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McDaniel, Durward K., national representative, American Council of the
Blind

Lowman, Edward W., M.D., of the American Congress of Rehabilitation
Medicine

Rusk, Howard, director, Institute for Rehabilitation Medicine..
Weinrich, Ernest, assistant director and social work consultant, United
Celebral Palsy Association, accompanied by Paula Burton and Arnold
Fishler

Ferris, Milton, chairman, Vocational Rehabilitation and Employment
Committee, National Association for Retarded Children___.
Mills, Craig, president, Council of State Administrators....

STATEMENTS

Cannon, Hon. Howard W., a U.S. Senator from the State of Nevada----
Cohen, Milton, executive director, Federation of the Handicapped---
Prepared statement------

Ferris, Milton, chairman, Vocational Rehabilitation and Employment
Committee, National Association for Retarded Children_-_-

Prepared statement__.

Goldstein, Dr. Robert, president, American Speech and Hearing Associa-
ation, accompanied by Frederick Spahr, deputy executive secretary____
Javits, Hon. Jacob K., a U.S. Senator from the State of New York-----
Kurzman, Stephen, Assistant Secretary for Legislation, Department of
Health, Education, and Welfare, accompanied by John D. Twiname,
Administrator, Social and Rehabilitation Service; Edward Newman,
Commissioner, Rehabilitation Services Administration; and Richard E.
Verville, Deputy Assistant Secretary for Congressional Liaison.
Lowman, Edward W., M.D., of the American Congress of Rehabilitation
Medicine

Prepared statement_-_

McDaniel, Durward K., national representative, American Council of the Blind_

Page

651

673

687

706

841 862

593

350

361

841

846

581

350

133

673

678

651

Prepared statement..

668

862

Prepared statement___

867

Nagle, John P., chief of the Washington office, National Federation of the Blind__.

631

Prepared statement (with attachment).

635

Mills, Craig, president, Council of State Administrators..

Rader, Dr. Dan, assistant commissioner for management analysis and
program development, North Carolina Department of Mental Health,
representing the National Association of State Mental Health Program
Directors, accompanied by Harry Schnibbe, executive director, National
Association of State Mental Health Program Directors, and Clarke Ross,
assistant to the executive director for legislation__----
Rusk, Howard. director, Institute for Rehabilitation Medicine..........
Schreiner, George E., M.D., chairman, legislative committee, the national
Kidney Foundation, accompanied by E. Lovell Becker, M.D., professor
of medicine, Cornell Medical Center, and president, the National Kidney
Foundation, and Samuel Kountz, M.D., assistant professor of surgery,
University of California, San Francisco, Calif....

Prepared statement..

586

687

314

323

Schloss. Irvin P., legislative analyst, American Foundation for the Blind; also representing the Blinded Veterans Association and American Association of Workers for the Blind___.

595

Prepared statement_-_

598

Stearns. James, senior at Dartmouth College...

425

Tower, Hon. John, a U.S. Senator from the State of Texas.

306

Weinrich. Ernest, assistant director and social work consultant, United

Cerebral Palsy Association, accompanied by Paula Burton and Arnold
Fishler

706

Prepared statement_.

720

Supplemental statement.

719

Whitten, E. B., National Rehabilitation Association...

Prepared statement (with attachment).

372

393

ADDITIONAL INFORMATION

Articles, publications, etc. :

Administrative review and fair hearing procedures for applicants of vocational rehabilitation services who are dissatisfied with a decision made in regard to them-----

Page

239

"Aid to the Blind and Old," an editorial from the Washington Post, March 30, 1971_---

612

"Blind Veteran to Receive President's Trophy," news release from the
President's Committee on Employment of the Handicapped.......
CP's passing through the VR system____

656

716

"Crutch Power," a study of the physically handicapped in America, by James C. Stearns, June 1972

430

Definitions of the handicapped individual and the severely handicapped individual ---

