In September 2, 2014 letters, 11 U.S. senators, all co-sponsors of a bill to reform the third-class medical process, asked U.S. Department of Transportation Secretary Anthony Foxx and U.S. Office of Management and Budget Director Shaun Donovan to take quick action on their review of the Federal Aviation Administration’s (FAA) proposed medical reform rule. The letter warned Foxx and Donovan that “this is a time-sensitive issue” and asked that both agencies complete their review within one month. Once the reviews are complete, the FAA can open its Notice of Proposed Rulemaking (NPRM) for public comment.