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Hill Policy
U.S. SENATE

John Hoeven

RepublicanNorth DakotaCurrently serving

Sworn into the Senate on Source

What they said 17

Their stated policy positions and commitments, with quotes and links to the original sources.

After the election · commitment · Original date not established

Seek a permanent exemption from federal contractor requirements for health providers serving veterans

AI-assisted summary

Hoeven is working to make permanent an exemption for health care providers from burdensome and duplicative requirements imposed by the Labor Department’s Office of Federal Contract Compliance Programs. He says these requirements limit providers’ ability to contract with the VA and make it harder for veterans to receive care in their home communities. He has previously secured temporary relief and extensions while seeking a permanent solution.

Context: The proposed exemption concerns OFCCP requirements that apply in addition to CMS standards and reviews; the source does not specify the exemption’s detailed terms.

After the election · Original date not established

Support North Dakota’s Rural Health Transformation Program

AI-assisted summary

Hoeven supports implementing the five-year Rural Health Transformation Program to strengthen health care access across North Dakota’s rural and urban communities. The program funds efforts including clinical equipment upgrades, health care workforce retention, mobile mammography, telehealth, and critical access hospitals. North Dakota could receive up to $1 billion over five years if it meets the application milestones and spends the funds within the allowed period.

Context: The five-year total is conditional on North Dakota meeting its application milestones and fully spending funds within the allowable period; year-two funding amounts were still being finalized.

After the election · legislative priority · Original date not established

Improve tribal food distribution programs

AI-assisted summary

Hoeven is cosponsoring the Increasing Tribal Input on Nutrition Act of 2025 and says he helped secure its inclusion in the Senate Farm Bill. The bill would give tribes a greater role in contracting decisions for the Food Distribution Program on Indian Reservations, provide direct payments to tribes to buy food during emergency disruptions, and require USDA to designate an emergency contractor within 45 days of a supply disruption. Hoeven says he is working to prevent disruptions and support tribal access to traditional foods.

Context: The release describes the legislation as a proposal and does not say it has been enacted. The existing 638 Food Distribution Program on Indian Reservations pilot serves more than 30 tribes.

After the election · commitment · Original date not established

Strengthen the tribal health care workforce

AI-assisted summary

Hoeven says he is working to strengthen recruitment and retention of health care professionals serving tribal communities, where he cites workforce shortages, especially in rural and remote areas. He points to the University of North Dakota’s Quentin N. Burdick Indian Health Program and RAIN Program as initiatives supporting that effort.

Context: The release does not specify new funding or other implementation details for this effort.

After the election · Original date not established

Support expanding grazing access on Forest Service lands

AI-assisted summary

Hoeven supports the Trump administration’s proposed Rangeland Management Rule to expand livestock grazing access on U.S. Forest Service lands, including North Dakota’s national grasslands. The proposal would align permit eligibility and rules with the Bureau of Land Management, create targeted, outcome-based grazing authorizations, put vacant allotments to productive use, expand permit opportunities for beginning ranchers, and allow livestock-use permits of up to five years with flexibility for temporary use. Hoeven says the changes are intended to support livestock producers and help manage grass buildup and wildfire risk.

Context: The administration’s rule is a proposal, not an enacted policy.

While serving · Original date not established

Cut red tape for health care providers

AI-assisted summary

Hoeven supports cutting red tape for health care providers as part of an approach intended to improve affordability and access to care in North Dakota.

Context: Original statement date not established. Source collected on November 11, 2026.

While serving · Original date not established

Increase health care price transparency

AI-assisted summary

Hoeven supports enhancing price transparency as part of his effort to provide high-quality, affordable health care and help patients make informed choices.

Context: Original statement date not established. Source collected on November 11, 2026.

While serving · Original date not established

Promote competition and choice to lower health care costs

AI-assisted summary

Hoeven supports a patient-centered approach that increases competition and choice, with the goal of lowering health care costs. He includes reducing prescription drug prices among the aims of this approach.

Context: Original statement date not established. Source collected on November 11, 2026.

While serving · Original date not established

Use incentives to attract and retain health care workers

AI-assisted summary

Hoeven supports incentives to attract and retain health care professionals in underserved regions. He presents this as one way to improve access to care in North Dakota.

Context: Original statement date not established. Source collected on November 11, 2026.

While serving · Original date not established

Increase mobile medical units

AI-assisted summary

Hoeven supports increasing the availability of mobile medical units as part of his effort to expand health care access in North Dakota, especially in rural areas.

Context: Original statement date not established. Source collected on November 11, 2026.