[Congressional Record Volume 168, Number 8 (Wednesday, January 12, 2022)]
[Senate]
[Pages S190-S192]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
STATEMENTS ON INTRODUCED BILLS AND JOINT RESOLUTIONS
By Mr. CARDIN (for himself and Mr. Hagerty):
S. 3492. A bill to address the importance of foreign affairs training
in national security, and for other purposes; to the Committee on
Foreign Relations.
Mr. CARDIN. Mr. President, I rise today to introduce an act, co-
sponsored
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by Senator Hagerty, that addresses the importance of foreign affairs
training to national security and, more specifically, intends to
improve training and professional development of the Foreign Service
officers and civil service staff at the U.S. State Department.
This act calls for the State Department to move beyond its
traditional approach towards a more robust professional training
program, incorporating innovative education and training courses,
methods, and opportunities. Employees of the State Department have a
long, honorable tradition of providing excellence in diplomacy, but it
is time to modernize the training and professional development they
receive, enabling them to more effectively promote our national
security interests abroad and ensuring the retention of our best and
brightest employees.
The legislation will accomplish the following: provide a more
effective and updated training program for employees of the State
Department, to include increased virtual instruction that is
interactive and more accessible to personnel deployed around the world,
as well as increased training provided by partner organizations such as
universities, industry entities, and nongovernmental organization,
NGOs: establish a Chief Learning Officer position to serve as the
principal adviser to the Secretary of State and strategist for State
Department training and development; and establish a nonpartisan Board
of Visitors to provide independent advice and recommendations regarding
training at the Foreign Service Institute.
Other key elements of the legislation include establishment of a
clear link between required employee training and promotional
opportunities and assignments at the State Department; a ``training
float'' strategy that will allow 10 to 15 percent of Foreign Service
and civil service officers and staff to participate in training at any
given time; a call for the State Department to establish new fellowship
programs for Foreign Service and civil service officers and staff in
addition to the current Pearson and Brookings Fellowship Programs,
allowing them to participate in short- and long-term opportunities at
think tanks, nongovernmental organizations, the Department of Defense,
industry entities, and relevant university programs; and establishment
of a Center for Innovation in Training and a Provost position at the
Foreign Service Institute, to evaluate all courses and curriculum
offered by FSI and identify necessary updates to meet the frequent
changes required by officers due to changing global dynamics.
The Department of State is a crucial national security agency, whose
employees, both Foreign Service and civil service, require the best
possible training at every stage of their careers to prepare them to
promote and defend U.S. national interests and the health and safety of
U.S. citizens abroad.
As chair of the Subcommittee on U.S. State Department and USAID
Management, International Operations, and Bilateral International
Development, along with Ranking Member Senator Hagerty, I have presided
over the first two in a planned series of subcommittee hearings on
modernization of the State Department. The most recent hearing, held in
November of last year, made clear that the numerous studies issued
about the State Department's need to change its culture, starting with
an innovative training and professional development program, were on
the mark.
During the hearing, we heard that ``everything is fine'' at State in
terms of training, while the Department's retention rate indicates the
loss of experienced Foreign Service officers and civil servants.
External witnesses Ambassador David Miller, president of the Diplomatic
Studies Foundation, and Joshua Marcuse, who formerly served as the
Executive Director of the Defense Innovation Board, painted a very
different picture, calling for an overarching effort to change the
culture of the State Department--which as one of the oldest Federal
Departments is steeped in tradition and protocol--to transform it once
again into the lead Agency executing American foreign policy overseas.
The level of challenges the State Department faces now around the
world are almost unprecedented, with the return of great power
competition, the rise of authoritarianism, the collapse of Afghanistan,
climate change, the COVID-19 pandemic, and--not least--assisting
American citizens around the world. Professional education and training
must be top priorities at the State Department, and we must strengthen
the professionalization of our diplomats through a career-long program
that focuses on mastery of substantive foreign policy issues,
diplomatic expertise, superb customer service for American citizens
abroad, and leadership.
Secretary of State Antony Blinken gave a speech last fall on
``Modernizing American Diplomacy,'' and one of the five pillars he
described is that of building and retaining a diverse, dynamic, and
entrepreneurial workforce, and empowering and equipping State
Department employees to succeed. This bill will kick-start the
rebuilding effort Mr. Blinken spoke about, putting the emphasis on
training and professional development of the Department's greatest
asset: its people.
