Latest from Lamar, Notes from the Senate Desk
Important news from
 this week:*
- 
This week, we celebrated the fourth anniversary of the
 Every Student Succeeds Act -- bipartisan legislation I introduced that
 restored to states, including Tennessee, communities and teachers the
 responsibility for improving student achievement.
- 
Amazon purchased
 two properties in Wilson County, which will bring more jobs to Middle
 Tennessee.
- 
Vanderbilt's Dr. Josh Denny will serve as the new
 chief executive officer for the *All of Us* Research Program, the
 centerpiece of the Precision Medicine Initiative at the National Institutes of
 Health. Dr. Josh Denny is an experienced team leader and has
 precisely the skills needed to finish the important job of collecting health
 information from one million people and using that information in a way
 that saves lives.
- 
The U.S. Senate voted to confirm Dr. Stephen
 Hahn to serve as commissioner of the U.S. Food and Drug Administration
 (FDA). Now he can get to work approving new life-saving drugs and
 devices, regulating tobacco and e-cigarettes, addressing the opioid crisis,
 ensuring pain patients can receive the medications they need and
 protecting our nation's food supply.
 
*Announcing a bipartisan
 agreement on legislation to lower health care costs for Tennessee
 families*
This week, I announced a bipartisan agreement with health committee
 leaders in the House of Representatives on legislation to lower what
 Americans pay [link 1] out of pocket for their health care.
I do not
 think it is possible to write a bill that has broader agreement than this
 among Senate and House Democrats and Republicans on Americans' number
 one financial concern: what they pay out of their own pockets for
 health care. This legislation includes proposals from 80 senators, 46
 Democrats and 34 Republicans. It would end the practice of surprise
 billing for patients - this occurs when you go to an emergency room covered
 by your health insurance, and are surprised several weeks later by an
 unexpected bill in the mail that can cost hundreds or thousands of
 dollars. It will also provide nearly $20 billion for five years of
 funding for the nation's 1,400 community health centers, including the more
 than 200 community health centers in Tennessee, and lower the cost of
 prescription drugs and other medical services by requiring
 transparency and spurring competition. Congress should pass the bill promptly and
 give the American people a very good Christmas present.
 
*Permanently funding Historically Black Colleges and Universities and
 simplifying the federal student aid application form*
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The United States Senate passed [link 2] on Tuesday the
 FUTURE Act, which included a bipartisan amendment I sponsored that
 permanently reauthorizes $255 million in annual funding for Historically
 Black Colleges and Universities (HBCUs) and other Minority Serving
 Institutions and simplifies the Free Application for Federal Student Aid
 (FAFSA) -- the complex, archaic form that 20 million families,
 including 8 million minority students and 400,000 Tennessee families, fill
 out every year to qualify for federal student aid. This legislation is
 now headed to the president's desk so it can be signed into law.
It's
 hard to think of a piece of legislation that would have more of a
 lasting impact on minority students and their families than this bill.
 First, this legislation provides permanent funding, fully paid for, for
 HBCUs and other Minority Serving Institutions attended by over 2
 million minority students. Second, after five years of bipartisan effort,
 the legislation takes a first step to simplify the FAFSA which removes a
 huge roadblock for the millions of Americans who apply for federal
 grants and loans to attend college. Former Governor Bill Haslam has
 called the FAFSA the single biggest impediment to Tennessee students
 taking advantage of our state's two free years of community college. This
 bill is now headed to the president's desk to be signed into law.
 
*Celebrating the fourth anniversary of fixing No Child Left Behind*
On
 December 10, 2015, President Obama signed into law the Every Student
 Succeeds Act [link 3] (ESSA) -- bipartisan legislation I introduced
 that restored to states, including Tennessee, communities and teachers
 the responsibility for improving student achievement -- calling it a
 "Christmas miracle." This week, I celebrated the fourth anniversary of
 what the *Wall Street Journal* called "the largest devolution of
 federal control to the states in a quarter-century." Under ESSA, every state
 plan for spending federal dollars has now been approved by the U.S.
 Department of Education. More than half of states have already improved
 those plans with amendments based on feedback from superintendents,
 principals, teachers, parents and students. Less time is being focused
 just on test scores. States have begun to identify their lowest
 performing schools and provide extra support in order to improve during this
 school year. I hope states will continue to take advantage of this
 new flexibility.
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*I enjoyed
 celebrating ESSA's fourth anniversary this week in a panel discussion with
 a few of my congressional colleagues.*
 
