learn that United Kingdom Prime Minister, Boris Johnson has added to the agenda for the G7 Leaders’ Summit the goal to start negotiations for a global agreement to address marine plastic litter and microplastics. Plastic pollution represents a global crisis that will require bold international cooperation to address. We write to urge your Administration’s full participation and support for this process and other international forums to show America’s commitment to leadership in addressing this global crisis.

Nearly 11 million metric tons of plastic waste enter the ocean every year – from sources at-sea and on land.[1] Without any action, this flow is expected to triple to nearly 29 million metric tons by 2040.1 This plastic pollution causes incredible harm on wildlife through ingestion and entanglement – globally, 100,000 marine mammals die every year as a result of plastic pollution.[2] However, the impacts of plastic extend far beyond harming wildlife and polluting our shores – plastic production and waste management are directly contributing to climate change. The greenhouse gas emissions linked to this production are estimated to reach 1.3 billion tons by 2030, equivalent to 300 coal-fired power plants. We cannot tackle the issue of climate change or environmental justice without addressing plastic waste.

A recent study found that despite the United States only accounting for 4% of the global population in 2016, the U.S. generated 17% of all plastic waste and ranks third among countries contributing to coastal plastic pollution.[3] The science is clear – all this plastic impacts human health from toxic chemicals leaching out of plastic to the fact that the average person ingests nearly a credit card’s amount of microplastics each week.[4] Americans are fed up with the plastic pollution crisis and broadly support many steps to tackle the plastic pollution crisis.

According to U.S. Census Bureau data, the U.S. exported 1.37 billion pounds of scrap plastic in 2020.[5] At least 40% of this plastic waste was exported to countries outside the Organization for Economic Co-operation and Development (OECD) that have high percentages of waste mismanagement, such as India, Indonesia, and Malaysia. The U.S. has been sending scrap recycling materials to Asia for several decades, but the unacceptable environmental and social impacts of this practice have become clear. The ability to properly handle these materials is overwhelming and the impact is past a crisis tipping point.

Plastic pollution has exploded into a global crisis that threatens our public health, economic security, and the future of our planet. We need bold action to tackle this crisis and we have a unique moment to work with our colleagues around the world to break free from plastic pollution. We are writing to encourage your Administration’s full participation in international dialogues to establish a binding global agreement to address plastic pollution.

The G7 Leaders’ Summit represents a vital opportunity to demonstrate American leadership on a critical international issue. It is important to address plastic pollution as an environmental, environmental justice, and climate crisis through green recovery efforts as the world aims to build back better from the COVID-19 pandemic. We encourage your Administration to participate in discussions to launch a global agreement to address marine plastic litter and microplastics in advance of the Fifth Session of the United Nations Environment Assembly. We urge your Administration to advocate for a binding agreement that addresses both land- and sea-based sources and looks to upstream solutions for addressing this challenge through source reduction.

The U.S. is one of only 8 countries to not ratify the Basel Convention. While the U.S. signed the Basel Convention in 1990 and the U.S. Senate gave its advice and consent for ratification in 1992, lack of implementing legislation has prevented the U.S. from participating. We stand ready to work with you to ensure U.S. compliance with the Basel Convention and encourage your Administration to develop domestic regulatory policies to prohibit the export of plastic waste to countries outside the Organization for Economic Cooperation and Development (OECD).

We believe the U.S can show global leadership on plastic pollution by engaging in international discussions and implementing domestic policies that will effectively minimize our plastic waste.

We thank you for your continued leadership and look forward to working with you on this issue.

[1] “Breaking the Plastic Wave: A Comprehensive Assessment of Pathways Towards Stopping Ocean Plastic Pollution.” Pew Charitable Trusts.

[2] “Facts and Figures on Marine Pollution.” United Nations Educational, Scientific and Cultural Organization (UNESCO)

[3] Law, K.L. “The United States’ Contribution of Plastic Waste to Land and Ocean.” Science Advances.

[4] https://pubs.acs.org/doi/abs/10.1021/acs.est.9b01517

[5] U.S. Census Bureau, U.S. International Trade in Goods and Services, December 2020. 

