Katie Britt and Jeanne Shaheen reintroduce ‘Access to Breast Cancer Diagnosis Act’

On Monday, U.S. Senator Katie Britt (R-Alabama) recently joined Senator Jeanne Shaheen (D-New Hampshire) in reintroducing the Access to Breast Cancer Diagnosis (ABCD) Act. The bipartisan, bicameral legislation would eliminate copays and other out-of-pocket expenses for breast cancer diagnostic tests, making them more accessible and affordable to women even of low income. Under current law, insurance companies must provide no-copay coverage for breast cancer screenings but not diagnostic testing. If the initial screening shows that a patient may have breast cancer, further testing, including mammograms, MRIs, and ultrasounds, may be needed to make a diagnosis. An estimated 10% of screening mammograms require follow-up diagnostic testing. Regular diagnostic testing may also be recommended for patients who have had a prior breast cancer diagnosis or are genetically predisposed to breast cancer. “The ability for women to receive an initial mammogram as part of their health insurance plan is a crucial, potentially lifesaving tool to detect breast cancer,” said Sen. Britt. “This commonsense legislation would ensure that a warranted follow-up diagnostic examination is also covered by health insurers at no out-of-pocket cost to the patient. No woman across America should be faced with the impossible choice between affording basic necessities such as food or being able to confirm whether she has a life-threatening illness. I’m proud to help lead this effort to provide greater access to mammography so women can be diagnosed as soon as possible, giving them the widest variety of treatment options and the best chance to defeat this disease.” “Detecting and treating breast cancer as quickly as possible saves lives. No one should ever forgo a screening because of cost,” said Shaheen. “I’m proud to reintroduce this bipartisan legislation to require health insurance to cover diagnostic breast cancer testing as they do other preventative screenings. I’ll keep working in the Senate to make sure lifesaving health care is affordable and accessible for Granite State families.” Molly Guthrie is the Vice President of Policy and Advocacy at Susan G. Komen. “It is too hard and too expensive for people to get the breast imaging they require, a contributing factor to the nearly 44,000 breast cancer deaths expected this year alone,” said Vice President Guthrie. “We need this legislation passed as soon as possible so that people don’t face barriers to a timely diagnosis or face the impact of high out-of-pocket expenses for necessary imaging due to their personal circumstances. Thank you to Senators Jeanne Shaheen and Katie Britt and Representatives Debbie Dingell and Brian Fitzpatrick for their leadership on this vital legislation.” The Breast Cancer Research Foundation of Alabama states that 1 in 8 women will be diagnosed with invasive breast cancer during their lifetime, including an estimated 4,500 women in Alabama in 2023. Susan G. Komen estimates that in 2023, over 297,000 new cases of invasive breast cancer will be detected in women across the United States. Additionally, a Susan G. Komen study estimated that diagnostic tests can cost patients between $234 and $1,041. Representatives Debbie Dingell (MI-06) and Brian Fitzpatrick (PA-01) recently introduced a companion bill, along with Reps. Colin Allred (TX-32) and Debbie Wasserman Schultz (FL-25). Senator Britt is a member of the Senate Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies. She was elected to the Senate in 2022. To connect with the author of this story or to comment, email brandonmreporter@gmail.com.

