Related Issues

Related Issues

Coons, Booker, Kaine, Murphy Call on President Trump to Appoint Ambassador to Sudan

WASHINGTON, D.C. – U.S. Senator Chris Coons (D-Del.), a member of the Senate Foreign Relations Committee, joined Senator Cory Booker (D-N.J.) and his colleagues on the Subcommittee on Africa and Global Health Policy in urging President Trump to nominate the first U.S. Ambassador to Sudan since 1997. In a letter, the Senators highlighted the importance of strong U.S. support for Sudan as the country transitions toward a civilian government and democratic elections after months of protests.

In April, a military coup deposed former Sudan President Omar al Bashir after decades of his regime’s corrupt rule and human rights abuses. After the military’s Transitional Military Council (TMC) resisted calls for a transition to civilian rule, protests continued across Sudan. In August,  a constitutional charter was adopted dissolving the TMC and creating a joint military-civilian Sovereign Council. As Sudan begins its fragile and challenging transition to civilian rule, the new government requires clear support from the U.S.

“We write in support of the new government in Sudan,” the Senators wrote. “Sudan faces crushing debt, sanctions, and a worsening economic environment. Meanwhile, hardliners within the security services, and in particular the RSF have deeply entrenched interests and could serve as spoilers for a transition to civilian rule. […] The nomination of the U.S. Ambassador to Sudan will send an important signal of our support for this new government and to the brave Sudanese that fought for their rights.”

The full text of the letter is available here and below. 

October 25, 2019 

President Donald J. Trump

1600 Pennsylvania Avenue NW

Washington, DC 20500

Dear Mr. President:

We write in support of the new government of Sudan. Months of large-scale street protests in cities across Sudan, initially led by women, youth, and civil society activists evolved into a movement with urban and rural Sudanese against its brutal government. On August 21, 2019, Sudan adopted a constitutional charter that established a transitional government and paves the way toward civilian government and democratic elections. As democratic members of the subcommittee on African Affairs of the Senate Foreign Relations Committee, we believe that this new government requires the support of the United States and therefore, we urge you to nominate the first U.S Ambassador to Sudan since 1997.

For nearly 30 years, former President Omar al Bashir led a corrupt regime that carried out human rights atrocities against his own countrymen and women.  Even after a military coup removed him from power, protests continued, as the Sudanese people refused to accept the Transitional Military Council (TMC) which included many of the same officials from Bashir’s regime. As activists continued to protest for democracy and their freedom, over 100 civilians were killed by security forces, reportedly led by the paramilitary Rapid Support Forces (RSF) on June 3.  

On August 21, a constitution charter was signed, dissolving the TMC and creating a joint military-civilian Sovereign Council. A new prime minister, Abdalla Hamdock has been charged with leading the country through a three-year transitional period. While these are encouraging signals, the toughest challenges lie ahead. Sudan faces crushing debt, sanctions, and a worsening economic environment. Meanwhile, hardliners within the security services, and in particular the RSF have deeply entrenched interests and could serve as spoilers for a transition to civilian rule. That is why this nascent transition requires U.S. support. While restrictions on some forms of U.S. assistance may require broad Congressional support to lift, the nomination of the U.S. Ambassador to Sudan will send an important signal of our support for this new government and to the brave Sudanese that fought for their rights.

For this reason, we urge you to nominate an ambassador to Sudan as soon as possible. Sudan’s transition remains fragile, but it can be bolstered with thoughtful U.S. support, beginning with a U.S. ambassador in Sudan.

We appreciate your attention to this matter.

Coons, Gardner introduce legislation to address the opioid crisis through the prevention of drug diversion

WILMINGTON, Del. – Today, U.S. Senators Chris Coons (D-Del.) and Cory Gardner (R-Colo.) introduced the Suspicious Order Identification Act of 2019, legislation to prevent drug diversion in real time before it has the ability to inflict damage in our communities. 

Currently, no law enforcement agency or private party has the ability to provide real-time, nationwide oversight of all orders for controlled substances, which is a major contributing factor to disproportionate prescription opioid shipments to certain pharmacies across the country. The Suspicious Order Identification Act of 2019 eliminates this blind spot exploited by bad actors, guards against prescription drug diversion, and protects the integrity of the supply chain by requiring the Drug Enforcement Administration (DEA) to create a program to share data in real time to ensure that the supply chain is able to stop a suspicious order before it is filled. 

“I’m proud to join Senator Gardner to introduce this bill to prevent unnecessary drug shipments from wreaking havoc on our communities,” said Senator Coons. “This is a commonsense proposal that will shore up our drug supply chain—eliminating blind spots and keeping our communities safer and healthier. I look forward to working with my colleagues to pass this bill into law.”

“A few years ago, the DEA discovered a major drug company was shipping enough prescription opioids to the San Luis Valley for every man, woman and child to have 30 to 60 pills per month,” said Senator Gardner. “The data shows that this is a common occurrence, and it’s time for Congress to do more to protect communities being devastated by undetected prescription drug diversion. This commonsense legislation will leverage data to ensure that we stop bad actors in real-time. I’m hopeful that my bipartisan measure with Senator Coons can help in our fight against this epidemic.”

In September 2019, the Department of Justice Office of the Inspector General report demonstrated that more can be done to leverage the DEA’s Automation of Reports and Consolidated Orders System (ARCOS) data to prevent diversion, which holds potential harm for communities. 

Senators Coons and Gardner’s legislation will require that the DEA convene a task force to recommend the most effective program to share data and prevent diversion in real time. From there, the DEA will review those recommendations and implement a real-time solution within one year. It also requires an immediate transition to monthly reporting.

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Coons, Whitehouse, Blumenthal, Harris press Barr to explain growing record of political influence in Justice Department decisions

Washington, DC – In a letter today, U.S. Senators Chris Coons (D-DE), Sheldon Whitehouse (D-RI), Richard Blumenthal (D-CT), and Kamala Harris (D-CA) asked Attorney General Bill Barr to explain how numerous reports of political considerations seeping into the highest levels of Justice Department decision-making square with established Department policy against political interference in federal law enforcement decisions.  Those reports paint a picture of a Department that grants the White House and the president’s political allies special access to top law enforcement officials working on cases of interest.  There are also questions about the Attorney General’s personal involvement in events at the center of an intelligence official’s whistleblower complaint, which sparked public outrage and an impeachment inquiry into the president. 