King Introduces Bipartisan Legislation to Close Digital Divide, Promote Digital Equity

Source: United States Senator for Maine Angus King

WASHINGTON, D.C. – U.S. Senators Angus King (I-Maine), co-chair of the Senate Broadband Caucus, Patty Murray (D-Wash), and Rob Portman (R-Ohio) are introducing new bipartisan legislation aimed at closing the growing digital divide in communities across the country. The Digital Equity Act of 2021 would create new federal investments targeted toward a diverse array of projects at the state and local level that promote “digital equity”— a concept defined by the National Digital Inclusion Alliance as the, “condition in which all individuals and communities have the information technology capacity needed for full participation in our society, democracy and economy.”

“The COVID-19 pandemic has highlighted just how essential the internet is to everyday American life,” said Senator King. “In the 21st century, an affordable high-speed broadband connection is a prerequisite for a wide range of economic, educational, and business opportunities. Unfortunately, too many of our citizens cannot access a reliable internet connection or do not know how to use the technology – leaving them further and further behind in an increasingly-digital world. Our bipartisan bill will make critical investments in digital equity and digital inclusion, so we can ensure that Americans of all ages and backgrounds can not only access a broadband connection, but make the most of the opportunities it provides.”

“For so many of us, having a reliable broadband connection is a given—we use the internet to pay bills, do our taxes, keep in touch with family, do homework, and much more. That was true before the pandemic, but it’s even more true now. For far too many in Washington state and across the country getting online isn’t so easy to do. This can prevent people from applying for jobs, learning new skills, signing up for health care, accessing unemployment benefits, and more. That’s the digital divide,” Senator Murray said. “While we’ve made some headway expanding internet access to more families by investing in critical infrastructure like rural broadband, that isn’t much help if they don’t have the tools and skills to actually use their broadband connection. The Digital Equity Act is an important bipartisan step Congress must take to help states, counties, Tribes, and others do more to close this digital divide. This bill is an investment in our families, our workforce, and our overall competitiveness in a 21st century economy.”
“Too many Americans – especially in overlooked and underserved communities – lack access to broadband internet, negatively impacting the way they live and work,” Senator Portman said. “This bill aims to address these access gaps by encouraging the creation and implementation of comprehensive digital equity plans in all 50 states, DC, and Puerto Rico and supporting digital inclusion projects undertaken by groups, coalitions, and/or communities of interest. With this support, we can further our efforts to bridge the digital divide.”

“The pandemic has shown how real the digital divide is in our great State, and how important it is to ensure that every home has a robust broadband connection,” said Susan Corbett, Founder & CEO of the Digital Equity Center. “We need to advance digital equity and inclusion by increasing access to broadband, computers and devices, and expanding digital literacy training for every Maine citizen.”
According to the Pew Research Center, before the pandemic nearly one in five teenagers in the U.S. said they had been unable to complete homework assignments due to lack of a reliable internet connection. The digital divide, also sometimes referred to as the “homework gap” as it applies to students, exacerbates existing wealth and income gaps in our communities; subsequently, many people—including those from communities of color, people with disabilities, low-income households, and rural communities, overwhelmingly impacted by the digital skills gap—are at risk of being left behind in an increasingly technology-driven world, absent intervention.

According to 2019 U.S. Census data, 36 million households do not subscribe to a wireline broadband service—including 15% of Maine households. 26 million of these households across the nation are in urban areas. 10 million are in rural areas. The lower a household’s income, the less likely they are to consistently subscribe to a wireline broadband service.

To that end, the Digital Equity Act of 2021 strengthens federal support for efforts to help ensure students, families, and workers have the information technology capacity needed to fully participate in society by establishing two grant programs to be administered by the National Telecommunications and Information Administration (NTIA) to promote digital equity nationwide:

 

·       Building Capacity within States through Formula Grants: The legislation creates an annual $125 million formula grant program for all 50 States, the District of Columbia, and Puerto Rico to fund the creation and implementation of comprehensive digital equity plans in each State.

·       Spurring Targeted Action through Competitive Grants: The legislation also creates an annual $125 million competitive grant program to support digital equity projects undertaken by individual groups, coalitions, and/or communities of interest.

·       Supporting Research and Evidence-Based Policymaking: The legislation tasks NTIA with evaluating digital inclusion projects and providing policymakers at the local, state, and federal levels with detailed information about which projects are most effective.

