Part 41 CONTENTS Bogue, Ted, staff attorney, Public Citizen's Health Research Group......... 261, 280 Cain, Harry, executive director, American Health Planning Association Champion, Hon. Hale, Under Secretary, Department of Health, Education, Chavkin, David F., managing attorney, National Health Law Program. 261, 264 Cohen, Flora, president, Southeastern Wisconsin Health Systems Foley, Henry A., Ph. D., Administrator, Health Resources Administration, Public Health Service, Department of Health, Education, and Welfare .. 105 Gehrig, Leo J., M.D., senior vice president, American Hospital Association. Getson, Jacob, member, board of directors, American Health Planning Hollander, Neil, vice president, Blue Cross and Blue Shield Associations 523 Julian, Russell, executive director, Southeastern Wisconsin Health Sys- Juster, Robert J., president, Birmingham Regional Health Systems Kolander, Jerry, president, Panhandle Health Systems Agency ..... 420, 456 Lane, James A., vice president and counsel, Kaiser Foundation Health Livingston, Hon. Bob, a Representative in Congress from the State of Louder, George, executive director, Panhandle Health Systems Agency. McClory, Hon. Robert, a Representative in Congress from the State of 389 Mott, Anthony T., president, American Health Planning Association Rau, John M., member, board of directors, Orange County Health Planning Ravenscraft, Mark, vice chairman for health resources, health and educa- tion steering committee, National Association of Counties Robinson, James S., chairman, Houston-Galveston Area Council Health Rohling, Albert H., executive director, Birmingham Regional Health Sys- 420 Birmingham Regional Health Systems Agency: Section 1122/capital expenditure project reviews 445 452 Hospital Association of New York State, attachment to Monsignor Fitzpa- trick's prepared statement, letter, dated January 10, 1977, re discontinue duplicative or unneeded services or facilities. Kaiser Foundation Health Plan, attachment to Mr. Lane's prepared state- Livingston, Hon. Bob, a Representative in Congress from the State of McClory, Hon. Robert, a Representative in Congress from the State of Illinois, attachments to prepared statement: Appendix 1-Letter, dated December 18, 1978, from Senators Long and Johnston and Congressmen Treen, Boggs, and Livingston to Hon. Appendix 2-Critic takes issue with F. Edward Hébert Hospital...... Appendix 3-Scrap hospital, agency chief says Appendix 4-Telegram from Hon. Robert L. Livingston, to Dr. Jonas.. Appendix 5-Letter, dated February 1, 1979, from Dr. Jonas to Hon. 413 Letter, dated March 26, 1979, from Marjorie Quandt to Congressman National Association of Counties, attachment to Mr. Ravenscraft's pre- Page 628 Statements submitted for the record by- Federation of American Hospitals Health Insurance Association of America.. Private Doctors of America Service Employees International Union, AFL-CIO Washington Business Group on Health Letters submitted for the record by 703 643 701 739 672 663 683 606 746 693 752 ...... 757 762 Association of Rehabilitation Facilities, James Allen Cox, Jr., director Commonwealth of Virginia, Department of Health, Howard L. Sparks, chairman, statewide health coordinating council... Schneier, Max ORGANIZATIONS REPRESENTED AT HEARINGS American Health Planning Association: Beale, Gary. Cain, Harry, executive director. Getson, Jacob, member, board of directors. Hanson, Jacqueline B., president-elect. Mott, Anthony T., president. Stern, Elliot, department of government policy. Wester, Shirley, department of government policy. American Hospital Association: Gehrig, Leo J., M.D., senior vice president. Lively, Carol, manager, department of health management. Birmingham Regional Health Systems Agency: Juster, Robert J., president. Rohling, Albert H., executive director. Capital Health Systems Agency, Inc.: Stockbridge, George M., executive director. Winfree, Robert G., member. Consumer Coalition for Health, Herb Semmel. Group Health Association of America, Roger Birnbaum. Health, Education, and Welfare Department. Champion, Hon. Hale, Under Secretary. Foley, Henry A., Ph. D., Administrator, Health Resources Administration, Public Health Services. Hospital Association of New York State, Reverend Monsignor James H. Fitzpatrick, senior vice president. Houston-Galveston Area Council Health Systems Agency, James S. Robinson, chair man. Kaiser Foundation Health Plan, James A. Lane, vice president and counsel. Mental Health Association, Margaret M. Hastings, member, legislation and services committee. National Association of Counties, Mark Ravenscraft, vice chairman for health resources, health and education steering committee. National Conference of State Legislatures, Mary Marshall, chairman, human resources policy committee. National Health Law Program, Dave F. Chavkin, managing attorney. Orange County Health Planning Council: Matek, Stanley, executive director. Rau, John M., member, board of directors. Panhandle Health Systems Agency: Kolander, Jerry, president. Louder, George, executive director. Public Citizen's Health Research Group, Ted Bogue, staff attorney. Cohen, Flora, president. Julian, Russell, executive director. West Virginia Health Systems Agency, see American Health Planning Association. HEALTH PLANNING AND RESOURCES WEDNESDAY, MARCH 28, 1979 HOUSE OF REPRESENTATIVES, SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT, Washington, D.C. The subcommittee met, pursuant to notice, at 10:05 a.m., in room 2218, Rayburn House Office Building, Hon. Henry A. Waxman, chairman, presiding. Mr. WAXMAN. The subcommittee will please come to order. This morning the subcommittee begins 2 days of hearings on H.R. 3041, the Health Planning and Resources Development Amendments of 1979, and other proposals designed to extend and amend titles XV and XVI of the Public Health Service Act. The National Health Planning and Resources Development Act of 1974, Public Law 93-641, provided for the development of a structure to plan for a health system that will provide our citizens with access to quality health services at reasonable cost. The purpose of these hearings is to examine that structure and the progress being made to put it in place. We are also interested in learning how well the planning system is working, although our expectations must be tempered by the fact that most health systems agencies are less than 3 years old and much of that short time has been spent on organizational matters. In carrying out its review the committee will be building upon the extensive record which the subcommittee on Health and the Environment developed in its consideration of the health planning program last year. The goal of the health planning program-to provide access to quality care at a reasonable cost is as important today as it was in 1974 when this legislation was enacted. Many sectors of our Nation, particularly rural areas, do not have adequate access to even basic medical services. Health systems agencies-HSA's-and State health planning and development agencies need to work with local groups to attract necessary medical resources to those areas. It is clear to us that the rapid rise in health care costs presents us with a major problem. Health planning agencies should work on this problem through their review of new institutional health services by assuring that only those services and facilities which are needed are allowed to be developed and constructed. Excess hospital capacity is also a problem for some areas, and health planning agencies need to work with local communities to consolidate health care facilities or to use existing facilities to provide alternative services as appropriate. Good health planning (1) |