In light of the torrent of news reports calling into question the Department of Justice’s . . . independence from political bias and pressure, we write to inquire about the status of the Department’s policy of limiting communications between DOJ personnel and representatives of the White House regarding pending or contemplated criminal and civil matters,” the senators write. “The Department has long recognized that its own judgments must be impartial and insulated from political influence, and that its investigatory and prosecutorial powers must be exercised free from partisan considerations.  To those ends, the Department has long maintained policies restricting communications between the White House and Department officials relating to pending or contemplated criminal and civil investigations or cases.” 

Among the many concerns the senators raise is Barr’s involvement in the July 25 phone call between President Trump and Ukrainian President Vlodymyr Zelensky.

In the memorandum transcript of the July 25 call between President Trump and President Zelinskyy of Ukraine, President Trump explicitly references you a number of times, and says that he will direct you to contact the President of Ukraine to follow up on investigations of American citizens and political opponents,” write the senators.  “President Trump has openly and publicly expressed a desire for such investigations, and his support for such investigations taking place.  Any action you or your Department have taken in response to a directive by the President on these matters raises serious concerns and highlights the precise reason for the need to maintain DOJ independence from political interference.”

Restrictions against political interference in Department investigations and prosecutions were first formally imposed in 1978 by Attorney General Griffin Bell following the Watergate scandal.  The Trump administration appeared to reaffirm existing Department guidance in 2017.  Under former White House Counsel Donald McGahn, the Trump White House also issued its own contacts policy, restricting White House communications with Department personnel regarding ongoing or contemplated cases or investigations.  Nothing suggests that guidance has been withdrawn.

Senators Whitehouse, Blumenthal, Harris, and Coons are cosponsoring the Security from Political Interference in Justice Act to increase transparency in the relationship between the U.S. Department of Justice and the White House and prevent political interference in law enforcement decisions.  The bill would impose important reporting requirements for contacts between the Justice Department and White House pertaining to specific cases or investigations.  A nearly identical measure drew broad bipartisan support in the Senate Judiciary Committee in 2007. 

Full text of the senators’ letter is below.  A PDF version is available here.

October 23, 2019 

The Honorable William Barr

Attorney General

U.S. Department of Justice

950 Pennsylvania Avenue, NW

Washington, D.C. 20530

Dear Attorney General Barr:

In light of the torrent of news reports calling into question the Department of Justice’s (“the Department” or “DOJ”) independence from political bias and pressure, we write to inquire about the status of the Department’s policy of limiting communications between DOJ personnel and representatives of the White House regarding pending or contemplated criminal and civil matters. 

The Department has long recognized that its own judgments must be impartial and insulated from political influence, and that its investigatory and prosecutorial powers must be exercised free from partisan considerations.  To those ends, the Department has long maintained policies restricting communications between the White House and Department officials relating to pending or contemplated criminal and civil investigations or cases.  These restrictions were first formally imposed in 1978, following the Watergate scandal, by Attorney General Griffin Bell, who instituted procedures to insulate the Department from political influence.[1]  The restrictions were relaxed during the George W. Bush administration by Attorney General John Ashcroft,[2] later tightened again by Attorney General Alberto Gonzales,[3] and further strengthened during the Obama administration by Attorney General Eric Holder.[4]  At the beginning of this administration, Attorney General Sessions reaffirmed and left in place the 2009 Holder memorandum, which, to our knowledge, remains the operative Department policy.  Further, in January 2017, under former White House Counsel Donald McGahn, the Trump White House issued its own contacts policy, restricting White House communications with Department personnel regarding ongoing or contemplated cases or investigations. 

Even with these policies in place, however, numerous instances of communications between the White House and the Department have come to light suggesting that the proper procedures are not being followed.  For example, during his time as Chief of Staff to Attorney General Sessions, Matthew Whitaker reportedly “frequently spoke by phone with both [President] Trump and Chief of Staff John Kelly,” and “on many of those phone calls nobody else was on the phone except for the President and Whitaker, or only Kelly and Whitaker.”[5]  On those calls, Mr. Whitaker reportedly “privately provided advice to the president … on how the White House might be able to pressure the Justice Department to investigate the president’s political adversaries.”[6]  According to some reports, Mr. Whitaker “was seen by Department officials as a partisan and a White House spy.”[7]  He was also reportedly known as the “West Wing’s eyes and ears” and someone who was “counseling the White House on how the President and his aides might successfully pressure Sessions and [former Deputy Attorney General] Rosenstein to give in to Trump’s demands.”[8] 

These reported inappropriate contacts with Mr. Whitaker were not isolated.  We have seen reports of numerous other communications that appear to violate DOJ and White House policy, from the White House seeking a meeting with then-Acting Solicitor General Jeffrey Wall to discuss a sensitive matter involving Trump donor Steve Wynn,[9] to President Trump directing former economic advisor Gary Cohn to pressure DOJ into blocking the AT&T-Time Warner merger, which the Department later attempted to do.[10]  Indeed, Special Counsel Mueller’s report itself details how the President “pushed back on the DOJ contacts policy,” saying “words to the effect of, ‘You’re telling me that Bobby and Jack [Kennedy] didn’t talk about investigations?  Or Obama didn’t tell Eric Holder who to investigate?’”[11]  

Recently, questions have arisen about the White House’s role in the Department’s decision to open an antitrust investigation into Ford, Volkswagen, Honda, and BMW, after the automakers reached a deal with California to voluntarily follow the state’s fuel economy standards.  President Trump was reportedly “blindsided” and “enraged” by the deal.[12]  Then, as interest in the agreement increased among other automakers, a senior Trump advisor reportedly “summoned” Toyota, Fiat Chrysler, and General Motors to the White House, pressuring them to abide by the Trump Administration’s proposed lower standards. [13]  Moreover, one week after President Trump issued a flurry of tweets castigating the “foolish executives” of the “politically correct Automobile Companies,” the Department announced its probe.[14]  In the wake of these outbursts, and in the absence of any readily apparent predication for such an investigation, the Department’s decision to launch this antitrust probe raises obvious questions about whether the Department’s independent law enforcement function has been coopted by the White House in the name of political retribution.

Revelations about your own involvement and the involvement of your Department in matters of personal and political interest to the President are also deeply concerning.  In the memorandum transcript of the July 25 call between President Trump and President Zelinskyy of Ukraine, President Trump explicitly references you a number of times, and says that he will direct you to contact the President of Ukraine to follow up on investigations of American citizens and political opponents.[15]  President Trump has openly and publicly expressed a desire for such investigations, and his support for such investigations taking place.  Any action you or your Department have taken in response to a directive by the President on these matters raises serious concerns and highlights the precise reason for the need to maintain DOJ independence from political interference.  