“During the pandemic, we saw more and more neighborhoods, towns, counties, cities and states figuring out ways to cover the cost of internet service and purchase computers while also providing technical support and digital skills training. The solutions were local. Digital equity solutions in the U.S. have always been local. On the one hand this is fabulous because trusted community relationships are essential to effective digital inclusion work. On the other hand, financial support of local digital inclusion work has been sorely lacking. We celebrate the announcement of the Digital Equity Act because it invests in local solutions,” said Angela Siefer, Executive Director of the National Digital Inclusion Alliance.

As co-chair of the bipartisan Senate Broadband Caucus, Senator King has been a strong advocate for expanding affordable broadband access as a way to increase economic opportunity in rural Maine – and has raised the issue consistently during the coronavirus pandemic. He played a key role in securing the inclusion of billions of dollars in the American Rescue Plan for broadband investment – which he voted in favor of, and published an op-ed in the Bangor Daily News emphasizing the plan’s historic investment in broadband. The March edition of Senator King’s “Inside Maine” podcast focused on this historic investment during a conversation with Tilson Technologies’ Josh Broder, and Pew Charitable Trusts’ Kathryn de Wit. Senator King has also urged the Biden Administration to update federal standards for high-speed broadband to reflect modern uses, calling for updating the definition of high-speed broadband to 100 megabits per second of upload and download speed.

The Digital Equity Act of 2021 is endorsed by over 100 organizations, including: AARP, Alliance for Community Media, American Library Association, Asian Americans Advancing Justice, Association of Public and Land-grant Universities, Broadband Connects America, Center for Law and Social Policy, Center for Media Justice, Chief Officers of State Library Agencies, Coalition on Adult Basic Education, Common Cause, Common Sense, Consortium for School Networking, Competitive Carriers Association, EdTech Center @ World Education, Free Press Action Fund, International Society for Technology in Education, Microsoft, National Association of Telecommunications Officers and Advisors, National Coalition for Literacy, National Collaborative for Digital Equity, National Congress of American Indians, National Consumer Law Center on behalf of their low-income clients, National Digital Inclusion Alliance, National Hispanic Media Coalition, National League of Cities, National Parent Teacher Association, New America’s Open Technology Institute, Next Century Cities, NTEN, Public Knowledge, Rural Telecommunications Congress, Schools, Health & Libraries Broadband Coalition, State Educational Technology Directors Association, and the Urban Libraries Council.

With Global Meat Supply Chain Facing Challenges, Senators King and Paul Lead Bipartisan Push to Support Local Farmers and Ranchers

Source: United States Senator for Maine Angus King

WASHINGTON, DC – U.S. Senators Angus King (I-Maine) and Rand Paul (R-Ky.) are introducing legislation to make it easier for small farms and ranches to provide locally-produced meats to consumers. The Processing Revival and Intrastate Meat Exemption (PRIME) Act would give individual states the option to permit intrastate distribution of custom-slaughtered meat such as beef, pork, goat or lamb to consumers, restaurants, hotels, boarding houses, and grocery stores. The legislation comes days after a ransomware attack forced the world’s largest meat processor to shut down nine U.S. plants and disrupted production at other facilities – reinforcing the importance of local producers in a resilient food supply chain. In addition to Senators King and Paul, cosponsors include Senators Kevin Cramer (R-N.D.), Marsha Blackburn (R-T.N.), Mike Braun (R-I.N.), John Hoeven (R-N.D.) and Mike Lee (R-U.T.).

“Cyberattacks and the coronavirus pandemic have exposed vulnerabilities in the global food supply chain, which is why it is more vital than ever that we cut red tape keeping local farmers and ranchers from feeding their communities,” said Senator King. “Maine’s local farmers and ranchers create top-notch agricultural products, but burdensome regulations create unnecessary challenges that hinder local economic activity. Under current rules, a Maine farmer could be forced to send his or her animals halfway across the state for processing just so they can sell the product to a neighbor down the road. These extra hoops don’t work for our farmers, and they don’t work for consumers – let’s simplify this process for everyone.”

“With inflation causing the cost of food to continuously rise, it is now more important than ever for families to have direct access to the resources of small farms and ranches for local foods,” Dr. Paul said. “The PRIME Act will make it easier for farmers to sell and consumers to buy locally-produced meat.”