383

229

"Double Counting"-Persons rehabilitated who had been previously rehabilitated

Manual transmittal letter No. 68-2-Vocational Rehabilitation
Manual, revised chapter 16, section 1, basic and related requirements
for determining eligibility for vocational rehabilitation services and
for acceptability for extended evaluation to determine rehabilitation
potential (with attachment)-----

1971 Resurvey of State rehabilitation agencies, programs, and services
for clients with chronic kidney disease, special summary of, by
Joseph G. Colmen, Ph. D., and Virgil Smirnow__.
Number of severely disabled persons who are rehabilitated by the voca-
tional rehabilitation program, estimate of-----
"President's Program for Veterans," program instructions RSA-PI-
72-8 October 21, 1971, from the Department of Health, Education,
and Welfare, Social and Rehabilitation Service, Washington, D.C__
Proposed amendments to H.R. 8395---

8.3987, as introduced (see part 2 of this publication)

"Social and Rehabilitation Service-Vocational Rehabilitation Programs and Activities," H.E. W., from Federal Register, vol. 34, No. 200, Friday, October 17, 1969_

153

332

145

254

613

182

Special approach for evaluation of vocational rehabilitation programs_ State vocational rehabilitation experience in administrative review and fair hearings..

[blocks in formation]

"The Second Milestone," a conference on life enrichment needs of persons with multiple handicaps who are socially and culturally deprived. Alexandria, Va., March 1970, by the United Cerebral Palsy Associations, Inc., New York, N.Y....

736

What is the amount of non-Federal funds provided by private nonprofit organizations and agencies?____

142

Communications to:

Cranston, Hon. Alan, a U.S. Senator from the State of California, from:

Lowman, Edward W., M.D., clinical director, New York Univer-
sity Medical Center, Institute of Rehabilitation Medicine, New
York, N.Y., May 26, 1971-

703

Whitten, E. B., executive director, National Rehabilitation Asso-
ciation, Washington, D.C. :

May 26, 1972.

382, 419

June 5, 1972.

380

Tower. Hon. John G., a U.S. Senator from the State of Texas, from:
Douglas, William F., president, Kidney Foundation of Houston
and the Greater Gulf Coast Houston, Tex., April 4, 1972------
Hull, Alan R., M.D., The Kidney Foundation of Texas, April 13,
1972

Matter, B. J., M.D., past president, Kidney Foundation of Okla-
homa-Southern Kansas, Oklahoma City, Okla., April 14, 1972__
Rogers, John, president, Kidney Foundation of the Texas Pan-
handle, Amarillo, Tex., April 7, 1972.

310

312

313

311

Questions and answers:

Questions submitted by Senator Cranston to Mr. Kurzman of the
Department of Health, Education, and Welfare, with responses___
Questions submitted by Senator Javits to the Department of Health,
Education, and Welfare, with responses..

Selected tables:

Data form for evaluation of VR programs.
Numbers of disabled persons (1970) ----

State-by-State estimates on universe and number for fiscal year 1972
and fiscal year 1973_____

Page

290

249

272

265

251

Table 3.-Age, sex, race, surname, and highest grade of school completed of persons rehabilitated by State vocational rehabilitation agencies, fiscal years 1966–70___.

300

Table 5.-Major disabling condition of persons rehabilitated by State
vocational rehabilitation agencies, fiscal years 1966-70‒‒‒‒‒‒‒‒‒‒ 297, 301
Table 6.-Primary cause of selected major disabling conditions of per-
sons rehabilitated by State vocational rehabilitation agencies, fiscal
years 1968-70_____.

Table 7.-Number of referred, extended evaluation and active cases in
State vocational rehabilitation agencies, fiscal years 1967-71------
Table 8.-Source of referral of persons rehabilitated by State voca-
tional rehabilitation agencies, fiscal year 1969–70_

298

247

252

REHABILITATION ACT OF 1972

MONDAY, MAY 15, 1972

U.S. SE NATE,

SUBCOMMITTEE ON THE HANDICAPPED OF THE
COMMITTEE ON LABOR AND PUBLIC WELFARE,

Washington, D.C.