This month, Bloomberg News reported the troubling news that in 2017, President Trump “pressed then-Secretary of State Rex Tillerson to help persuade the Justice Department to drop a criminal case against an Iranian-Turkish gold trader who was a client of Rudy Giuliani.”[16]  And last week, The New York Times reported that Mr. Giuliani met recently with Criminal Division Assistant Attorney General (AAG) Brian Benczkowski to discuss “a foreign bribery case for a client that Mr. Giuliani described as ‘very, very sensitive.’”[17]  It should go without saying that any attempts by the President to pressure the Department into using its law enforcement discretion to help his political allies would be highly improper.  Likewise, if Mr. Giuliani has used his role as President Trump’s personal lawyer to influence the Department’s handling of criminal cases against his other clients, that would be alarming.

At your confirmation hearing, you were asked whether, if confirmed, you intended to maintain the DOJ-White House contacts policy established by the 2009 Holder memo.  You replied that you had “looked through the existing regime and [your] instinct [was] to keep it, maybe even tighten it up a little bit more.”[18]  We write today to follow up on this exchange and seek an update on the status of the Department’s policy limiting communications with the White House, including your efforts to enforce that policy. 

Earlier this year we introduced the Security from Political Interference in Justice Act of 2019 (S. 1915/H.R. 3380), which would complement the Department’s internal policy by increasing transparency in the relationship between DOJ and the White House.  In broad strokes, the bill would require the logging and periodic disclosure of communications between White House and DOJ staff pertaining to specific cases or investigations.  In 2007, a substantially identical bill was reported out of the Senate Judiciary Committee by a 14-2 bipartisan vote.  It is important to highlight that this bill would not proscribe or prohibit any communications between the White House and the Department of Justice.  It would instead provide for more transparency around those communications and thereby reassure the public and reduce potentially baseless speculation as to the nature and intent of those communications.    

Congress has a strong legislative interest in obtaining information about this issue, particularly in light of public statements and news reports, such as those described above, revealing efforts by the Trump administration to influence the Department’s civil and criminal law enforcement.  Therefore, as we work to develop this bill and other potential legislation on this issue, we respectfully request your response to the following questions:     

General questions:

  1. Does the May 11, 2009, Holder memo limiting communications with the White House and Congress remain in effect?
  2. Have you made any changes to the policy set forth in the Holder memo, or do you contemplate making any changes?  If you have issued a new or modified policy, please produce it.  If you are contemplating making changes, please describe them.
  3. Under the Holder memo, how does the Department treat “unofficial” or “private” communications between Department employees and the White House? 
  4. Assuming it remains in effect, how does the Department enforce the limitations set forth in the Holder memo?
  5. Since your confirmation as Attorney General, has the Department identified any violations of the policy set forth in the Holder memo?  How were those violations identified and dealt with?
  6. Since your confirmation as Attorney General, what disciplinary actions, if any, have been taken as a result of violations of the Holder memo?

Questions regarding specific White House contacts:

  1. What communications, if any, has the Department had with the White House concerning the Department’s antitrust probe into the four automakers’ agreement regarding California emissions standards? Please describe any efforts by the President, any employee of the White House, or any adviser to the President (either official or unofficial) to offer an opinion, provide information, inquire into deliberation, or otherwise exert influence over the Department of Justice regarding any investigation into Ford Motor Company, Honda Motor Company, BMW AG, or Volkswagen AG relating to any agreements or discussions with the California Air Resources Board regarding California vehicle emissions standards.
  2. What communications did Matthew Whitaker have with the White House when he served as Chief of Staff to Attorney General Sessions?  Please describe any efforts by the President, any employee of the White House, or any adviser to the President (either official or unofficial) to offer an opinion, provide information, inquire into deliberation, or otherwise exert influence over the Department of Justice regarding potential or actual investigations into the President’s political adversaries, including but not limited to Hillary Clinton.
  3. What communications, if any, did then-Acting Solicitor General Jeffrey Wall have with the White House regarding then-Republican National Committee finance chairman Steve Wynn and legal issues surrounding Wynn Resorts?  Please describe any efforts by the President, any employee of the White House, or any adviser to the President (either official or unofficial) to offer an opinion, provide information, inquire into deliberation, or otherwise exert influence over the Department of Justice regarding matters involving Mr. Wynn.
  4. What communications, if any, did the Department have with the White House concerning the AT&T-Time Warner merger?  Please describe any efforts by the President, any employee of the White House, or any adviser to the President (either official or unofficial) to offer an opinion, provide information, inquire into deliberation, or otherwise exert influence over the Department of Justice regarding the Department’s eventual challenge of that merger.
  5. What communications, if any, did the Department have with the White House concerning investigations discussed during the President’s July 25 phone call with the Ukrainian President?  Please describe any efforts by President Trump, any employee of the White House, or any adviser to the President (either official or unofficial) to offer an opinion, provide information, inquire into deliberation, or otherwise exert influence over the Department of Justice regarding matters discussed by President Trump during the July 25 phone call, including potential investigations into the President’s political adversaries.
  6. What communications, if any, did the Department have with the White House or any of its envoys concerning the Department’s prosecution of Reza Zarrab?  Please describe any efforts by the President, any employee of the White House, or any adviser to the President (either official or unofficial) to offer an opinion, provide information, inquire into deliberation, or otherwise exert influence over the Department of Justice regarding matters involving Mr. Zarrab.
  7. Who and what were the subject of AAG Benczkowski’s recent meeting with Rudy Giuliani regarding the “foreign bribery case for a client that Mr. Giuliani described as ‘very, very sensitive.’”?  Please also describe any efforts by Mr. Giuliani to offer an opinion, provide information, inquire into deliberation, or otherwise exert influence over the Department of Justice regarding this matter.

Maintaining the Department’s independence and integrity is more critical than ever.  Accordingly, it is our hope that you will follow through with your instinct to maintain and enforce applicable Department polices.  We appreciate your prompt attention to this matter.  Please respond by November 25, 2019.

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Senators Coons, Braun launch first-ever bipartisan Senate Climate Solutions Caucus

WASHINGTON – U.S. Senators Chris Coons (D-Del.) and Mike Braun (R-Ind.) today launched the bipartisan Climate Solutions Caucus, the first of its kind in the U.S. Senate. The caucus will bring together an equal number of Republicans and Democrats to find common ground on solutions to address climate change while strengthening American competitiveness and creating opportunities for U.S. workers.