Across the nation, farmers and ranchers are seeing a growing demand for meat that has been raised and processed locally. Under current law, farmers and ranchers must have their animals processed at a U.S. Department of Agriculture (USDA) certified facility to sell their product commercially. However, many states – including Maine – have a limited amount of USDA-approved processing facilities, which are often at capacity due to farmers and ranchers of all sizes and types racing to get their animals processed and off to market. That makes it expensive and time-consuming for farmers to transport their animals, sometimes 100 miles or more back and forth across the state or even out of state, when they intend to sell the meat to their neighbors.

According to the Maine Department of Agriculture, Conservation and Forestry, there are five USDA-inspected and eight state-inspected meat processors in Maine. The PRIME Act would provide states with the option to part from the federal standard, and would shift more safety oversight to states, some of which already have equally rigorous inspection practices, and break down barriers for small farms looking to sell their product in-state. Doing so would help relieve the significant shortage of processing capacity and allow small farms, ranches, and slaughterhouses to thrive. This will give individual states the option to make it easier for farmers to supply their product to farmers markets, restaurants or grocery store in their own state – and give consumers access to farm-fresh product.  

Senator King has repeatedly led legislative pushes to help Maine farmers widen their markets, introducing the PRIME Act with Senator Paul in each of the last three Congresses. Senator King is also the lead sponsor of the New Markets for State-Inspected Meat and Poultry Act, alongside Senator Mike Rounds (R-S.D.) The bipartisan bill would allow meat and poultry products inspected by state Meat and Poultry Inspection (MPI) programs to be sold across state lines.

Following Calls from Klobuchar and Smith, Biden Administration Requests Significant Increase in Funding for Lewis & Clark Regional Water System

Source: United States Senator for Minnesota Amy Klobuchar

Administration’s proposed increase now moves to Congress for inclusion in budget debate

WASHINGTON – Following calls from U.S. Senators Amy Klobuchar (D-MN) and Tina Smith (D-MN) for a significant increase in funding to the Lewis & Clark Regional Water System, the Biden administration has proposed $9.22 million for the project in its recent budget request for 2022 – up from just $100,000 that was approved for 2021.

As Congress takes up the fiscal year 2022 budget in the coming months, the Senators said they will push to fully fund the Biden administration proposal. Both the U.S. House and U.S. Senate must approve funding for the project during this year’s budget process. The funding Congress approves will then goes to the President to be signed into law.

“This funding will help rural communities in southwest Minnesota access safe and reliable water,” said Klobuchar. “The federal government’s commitment to this project is vital to its success, and it’s important to ensure our water infrastructure has sufficient resources.”

“For far too long, people across southwest Minnesota, northwest Iowa and southeast South Dakota have waited for the federal government to keep its promise to fund the Lewis and Clark Water Project,” said Smith. “These communities already contributed their share of the costs, and even stepped in to fill the gap that the federal government is supposed to cover, because they understand that without reliable sources of clean water, they can’t thrive. I’ve been pressing for additional federal funding to complete this project for years and will work with the Biden Administration to ensure that this proposal is included in next year’s budget. Our communities cannot and should not be forced to wait any longer.”

The Lewis & Clark Regional Water System is dedicated to constructing and operating a first of its kind tri-state drinking water system that will benefit an estimated 350,000 people in southwest Minnesota, southeast South Dakota, and northwest Iowa. Authorized by Congress in 2000, construction oversight is provided by the Bureau of Reclamation (BOR). The capacity of the completed system will be 45 million gallons of water per day (MGD), with the ability to expand to 60 MGD in the future.

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Following Passage of Klobuchar, Grassley Bill Creating New Rural Hospital Program, the Senators Call on CMS to Prioritize Implementation

Source: United States Senator for Minnesota Amy Klobuchar

Senators work to ensure new Rural Emergency Hospital Medicare designation is swiftly introduced

WASHINGTON – Following passage of their legislation to help rural hospitals stay open, U.S. Senators Amy Klobuchar (D-MN) and Chuck Grassley (R-IA) are calling on the Centers for Medicare & Medicaid Services (CMS) to ensure a timely and stakeholder-driven implementation of the new and voluntary Rural Emergency Hospital (REH) Medicare payment designation. 

In May 2017, Klobuchar and Grassley introduced the bipartisan Rural Emergency Acute Care Hospital (REACH) Act to create a new REH classification under Medicare. This bill strengthens support for hospitals that maintain an emergency room and provide outpatient services. Provisions of this legislation were passed and signed into law as part of the 2020 bipartisan year-end agreement, authorizing the creation of a new Rural Emergency Hospital classification under Medicare.

