<p><strong>Assistance for Local Heroes During Train Crises Act</strong></p><p>This bill establishes a Hazardous Train Event Emergency Reimbursement Fund for state and local emergency response groups.</p><p>Upon a declaration by the Federal Railroad Administration (FRA) that a hazardous train event has occurred, the FRA must immediately award at least $250,000 from the emergency fund to one or more eligible groups (e.g., law enforcement agencies and fire departments). Additional amounts may be awarded, but may not exceed $3 million per hazardous train event. The FRA may declare a hazardous train event has occurred following a derailment or crash involving a train carrying hazardous materials, hazardous waste, or other materials that pose a threat to public health, safety, and the environment.</p><p>Costs associated with a response to a hazardous train event that are eligible for reimbursement include (1) replacing damaged or contaminated equipment, (2) overtime pay for firefighters&nbsp;or law enforcement officers, and (3) retroactively covering these types of incurred costs after the event date.</p><p>The FRA must also (1) establish annual fees for shippers and carriers of hazardous materials by rail that have total annual collections of at least $10 million, and (2) deposit the fees into the reimbursement fund.</p><p>Further, the Department of Transportation must issue regulations requiring railroads that transport hazardous materials by train to provide county and local emergency response groups with (1) advance warning of the train's load and timing, and (2) real-time location information on the train when it enters and exits the community's service area.</p>

To amend title XVIII of the Social Security Act to improve access to skilled nursing facilities for primary immunodeficiency patients.

To require the Director of the Office of Management and Budget conduct a review to determine the impact of the lowest price technically acceptable source selection process on national security, and for other purposes.

To allow States to require payment of State fees related to boating as a condition for issuance of a vessel number and to collect such fees in conjunction with other fees related to vessel numbering.

<p><strong>Protecting Our Children from the CDC Act</strong></p><p>This bill prohibits the inclusion of any COVID-19 vaccine on the child and adolescent immunization schedule (which lists the vaccines recommended by the Advisory Committee on Immunization Practices for those populations) unless all clinical data related to the safety and efficacy of the vaccine is published on the website of the Centers for Disease Control and Prevention.</p>

<p><b>Physicians for Underserved Areas Act</b></p> <p>This bill modifies how a hospital's residency positions are redistributed after it closes for purposes of graduate medical education payments under Medicare.</p> <p>Under current law, if a hospital with an approved medical residency program closes, the Centers for Medicare &amp; Medicaid Services (CMS) must redistribute the hospital's residency positions to other hospitals in the following order: (1) hospitals in the same core-based statistical area as the closed hospital, (2) hospitals in the same state as the closed hospital, (3) hospitals in the same region of the country as the closed hospital, and (4) other remaining hospitals. In order to receive the additional positions, hospitals must demonstrate a likelihood of filling the positions within three years.</p> <p>The bill removes the requirement that the CMS prioritize hospitals in the same region of the country as the closed hospital. It also requires hospitals to demonstrate a likelihood of (1) starting to use the positions within two years, and (2) filling the positions within five years.</p>

To amend title 38, United States Code, to modify the rate of pay for care or services provided under the Community Care Program of the Department of Veterans Affairs based on the location at which such care or services were provided, and for other purposes.

To require enforcement against misbranded milk alternatives.

To amend the Small Business Act to provide re-entry entrepreneurship counseling and training services for formerly incarcerated individuals, and for other purposes.

<p><strong>Prompt Approval of Safe Generic Drugs Act</strong></p><p>This bill authorizes the Food and Drug Administration (FDA) to approve certain applications to market a generic drug despite the omission of certain safety information from the generic drug's labeling.</p><p>Specifically, the FDA may not deem an abbreviated application for approval of a generic drug ineligible for approval solely because the drug's labeling omits safety information that is protected under another drug's patent or exclusivity protections. Similarly, a drug that is approved under this bill may not be considered mislabeled for lacking such safety information.</p><p>Generally, an abbreviated application, for the purposes of this bill, is one that (1) uses required information from studies not conducted by the applicant; or (2) seeks approval of a drug that is, for drug approval purposes, a duplicate of an already-approved drug (i.e., a generic drug). Currently,&nbsp;the labeling for such a generic drug must generally be identical to that of the already-approved drug. This bill provides an exception to that requirement under the specified circumstances.&nbsp;</p><p>For any drug approved under this bill, the FDA must require the drug's labeling to include any safety information that is necessary to assure safe use.</p>

To direct the Secretary of Transportation to apply certain requirements to centralized computer-aided train-dispatching systems and centralized traffic control boards.

To increase the annual rate of basic pay for career employees of the Transportation Security Administration, and for other purposes.

To require the Secretary of Agriculture to streamline applications from farmers to be vendors under certain nutrition programs, and for other purposes.

To direct the Under Secretary of Commerce for Standards and Technology to establish a Commission on Hazard Risk Assessment Tools, and for other purposes.

To amend the Railroad Retirement Act of 1974 to eliminate certain deductions for annuities under the Act.