Sen. Katie Britt supports bipartisan bills capping insulin prices

U.S. Senator Katie Britt announced that she is cosponsoring two pieces of bipartisan legislation to help all Alabamians access insulin. This includes the Affordable Insulin Now Act of 2023, which would cap the price of insulin for all patients, including those who are uninsured, at $35 for a 30-day supply. “For many, insulin is essential for their long-term health and survival. Alabamians should not have to make the unthinkable choice about whether to purchase life-saving insulin or another basic necessity like food simply due to the drug’s prohibitive cost,” said Sen. Britt. “Additionally, these pieces of legislation would help support our healthcare system by increasing access to insulin for diabetic Alabamians, keeping them healthy so they do not require more costly treatments and extensive medical care down the road. I’ll continue to fight to ensure that every Alabamian, no matter their zip code, can live the American Dream.” The bill was introduced by U.S. Senators John Kennedy (R-Louisiana) and Raphael Warnock (D-Georgia). “I’ve long been focused on strengthening access to affordable health care and lowering costs for Georgians, and that’s why I am proud to lead the effort in the Senate to cap patients’ out-of-pocket costs for insulin,” Sen. Warnock said. “Georgians should never have to choose between paying for life’s basic essentials or life-preserving medicines.” The Affordable Insulin Now Act would cap out-of-pocket costs of insulin products at $35 per month for people with private health plans and Medicare Part D plans, including Medicare Advantage drug plans. For commercial plans, this applies to one of each dosage form (ie. vial, pump, inhaler) of each different type of insulin (rapid-acting, short-acting, intermediate-acting, long-acting, ultra-long-acting, and premixed). For Medicare plans, this applies to all covered insulin products, and copays are capped at $35 for all preferred and nonpreferred products included on plan formularies. Require private group or individual plans to cover one of each insulin dosage form (i.e. vial, pen) and insulin type (i.e. rapid-acting, short-acting, intermediate-acting, and long-acting) for no more than $35 per month. The legislation requires the Secretary of Health and Human Services to establish a program to reimburse qualifying entities for covering any costs that exceed $35 for providing a 30-day supply of insulin to uninsured patients. “We need to stop nibbling around the edges,” Sen. Kennedy said. “We need to be smart enough to figure this out. And the cost? I think it can be done for $250 million a year, and I’m not talking about taking out a reverse mortgage on Alaska and borrowing more money. I’m talking about finding it in our budget. The federal budget is 6,000 billion dollars every year—and we can’t find $250 million to cap the price of insulin? Let’s do it right.” Sen. Britt says that she is bringing awareness to the devastating impact of diabetes across Alabama and fighting to ensure that all Alabamians are able to access the life-saving benefits of affordable insulin. Senator Britt this week discussed the topics during a hearing of the Senate Committee on Appropriations with medical experts and youth diabetes advocates. Dr. Griffin Rogers is the Director of the National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health. During the questioning of Rogers, Senator Britt noted the high rate of diabetes among Alabamians. Approximately 568,000 people in Alabama, or almost 12% of the state’s population, have been diagnosed with diabetes. In Alabama, direct medical expenses total an estimated $4.2 billion a year for those who are diagnosed with diabetes. Sen. Britt has also signed on as a co-sponsor of the Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act of 2023, which would comprehensively address the skyrocketing costs of insulin, removing barriers to care and making it more accessible for millions more Americans. This bipartisan legislation was introduced by U.S. Senators Susan Collins (R-Maine) and Jeanne Shaheen (D-N.H.). The INSULIN Act of 2023 would limit out-of-pocket costs for patients with diabetes by ensuring that group and individual market health plans must waive any deductible and limit cost-sharing to no more than $35 or 25% of the list price per month for at least one insulin of each type and dosage form. Additionally, the legislation forbids pharmacy benefit managers (PBMs) would be prohibited from placing utilization management tools – prior authorization, step therapy, etc. – on products with capped out-of-pocket costs. Mandate PBMs pass through 100% of insulin rebates and other discounts received from manufacturers to plan sponsors, reducing perverse incentives in the insulin market that encourage high list prices and helping patients in the form of reduced premiums.  It also promotes generic and biosimilar competition to lower costs to patients by creating a new expedited FDA approval pathway for biologic drugs lacking adequate biosimilar competition, similar to FDA’s current Competitive Generic Therapies pathway. This will improve the timeliness of resolving regulatory barriers slowing down market entry of lower-cost products; ensuring adequate oversight of the Food and Drug Administration’s (FDA) citizen petition process, easing approval of generic and biosimilar drugs; allowing Medicare Part D plans to place biosimilar drugs on formulary immediately after entering the market, identical to other generic drugs; and, requiring a report to Congress on issues and market dynamics delaying or restricting biosimilar insulin competition. The Cardinal Institute opposes price caps on insulin. They argue that there is a growing idea that the government should create ceilings for drug pricing, manufacturing, and marketing, but that fundamental economics teaches that such restrictions fail to create an ethical, accessible healthcare system. The Cardinal Institute argues that when governments create price limits on goods and services, they always initiate scarcity. When supply is low, and demand is high, prices rise, or, in this case, where businesses are constrained, profits must be funneled away from research and innovation. They claim that numerous economic studies indicate price caps reduce the number of new drugs being brought into the market. Thus, temporary relief creates disastrous long-term effects. Katie Britt was elected to her first term in the U.S. Senate in 2022. To connect with the author of this story or to comment,