“The REH designation offers the flexibility to support rural hospitals that can no longer support inpatient services while maintaining services that better align with the specific needs of their patient population including 24/7 emergency care, outpatient care, ambulance services, and more. It is important that federal regulations and guidance adequately consider the needs of rural providers. This will ensure REH is a viable solution for rural hospitals giving rural communities the quality of life they deserve,” the Senators wrote in a letter to CMS Administrator Chiquita Brooks-LaSure.

Full text of the letter can be found HERE and below.

Dear Administrator Brooks-LaSure,

Access to emergency and primary health care services is a basic quality of life issue for a resident of any sized community. Section 125 of Public Law (P.L.) 116-260 established the Rural Emergency Hospital (REH) voluntary Medicare payment designation. This bipartisan solution will support struggling rural hospitals by allowing them to voluntarily right-size their health care infrastructure while maintaining essential medical services for their rural communities. We request you prioritize the implementation of this law by establishing a project lead at the Centers for Medicare & Medicaid Services (CMS) to ensure a timely and stakeholder driven implementation.

A recent Government Accountability Office (GAO) report found more than 100 rural hospitals have closed in 28 different states since 2013. The COVID-19 pandemic has only further strained rural hospital finances. If nothing is done, more hospitals and rural Americans will continue losing access to essential medical services resulting in poorer outcomes and higher costs for patients and taxpayers. The REH designation offers the flexibility to support rural hospitals that can no longer support inpatient services while maintaining services that better align with the specific needs of their patient population including 24/7 emergency care, outpatient care, ambulance services, and more. It is important that federal regulations and guidance adequately consider the needs of rural providers. This will ensure REH is a viable solution for rural hospitals giving rural communities the quality of life they deserve. We stand ready to support your efforts to implement REH in a timely and stakeholder-driven manner.

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Following Extremely Destructive 2020 Wildfire Season: Merkley, Wyden Push Biden Administration for Disaster Supplemental Funding to Help Communities Rebuild

Source: United States Senator Ron Wyden (D-Ore)

June 11, 2021

Washington, D.C. – Oregon’s U.S. Senators Jeff Merkley and Ron Wyden today pressed President Biden to provide additional relief to states struggling with the impact of extreme drought and wildfires.

According to the Drought Monitor, over half of the United States is currently experiencing a historic drought. Over 95 percent of the West is now either abnormally dry or in a drought—making current conditions among the most dry within the past two decades.

“When Oregon went up in flames last September, I drove over six hundred miles across the state to meet affected families and tour damage. It is difficult to put into words the heartbreak you feel when you see streets leveled and empty lots of rubble where homes stood just days before,” said Merkley. “It’s impossible to thrive without a safe roof over your head, making it absolutely crucial that families whose homes went up in flames receive the resources they need to rebuild. I’m going to keep pushing for housing resources—both emergency and long-term—and other assistance to ensure that all Oregonians impacted by this year’s wildfire season receive the support they need to get back on their feet as quickly as possible.”

“What I heard last week from firefighting officials in Medford, Portland and Bend as well as from Oregonians still recovering from 2020’s blazes adds up to a chorus of concern unified by the urgent need for federal resources to combat wildfires in our state,” Wyden said. “Bottom line, the drought heading into this summer equates to serious wildfire threats to communities statewide. And I’m all in with Senator Merkley and colleagues across the West to press on every front to protect Oregonians’ lives, homes and businesses with whatever it takes to reduce the danger from these destructive wildfires.”

U.S. Senators representing wildfire-prone states across the West joined Merkley and Wyden in the letter: Alex Padilla (D-CA), Dianne Feinstein (D-CA), Michael Bennet (D-CO), Kyrsten Sinema (D-AZ), Catherine Cortez Masto (D-NV), Mark Kelly (D-AZ), John Hickenlooper (D-CO), and Jacky Rosen (D-NV).

The Senators’ letter also emphasized that communities are still grappling with the effects of last year’s drought and wildfires, in part because they never received supplemental relief for these disasters. While the Federal Emergency Management Agency (FEMA) has offered substantial support, the scale of natural disasters that occurred in 2020 necessitates a disaster supplemental.

Text of the letter is available here and follows below.