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Cole Leads Bipartisan Introduction of Medical Student Education Authorization Act

By
Tom Cole
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Washington, D.C. – Congressman Tom Cole (OK-04), Congresswoman Dina Titus (NV-01), Congressman Markwayne Mullin (OK-02), Senator James Inhofe (R-OK) and Senator Jacky Rosen (D-NV) today introduced the bipartisan, bicameral Medical Student Education Authorization Act, to authorize the Medical Student Education (MSE) Program for five years. The MSE Program provides grants to public institutions of higher education to expand or support graduate education for physicians in states with the most severe primary care provider shortages. First created in 2019 by Congressman Cole and Senator Inhofe, the MSE Program is currently subject to annual authorizations, which results in significant uncertainty over funding and long-term planning for funded institutions.

“When training is offered in medically underserved communities, physicians are much more likely to choose to practice there later in their careers, which directly benefits those living in those areas,” said Cole. “Authorization of the Medical Student Education Program for five years would allow community-based experiential training in tribal, rural and medically underserved communities to continue with long-term certainty. I am proud to join my colleagues across the aisle and across the Capitol in introducing commonsense legislation that is vital to training the next generation of providers and mitigating shortages in vulnerable areas.”

“I’m proud to help lead this bipartisan bill with my colleagues from Oklahoma, Mr. Tom Cole and Mr. Markwayne Mullin. The University of Nevada, Las Vegas and the University of Nevada, Reno medical schools provide needed care to our communities and these grants will make vital funding available to help them recruit and support physician education,” said Titus. “At a time when health care is paramount, training and retaining doctors in-state will help ensure Nevadans have access to high-quality care in the years ahead.”

“Often times, people in my district have to travel long distances to see their primary care provider at small, rural hospitals or IHS and Tribally-run facilities,” said Mullin. “Between the pandemic and shortages in our workforce, it’s getting harder for these facilities to recruit new physicians. The reauthorization of this program will help states suffering from primary care shortages and support an increase in physicians who are able to offer culturally competent care. Americans who live in rural and underserved communities deserve access to quality health care and that’s why I’m proud to join my colleagues in introducing this bill.”

“Doctors play a critical role in the health and well-being of Oklahomans and individuals across the nation—as evidenced ten-fold by this pandemic,” said Inhofe. “I have always been an advocate for retaining the talent of the next generation of medical students in our state, which is why I am pleased to introduce the Medical Student Education Authorization Act alongside Rep. Cole. This bill will support medical student training in Tribal, rural and medically underserved communities, helping guarantee sufficient doctors in these areas for years to come and ensuring all Oklahomans can continue to have access to high quality health care.”

“Communities across Nevada and our country are in dire need of more health care professionals, and Congress must act to fill these gaps and ensure access to quality medical care,” said Rosen. “This bipartisan legislation would authorize the Medical Student Education program for another five years, and address the physician shortage for states like Nevada that have significant shortages by supporting the next generation of medical professionals.”

Upon introduction, the legislation received strong support from relevant individuals and organizations.

“The AHA commends Representatives Cole, Mullin and Titus and Senators Inhofe and Rosen for introducing this important bipartisan legislation to help increase the number of physicians across the country, especially in areas with the most severe provider shortages,” said Stacey Hughes, AHA Executive Vice President. “Having a talented, qualified, engaged and diverse workforce is at the heart of America’s health care system but many physicians and other health care professionals are exhausted from two years of being on the front lines battling COVID-19. We look forward to working with Congress to pass this critical legislation that will continue to help build the physician workforce pipeline, especially in medically underserved communities.”

“National Rural Health Association (NRHA) applauds Representatives Cole, Titus, and Mullin and Senators Inhofe and Rosen for introducing the Medical Student Education Authorization Act. Since the Medical Student Education (MSE) Program was first authorized in 2019, it has made a profound impact on training physicians in rural communities. We know that physician’s training experiences in rural communities result in higher practices rates is rural areas. Passing a five year authorization of the MSE Program, as this legislation does, will be helpful for stabilizing the depleting workforce in rural communities. As rural communities rebound from the COVID-19 pandemic, strengthening the workforce is a top priority for NRHA. Programs like the MSE Program are critical to ensuring rural communities have the workforce they need to provide services for their residents,” said Alan Morgan, Chief Executive Officer of the National Rural Health Association.