“I am determined to find solutions to the real problems facing our country and our world,” said Senator Coons. “Climate change is one of the most pressing issues of our time, and in order to tackle it, we must act in a bipartisan way. I’m proud to launch the first Senate Climate Solutions Caucus with Senator Braun to take the politics out of this important issue and lay the foundation for real, meaningful solutions that can be signed into law.”

“As a life-long conservationist, I am proud to launch the bipartisan Climate Solutions Caucus with Senator Chris Coons,” said Senator Braun. “For too long, Washington has been paralyzed by partisan gamesmanship, unable to have productive conversations about our changing climate. Through this caucus we can have real conversations about protecting our environment, securing American’s energy future and protecting American manufacturing jobs.”

The Senate Climate Solutions Caucus will meet regularly and convene experts from across the political spectrum to craft bipartisan solutions. The caucus will operate by the principle of unanimous consent, acting only when each member agrees. Read more about the Senate Climate Solutions Caucus here.

Senator Coons’ statement on key votes to avoid a government shutdown, pass spending bills that impact Delaware

Congress and the White House must agree on spending bills by November 21 to avoid a government shutdown.

The Senate is considering its first package of spending bills this week that includes funding for Amtrak, housing programs like the HOME Investment Partnerships Program, Community Development Block Grants, and Section 8 rental assistance that communities in Delaware rely on, investments in the Delaware River and the Chesapeake Bay, programs that support Delaware farmers, research grants for Delaware universities, and the premier national biopharmaceutical manufacturing institute based in Newark.

Senator Coons is also pushing for $250 million in election security funding that has bipartisan support.

WASHINGTON – U.S. Senator Chris Coons (D-Del.), a member of the Senate Appropriations Committee, issued the following statement on key, expected Senate votes this week on federal spending bills that impact Delaware. Congress needs to pass 12 appropriations bills in order to avoid a government shutdown on November 21 when the current stopgap spending measure expires. Senator Coons, as the top Democrat on the Financial Services and General Government (FSGG) Appropriations Subcommittee, is also working to move forward $250 million in badly-needed federal election security funding to upgrade election technology, improve cybersecurity, and help prevent future cyberattacks. This funding received bipartisan support earlier this year and is backed by Senate Appropriations Committee Chairman Richard Shelby (R-Ala.).

“Taxpayers in Delaware and across the country deserve a government that functions properly and isn’t constantly threatening to shut itself down over political disagreements. I’m determined to work with my colleagues on both sides of the aisle to keep the government open, fund important domestic and overseas programs, and secure funding vital to the state of Delaware.

“I’m encouraged that this week, the full Senate is finally considering an initial bundle of four federal spending bills that will support our law enforcement professionals, advance rural development, invest in key housing and transportation programs like Amtrak, and promote job creation and economic growth in Delaware and across the country.

“I’m optimistic that we can work on a bipartisan basis to pass these important spending bills so that we can turn to other priorities like funding our military, investing in health care and education programs, and securing our nation’s election infrastructure from foreign interference. I also continue to urge the White House to drop President Trump’s demand for $5 billion for a border wall that won’t make us safer and won’t address our broken immigration system. I’m more than willing to support smart investments to secure our borders, and I’ve voted for tens of billions of dollars in border security funding, but Congress should not squander U.S. taxpayer dollars or allow funding intended for our military to be diverted to build the President’s ineffective vanity project along our Southern border.”

This week, the Senate is considering the following appropriations bills for Fiscal Year 2020: The Commerce, Justice, Science, and Related Agencies bill; the Interior, Environment, and Related Agencies bill; the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies bill; and the Transportation, Housing and Urban Development, and Related Agencies bill.

The Financial Services and General Government (FSGG) Appropriations bill, which is co-authored by Senator Coons and includes $250 million in federal election security funds, is expected to be voted on in the coming weeks. 

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Sens. Coons, Isakson introduce bipartisan resolution in support of South Sudan’s peace process and transition to democratic rule

WASHINGTON, D.C. – Today, U.S. Senators Chris Coons (D-Del.) and Johnny Isakson (R-Ga.), along with Senators Dick Durbin (D-Ill.) and Todd Young (R-Ind.), introduced a bipartisan Senate resolution in support of South Sudan’s peace process and efforts to transition to democratic rule. 

“I support the South Sudanese people and their tireless efforts to secure a democratic transition in Sudan. It is important to keep the momentum going to strengthen the fragile peace that exists in South Sudan today,” said Senator Coons. “As important discussions within the country continue, all of the relevant political actors should feel secure in their ability to participate in South Sudan’s transition. The lives and livelihoods of the people depend on it. When I visited South Sudan, I saw with my own eyes how the courage and resiliency of its people is matched only by the suffering that the civil war has caused. It is time to put that war in South Sudan’s rearview mirror and build toward a stable future.”

“With the introduction of this resolution, we are expressing our continued support for the people of South Sudan. We encourage all parties within South Sudan to provide a secure environment to resolve outstanding political issues and make demonstrable progress toward creating a lasting peace,” said Senator Isakson.

The resolution is available here

Sen. Coons seeks investigation into suspicious trades ahead of Trump comments on trade war & other geopolitical events

WASHINGTON – After a number of suspicious trades raised red flags about possible market manipulation or insider trading, U.S. Senator Chris Coons (D-Del.) joined a group of his Senate colleagues in calling for federal authorities to investigate, protect our financial markets, and ensure no one is cashing in on material nonpublic information from the Trump Administration, foreign nations, or other entities.

Vanity Fair recently reported that a mysterious trader or traders may have made more than $1 billion dollars in potential profits from suspicious market bets timed to e-mini S&P 500 futures trades and subsequent statements or actions from President Donald Trump regarding trade negotiations with China or from other actors with respect to other geopolitical events.

The group of Senators is asking investigators and regulators to probe suspicious trading activity in our financial markets to determine if any rules, laws, or regulations were violated.

The Senators sent a letter to the U.S. Department of Justice, Federal Bureau of Investigation (FBI), the Securities and Exchange Commission (SEC), and the Commodity Futures Trading Commission (CFTC) calling for an investigation into whether there was wrongdoing, and if so, who is behind the potential windfall.  The Senators write “some may have an unfair trading advantage because of privileged access to nonpublic market-moving information potentially from government sources and, as a result, raise concerning questions about the integrity of our financial markets and our public institutions.”

