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Election 2026

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Issue record

Health care

In short

Van Orden's campaign backs repealing Obamacare for a more competitive system protecting pre-existing conditions. Cooke's campaign backs a $30 monthly cost cap on insulin, inhalers and cancer drugs, and Medicare vision, dental and hearing coverage. Kent's platform lists no health care position on the pages checked; Provance's would remove federal control over health care. On the record, Van Orden voted for the HALT Fentanyl Act, which permanently controls fentanyl-related drugs; fentanyl itself was already controlled.

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Campaign positions

What each campaign says.

Derrick Van Orden

Would protect people with pre-existing conditions “when Obamacare is fully repealed and a new system is implemented allowing for true competition in healthcare, driving costs down”. While that happens, his campaign says he has already delivered for the district: $1 billion annually for BadgerCare, $500 million to strengthen Wisconsin’s rural hospital infrastructure, and a further $600,000 for new ambulances in underserved parts of the district. He describes the goal as health care that is “high quality, readily available, and actually affordable”.

Rebecca Cooke

Would cap out-of-pocket costs on insulin, inhalers and cancer drugs at thirty dollars a month, expand Medicare to cover vision, dental and hearing — “the very things that deteriorate as we age” — and reverse Medicaid and Affordable Care Act cuts while funding rural hospitals. She would also lower the Medicare eligibility age by a year at a time, raise Medicare and Medicaid reimbursement rates so rural hospitals can keep providing care, and address antitrust in a system she says leaves consumers little choice. She writes as a small business owner who buys her own coverage on the exchange.

Alexander Valiensi Kent

No position on health care is stated. His platform is the process by which policy is decided — issue-by-issue voting by verified voters, one voter and one vote on all issues — rather than an outcome on any given issue. Health care is not among the examples he uses.

Rustin Provance

Would “remove federal control over healthcare, as it is an individual issue”, on the grounds that “you know what is best for you and your family”, and would take preventative measures so that what he calls the federal overstep of recent years cannot recur.

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Evidence timeline

What the record shows.

  1. Occurred Jul 16, 2025

    official action

    Derrick Van Orden: Matches stated record claim

    He voted for the 2025 HALT Fentanyl Act, which made permanent the Schedule I treatment of fentanyl-related drugs; fentanyl itself was already controlled.

    Read the full check

    Full detail

    His campaign says bringing together law enforcement leaders across the district led to his support for legislation that classifies fentanyl as a controlled substance. He voted Yea on passage of S. 331, the HALT Fentanyl Act, on June 12, 2025, which carried 217-1. It became Public Law 119-26 on July 16, 2025. He had also voted Yea on the House companion, H.R. 27, on February 6, 2025, which carried 214-1 and went no further than the Senate. Limit: The Act makes the Schedule I treatment of fentanyl-related substances permanent. Fentanyl itself was already a controlled substance before it, so the claim is loosely worded even though the vote behind it is real. He was one of 217 members voting for it, and as with the whole-milk Act the measure that became law was the Senate bill rather than the House companion he also voted for.

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Sources8 source records

How we use sources

  1. Van Orden for Congress, issueshttps://vanordenforcongress.com/issues/

    Van Orden for Congress · Reviewed Sep 22, 2026

    Captured 2026-09-22; 1,074 words. The campaign's own site, identified by its "Paid for by Van Orden for Congress" line. Note that derrickvanorden.com is a registrar parking page and is not this site.

    candidate statement

    For: Derrick Van Orden: campaign position; Derrick Van Orden: Matches stated record claim

  2. Cooke for Wisconsin, prioritieshttps://cookeforwisconsin.com/priorities/

    Cooke for Congress · Reviewed Sep 22, 2026

    Captured 2026-09-22; 2,429 words across ten subject headings, the most detailed platform on any desk so far.

    candidate statement

    For: Rebecca Cooke: campaign position

  3. 2026 Candidate for the U.S. House, Alexander Valiensi Kenthttps://www.voterdirectednetwork.com/alexanderkent

    Voter Directed Network · Reviewed Sep 22, 2026

    Captured 2026-09-22; 7,855 words. His own platform, in the form of a keynote address. Note that kentforcongress.com is a registrar parking page belonging to someone else and is not his site.

    candidate statement

    For: Alexander Valiensi Kent: campaign position

  4. Voter Directed Network, homehttps://www.voterdirectednetwork.com/

    Voter Directed Network · Reviewed Sep 22, 2026

    Captured 2026-09-22; 1,499 words. The organisation he founded, which is also the vehicle his platform proposes.

    candidate statement

    For: Alexander Valiensi Kent: campaign position

  5. Rustin Provance for Congress, projectshttps://rustinforcongress.wixsite.com/website/projects-1

    Rustin Provance for Congress · Reviewed Sep 22, 2026

    Captured 2026-09-22. His platform: policing, Social Security, the Federal Reserve, health care, nuclear testing, the Department of Education, term limits, taxation, the military, veterans and relations with native nations. The page is at /projects-1; /projects returns 404.

    candidate statement

    For: Rustin Provance: campaign position

  6. House roll call 166, 119th Congress, 1st session (document)

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 22, 2026

    On passage of S. 331, 2025-06-12. Passed 217-1. Van Orden voted Yea.

    official legislative record

    For: Derrick Van Orden: Matches stated record claim

  7. S. 331, HALT Fentanyl Act (119th Congress)https://www.congress.gov/bill/119th-congress/senate-bill/331

    Congress.gov · Reviewed Sep 22, 2026

    Read through the Congress.gov API on 2026-09-22. Became Public Law 119-26 on 2025-07-16. It makes permanent the Schedule I treatment of fentanyl-related substances; fentanyl itself was already controlled.

    official legislative record

    For: Derrick Van Orden: Matches stated record claim

  8. House roll call 33, 119th Congress, 1st session (document)

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 22, 2026

    On passage of H.R. 27, the House companion HALT Fentanyl Act, 2025-02-06. Passed 214-1. Van Orden voted Yea. The bill was received in the Senate and went no further; the Senate's own bill became law instead.

    official legislative record

    For: Derrick Van Orden: Matches stated record claim

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