“This legislation would benefit Tribal health programs by increasing the number of Indian health providers and providing training to better serve American Indian and Alaska Native patients.  This bill provides grants to higher education institutions in states with severe health care provider shortages.  The emphasis on partnerships between these institutions and Tribal nations, integrating behavioral health into primary care, and addressing health equities will complement Tribal nations’ efforts to enhance their health care delivery systems.  We call upon Congress to pass this legislation and get it signed into law this year,” said Chairman of the National Indian Health Board, William Smith.

“Oklahoma’s physician residency programs are of the utmost importance right now, especially considering the COVID-19 pandemic’s impact on the healthcare workforce. The Medical School Education Authorization Act will help solve the persistent primary care provider shortages in Oklahoma,” said Mary Clarke, MD OSMA President

“Because the vast majority of Oklahoma counties face a shortage of primary care physicians, the University of Oklahoma College of Medicine places a major emphasis on enhancing the primary care experience for our medical students. Through courses in our curriculum and community partnerships across the state, our students learn about and are exposed to the needs of people who live in tribal, rural and medically underserved areas. In addition, our success in recruiting and retaining students from across Oklahoma including underrepresented areas is helping to secure a bright future. We want to thank Congressman Cole, Congresswoman Titus, Congressman Mullin, Senator Inhofe and Senator Rosen for their leadership on helping us continue to grow these educational opportunities. In doing so, we anticipate an increase in primary care physicians practicing throughout the state, ultimately helping to improve the health and quality of life for all Oklahomans,” said John Zubialde, M.D., Executive Dean, OU College of Medicine.

“Our mission at the OSU Center for Health Sciences is focused on providing health care for rural and underserved communities throughout Oklahoma. Expanding our footprint in partnership with the Cherokee Nation to establish the first tribally affiliated medical school in the nation has been instrumental in fulfilling that mission. Support such as the MSE program makes this mission come to life, and ultimately will positively impact the health outcomes for everyday Oklahomans,” said Dr. Johnny Stephens, President, OSU Center for Health Sciences.

“The MSE program has been instrumental in our work to expand medical education and clinical training opportunities into rural and tribal communities in Oklahoma.  The new Cherokee Nation campus of the OSU College of Osteopathic Medicine has allowed for the expansion of OSU’s medical school class size by 50 students per year and created programs that support our recruiting from rural and tribal communities, educating future physicians on tribal land, and the expansion of clinical educational opportunities in these same communities,” said Dr. Natasha Bray, Interim Dean, OSU College of Osteopathic Medicine at the Cherokee Nation.

“Many thanks to Congresswoman Titus for her efforts to secure stable funding for the next five years for the Medical Student Education Program. This type of forward thinking will help us train more medical students in the underserved communities of Southern Nevada, including our vast tribal lands. This will also help with recruiting a diverse group of medical students who will help care for our varied urban community,” said Marc J. Kahn, Dean of Kirk Kerkorian School of Medicine at UNLV.

“Nevada desperately needs primary care physicians. We rank 48th nationally and 67% of the state’s population reside in a primary care health professional shortage area. This grant program, if expanded, will allow UNR Med to use proven strategies to recruit and retain Nevada medical students to serve the rural and underserved communities in our state,” said Melissa Piasecki, M.D., Acting Dean- UNR Med, Chief Academic Officer- Renown Health.

National Security Superiority

By
Tom Cole
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For decades, the United States has enjoyed uncontested and dominant military superiority. But just as we have come to depend on a rules-based security order, there are countries working to turn the tide and upend it. Global stability is in question with a rising China and a resurgent Russia, and provocative actions sponsored by North Korea and Iran.

Our world is now experiencing a return to a great power competition dynamic. While our military is strong, our competitive edge continues to erode as our challengers move to close the gap. We must meet these growing security challenges and fund the largest military modernization plan since the 1980’s. This is necessary in order to keep pace with technological changes and roll back the negative impacts to military readiness from years of budget gaps.