Terri Sewell only Alabama lawmaker to vote yes to Democrat led $35-a-month insulin cap bill

The House on Thursday passed a bill capping the monthly cost of insulin at $35 for insured patients, part of an election-year push by Democrats for price curbs on prescription drugs at a time of rising inflation. Rep. Terri Sewell was the only yea for the bill while the rest of the Alabama legislature voted nay. Experts say the legislation, which passed 232-193, would provide significant relief for privately insured patients with skimpier plans and for Medicare enrollees facing rising out-of-pocket costs for their insulin. Some could save hundreds of dollars annually, and all insured patients would get the benefit of predictable monthly costs for insulin. The bill would not help the uninsured. But the Affordable Insulin Now Act will serve as a political vehicle to rally Democrats and force Republicans who oppose it into uncomfortable votes ahead of the midterms. For the legislation to pass Congress, 10 Republican senators would have to vote in favor. Democrats acknowledge they don’t have an answer for how that’s going to happen. “If 10 Republicans stand between the American people being able to get access to affordable insulin, that’s a good question for 10 Republicans to answer,” said Rep. Dan Kildee, D-Mich., a cosponsor of the House bill. “Republicans get diabetes, too. Republicans die from diabetes.” Public opinion polls have consistently shown support across party lines for congressional action to limit drug costs. But Rep. Cathy McMorris Rodgers, R-Wash., complained the legislation is only “a small piece of a larger package around government price controls for prescription drugs.” Critics say the bill would raise premiums and fails to target pharmaceutical middlemen seen as contributing to high list prices for insulin. Sen. Chuck Grassley, R-Iowa, said Democrats could have a deal on prescription drugs if they drop their bid to authorize Medicare to negotiate prices. “Do Democrats really want to help seniors, or would they rather have the campaign issue?” Grassley said. The insulin bill, which would take effect in 2023, represents just one provision of a much broader prescription drug package in President Joe Biden’s social and climate legislation. In addition to a similar $35 cap on insulin, the Biden bill would authorize Medicare to negotiate prices for a range of drugs, including insulin. It would penalize drugmakers who raise prices faster than inflation and overhaul the Medicare prescription drug benefit to limit out-of-pocket costs for enrollees. Biden’s agenda passed the House only to stall in the Senate because Democrats could not reach consensus. Party leaders haven’t abandoned hope of getting the legislation moving again and preserving its drug pricing curbs largely intact. The idea of a $35 monthly cost cap for insulin actually has a bipartisan pedigree. The Trump administration had created a voluntary option for Medicare enrollees to get insulin for $35, and the Biden administration continued it. In the Senate, Republican Susan Collins of Maine and Democrat Jeanne Shaheen of New Hampshire are working on a bipartisan insulin bill. Georgia Democratic Sen. Raphael Warnock has introduced legislation similar to the House bill, with the support of Sen. Majority Leader Chuck Schumer of New York. Stung by criticism that Biden’s economic policies spur inflation, Democrats are redoubling efforts to show how they’d help people cope with costs. On Thursday, the Commerce Department reported a key inflation gauge jumped 6.4% in February compared with a year ago, the largest year-over-year rise since January 1982. But experts say the House bill would not help uninsured people, who face the highest out-of-pocket costs for insulin. Also, people with diabetes often take other medications as well as insulin. That’s done to treat the diabetes itself, along with other serious health conditions often associated with the disease. The House legislation would not help with those costs, either. Collins says she’s looking for a way to help uninsured people through her bill. About 37 million Americans have diabetes, and an estimated 6 million to 7 million use insulin to keep their blood sugars under control. It’s an old drug, refined and improved over the years, that has seen relentless price increases. Steep list prices don’t reflect the rates insurance plans negotiate with manufacturers. But those list prices are used to calculate cost-sharing amounts that patients owe. Patients who can’t afford their insulin reduce or skip doses, a strategy born of desperation, which can lead to serious complications and even death. Economist Sherry Glied of New York University said the market for insulin is a “total disaster” for many patients, particularly those with skimpy insurance plans or no insurance. “This will make private insurance for people with diabetes a much more attractive proposition,” said Glied. Republished with the permission of the Associated Press.

