HOSPITAL COST CONTAINMENT ACT OF 1977
SUBCOMMITTEE ON
HEALTH AND SCIENTIFIC RESEARCH
COMMITTEE ON HUMAN RESOURCES
UNITED STATES SENATE
NINETY-FIFTH CONGRESS
TO ESTABLISH A TRANSITIONAL SYSTEM OF HOSPITAL COST CONTAIN-
MENT BY PROVIDING FOR INCENTIVES AND RESTRAINTS TO CONTAIN
THE RATE OF INCREASE IN HOSPITAL REVENUES, TO ESTABLISH A
SYSTEM OF CAPITAL ALLOCATION DESIGNED TO ENCOURAGE COM-
MUNITIES TO AVOID THE CREATION OF UNNEEDED AND DUPLICATIVE
HOSPITAL FACILITIES AND SERVICES, TO PROVIDE FOR THE PUBLI-
CATION AND DISCLOSURE OF INFORMATION USEFUL TO THE PUBLIC
IN MAKING DECISIONS ABOUT HEALTH CARE, TO PROVIDE FOR THE
DEVELOPMENT OF PERMANENT REFORMS IN HOSPITAL REIMBURSE-
MENT DESIGNED TO PROVIDE INCENTIVES FOR THE EFFICIENT AND
EFFECTIVE USE OF HOSPITAL RESOURCES, AND FOR OTHER PURPOSES
WASHINGTON, D.C.
MAY 24, 26; JUNE 17 AND 21, 1977
BANGOR, MAINE
JULY 6, 1977
Printed for the use of the Committee on Human Resources
COMMITTEE ON HUMAN RESOURCES
HARRISON A. WILLIAMS, JR., New Jersey, Chairman
JENNINGS RANDOLPH, West Virginia
CLAIBORNE PELL, Rhode Island
EDWARD M. KENNEDY, Massachusetts
GAYLORD NELSON, Wisconsin
THOMAS F. EAGLETON, Missouri
ALAN CRANSTON, California
WILLIAM D. HATHAWAY, Maine
DONALD W. RIEGLE, JR., Michigan
JACOB K. JAVITS, New York
RICHARD S. SCHWEIKER, Pennsylvania
ROBERT T. STAFFORD, Vermont
ORRIN G. HATCH, Utah
JOHN H. CHAFEE, Rhode Island
S. I. HAYAKAWA, California
STEPHEN J. PARADISE, General Counsel and Staff Director
MARJORIE M. WHITTAKER, Chief Clerk
DON A. ZIMMERMAN, Minority Counsel
LAWRENCE HOROWITZ, Professional Staff Member
DAVID WINSTON, Minority Counsel
CHRONOLOGICAL LIST OF WITNESSES
TUESDAY, MAY 24, 1977
Califano, Hon. Joseph A., Jr., Secretary of Health, Education, and Wel-
fare, accompanied by Karen Davis, Deputy Assistant Secretary for
Planning and Evaluation, Health..
Dukakis, Hon. Michael, Governor of the Commonwealth of Massachusetts,
accompanied by C. Sneve Weiner, chairman, Rate Setting Commis-
sion_...
Gehrig, Leo J., M.D., senior vice president, American Hospital Associa-
tion, accompanied by Allen J. Manzano, vice president, American
Hospital Association; and Irwin Wolkstein, associate director, Wash-
ington office, American Hospital Association..
O'Brien, Charles M., Jr., administrator, Georgetown University Hospital,
accompanied by Thomas J. Gletner, assistant administrator for finance..
Fraser, Douglas A., president, International Union, United Auto Workers,
accompanied by Melvin A. Glasser, director, Social Security Depart-
ment, UAW..
Seidman, Bert, American Federation of Labor and Congress of Industrial
Organizations, accompanied by Robert McGlotten, Department of
Legislation, ÁFL-CIO; and Richard E. Shoemaker, Department of
Social Security..
Bromberg, Michael D., director, Federation of American Hospitals, ac-
companied by Andrew W. Miller, president-elect - -
Annis, Jere W., M.D., American Medical Association, accompanied by
William C. Felch, M.D.; and Harry N. Peterson, director, department of
legislation, AMA.
Pitts, Terrance, supervisor, Milwaukee County, Wis., National Association
of Counties, accompanied by Mike Gemmell, legislative representative__
McIntyre, Hon. Thomas J., a U.S. Senator from the State of New Hamp-
shire..
Czerwinski, Joseph C., member, Wisconsin State Legislature, and chair-
man, committee on health and human resources, accompanied by Dick
Merritt, National Conference of State Legislatures__
Olson, Mancur, vice chairman, Maryland Health Services Cost Review
Commission; Jeanne E. Finley, M.D., New Jersey State commissioner of
health; and Robert P. Whalen, M.D., commissioner, New York State
Department of Health, a panel..
Wisniewski, Stanley, research director, Service Employees International
Union and Moe Foner, executive secretary, National Union of Hospital &
Health Care Employees; and Richard E. Murphy, legislative director,
Service Employees International Union, a panel_
Thompson, David D., M.D., director, New York Hospital, New York,
N. Y., chairman, Council of Teaching Hospitals, Association of American
Medical Colleges; Robert Heyssel, M.D., executive vice president and
director, Johns Hopkins Hospital, Baltimore, Md., accompanied by
John A. D. Cooper, M.D., president, Association of American Medical
Colleges; and Richard Knapp, director, department of teaching hospitals,
Association of American Medical Colleges, a panel_-_-
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