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Thursday, May 16, 2024
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First Step Toward Peace

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What seemed to be once impossible, has finally come to fruition. The President of the United States, Donald Trump, met with North Korean leader Kim Jong-un last week. For the first time in history, a U.S. President and a North Korean leader met in an official capacity in an effort to strengthen ties and reach a peace agreement. President Trump has achieved something previous Administrations have not been able to do. Bringing North Korea to the negotiating table is an accomplishment, but it is one that has required extraordinary measures to do so.

North Korea is a top adversary to the United States and combating its aggression over the past few years has been a fight guided by resolve. Multiple nuclear tests, reports of human rights abuses and even the death of an American citizen were evidence that the regime of the Kim dynasty continues to be erratic and dangerous. But with continued economic sanctions from the United States and its allies, North Korea is feeling the strain of global pressure to end its tyrannical practices. Additionally, South Korea has been at the forefront of improving relations with North Korea. South Korean President Moon Jae-in and Kim Jong-un had met a number of times to set the course of dialogue with North Korea.

China, North Korea’s primary trading partner, has also stepped up in supporting dialogue with North Korea. In the past, China has not been reliable in exerting and implementing sanctions, but it has been essential in diplomatic engagement. The summit would not have been possible without China’s cooperation. It is reassuring to know that China has recognized the importance of putting pressure on North Korea.

The U.S.-North Korean Summit marks a new era of American foreign policy with the rogue state. Despite reservation and doubt, the President and his administration remained resolute in establishing an effective diplomatic framework. The summit was conducted with transparency and resolve. In the joint statement signed by both President Trump and Kim Jong-un, a set of provisions were laid out as a diplomatic framework. First, North Korea must commit to denuclearization. With this commitment, the U.S. agreed to suspend joint military exercise in South Korea. However, if North Korea continues with its nuclear program, the U.S. will begin full-fledged exercises again. Sanctions from the U.S. and the U.N. will also remain in place. Any potential failures from this historic meeting will be a result from North Korea deviating from their commitments.

This meeting has been a possibility for a long time, but the final push to bring North Korea to the negotiating table was the result of President Trump’s endeavors. As a whole, it represents the hope of future diplomacy and negotiation with Kim Jong-un. Although there is still much work to be done with North Korea, the door to a path forward has been opened.

Changing the Course of the Opioid Epidemic

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While it takes time to change the course of a national health crisis, I am encouraged that noticeable progress has been made to combat the epidemic of opioid abuse and addiction in the United States. Because of bipartisan solutions in Congress in recent years and the Trump Administration’s focus on related initiatives, the course of the opioid addiction crisis is indeed starting to change.

According to the Department of Health and Human Services (HHS), provisional estimates of overdose deaths dropped by 5 percent between 2017 and 2018. And as HHS Secretary Alex Azar recently pointed out when speaking about the National Institutes of Health’s HEAL Initiative, this is the first time in more than 20 years that there has been a decrease in this sobering statistic.

In recent years, Congress has prioritized financial resources to address the opioid crisis. And I am proud that the first significant federal investment in funds to target opioid addiction came while I was chairman of the subcommittee that directs funding to the National Institutes of Health (NIH) and Centers for Disease Control and Prevention (CDC). While shepherding the funding bill for fiscal year 2017 in the House, my subcommittee included the first ever flexible grant to states for prevention, treatment and recovery services related to opioid substance use disorder.

Lawmakers have continued to prioritize and increase funding for resources to prevent and treat opioid addiction in communities. In fact, as part of the Bipartisan Budget Act of 2018, funding for programs addressing opioid substance use disorder was increased by $3 billion, and the fiscal year 2018 appropriations bill included more than $4.6 billion in total funding for opioid addiction and treatment services. Since 2017, HHS has received more than $10 billion to fund these vital programs. The largest program is opioid response grants for states, including millions allocated to fight the opioid epidemic in Oklahoma communities.  

Since opioid addiction exists in most—if not all—American communities, confronting the epidemic has never been a partisan undertaking in Congress. For example, at the end of last year, both chambers passed and President Trump signed into law the SUPPORT for Patients and Communities Act. Made up of several bills introduced throughout last Congress to prevent and end the cycle of opioid abuse, the historic legislation sought to address the symptoms of the epidemic and confront underlying causes of the crisis. This included solutions to improve treatment and recovery options, support non-addictive opioid alternatives for pain management, discourage the high opioid prescription rate and empower law enforcement to keep harmful drugs from entering communities. 

Certainly, the fight against the opioid crisis is far from over, but I am heartened that past efforts seem to be making a real difference. In the days ahead, I will continue to work with my colleagues to ensure states and communities have the resources needed to prevent opioid abuse and save lives.

Cole, Kind Introduce Fairness for Rural Medicare Beneficiaries Act

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Washington, D.C. – Congressman Tom Cole (OK-04) and Congressman Ron Kind (WI-03) today introduced the Fairness for Rural Medicare Beneficiaries Act. This bipartisan legislation would change an existing policy that requires Medicare beneficiaries at rural critical access hospitals (CAHs) to pay more in coinsurance than patients who receive the same care at larger acute care hospitals.