Border residents rejoice as U.S. says it will lift travel ban

Beleaguered business owners and families separated by COVID-19 restrictions rejoiced Wednesday after the U.S. said it will reopen its land borders to nonessential travel next month, ending a 19-month freeze. Travel across land borders from Canada and Mexico has been largely restricted to workers whose jobs are deemed essential. New rules will allow fully vaccinated foreign nationals to enter the U.S. regardless of the reason, starting in early November, when a similar easing of restrictions is set for air travel. By mid-January, even essential travelers seeking to enter the U.S., such as truck drivers, will need to be fully vaccinated. Shopping malls and big-box retailers in U.S. border towns whose parking spaces had been filled by cars with Mexican license plates were hit hard by travel restrictions. San Diego Mayor Todd Gloria said the economic impact was hard to quantify but can be seen in the sparse presence of shoppers at a high-end outlet mall on the city’s border with Tijuana, Mexico. The decision comes at a critical time ahead of the holiday shopping season. In Nogales, Arizona, travel restrictions forced about 40 retail businesses to close on the main strip in the city of 20,000 people, said Jessy Fontes, board member of the Nogales-Santa Cruz County Chamber of Commerce and owner of Mariposa Liquidation Store, which sells household appliances. His sales fell 60%, and he considered closing but instead cut his staff from seven to two. In Del Rio, Texas, Mexican visitors account for about 65% of retail sales, said Blanca Larson, executive director of the chamber of commerce and visitors bureau in the city of 35,000 people. “Along the border, we’re like more of one community than two different communities,” she said. The ban has also had an enormous social and cultural impact, preventing family gatherings when relatives live on different sides of the border. Community events have stalled even as cities away from U.S. borders have inched toward normalcy. In Sault Ste. Marie, Michigan, where hockey and ice skating are ingrained, the Soo Eagles haven’t had a home game against a Canadian opponent in 20 months. The players, 17 to 20 years old, have been traveling to Canada since border restrictions were lifted there two months ago. Now the U.S. team can host. “I almost fell over when I read it,” said Ron Lavin, co-owner of the Eagles. “It’s been a long, frustrating journey for people on a lot of fronts far more serious than hockey, but we’re just really pleased. It’s great for the city.” Fully vaccinated U.S. citizens and permanent residents have been allowed into Canada since August, provided they have waited at least two weeks since getting their second vaccine dose and can show proof of a recent negative COVID-19 test. Mexico has not enforced COVID-19 entry procedures for land travelers. The latest move follows last month’s announcement that the U.S. will end country-based travel bans for air travel and instead require vaccination for foreign nationals seeking to enter by plane. The new rules only apply to legal entry. Those who enter illegally will still be subject to expulsion under a public health authority that allows for the swift removal of migrants before they can seek asylum. Travelers entering the U.S. by vehicle, rail, and ferry will be asked about their vaccination status as part of the standard U.S. Customs and Border Protection inspection. At officers’ discretion, travelers will have their proof of vaccination verified in a secondary screening process. Unlike air travel, for which proof of a negative COVID-19 test is required before boarding a flight to enter the U.S., no testing will be required to enter the U.S. by land or sea, provided the travelers meet the vaccination requirement. According to the Centers for Disease Control and Prevention, the U.S. will accept travelers who have been fully vaccinated with any of the vaccines approved for emergency use by the World Health Organization, not just those in use in the U.S. That means that the AstraZeneca vaccine, widely used in Canada, will be accepted. Officials said the CDC was still working to formalize procedures for admitting those who received doses of two different vaccines, as was fairly common in Canada. U.S. Homeland Security Secretary Alejandro Mayorkas said he was “pleased to be taking steps to resume regular travel in a safe and sustainable manner” and lauded the economic benefits of it. Mexico, Canada, and elected officials from U.S. border regions have pressured the Biden administration for months to ease restrictions. “This is a win for families who’ve been separated and businesses and tourism industries whose operations have been blocked since the start of the pandemic,” said U.S. Sen. Jeanne Shaheen of New Hampshire, echoing reactions of other federal, state, and local officials. Mexico President Andres Manuel López Obrador said it took “many meetings to achieve the opening of the border.” Bill Blair, Canada’s minister of public safety, called the announcement “one more step toward returning to normal.” Cross-border traffic has plummeted since the pandemic, according to U.S. Department of Transportation figures. The number of vehicle passengers entering the U.S. in Niagara Falls, New York — the busiest land crossing on the Canadian border — fell 83% to 1.7 million in 2020 and has remained low this year. “Losing those customers over the last 18 months has been one of the primary reasons our hotels, restaurants, and attractions have been suffering,” said Patrick Kaler, president and chief executive of Visit Buffalo Niagara, the area’s tourism agency. At San Diego’s San Ysidro border crossing, the nation’s busiest crossings dropped 30% last year to 18 million. Taxi drivers were largely idled Wednesday on a nearby bridge, including one who did exercises. COVID-19 cases in the U.S. have dropped to about 85,000 per day, the lowest level since July. Per capita case rates in Canada and Mexico have been markedly lower than in the U.S. for the duration of the pandemic, which amplified frustrations about the U.S. travel restrictions. Republished with the permission of the Associated