America’s military budget must be both robust and predicable. The recent bipartisan, two-year budget deal sets defense spending at $700 billion for 2018 and $716 billion for 2019, which is in line with the National Defense Authorization Act for 2018 and President Donald Trump’s budget recently presented to Congress. The budget deal also supports the President’s priorities defined in the National Security and Defense Strategies, which directs our military to protect the American homeland, promote American economic prosperity and advance American influence throughout the world.

The increase in the defense budget will provide the resources needed to fund the largest military modernization efforts. In Fiscal Year 2019, the Army active force will increase by 4,000 soldiers to 487,500 troops. The service will continue to increase its size by 4,000 troops each year to reach a force of 495,500 by 2021. Additionally, it provides for Long-Range Precision Fires and short-range air defense programs which are top priorities and key to missions at Fort Sill.

Additionally, the Air Force budget will fund 1.5 million flying hours at a cost of $8.7 billion. The modernization and recapitalization of key aircraft will support buys of the F-35 Joint Strike Fighter and the KC-46 Tanker, as well as funding for upgrades to 4th Generation Fighters. In the near term, it will reduce the back long in aircraft maintenance and improve sustainment and logistics, which plays a critical role at Tinker Air Force Base. The size of the Air Force will increase by 4,700 military personnel to include Active Duty, Guard and Reserve Airmen.

In peace and war, America’s military has operated around the world protecting our homeland from attack and advanced our interests to include defending our allies from military aggression. The current bipartisan defense budget provides for a resilient and lethal military to keep peace: now and in the future, at home and abroad.

The Mission for Better Care for Our Veterans

By
Tom Cole
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Congress Is At The Forefront Of The Fight Against Opioids

By
Tom Cole
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In recent years, our country has been ravaged by a deadly epidemic that is destroying communities and families alike. The opioid crisis has been a devastating battle for Americans young and old, and combatting this epidemic has become one of the most significant challenges facing families and communities across the nation.

According to the Centers for Disease Control and Prevention (CDC), 115 American die each day from an opiate overdose. That is one American every 13 minutes. In fact, drug overdoses are the leading cause of death among Americans under 50. Sadly, the most significant contributor to this alarming fact is the misuse and abuse of opioids. Prescription drugs like oxycodone, codeine and morphine have become readily available through illegal channels and are being distributed without supervision from a prescribing health professional. Addiction to opioids, as well as illicit use of heroin and fentanyl, have led to the deaths of over 50,000 Americans in just one year.

Congress has worked diligently to find multiple ways to combat this killer. Numerous pieces of legislation have been passed and signed into law to establish new sets of regulations and reforms for the medical industry. Additionally, many parts of passed legislation are aimed at creating new health programs to support communities nation-wide.

Significantly, the House Appropriations Committee has made it a priority to fund programs that target combating opioid abuse. Since Fiscal Year 2015, the Committee has made significant increases in federal funds directed toward opioid prevention and response programs. As Chairman of the Labor, Health and Human Services Appropriations Subcommittee, I have worked to ensure that the subcommittee secures substantial funding to address opioid and heroin abuse. In the Fiscal Year 2018 omnibus spending bill, passed into law last December, the subcommittee allocated over $3.72 billion to the Department of Health and Human Services specific to combat opioid abuse. This includes supporting the numerous medical programs and research programs within the Centers for Disease Control and the National Institutes of Health that are targeted toward treatment, prevention and care of opioid abuse.

We are fortunate in Congress to have a working relationship with President Trump on addressing this issue. The President’s Commission on Combating Drug Addiction and the Opioid Crisis has been a solid catalyst in bringing light to this issue to millions of Americans. And I am proud to work with my colleagues on both sides of the aisle to combat opioid abuse from the ground-up. Collectively, our work can help promote education and policy solutions that can widen the scope and impact that Congress has on fighting the epidemic efficiently.

Cole Votes Against D.C. Statehood

By
Tom Cole
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Washington, D.C. – Congressman Tom Cole (OK-04) released the following statement after the U.S. House of Representatives voted on H.R. 51, the Washington, D.C. Admission Act. Passed along party lines by a vote of 216-208, Cole opposed the legislation related to granting statehood to the District of Columbia. 

“At its core, H.R. 51 has nothing to do with ensuring proper representation for the residents of the District of Columbia and everything to do with Democrats hoping to seize more favorable power in Congress,” said Cole. “But more alarming, the action outlined by the legislation is unconstitutional and would undermine the 23rd Amendment, which describes a District – not beholden to any state – to serve as the seat of our nation’s government.