The subcommittee met, pursuant to notice, at 10 a.m. in room 3110, New Senate Office Building, Senator Alan Cranston presiding pro tempore.

Present: Senators Cranston, Randolph, and Stafford.

Committee staff members present: George E. Lawless, professional staff member; Robert R. Humphreys, special counsel; Jonathan R. Steinberg, counsel; and Roy H. Millenson, minority professional staff member.

Senator CRANSTON. The hearing will please come to order.

Senator Randolph, chairman of the Subcommittee on the Handicapped, planned to be with us to actually open the hearing, but he was held up. He will be here in a bit.

I am also delighted that Senator Stafford, the ranking Republican member of the subcommittee, is here with us.

The hearing this morning is the first to be held by the Subcommittee on the Handicapped since its recent reorganization. I am honored that Senator Randolph, the distinguished chairman of the subcommittee, long the leader of legislation to assist handicapped Americans, has asked me to chair the subcommittee during its hearings on, and consideration of, H.R. 8395, the Rehabilitation Act of 1972, to extend the Vocational Rehabilitation Act; S. 3158, introduced by Senator Williams, to establish an Office of the Handicapped; S. 3368, by Senator Taft, for the administration; and other bills related to the Vocational Rehabilitation Act: S. 1030, S. 2813, and S. 41.

I am grateful to Senator Randolph for affording me the opportunity to serve in this capacity, and I look forward to working closely with him on this terribly important legislation.

This is the first of a series of hearings on this legislation, which will continue throughout the month. In the future, this subcommittee can serve as a viable and dynamic forum in which the problems of handi capped Americans can be freely discussed and dealt with.

During these hearings on the extension of the Vocational Rehabilitation Act, we will welcome testimony from as many viewpoints as possible.

This morning, we will hear from the principal administrators of the program from the Department of Health, Education, and Welfare. In subsequent hearings, we will hear from some of those actively working in the field of vocational rehabilitation and receive what I consider crucial testimony; that is, the views of consumers and consumer groups.

(1)

It has been my experience in the past, as chairman during the 91st Congress, of the Veterans' Affairs Subcommittee of this committee, and now in this Congress as chairman of the Subcommittee on Health and Hospitals of the new Senate Veterans' Affairs Committee, that testimony of the actual recipients of the services from Federal programs provides a special understanding of pending legislation and the way it will work.

Further, I feel that much that we have learned in the hearings related to veterans' rehabilitation programs is readily translatable to our present efforts to provide more effective and comprehensive services to those individuals served by the vocational rehabilitation

program.

The subcommittee intends to examine the present vocational rehabilitation system and how it works, as well as see how the proposed legislation can improve it. I am hopeful that we can produce legislation which will achieve the goal we seek: the best possible vocational rehabilitation services for those individuals who need them.

It is imperative that the many questions which have been posed regarding the present system and the expansions of that system be answered. It is quite possible that we will need to call upon the Department of Health, Education, and Welfare to clarify points which will arise as this series of hearings progresses.

I hope the administration witnesses will be agreeable to returning at the end of the hearings, should the need arise.

Chairman Randolph and I wish to dedicate these hearings to the disabled of the Nation. This subcommittee is vitally interested in the problems they face, and we intend to provide a place in the Senate of the United States where they may express their views. And, more important, have them listened to and translated into action on the programs which directly affect their lives and successful adjustment in society.

At this time I wish to commend the fine committee staff work that went into this hearing and into the legislative preparation needed for this bill, by Michael Burns, Lisa Walker, and Linda Teixeira.

We will set forth in the record at this point a copy of the six bills under consideration, agency reports on them, and other explanatory materials.

(The material referred to follows:)

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