I remain committed to continuing to work with the Biden
administration and my colleagues in Congress to provide every
opportunity for State Department employees to receive the best possible
training at every stage of their careers, to prepare them to promote
and defend U.S. national interests and the health and safety of U.S.
citizens abroad.
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By Mr. CARDIN (for himself and Ms. Collins):
S. 3493. A bill to require guidance on extending expiration dates for
certain drugs, and for other purposes; to the Committee on Health,
Education, Labor, and Pensions.
Mr. CARDIN. Mr. President, I rise today to highlight legislation I am
introducing with the senior Senator from Maine, Ms. Collins, to address
prescription drug shortages. We rely on prescription drugs to battle
infectious diseases like SARS-CoV-2, for the treatment of cancer and
hormonal disorders and in countless other facets of modern medicine.
When drug shortages, which are unforeseen supply disruptions, occur,
healthcare teams must scramble to develop new plans of care because the
optimal treatment is no longer available. The Drug Shortages Shelf Life
Extension Act will help tackle drug shortages by enabling the Food and
Drug Administration, FDA, to extend the shelf of certain drugs at risk
of shortage in a safe fashion.
Prescription drug shortages are a persistent problem, leading to
diminished access to vital medications and potentially catastrophic
outcomes for patients. FDA wrote in its 2019 Drug Shortages Task Force
Report that discarding drugs if they exceed an unnecessarily short
expiration date can exacerbate drug shortages. Essentially, the shelf
life for certain drugs can be safely extended, and I support empowering
authorities to do so to prevent drug shortages.
Last year, I introduced the Drug Shortages Prevention & Quality
Improvement Act. The legislation would address some of the main causes
of drug shortages and provide solutions to mitigate their effects. The
legislation would give the FDA additional tools to mitigate drug
shortages, such as extending shelf lives for certain essential drugs.
This legislation also seeks to address prescription drug shortages by
creating incentives for manufacturers to upgrade their facilities to
prevent shortages. Some of the facilities FDA has tied to drug
shortages have been operating continually since the 1960s with minimal
upgrades to manufacturing lines and facilities. The FDA Drug Shortages
Task Force report found that quality concerns caused 62 percent of drug
shortages from 2013 to 2017.
Last April, Senate Health, Education, Labor and Pensions, HELP,
Committee Chair Murray and Ranking Member Burr announced plans to
develop a bipartisan initiative to prepare the Nation for future public
health emergencies in light of the COVID-19 pandemic. I applaud this
effort to modernize our national response efforts for the current
pandemic and future pandemics and look forward to consideration of this
legislation on the floor of the Senate. I was particularly pleased to
see language included in the HELP Committee's discussion draft for this
preparedness initiative from the Drug Shortages Shelf Life Extension
Act. Extending shelf lives of certain
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drugs is not only critical to prevent drug shortages but also to enable
our prescription drug supply chain to be more responsive and better
prepared to respond to public health emergencies.
Domestically, we continue to battle the COVID-19 pandemic. We are
nearing record-high hospitalizations due to COVID-19, including record-
high levels for children. In my State of Maryland, we have encountered
a new record-high hospitalization level every day since December 29.
For many patients, the severity and mortality rates are lower due to
higher vaccination levels and better treatments gleaned from our
experience in battling COVID-19 so far, but these high hospitalization
rates are straining an already overburdened system.
As we continue fighting the pandemic, in addition to other diseases
and illnesses, timely access to medications is essential for our
healthcare providers and their patients. The Drug Shortages Shelf Life
Extension Act would require FDA to update guidance tied to manufacturer
testing of the shelf life of prescription drug and to report to
Congress on actions taken to update the shelf life dates of relevant
drugs. Shelf life expiration dates are established through regulations
governing prescription drug stability testing, which need to be
reexamined since they have not been amended since 1981. I look forward
to working with the Biden administration as it implements this
essential legislation and related regulations.
I urge my colleagues to join Senator Collins and me in support of the
Drug Shortages Shelf Life Extension Act to improve access to essential
prescription drugs and to prevent or mitigate future drug shortages. No
one should have to go without essential prescriptions drugs when usable
supplies are available but have potentially inaccurate use-by dates
stamped on their box or bottle.
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