“While it is certainly important for all Americans to feel fully represented in their national government, there are other solutions for the District of Columbia’s residents that are both fair and, more importantly, actually constitutional. For example, in 1846, Congress reinstated Virginia’s control of Arlington and Alexandria to provide representation to citizens living in those areas. The same could be done now if areas of D.C. were to become part of the nearby state of Maryland. However, that sort of constitutional solution wouldn’t deliver the intended power grab Democrats are hoping to achieve in their push to make D.C. the 51st state.”

Senator Lankford Votes to Fully Fund the Government, Provide Border Security

By
James Lankford
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WASHINGTON, DC – Senator James Lankford (R-OK) today voted to support a bill to fully fund the federal government for the remaining seven months of the fiscal year (ends September 30, 2019). The bill, which passed in a bipartisan vote of 83 to 16, includes funding for the Department of Homeland Security and related agencies after a Conference Committee negotiated the final version following passage of a continuing resolution on January 25, 2019. It also contains funding for the six remaining appropriations bills: Commerce, Justice, Science; State and Foreign Operations; Transportation, Housing, and Urban Development; Interior; Agriculture; and Financial Services and General Government.

“Finishing last year’s work in February is reprehensible, and it means we must immediately prioritize the funding plan for the next fiscal year,” said Lankford. “Though the funding bill public debate centered on border security, the funding package also included vital funding for 25 percent of the federal government’s operations. In addition to the vital provisions on border security fencing, the bill funds new immigration judges, increases border security agents, and maintains ICE’s ability to detain individuals who do not have legal status. The Democrats fought hard to restrict ICE’s ability to enforce key immigration laws, but the final negotiated bill demonstrates our commitment to the important work of ICE agents.”

Last Congress, Senator Lankford served as Chairman of the Senate Appropriations Committee Subcommittee on Financial Services and General Government (FSGG). The bill that passed today contains the Senate-passed version of the appropriations bill his Committee offered last year, which received wide bipartisan support when it passed the Committee in 2018 for the first time since 2007. Lankford spoke on the Senate floor about the benefits to Oklahomans in the FSGG bill like funding for tax reform implementation, law enforcement support, and combating drug trafficking.  

Lankford now serves on the following Appropriations Subcommittees: FSGG; State and Foreign Operations; Homeland Security; Labor, Health and Human Services, and Education; and Legislative Branch.

The Need To Reform The Drivers Of Our Debt

By
Tom Cole
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There is no question Congress must put our fiscal house in order. The debate surrounding spending cuts and increases, fundamental budgetary reform, and raising revenue will only intensify in the face of an exploding debt.

Each February, the President submits a budget to Congress outlining spending proposals for the upcoming fiscal year. The President has just submitted the budget for fiscal year 2019 to Congress and the document includes some shared goals with the Administration, such as fortifying our borders, investing in infrastructure and combating the opioid epidemic just to name a few. Republicans have also supported the President’s goal for increased defense spending and improving our national security. The budget caps agreement recently passed by Congress allows for $700 billion and $716 billion respectively for defense in the next two years. This provides the necessary funding to restore readiness and improve war-fighting capabilities. President Trump’s recently submitted budget advocates for $686 billion for the Department of Defense, which is in line with the recently agreed-upon budget deal.

However, in light of our country’s mandatory spending and massive interest payments on the debt, I do have concerns long-standing on the budget. The White House budget proposal, sent to Congress last Monday, is projected to have $3.1 trillion in outlays in mandatory spending, including interest, out of the $4.4 trillion budget for fiscal year 2019. The Office of Management and Budget Director Mick Mulvaney says erasing the budget shortfall in a decade isn’t realistic, and our national debt continues to grow, eating into other budget areas.

We can all agree that we should make necessary cuts to programs that contribute to wasteful spending, but the only solution is to recognize and address the real drivers of our debt – major entitlement spending. Without reforms, areas like the Social Security Trust Fund will be depleted by 2034 according to the latest Social Security Trustees’ Report.