Tommy Tuberville joins other leaders to change sexual assault investigations in the military

U.S. Senator Tommy Tuberville has joined a bipartisan group of senators to support a bill that will change the way the military conducts sexual assault investigations and prosecutions. Tuberville, a member of the Senate Armed Services Committee Subcommittee on Personnel, joined U.S. Senators Kirsten Gillibrand (D-NY), Chuck Grassley (R-IA), Joni Ernst (R-IA), Richard Blumenthal (D-CT), Ted Cruz (R-TX), Jeanne Shaheen (D-NH), Mark Kelly (D-AZ), and 28 other Senators to introduce the Military Justice Improvement and Increasing Prevention Act. According to the press release, the legislation “keeps the prosecution of sexual assault crimes within the military but moves the decision to prosecute to independent, trained, professional military prosecutors, and provides for several new prevention provisions such as better training for commanders and increased physical security measures, while ensuring that commanders still have the ability to provide strong leadership and ensure a successful command climate.” Tuberville stated, “Our men and women in uniform sacrifice every day to keep us safe, often working in some pretty unsafe places around the world. The last thing they should be worrying about is whether they’re unsafe within their ranks, and they certainly shouldn’t have to fear retaliation if they report a sexual assault. This bill is what happens when a bipartisan group of senators come together to get something done. I’m thankful that Senator Gillibrand and Senator Ernst have led the charge, and I’m glad to join my colleagues in support of this bill that will help improve the way the military handles sexual assaults so survivors can get the justice they deserve.” The bill was introduced in 2019, but did not receive a vote.  Specifically, the legislation would:  Move the decision on whether to prosecute serious crimes to independent, trained, and professional military prosecutors, while leaving misdemeanors and uniquely military crimes within the chain of command.  Ensure the Department of Defense supports criminal investigators and military prosecutors through the development of unique skills needed to properly handle investigations and cases related to sexual assault and domestic violence.  Require the Secretary of Defense to survey and improve the physical security of military installations– including locks, security cameras, and other passive security measures – to increase safety in lodging and living spaces for service members.  Increase, and improve training and education on military sexual assault throughout our armed services. Kirsten Gillibrand stated on Twitter, “Here’s a bipartisan mission we can all support: Survivors of military sexual assault deserve justice. I’m proud to have @JoniErnst join me this week to introduce our new, improved bill to reform the military justice system and invest in prevention.” Here’s a bipartisan mission we can all support: Survivors of military sexual assault deserve justice. I’m proud to have @joniernst join me this week to introduce our new, improved bill to reform the military justice system and invest in prevention. https://t.co/pYYUL6IRyA — Kirsten Gillibrand (@SenGillibrand) April 27, 2021 The legislation is cosponsored by U.S. Senators Kirsten Gillibrand (D-NY), Chuck Grassley (R-IA), Joni Ernst (R-IA), Richard Blumenthal (D-CT), Ted Cruz (R-TX), Jeanne Shaheen (D-NH), Tammy Baldwin (D-WI), Chris Van Hollen (D-MD), Angus King (I-ME), Michael Braun (R-IN), Dick Durbin (D-IL), Tammy Duckworth (D-IL), Michael Bennet (D-CO), Rand Paul (R-KY), Chris Coons (D-DE), Mark Kelly (D-AZ), Sherrod Brown (D-OH), Bob Casey Jr. (D-PA), Maggie Hassan (D-NH), Mazie K. Hirono (D-HI), Amy Klobuchar (D-MN), Patrick Leahy (D-VT),Elizabeth Warren (D-MA), Ron Wyden (D-OR), Cynthia Lummis (R-WY), Dianne Feinstein (D-CA), Catherine Cortez Masto (D-NV), Raphael Warnock (D-GA), Alex Padilla (D-CA), Shelley Moore Capito (R-WV), Gary C. Peters (D-MI), Tim Kaine (D-VA), Tina Smith (D-MN), Bob Menendez (D-NJ), and Martin Heinrich (D-NM).