In addition to Coons, the letter is also signed by U.S. Senators Jack Reed (D-RI), Debbie Stabenow (D-MI), Sherrod Brown (D-OH), Robert Menendez (D-NJ), Dianne Feinstein (D-CA), Chris Van Hollen (D-MD), Tammy Baldwin (D-WI), Ron Wyden (D-OR), Kirsten Gillibrand (D-NY), Catherine Cortez Masto (D-NV), Sheldon Whitehouse (D-RI), Ed Markey (D-MA), and Amy Klobuchar (D-MN).

Letter copied below:

October 21, 2019

Dear Chairman Clayton, Chairman Tarbert, General Barr, and Director Wray:

We write regarding disturbing reports of suspicious trading in our futures and equities markets and urge you to investigate immediately whether any rules, laws, or regulations were violated.  If any wrongdoing is uncovered, we demand that you swiftly hold violators accountable to the fullest extent possible.

With so many investors and entrepreneurs choosing to access our financial markets, they have become one of our nation’s greatest competitive advantages.  Our financial markets, while far from perfect, are more stable and offer greater investor protections than many foreign markets.  As such, we must do everything to protect this comparative advantage.

This is why reports of certain traders earning potential massive payoffs of more than $1 billion per trade ahead of actions taken by the Trump Administration, foreign nations, or other entities are so troubling.  They suggest that some may have an unfair trading advantage because of privileged access to nonpublic market-moving information potentially from government sources and, as a result, raise concerning questions about the integrity of our financial markets and our public institutions.  

Indeed, as a recent article in Vanity Fair states:

…the precision and timing of these trades, and the vast amount of money being made as a result of them, make the traders wonder if all this is on the level. Are the people behind these trades incredibly lucky, or do they have access to information that other people don’t have about, say, Trump’s or Beijing’s latest thinking on the trade war or any other of a number of ways that Trump is able to move the markets through his tweeting or slips of the tongue? Essentially, do they have inside information?

We expect you to answer these and other pressing questions and use all of your authorities to protect our financial markets.  In so doing, you must demonstrate concretely that no individuals, including government officials, are above the law, and that those who choose to rig or cheat the system will be held fully accountable.    

We thank you for your consideration, and we expect periodic updates on the progress of your investigation into this matter.

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Sens. Coons, Kennedy celebrate National Wildlife Refuge Week

WASHINGTON – Today, U.S. Senators Chris Coons (D-Del.) and John Kennedy (R-Louis.) introduced a resolution to designate the week of October 13-19 as ‘National Wildlife Refuge Week.’ The resolution celebrates the diverse ecosystems, species, and recreational opportunities found in our National Wildlife Refuge System, including hunting, fishing, wildlife observation, and environmental education. This system is the nation’s largest network of public lands managed by the U.S. Fish and Wildlife Service and plays a significant role in wildlife conservation. 

“I’m proud to support National Wildlife Refuge Week with my friend and colleague, Senator Kennedy,” said Senator Coons. “Delaware’s Bombay Hook National Wildlife Refuge and Prime Hook National Wildlife Refuge offer great outdoor recreational opportunities and preserve sensitive habitats for numerous species of birds and other wildlife. I encourage Delawareans and all Americans to visit a National Wildlife Refuge near you.”

“Louisiana has 24 unique wildlife refuges that are home to some of Louisiana’s beautiful wildlife,” said Senator Kennedy. “National Wildlife Refuge Week recognizes the important role these refuges play in providing a habitat for our native species. I join my friend Sen. Coons in encouraging everyone to visit a refuge near you.”

The Refuge System includes 567 national wildlife refuges and 38 wetland management districts covering over 150 million acres of lands. More than 50 million Americans visit refuges every year and refuges support regional economies to the tune of $3.2 billion per year and more than 41,000 jobs. 

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Senator Coons outlines bipartisan strategy for U.S.-China relations at the Wilson Center

WILMINGTON – U.S. Senator Chris Coons (D-Del.), a member of the Senate Foreign Relations Committee, yesterday delivered the keynote address at the inaugural Nixon Forum on U.S.-China Relations, co-hosted by the Wilson Center and the Nixon Foundation. In his remarks, Senator Coons outlined his vision for a sustained, bipartisan American strategy for dealing with China.

“It is profoundly unrealistic to think that merely repeating our view of why we don’t like China’s behavior will somehow cause China to change,” said Senator Coons. “Xi Jinping and the CCP are redoubling their dedication to their core model, and they believe they have a legitimate case to make to the rest of the world that their model of development works better.”  

“We have to articulate and demonstrate why our ideas, our standards, and international practices are better for all nations. We need to approach our role in this century with confidence in the American way, in our model that reflects the dignity of the individual, promotes freedom of navigation, fosters economic openness, innovation, and competition through freer and fairer trade, and a model that promotes the free press and free exchange of ideas across an open internet,” Senator Coons continued. “That is our alternative to a world based on authoritarian surveillance. That is the American model.”

Video and audio available here

Senator Coons’ remarks, as delivered, are below:

Thank you, Jane.  Thank you to everybody here at the Wilson Center.  Thank you for your forbearance given that I was engaging in that all too rare but still structurally important activity of voting in the United States Senate.  To Hugh, thank you for the opportunity to be with you today.  I look forward to what I know will be searching, challenging, and well-informed questions.

To those of you visiting from the Nixon Library and Foundation in California, I am pleased you have chosen to focus in this conference on not just the very important current set of issues in our bilateral relationship, but the history of how our countries got to this point and the willingness of leaders from both the United States and the People’s Republic of China to think boldly and think creatively about ways to advance the shared interests of our countries.

What kind of world will we inhabit together in the future?  What rules will govern global conduct?  How will we manage a rapidly changing climate, nuclear proliferation, the spread of deadly pandemics, the technologies that will shape our emerging future?  These are the questions that the United States and China, as the world’s largest economies with the most international influence and power, must answer.  We share an interest in working together to address these vital and pressing questions.  I favor a relationship with China in which we strive to cooperate as much as we compete in our efforts to set the rules that will govern international affairs. 

The reality, of course, is that there will be times when our views, our values, and our interests are at odds.  Those moments will require us to have frank exchanges and more diplomatic engagement, not less, as Robert Daly has suggested in his work here at the Wilson Center.  It will be vital, critical for leaders of both countries to define and articulate our interests and priorities precisely and dispassionately.  Inevitably, there will be areas in which we can and should compete.  Today, I want to take a few minutes and outline what I believe a sustained and bipartisan American strategy for dealing with China looks like.