My colleague Congressman John Delaney of Maryland and I have introduced bipartisan legislation to create a national, bi-partisan commission composed of 13 members from both the Executive and Legislative branches with the goal to reform Social Security. The commission’s purpose would be to develop solutions that could achieve 75-year solvency within 1 year of enactment and force Congress to consider it under expedited procedures. Appointed by leaders in both parties, any recommendation by the commission must reach a 9 out of 13 vote threshold. The, Congress would vote up or down, without amendment the commission’s recommendations. Every year that we delay addressing the issue, the solutions become more expensive and more painful, and continue to put our children and grandchildren even deeper in debt.

Last week, the House Budget Committee held a hearing to discuss the President’s budget with Office of Management and Budget Director Mick Mulvaney. In his testimony, Director Mulvaney stated that the federal budget was just a ‘messaging tool.’ Indeed, the President’s budget requests have some good intentions, but Congress will have the final say with its own budget release in the coming months. It is in our hands to take the first step and finally do something about spending reforms and tackle the debate on debt. The long-term sustainability of mandatory spending programs like Social Security and Medicare is in danger if we do not make necessary reforms. Furthermore, it is imperative that any budget moving forward addresses the realities of mandatory spending and balances itself in the long term.

Cole Congratulates 2021 Service Academy Appointees

By
Tom Cole
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Washington, D.C. – Congressman Tom Cole (OK-04) this week congratulated four students who received and accepted appointments to attend one of the United States military service academies. The U.S. Military Academy at West Point, the U.S. Naval Academy, the U.S. Air Force Academy and the U.S. Merchant Marine Academy all require a congressional nomination to be considered for appointment. Cole previously nominated these students for appointment consideration in December.

“I am delighted to congratulate Jonathan Kim, Elliott Kmetz, Elena Price and Nathan Wirth on receiving and accepting appointments to attend one of America’s esteemed military service academies,” said Cole. “Their selfless desire and willingness to answer the call to serve our country with their talents and intelligence is commendable, and I was honored to play a small part in their journey by nominating each of them for potential appointment. As they enter this next phase of their lives and education, I know these young leaders will continue to make their families, friends, communities and our state proud every step of the way.”

The students from the Fourth District of Oklahoma who received and accepted appointments are listed below:

U.S. Military Academy at West PointElena Price, Lawton – Eisenhower High School

U.S. Naval Academy
Jonathan Kim, Oklahoma City – Westmoore High School*

U.S. Air Force Academy
Elliott Kmetz, Norman – Norman High School *
Nathan Wirth, Norman – Norman High School

*Note: Jonathan Kim was also offered an appointment to the U.S. Military Academy at West Point, and Elliott Kmetz was also offered an appointment to the U.S. Naval Academy.

Putin Continues to Test and Provoke

By
Tom Cole
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For several months, an increasing and disturbing presence of Russian military troops and equipment has lined the Ukrainian border, heightening concerns that Russia intends to invade in the coming days. With tensions between these two countries expected to reach a boiling point, it is worth considering the gravity of the consequences of such conflict and why the danger facing our friends in Ukraine matters to the United States.

This isn’t the first time Ukraine has been the target of Russian aggression. As you might remember in 2014, Russian armed forces seized control of the Crimea Peninsula from Ukraine. While Russia has held de facto control over that area since then, it is not recognized by the United States or other member countries of the North Atlantic Treaty Organization (NATO). At the time of the Crimean invasion, former President Barack Obama showed lackluster leadership and refused to help our Ukrainian friends or impose sanctions on Russia.

Amid another imminent threat facing Ukraine and Russian President Vladimir Putin clearly intending to gain control of the country, now is not the time for the United States to take a back seat on the global stage. President Biden should promise lethal aid, and lots of it, as well as the strongest possible economic, diplomatic and political sanctions. Indeed, it is vital that America and our NATO allies consider ways to assist Ukraine in this time of desperate need. 

Indeed, this unfolding situation requires strong and decisive action. Unfortunately, Putin and several other leaders around the world recognize the weakness displayed by President Biden, especially after his careless and disastrous withdrawal of U.S. troops from Afghanistan in August. Beyond the alarming situation of Russia testing and provoking the United States and our allies through its presence along the Ukrainian border, bad actors in other areas of the world are similarly becoming empowered to test their limits. We see this happening in areas of eastern Europe, the Middle East, Afghanistan and the Taiwan Strait.