FBI chief: No evidence of illegal spying on Donald Trump campaign

FBI

WASHINGTON (AP) — FBI Director Chris Wray said Tuesday that he does not consider court-approved FBI surveillance to be “spying” and said he has no evidence the FBI illegally monitored President Donald Trump’s campaign during the 2016 election. His comments at a Senate Appropriations subcommittee hearing broke from Attorney General William Barr, who has described as “spying” FBI surveillance during its investigation into potential collusion between the Trump campaign and Russia. Barr has not said such surveillance was necessarily improper, but Trump nonetheless seized on those comments to suggest his campaign was spied on in an illegal and unprecedented act. Asked by Sen. Jeanne Shaheen, Democrat-New Hampshire, if he would say that the FBI is “spying” when it investigates suspected terrorists and mobsters while following “investigative policies and procedures,” Wray replied, “Well, that’s not the term I would use.” He added: “I believe that the FBI is engaged in investigative activity, and part of investigative activity includes surveillance activity of different shapes and sizes. And to me, the key question is making sure that it’s done by the book, consistent with our lawful authorities. That’s the key question. Different people use different colloquial phrases.” Wray declined to discuss in detail the FBI’s investigation into the Trump campaign because of an ongoing Justice Department inspector general probe into the origins of the Russia inquiry. Barr has said he expects the watchdog report to be done in May or June. But asked whether he was aware of evidence that the FBI had illegally spied on the Trump campaign, Wray said, “I don’t think I personally have any evidence of that sort.” Barr is investigating whether there was a proper basis for the FBI to open a counterintelligence investigation into ties between the Trump campaign and Russia. The recently concluded investigation from Special Counsel Robert Mueller did not find a criminal conspiracy between the campaign and the Kremlin to tip the outcome of the 2016 presidential election. “The attorney general is seeking to understand better the circumstances at the department and the FBI relating to how this investigation started, and we’re working to help him get that understanding,” Wray said about the Justice Department’s review. “I think that’s part of his job and part of mine.” Barr didn’t specify what he meant when he said he believed there had been spying on the Trump campaign, though he also said that he did not mean the word in a negative way. At a hearing last week, he described “spying” as a “good English word” encompassing “all forms of covert intelligence operations” and said he wouldn’t back away from using it. The FBI obtained a secret surveillance warrant in 2016 to monitor the communications of former Trump campaign aide Carter Page, whose interactions with Russia had raised law enforcement suspicions even before he joined the campaign. The New York Times reported last week that the FBI used a woman posing as a research assistant to approach ex-Trump campaign adviser George Papadopoulos, who was told by a Maltese professor in the spring of 2016 that Russia had “dirt” on Democrat Hillary Clinton in the form of stolen emails. In his book about his entanglement in the Russia probe, “Deep State Target,” Papadopoulos wrote that the woman, who identified herself as Azra Turk, asked him about his work with the Trump campaign. “She wants to know: Are we working with Russia?” he wrote. He described her question as “creepy” and said he told her he had “nothing to do with Russia.” Papadopoulos later pleaded guilty to lying to the FBI about his interactions with the professor, Joseph Mifsud.