“I am proud to join my colleague Congressman Ron Kind in introducing bipartisan legislation that improves access and affordability of hospitals for older Americans living in rural communities. Specifically, our commonsense bill, the Fairness for Rural Beneficiaries Act, brings needed parity for Medicare beneficiaries to the costs associated with receiving care, whether that is in a rural or urban facility,” said Congressman Tom Cole, Ranking Member of the House Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies.

“Critical Access Hospitals serve families across Wisconsin, especially in rural regions, but many Medicare beneficiaries are stuck paying higher prices just because of where they obtain care. The Fairness for Rural Medicare Beneficiaries Act will help right this wrong and make sure Medicare beneficiaries aren’t financially penalized for accessing care close to home,” said Congressman Ron Kind

“The National Rural Health Association (NRHA) applauds Representatives Cole and Kind for introducing the Fairness for Rural Medicare Beneficiaries Act. Under current law, when a patient goes to a critical access hospital (CAH) they are billed 20 percent of the cost of charges submitted to the Centers for Medicare and Medicaid Services (CMS). In other hospital settings, because they’re reimbursed through a different fee schedule, patients are billed 20 percent of the reasonable costs determined by CMS for that procedure. Unfortunately, what this looks like on the ground is rural patients being charged more for coinsurance because of where they obtain care geographically. This is wrong. NRHA applauds Representatives Cole and Kind for introducing this important legislation to eliminate what is essentially a tax on patients seeking care in rural communities,” said Alan Morgan, Chief Executive Officer of the National Rural Health Association.

“The Oklahoma Hospital Association supports Rep. Cole’s introduction of the Fairness for Rural Medicare Beneficiaries Act. This is a commonsense approach for rural Medicare patients and their local critical access hospitals. This legislation levels the playing field for hospitals and patients in rural areas. No longer will rural patients be forced to pay higher out-of-pocket (co-insurance) costs for outpatient services that can be provided close to home,” said Patti Davis, President, Oklahoma Hospital Association.

“We support the Fairness for Rural Medicare Beneficiaries Act to eliminate the out of pocket payment difference between acute care facilities and critical access hospitals.  Medicare patients in rural Oklahoma or rural Wisconsin shouldn’t have to pay more out of pocket at critical access hospitals.  This bill will level the playing field,” said Laura Kaiser, President and Chief Executive Officer, SSM Health. 

Bill text is available here.

Cole Mourns Passing of Ed Apple

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Washington, D.C. – Congressman Tom Cole (OK-04) today mourned the loss of Ed Apple, a devoted and longtime Duncan community leader, who recently passed away.  

“I was saddened to learn of the passing of my good friend and a great Oklahoman, Ed Apple,” said Cole. “Ed was an amazing man — a Marine fighter pilot, a successful businessman, an impressive civic and political leader and a loving husband and family man. 

“I first met Ed in 1986 when I was Republican State Chairman, and he was running for State Representative. Most people thought a Republican couldn’t win solidly Democratic Duncan in that era. But win he did. When he did, he became the only elected Republican south of Moore in the entire state of Oklahoma.

“Ed went on to have an amazing public career. After eight distinguished years in the state House, he nearly won a congressional seat in 1994. In 1995, newly elected Governor Frank Keating appointed Ed to the Corporation Commission. He went on to be elected in his own right. He was an outstanding public servant.

“I extend my sincerest sympathies to Ed’s loving wife Betty and his wonderful children and grandchildren. Ed will be missed as a leader, a public servant, a friend to all who knew him and a devoted husband, father and grandfather who loved and cherished his family and friends above all else.”

Cole Applauds Passage of 2018 Farm Bill

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Washington, D.C. – Congressman Tom Cole (OK-04) released the following statement after the House passed H.R. 2, the Agriculture and Nutrition Act, also known as the 2018 Farm Bill, with Cole’s support.

“Protecting our farmers and ranchers is essential to the agriculture community and our nation’s economy,” said Cole. “To maintain healthy crops and produce, farmers and ranchers need protection and stability. This year’s farm bill provides those securities.”

“I am pleased that this year’s farm bill includes provisions to preserve and strengthen crop insurance, which is crucial to protecting Oklahoma’s farmers and their harvests. Additionally, the Farm Bill will continue to maintain the Conservation Reserve Program, which promotes soil conservation and has been beneficial to Oklahoma’s farmers for decades.”

“Farmers and ranchers are the foundation for the vitality of our nation. I’d like to thank House Leadership and Chairman Conaway for bringing forward this comprehensive legislation that will preserve and protect our nation’s farmers and ranchers. I look forward to its passage in the Senate and enactment into law.”

Tom Cole Praises Passage of Farm Bill

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Washington, D.C. – Congressman Tom Cole (OK-04) released the following statement after the U.S. House of Representatives passed the Conference Report to Accompany H.R. 2 – Agriculture Improvement Act. The legislation reflects the bicameral agreement reached to reconcile the differences between previously passed versions of the 2018 Farm Bill in the House and Senate.