The goal of this strategy is fairly simple – that the United States should retake its position as the leader of free and open societies around the world while making the necessary investments to secure our competitive edge.  We must strive to co-exist, compete, and cooperate with China – and all three are possible.  This strategy requires meaningful engagement from every aspect of American society – from government, to our private sector and Silicon Valley, to academia, think tanks, and other critical institutions.  

So, let me start by making a few overarching points if I could that inform my views.  First, recent talk of a renewed Cold War with China is both inaccurate at best and self-fulfilling or even dangerous at worst.  Over the last forty years, the United States and China have benefited enormously from the establishment of strong ties and deep economic interaction with each other.  Hundreds of millions of Chinese have raised themselves out of poverty through determined hard work after Deng Xiaoping embraced market forces.  As a result, China has become a peer competitor of the United States.  It is time to stop talking about the rise of China and recognize China is a peer competitor today.

Nonetheless, China’s decision to neither open up politically nor economically since its accession to the WTO in 2001 has forced us to a point where we now must re-examine, re-calibrate, and adjust the parameters of our relationship.  President Trump’s tariff war and Vice President Pence’s October 2018 speech at the Hudson Institute have certainly gotten the attention of China’s leadership and principally President Xi Jinping, and while I want to see the trade war end – as do millions of American farmers, and manufacturers, and business owners – there is bipartisan consensus that it should not end until we have rebalanced our trade relationship to allow countries to compete on a level playing field globally.  As I have traveled across the United States – I’ve been to 10 cities in the last two weeks – there is a broad anger in our country rooted in the perception that China has literally stolen the future of our middle class.  That is a broadly shared consensus across many states and many contexts.  Thus, if there is a mistaken belief that a Democrat winning the White House in 2020 would fundamentally change the dynamics between the United States and China in terms of discriminatory economic practices, I think they will not change.  I think frankly, this is going to be a consistent pressure and challenge from American domestic politics going forward.

We also must make it clear as a nation and a people that we are not opposed to China’s success, that we have a deep respect for China’s ancient culture and many accomplishments, and that the United States seeks to partner with China on many of the critical challenges that cross transnational borders.  But at the same time, we cannot be naïve.  The United States must be vigilant about China’s assertiveness abroad and recognize that if we want to preserve the openness that is so central, so beneficial to our country and our place in the world over the past seven decades, we need to clarify our interests to Chinese officials, work with our allies and partners to present a united message to China, and commit ourselves to domestic democratic renewal.  As former U.S. officials like Tom Donilon or Richard Haass have pointed out, in the case of competing with China, our foreign policy must begin at home.  In Congress, this means working in good faith with colleagues from both sides of the aisle to reinvest in our communities and live up to and demonstrate the capacity, the potential of our democratic values to solve the real problems facing American families and America’s economy. 

I want to offer up four specific ways in which the United States must play a leading role in working with its like-minded partners to preserve freedom and openness.  These domains of competition are our seas and oceans, the industries of the future, the shape of the global economy, and the values systems of our societies.  I will also lay out a series of actions we can take now within the U.S. domestic context in each of these arenas to lay a better and stronger foundation for the future.

First, we must make clear we intend to preserve open sea lanes and freedom of navigation around the world. China, like us, has an interest in keeping the Red Sea, the Persian Gulf, the Straits of Malacca, and other key maritime lanes open.  Yet Chinese island building in the South China Sea, the coercive activity of its maritime militia, the opening of its first overseas military base in Djibouti, all run the risk of constraining international shipping, the free flow of trade, and U.S. military operations.  

U.S. leaders must work to bring their Chinese counterparts to the negotiating table to establish an agreed upon maritime code of conduct and maritime deterrence.  The Chinese should know which of their actions we oppose and our willingness to respond to preserve open sea lanes.  We should work with regional partners to improve maritime domain awareness, conduct regular freedom of navigation exercises, and maintain our military presence in the region.  Finally, the Senate should at long last ratify the United Nations Convention on the Law of the Sea to bolster our ability to resolve maritime disputes peacefully and enshrine freedom of navigation as an international norm.  During the summer of 2012, when I was a newly-installed Senator serving on Foreign Relations, I watched in amazement as literally dozens of credible, serious diplomatic, military, and business leaders testified over a long series of hearings about the urgency of this matter, this treaty first advanced by the Reagan administration, yet they were ignored by a minority in the other party who claimed that ratification would harm our sovereignty.  I think the consequences have been significant and harmful.  We have not been able to approach the developments in the South China Sea from a position of strength as a result.   

There are also steps we can take to improve our ability to safeguard the seas by adjusting our defense budget.  Our military doesn’t necessarily need to be any larger, but it does have to become more modern.  As Chris Brose has written in Foreign Affairs, a revolution in military affairs is occurring today as artificial intelligence, autonomous systems, ubiquitous sensors, advanced manufacturing, quantum science, and other emerging technologies transform warfare and warfighting platforms and systems in ways we haven’t seen in living memory.  We should reprioritize our defense spending accordingly.  Brose writes, “A military made up of small numbers of large, expensive, heavily manned, and hard-to-replace systems will not survive on battlefields… Success will require a different kind of military, one built around large numbers of small, inexpensive, expendable, and highly autonomous systems.”  We look at our annual budget, which is now around $750 billion and feel safer by rank orderings that say we spend more on defense than the next 10 nations combined. But we are not spending it as effectively as we should be, as we must be.  Spending $15 billion on an aircraft carrier that is vulnerable to a $10 million anti-ship missile is simply unwise.  We should innovate and invest in new technologies that can swarm, dominate, and overwhelm adversaries and thus deter conflict.    

The United States has an unquestionable and sustained interest in ensuring open seas.  Where China acknowledges this shared interest, we can work in partnership with them.  But where they do not, we must work with allies and partners, enshrine international norms through UNCLOS, and alter our military spending.

This leads me to the next, and arguably, the most important area in which the United States and China are already competing – the rules governing emerging technologies such as 5G, artificial intelligence, semiconductors, quantum computing, biotechnology, and the Internet of Things.  Unlike the world of thirty years ago, each of these new technologies has a national security application, and the technical and ethical standards of conduct in fields like cyber, outer space, internet, and in particular Internet of Things have yet to be written and embraced.  America’s dominant position in technology and innovation has given us significant advantages in setting the stage for open and interoperable systems that underpin the concepts of innovation, freedom, and creative development.  If that advantage instead slides and then shifts to an autocratic actor, who is designing and setting rules in different ways in these core areas, our ability to set the terms of interactions for everything from business dealings to social and political discourse based on ethical, inclusive, and fair standards is foundationally at risk.   