Although I remain concerned about President Biden’s shortfalls in leadership amid these ongoing tensions worldwide, I am proud that Congress is at least poised to deliver the National Defense Authorization Act (NDAA) for fiscal year 2022 to his desk. Passed in the House last week and soon expected for a vote in the Senate, this vital piece of legislation authorizes the necessary resources and funding to provide a defense that can stand up to our adversaries, like Russia, while also sending support to our allies. Among many other things, this NDAA authorizes $300 million in security assistance and intelligence support for Ukraine, as well as up to $75 million in lethal assistance. It also continues to prohibit military cooperation with Russia and any recognition of Russian sovereignty of Crimea.

Unfortunately, at a time when our adversaries are becoming increasingly and alarmingly more aggressive, President Biden and many Democrats still stand by an effective cut in the current version of the annual defense appropriations bill. For the priorities contained in NDAA to be fully realized and accomplished, the authorized funding increase must be replicated in the appropriations process. Congress must not only authorize the resources our military needs but enact the related funding to ensure the success of our military, and I remain committed to doing just that.

During times of crisis, our nation needs a strong commander in chief to lead American military and diplomatic efforts to deter bad actors. This includes not only supporting our friends around the world in their time of need, but providing for our national defense to counter threats of terror and hold the line on our strategic adversaries.

We Still Give Thanks

By
Tom Cole
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This has been a very trying year, filled with challenges and difficulties none of us expected to face. While I wish the trials had reached their end, we must hang on and continue to persevere. But as we do, we should also find some comfort in the blessings that exist even in such dark circumstances and recognize the hopeful light at the end of the tunnel. For in times of great abundance or of great hardship, Americans find strength when we come together to give thanks.

Indeed, the unifying American tradition of giving thanks has been woven into our history since before our nation came to be. However, it’s worth noting that Thanksgiving was made a permanent national holiday by President Abraham Lincoln during a period of extreme difficulty and crisis for the United States: The Civil War. In fact, President Lincoln’s Thanksgiving proclamation came just a month and a half before delivering his famous Gettysburg address halfway through the war and amid great uncertainty, uneasiness and what were feared irreconcilable differences. 

As we continue to navigate and seek to overcome the coronavirus crisis of our own time, our Thanksgiving celebrations will look different than we’re used to. Whether we gather around a smaller table or see our loved ones virtually, I hope you’ll join in gratitude not only for each other but for the courage and commitment of those continuing to selflessly serve on the front lines of this awful pandemic.

We are truly indebted to those who have gotten up each day, left their houses and gone out to fulfill several key roles. We’ve seen it in our doctors, nurses and health care workers, who have risked their own lives every day to treat COVID-19 patients as well as those with other illnesses and ailments. We’ve seen it in those transporting essential supplies and making critical deliveries. We’ve seen it in our farmers and ranchers monitoring our food supply, along with workers in food processing facilities, meat packing plants and grocery stores, who are ensuring we have food to eat. We’ve seen it also in our military service members, who are still in the field protecting us at home and abroad. And we’ve seen it in our teachers, who have creatively adapted to educate our children in undesirable circumstances. 

All the while, our incredibly talented scientists and researchers have been working around the clock to discover, develop and deliver a vaccine and life-saving treatments to defeat COVID-19 and restore our way of life. In just the last few weeks, very promising data has been released about the effectiveness of three potential vaccines, including one developed by Pfizer and BioNTech, one by Moderna and another by AstraZeneca. In test trials for Pfizer/BioNTech and Moderna, both vaccine candidates have shown to be more than 94 percent effective and the latest data from AstraZeneca’s vaccine developed by Oxford University reveals up to 90 percent efficacy, which is outstanding news. And thanks to Operation Warp Speed initiated by the Trump Administration in mid-May of this year, these companies already have contracts with the federal government to provide 100 million doses of their vaccines. That means that once the vaccines are approved by the Food and Drug Administration for emergency use, they can immediately start reaching Americans and saving lives. 

Although we are not out of the woods of the pandemic yet and the losses of this year have been difficult to bear, there is still a lot to be grateful for as a nation this Thanksgiving.

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