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S. HRG. 102–226, Pt. 2

DEPARTMENTS OF LABOR, HEALTH AND HUMAN

SERVICES, AND EDUCATION, AND RELATED
AGENCIES APPROPRIATIONS FOR FISCAL YEAR
1992

HEARINGS

BEFORE A

SUBCOMMITTEE OF THE
COMMITTEE ON APPROPRIATIONS

UNITED STATES SENATE

ONE HUNDRED SECOND CONGRESS

FIRST SESSION

ON

H.R. 2707/H.R. 3839
AN ACT MAKING APPROPRIATIONS FOR THE DEPARTMENT OF LABOR,
HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED
AGENCIES, FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 1992; AND
FOR OTHER PURPOSES

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For sale by the U.S. Government Printing Office
Superintendent of Documents, Congressional Sales Office, Washington, DC 20402

ISBN 0-16-037043-4

COMMITTEE ON APPROPRIATIONS

ROBERT C. BYRD, West Virginia, Chairman
DANIEL K. INOUYE, Hawaii

MARK O. HATFIELD, Oregon
ERNEST F. HOLLINGS, South Carolina TED STEVENS, Alaska
J. BENNETT JOHNSTON, Louisiana

JAKE GARN, Utah
QUENTIN N. BURDICK, North Dakota

THAD COCHRAN, Mississippi
PATRICK J. LEAHY, Vermont

ROBERT W. KASTEN, JR., Wisconsin
JIM SASSER, Tennessee

ALFONSE M. D'AMATO, New York
DENNIS DECONCINI, Arizona

WARREN RUDMAN, New Hampshire
DALE BUMPERS, Arkansas

ARLEN SPECTER, Pennsylvania
FRANK R. LAUTENBERG, New Jersey

PETE V. DOMENICI, New Mexico
TOM HARKIN, Iowa

DON NICKLES, Oklahoma
BARBARA A. MIKULSKI, Maryland

PHIL GRAMM, Texas
HARRY REID, Nevada

CHRISTOPHER S. BOND, Missouri
BROCK ADAMS, Washington

SLADE GORTON, Washington
WYCHE FOWLER, JR., Georgia
J. ROBERT KERREY, Nebraska

JAMES H. ENGLISH, Staff Director

MARY S. DEWALD, Chief Clerk
J. KEITH KENNEDY, Minority Staff Director

SUBCOMMITTEE ON DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND

EDUCATION, AND RELATED AGENCIES

TOM HARKIN, Iowa, Chairman
ROBERT C. BYRD, West Virginia

ARLEN SPECTER, Pennsylvania
ERNEST F. HOLLINGS, South Carolina MARK O. HATFIELD, Oregon
QUENTIN N. BURDICK, North Dakota

TED STEVENS, Alaska
DANIEL K. ÎNOUYE, Hawaii

WARREN RUDMAN, New Hampshire
DALE BUMPERS, Arkansas

THAD COCHRAN, Mississippi
HARRY REID, Nevada

PHIL GRAMM, Texas

, BROCK ADAMS, Washington

SLADE GORTON, Washington

Majority Professional Staff
J. MICHAEL HALL, JAMES J. SOURWINE, CAROL C. MITCHELL, AMY SCHULTZ, and MARGARET

STEWART

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CONTENTS

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957

(III)

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION AND RELATED AGENCIES APPROPRIATIONS FOR FISCAL YEAR 1992

TUESDAY, MARCH 5, 1991

U.S. SENATE,
SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS,

Washington, DC. The subcommittee met at 2:08 p.m., in room SD-126, Dirksen Senate Office Building, Hon. Harkin (chairman) presiding.

Present: Senators Harkin, Burdick, Bumpers, Specter, Hatfield, and Gorton.

DEPARTMENT OF HEALTH AND HUMAN SERVICES

OFFICE OF THE SECRETARY

STATEMENT OF HON. LOUIS W. SULLIVAN, SECRETARY

BUDGET REQUEST

Senator HARKIN. Good afternoon. The Subcommittee on Labor, Health and Human Services, Education, and Related Agencies will come to order.

I want to welcome Secretary Sullivan this afternoon to review with us the fiscal year 1992 budget for his Department. The 1992 total request for Department programs under the jurisdiction of this subcommittee, is $160.6 billion, of which $22.8 billion is for discretionary programs and $137.8 billion is for mandatory programs.

Again, as in the past years, we see mandatory spending increasing by 10.6 percent, well over the rate of inflation, while discretionary programs are increasing by only 0.9 of 1 percent, well below the rate of inflation. The request would permit mandatory programs to grow by $13.2 billion and discretionary programs have a net growth of only $200 million.

In addition to these requests, the Department will have an estimated $448 billion available from the permanent trust funds. This will result in total 1992 spending authority available to the Department to be an estimated $609 billion, or 41 percent of the entire Federal Government.

This afternoon's hearing will be followed by five additional hearings to examine in greater detail the requests of the various agencies in the Department of Health and Human Services. This hear

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