Technology is a tool of national power China is wielding to achieve its aims.  The U.S. government and our tech industry should view this as a generational call to action.  That is why I am so determined to help shape our country’s approach toward China going forward and this issue is increasingly the focus of my legislative work on revitalizing U.S. manufacturing, protecting patent holders and patent essential standards in 5G and other emerging sectors, and supporting new technologies in my home state of Delaware and across the country.  

The most important thing we can do to respond to China’s rise is to strengthen our own capacity for innovation.  We must reinvest in federally funded research and development, in STEM education throughout all of our schools. We should improve coordination between the federal government and tech hubs across our country. We should work with like-minded partners across Europe and the Indo-Pacific to regain a competitive edge and lead efforts to form an international technology alliance and establish the rules and regulations that will sustain an enduring, open internet and set the standards for the technologies of the future.  

As we strive to keep the internet open and the applications of these technologies ethical, we must understand some of these industries will require a degree of government protection.  That is why Congress passed reforms to close loopholes in the review of foreign investment, known in the United States as CFIUS.  As CSIS think tank scholar James Lewis and others have pointed out, U.S. technological leadership has flourished by embracing openness, but this openness cannot be so “laissez faire and unguided” as to ultimately lead to our demise.  I recommend notionally building a high fence around a small yard of our most critical and sensitive technologies, but as we safeguard these crown jewels of technology, we also have to strike the right balance to avoid a situation where there is a decoupling of global tech industries between the United States and China. 

This brings me to my third area of competition, trade.  Anyone thinking about trade today?  We need to rethink our trade strategy and focus it on stopping China’s intellectual property theft and forced technology transfer while acknowledging that other problematic Chinese economic behaviors, like state subsidization of key industries, are unlikely to change given the difference in our core models of governance.

While President Trump’s tariffs on China have effectively gotten President Xi’s attention, they have also hit our vital allies across Europe, North America, and Japan.  China has countered with forceful tariffs of its own, creating uncertainty and shifting global supply chains.   

There are ways we can and should restore our role as a global leader for open markets and free trade.  We have to work with our allies to reform the WTO and enforce the rules that we helped write and establish decades ago.  We also have to set the standards when it comes to international infrastructure, especially digital and communications infrastructure.  I have concerns about Belt and Road finance projects that leave recipients trapped in debt, or destroy the environment, or undermine human rights, or ignore labor and social standards.  We should encourage China, in a direction embraced by Xi Jinping in his opening remarks at this year’s Belt and Road conference, to enforce the highest international standards, and build on our administration’s ongoing efforts to deploy American transaction assistance teams to train foreign governments in how best to negotiate appropriate and better terms when engaging in BRI projects.

We also have to offer an alternative.  As many heads of state have said to me, “Belt and Road, you can criticize it, but where is your alternative?”  I worked hard with the Trump administration and with a bipartisan, bicameral group of colleagues to pass the BUILD Act to create a modernized 21st century development finance corporation, an institution with an expanded scope and scale to provide a new tool in our tool kit and a meaningful response.  I am excited this new agency can secure up to $60 billion in U.S. private capital.  While falling short of the amount of funds that China is making available through Belt and Road, this new DFC has capabilities and authorities to allow us to partner with our allies’ DFCs in the Indo-Pacific, Europe, and across the world.  It will offer a clear alternative to Chinese financing and showcase projects that comply with the best international practices.

The fourth and final area in which we are likely to compete with China is over values.  As CFR scholar Elizabeth Economy has pointed out, under the rule of President Xi Jinping, the CCP is today using over 200 million surveillance cameras to rollout a social credit system that either punishes or rewards Chinese people for their everyday behavior.  The number of foreign non-governmental organizations operating in China has plummeted from roughly 7,000 to 400 in just two years.  The CCP has not only repressed a million Uighur Muslims in Xinjiang province, but has rallied a group of illiberal states to express support for its re-education camps.  China has raised doubts about whether it will respect Hong Kong’s autonomy and the terms of the 1997 agreement it signed with the United Kingdom.  I think they should respect that agreement not just in word but in deed, and the United States should support the right of peaceful protestors in Hong Kong and encourage China to do the same. 

We cannot underestimate the role of the United States as a beacon of hope to those around the world who seek to follow a more open and democratic path.  I believe we have a profound interest in preserving democratic space in societies around the world.  We can do this by promoting standards of good governance, transparency, press freedom, and universal values in our conduct at home as well as in multilateral settings at the United Nations and abroad.

Instead of viewing the UN as a burden that somehow infringes on our sovereignty, the United States should reconsider its engagement as an opportunity to display American leadership.  There are areas where we can and should collaborate with China at the UN – the fight against climate change or in the vital work against Ebola, in addressing nuclear nonproliferation, or in UN peacekeeping missions.  The first time I met a Chinese flag ranking officer was in visiting a UN peacekeeping mission in South Sudan.  But we need to clearly define our interests in using the UN to preserve the values espoused not just in our own foundational documents, but in the Universal Declaration of Human Rights.  Since the Trump administration has withdrawn from UNESCO and the UN Human Rights Council, China has filled that void, calling itself now the “champion of multilateralism.”  Within the Human Rights Council, China advocates for each country to choose “its own model of human rights protection in the context of its national circumstances.”  This is a basic disagreement.  

I believe in the universality and desirability of our democratic system, and I think we need to remain true to our values here at home and, in doing so, demonstrate the system’s strengths – the ways in which democratic government can produce strong and better results for its people.  Elected officials should not attack or criticize the legitimate reporting of the free press.  They should not vilify dedicated, career public servants.  Instead, we need to roll up our sleeves and demonstrate democracy works by delivering bipartisan solutions on education, infrastructure, health care.  We should not be afraid to address our deficit, which is on an unsustainable path and represents a national security threat in and of itself.  We have to be honest with ourselves about our own shortcomings in both domestic and foreign policy and then address them in a sustainable and bipartisan manner. 

In conclusion – I’m glad there wasn’t a round of applause.  In conclusion, we should use all the tools of U.S. diplomacy, capability, and influence to keep the world free and open and inclusive.