*New trade agreement with
 Mexico and Canada is "good news" for Tennessee auto workers and
 farmers*
Updating the North American Free Trade Agreement (NAFTA) makes
 sense, and the agreement announced [link 4] this week will continue to
 raise family incomes and create even more good-paying jobs, which is good
 news for Tennessee auto workers and farmers. I believe the
 president's stated goal of
"zero tariffs, zero non-tariff barriers, and zero
 subsidies" is exactly the right goal for Tennessee's auto industry,
 manufacturers and farmers, and a welcome movement away from piling tariffs
 on top of tariffs that threaten to destroy jobs and lower family
 incomes.
Tariffs are taxes, plain and simple. Tennessee's automotive
 industry is so important to me because in 1978, when I was running for
 governor, Tennessee hardly had any auto jobs. Now, 136,000 Tennesseans --
 one third of our state's manufacturing jobs -- work in the automotive
 industry at plants and suppliers in 88 of our 95 counties. One of the
 reasons Tennessee has been able to have so much success building cars
 and SUVs is because NAFTA was fundamentally a zero tariff trade
 agreement.
 
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*It was good meeting
 with Tennesseans this Tuesday with my colleague and friend Senator
 Blackburn.*
 
*Passing the most important new law for over-the-counter
 drugs in 40 years*
The Senate Tuesday passed the most important new law
 [link 5] affecting the safety, innovation, and affordability of
 over-the-counter drugs since the 1970's. In 2015, as the Senate health
 committee I chair was working on the 21st Century Cures Act, I asked Janet
 Woodcock, the director of the Center for Drug Evaluation and Research
 at the U.S. Food and Drug Administration, if there was any change she
 needed but hadn't been able to get done.
She replied that the
 over-the-counter monograph -- the rules that govern how all drugs sold at
 pharmacies other than prescription drugs are approved -- hadn't been
 updated since the 1970's and that she hadn't been able to persuade
 Congress to do it.
Sens. Johnny Isakson (R-G.A.) and Bob Casey's (D-P.A.)
 Over-the-Counter Monograph Safety, Innovation, and Reform Act will now
 modernize those rules. It is a great testament to Senator Isakson's
 legislative skill and determination, and I thank him and Senator Casey
 for their work to get this update across the finish line.
 
*Confirming Dr. Stephen Hahn to lead the U.S. Food and Drug Administration
 *
The U.S. Senate confirmed Dr. Stephen Hahn [link 6] to serve as the U.S.
 Food and Drug Administration (FDA) commissioner by a bipartisan vote
 of 72-18. Dr. Hahn's experience as a practicing oncologist, a
 successful leader of the MD Anderson Cancer Center and work at the National
 Institutes of Health (NIH) make him the right leader for the FDA at this
 critical time. Dr. Hahn can now get to work approving new life-saving
 drugs and devices, regulating tobacco and e-cigarettes, addressing
 the opioid crisis, ensuring pain patients can receive the medications
 they need and protecting our nation's food supply. 
 
*Health
 committee approves legislation to help states prevent child abuse and ensure
 safety and welfare of children*
I often suggest Tennesseans look at
 Washington, D.C., as if it were a split-screen television. This week, on
 one side, you had hearings on impeachment and the Department of
 Justice's Inspector General report. On the other side, Thursday, the Senate
 health committee approved legislation to help states ensure the
 safety and welfare of children [link 7] and legislation to fill shortages
 in the pediatric and geriatric health care workforce.
 
The bills
 passed included the CAPTA Reauthorization Act of 2019 introduced by
 Senators Johnny Isakson (R-Ga.) and Doug Jones (D-Ala.) that reauthorizes
 the Child Abuse Prevention and Treatment Act -- the federal legislation
 that gives states funding to prevent and respond to child abuse --
 and also included the Adoption Opportunities Reauthorization Act of 2019
 and the Family Violence Prevention and Services Act. The committee
 also passed the Geriatrics Workforce Improvement Act, the Investment in
 Tomorrow's Pediatric Health Care Workforce Act, the Child Care
 Protection Improvement Act of 2019, and the NIMHD Research Endowment
 Revitalization Act of 2019.
 
 
*Below are some articles from this week I
 thought you would enjoy:*
*Roll Call*: *Amid impeachment saga, a
 kitchen sink of legislative dealing* [link 8]
*WMC-NBC Memphis Channel 5*:
 *Loved ones and dignitaries pay respects to Bishop William H. Graves*
 [link 9]
*Maryville Daily Times*: *Alexander touts success of Oak
 Ridge Corridor* [link 10]
 
 
Consider yourself in trouble if you
 say, "And now in conclusion," and the audience starts to applaud.
*#12
 in Lamar Alexander's Little Plaid Book*
 
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