“Through passage of the conference report for the 2018 Farm Bill, I am pleased that lawmakers showed bipartisan support for the continued success of our nation’s farmers and ranchers,” said Cole. “To maintain healthy crops and produce, farmers and ranchers greatly rely on the crop insurance, conservation and various other programs contained in the Farm Bill. While the reauthorization of these vital securities promotes a thriving agricultural sector, American families and consumers are also better off when certainty is provided to our food growers and producers.

“The 2018 Farm Bill builds upon the 2014 bill guided by Oklahoma’s own Frank Lucas. He also played a key role in crafting the current legislation. Oklahoma and rural America are fortunate to have such a skillful legislator working on their behalf.”

Cole Leads Bipartisan Introduction of Medical Student Education Authorization Act

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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.

Cole Announces Congressional App Challenge for OK-04

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Moore, OK – Congressman Tom Cole (OK-04) today encouraged middle school and high school students in the Fourth District of Oklahoma to participate in this year’s Congressional App Challenge. This annual competition is designed to promote innovation, engagement and excellence in computer science through student development of an application (“app”).

“The Congressional App Challenge is a fantastic way for students to explore and sharpen their coding and computer-based skills, which could prepare them for potential careers in STEM fields. As this unique challenge gets underway, I look forward to seeing the ideas and creativity of Fourth District students.”

While participating students are encouraged to register online by September 10, the final deadline for entries is 12:00 p.m. on October 19, 2020. Fourth District entries will be judged and selected by a local panel of relevant experts.

The submissions portal is now open and students can register to participate at www.congressionalappchallenge.us. Questions can be directed toStudentSupport@CongressionalAppChallenge.us or by calling Cole’s office at 405-329-6500.

Background on the Congressional App Challenge

Launched by the U.S. House of Representatives in 2015, this national contest invites students to create an application (“app”) for desktop/PC, web, tablet, mobile, raspberry Pi or other devices using any programming language – such as C, C++, Java, JavaScript, Python, Ruby or “block code.” The competition is open to all students who meet the eligibility requirements, regardless of their coding experience. Winning apps from congressional districts across the country are eligible for display in the U.S. Capitol and featured on the House of Representatives’ website at House.gov

More information is available at www.congressionalappchallenge.us.

Cole Statement on President Biden’s Sanctions on Russia

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Moore, OK – Congressman Tom Cole (OK-04) released the following statement after President Joe Biden addressed the nation regarding Russia’s invasion of two regions in Ukraine and U.S. plans to impose sanctions.

“In response to Russia’s invasion of Ukraine, President Joe Biden was right to announce planned U.S. sanctions for this aggressive behavior. Unfortunately, I fear this action may be too little too late,” said Cole. “Indeed, Russia has been amassing troops and blood on the Ukrainian border for months now and flouting the limits of international law. While swift and severe sanctions on Russia are important for defending our NATO allies and preserving the order on the world’s stage, I am concerned that Russia is not intimidated or deterred.”

Cole Statement on President Biden’s Outrageous FY 2022 Budget Request

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Washington, D.C. – Congressman Tom Cole (OK-04) released the following statement after President Joe Biden sent a $6 trillion budget request to Congress for fiscal year 2022. Cole is the Vice Ranking Member of the House Appropriations Committee. 

“Looking at the price tag alone, President Biden’s budget request is utterly outrageous and unrealistic,” said Cole. “While Congress is ultimately responsible for providing the annual funding for the federal government, the Biden Administration has demonstrated yet again that its solution for everything is to tax, spend and then spend some more. Such misguided and unnecessary expansion of government is not sustainable for America’s future. Moreover, we simply cannot afford it.  

“Our country’s enormous and growing debt already exceeds an astounding $28 trillion. The last thing America needs is President Biden’s proposed tax-and-spend monstrosity. To be clear, navigating the coronavirus pandemic response and recovery greatly strained communities across the nation, which led to five bipartisan and massive packages to support emergency efforts. But the situation has changed dramatically since then. Communities are reopening. People are getting vaccinated. Life is starting to return to a relative normal. Rather than proposing trillions in spending on non-pandemic related programs and initiatives, the president should be focused on fostering the nation’s economic recovery.

“Despite promises made on the campaign trail not to raise taxes on those with low and middle income, the president’s budget would let existing tax cuts expire, which would immediately increase the tax burden on hardworking Americans. As individuals, families and small businesses continue to recover from the coronavirus pandemic, such levels of unprecedented spending and taxation would only lead to inflation, slowed economic growth and the highest national debt level in American history.

“In his earlier budget outline, President Biden prioritized programs to appease the far-left faction of his party, such as vastly expanding Medicare, while also proposing effective cuts for our national defense. Now more than ever, we should be bolstering our common defense as our adversaries such as China and Russia are growing their militaries by the day.

“Fortunately, for the American people, Democrats do not have the majorities capable of passing this level of expansive programs on their own. Moreover, Congress holds the purse strings. In the days and weeks ahead, it is my hope that Congress can negotiate spending that is actually reasonable and won’t lead to financial disaster.”

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