Our strategy for dealing with China has to be more sophisticated than simply saying BRI is a debt trap diplomacy and China’s treatment of Uighurs is bad, China’s theft of intellectual property is wrong.  We must have a more complex, broad, and deep strategy with regards to China.  While I agree with these three concerns, sentiment is not a strategy.  It is an attitude, and I am concerned it is an attitude based on fear and a sense of our own insecurity.  It is profoundly unrealistic to think that merely repeating our view of why we don’t like China’s behavior will somehow cause China to change.  Xi Jinping and the CCP are redoubling their dedication to their core model, and they believe they have a legitimate case to make to the rest of the world that their model of development works better.  So frankly, I think we should exercise some humility and be realistic about our prospects of changing the CCP.

Today, I’ve tried to lay out an alternative approach – to be vigilant and clear-eyed about what China is doing, to express our disagreements with them frankly, but to not allow that to be our sole focus.  We have to articulate and demonstrate why our ideas, our standards, and international practices are better for all nations.  We need to approach our role in this century with confidence in the American way, in our model that reflects the dignity of the individual, promotes freedom of navigation, fosters economic openness, innovation, and competition through freer and fairer trade, and a model that promotes the free press and free exchange of ideas across an open internet.  That is our alternative to a world based on authoritarian surveillance.  That is the American model.  If we are to re-assert and reclaim our role as the leader of free and open societies that share our values, we need to be true to who we say we are and show the rest of the world that our model works. 

Government by consent of the governed can be remarkably messy, but it is still the best form of government in the world at advancing peace, prosperity, and security and in addressing the legitimate needs of its citizens.  We have to set that example right here at home.  Thank you, and I look forward to your questions.

 

Coons joins Bipartisan Group of Senators to Expand Access to Care and Resources for Families with Alzheimer’s

WASHINGTON, D.C.— U.S. Senator Chris Coons (D-DE) joined Senators Debbie Stabenow (D-MI), Susan Collins (R-ME), Ed Markey (D-MA), Shelley Moore Capito (R-WV), and Bob Menendez (D-NJ) to urge the Centers for Medicare & Medicaid Services (CMS) to conduct an outreach campaign to educate clinicians, Medicare beneficiaries with cognitive impairment, and their families on the assessment and care planning services currently available to them.

“As you know, more than five million Americans are living with Alzheimer’s and, without significant action, nearly 14 million Americans will have Alzheimer’s by 2050. Caring for those with Alzheimer’s will cost an estimated $290 billion in 2019, with Medicare and Medicaid bearing $195 billion–67 percent–of that figure. As the research community continues to search for a disease modifying therapy and better symptomatic treatments, CMS must do all it can to ensure the best quality of care and quality of life for those living with Alzheimer’s. Care planning is central to that effort,” the Senators wrote.

“Your leadership is critical to ensuring seniors living with cognitive impairment, including those with Alzheimer’s and other dementias, have access to comprehensive care planning services,” the Senators continued.  

U.S. Senators Kevin Cramer (R-ND), Jack Reed (D-RI), Chris Van Hollen (D-MD), James Lankford (R-OK), Kyrsten Sinema (D-AZ), Sheldon Whitehouse (D-RI), Tammy Baldwin (D-WI), Roy Blunt (D-MO), Richard Blumenthal (D-CT), Ben Cardin (D-MD), Martha McSally (R-AZ), John Boozman (R-AR), Sherrod Brown (D-OH), Thom Tillis (R-NC), Doug Jones (D-AL), Jon Tester (D-MT), Angus King (I-ME), Catherine Cortez Masto (D-NV), Mike Crapo (R-ID), Marco Rubio (R-FL), Jim Inhofe (R-OK), Merkley (D-OR), Mazie Hirono (D-HI), Jacky Rosen (D-NV), Gary Peters (D-MI), Tim Scott (R-SC), Deb Fischer (R-NE), and Amy Klobuchar (D-MN) also signed the letter to Administrator Verma. 

October 17, 2019

Dear Administrator Verma:

As bipartisan cosponsors of the Improving HOPE for Alzheimer’s Act (S.880), we write today asking the Centers for Medicare & Medicaid Services (CMS) to conduct an education and outreach campaign to ensure that clinicians, Medicare beneficiaries with cognitive impairment, and their families are aware of the assessment and care planning services currently available to them.

As you know, more than five million Americans are living with Alzheimer’s and, without significant action, nearly 14 million Americans will have Alzheimer’s by 2050[1]. Caring for those with Alzheimer’s will cost an estimated $290 billion in 2019, with Medicare and Medicaid bearing $195 billion–67 percent–of that figure.[2] As the research community continues to search for a disease modifying therapy and better symptomatic treatments, CMS must do all it can to ensure the best quality of care and quality of life for those living with Alzheimer’s. Care planning is central to that effort.

Dementia-specific care planning can lead to fewer hospitalizations, fewer emergency room visits, and better medication management.[3] It allows diagnosed individuals and their caregivers to access medical and non-medical treatments, clinical trials, and support services available in the community, resulting in a higher quality of care and life for those with the disease. Alzheimer’s and related dementias also complicate the management of other chronic conditions, so care planning is key to better care coordination and management of comorbid conditions.

That is why were we were very supportive of CMS’s decision in 2017 to implement our bipartisan HOPE for Alzheimer’s Act by creating a new Medicare benefit (CPT code 99483) that provides for assessment and care planning for people living with cognitive impairment, including those living with Alzheimer’s and related dementias. Unfortunately, based on a recent analysis of utilization data, less than one percent of seniors eligible to receive this benefit actually accessed it in 2017.

While use of the code grew as more people became aware of the benefit, greater education and outreach is needed to increase access to comprehensive care planning services. The recently introduced Improving HOPE for Alzheimer’s Act (S. 880), would help achieve that goal by requiring the Department of Health and Human Services to (1) educate clinicians on the existence and importance of Medicare’s care planning benefit; and (2) report to Congress on the barriers to individuals receiving care planning services and how to increase their use. While this bill has already garnered significant bipartisan support, we urge CMS to use its existing authority to conduct a timely education and outreach campaign to increase awareness of and access to code 99483. We also ask that you list the efforts CMS has taken to date to make clinicians and beneficiaries aware of this benefit, including the results of those efforts.

Your leadership is critical to ensuring seniors living with cognitive impairment, including those with Alzheimer’s and other dementias, have access to comprehensive care planning services. Thank you for your attention to this important issue, and we ask that you respond by November 1, 2019. We look forward to working with you to increase the quality of care and quality of life for millions of families across the country.                                    

Sincerely,

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