New Homeland Security center to guard against cyberattacks

Kirstjen Nielsen

The U.S. Department of Homeland Security is creating a center aimed at protecting banks, electric companies and other critical infrastructure against cyberattacks — a threat that now exceeds the danger of a physical attack against the U.S. by a hostile foreign group, Secretary Kirstjen Nielsen said Tuesday. The National Risk Management Center will work to quickly identify and address potential threats and improve safeguards across a range of industries, she said. It will prioritize risks to industries that most Americans rely on, like the power grid. It is designed to be a partnership with private companies and federal agencies, with Homeland Security as the lead agency. Nielsen spoke at a cybersecurity summit hosted by government officials that brought CEOs of credit card companies, telecommunications industries and utilities together with the heads of the NSA, FBI and Department of Energy. The summit comes during renewed concern over the possibility of Russian-sponsored meddling in the midterm elections, and criticism of the Trump administration’s efforts on cybersecurity. Sen. Claire McCaskill, D-Missouri announced that Russian hackers tried unsuccessfully to infiltrate her Senate computer network and Sen. Jeanne Shaheen, D-New Hampshire, told The Associated Press that someone contacted her office “claiming to be an official from a country.” She is not up for re-election. President Donald Trump has offered mixed messages on Russian interference in U.S. elections — at times even calling it a “hoax,” though he acknowledged in a recent tweet that the midterms are a likely target. Nielsen said Tuesday the government cannot allow Russian interference again. “Let me be clear on this, any attempt to interfere in our elections is a direct attack on our democracy, it is unacceptable, and it will not be tolerated,” she said. “Mark my words: America will not tolerate this meddling.” Nielsen said Tuesday the threat is not limited to elections, and cannot be underestimated. She cited as examples the credit bureau breach where half of Americans had personal information exposed online, plus the WannaCry ransomware that spread from North Korea to more than 150 countries, and Russian hackers compromised the control rooms of energy companies around the world. “These incidents, though, are only the beginning,” she said. “Rogue regimes and hostile groups are probing critical systems worldwide every moment as we speak. And without aggressive action to secure our networks, it is only a matter of time before we get hit hard in the homeland.” At a summit panel, the heads of MasterCard, AT&T and Southern Company talked about the need to work together to create a systemic solution to secure the internet. Ajay S. Banga, the head of MasterCard, said on the panel that the Wild West days of the internet were great to grow the functionality of it. But it’s time to rein it in. “We need to get it back in control, and take it to a dog trainer and get it trained,” he said. Republished with the permission of the Associated Press.