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NORTH CAROLINA STATE BOARD OF HEALTH,
Raleigh, March 24, 1966.

Hon. B. EVERETT JORDAN,
U.S. Senate, Washington, D.C.

DEAR SENATOR JORDAN: I am writing to ask your support of S. 3008 introduced by Senator Hill for the purpose of providing funds to assist States in planning for comprehensive health services-prevention, cure, and rehabilitation. Passage of

this legislation would serve an important need in knitting together Federal, State, and local health efforts.

It was good to meet you at the Winston-Salem meeting of the United Medical Research Foundation. I enjoyed the opportunity to talk with you and to learn of your strong support for the school milk program.

Sincerely,

JACOB KOOMEN, M.D., M.P.H.,
Acting State Health Director.

STATE OF NORTH DAKOTA,

EXECUTIVE OFFICE, Bismarck, March 25, 1966.

Hon. LISTER HILL,

Chairman of the Senate Committee on Labor and Public Welfare,
New Senate Office Building, Washington, D.C.

DEAR SENATOR HILL: I am taking this opportunity of informing you of my support for S. 3008. I believe that enactment of this legislation would be beneficial in augmenting the public health program in North Dakota.

Specifically, it would assist us in developing a long-range health plan and in implementing this plan. Further, it would enable us to carry out health activities with more assurance that funds available for such services would not be suddenly interrupted.

The North Dakota Department of Health is supporting passage of S. 3008. I add my support in requesting favorable consideration for this legislation.

Sincerely,

WILLIAM L. GUY, Governor.

NORTH DAKOTA STATE DEPartment of Health,

Hon. QUENTIN N. BURDICK,
U.S. Senate, Washington, D.C.

Bismarck, March 24, 1966.

DEAR SENATOR BURDICK: We respectfully request your support of S. 3008. We believe that the passage of S. 3008 will have an impact upon the preventive aspects of illness and injury comparable to that which Public Law 89-97 will have upon the medical care aspects of illness.

Some of its advantages to North Dakota as well as to the Nation are:

1. It reorganizes the Federal grants-in-health aid, thus increasing the efficiency of health administration on both the State and Federal levels.

2. It provides financial support to the States and local governments for competent health planning and for health services, the latter to be governed by the approved plans.

3. It makes feasible the uninterruption of health programs. The State health departments will know well in advance that Federal authorization and funds for health services will be forthcoming.

4. It more adequately recognizes the local health needs.

5. Indirectly it acknowledges greater Federal responsibility for financial support in preparing our country for disasters.

Thank you for your consideration of this important piece of health legislation. Sincerely,

JAMES R. AMOS, M.D., State Health Officer.

NORTH DAKOTA STATE DEPARTMENT OF HEALTH,
Bismarck, March 24, 1966.

Hon. MILTON R. YOUNG,
U.S. Senate, Washington, D.C.

DEAR SENATOR YOUNG: We are very much interested that S. 3008 become a public law. It would be especially advantageous in augmenting the public health of North Dakota. Specially among its merits are:

1. It reorganizes the Federal grants-in-health aid, thus increasing the efficiency of health administration on both the State and Federal levels.

2. It provides for good health planning by each State.

3. It provides for financial support of health services in the States and local governments.

4. It provides for the health services to be based upon, and governed by, the plans.

5. It more adequately recognizes the local or community health interests and needs.

6. It provides for continuation of States' rights in the administration of public health services.

Your support of S. 3008 is respectfully requested.
Sincerely,

JAMES R. AMOS, M.D., State Health Officer.

Hon. FRANK G. LAUSCHE,

U.S. Senate, Washington, D.C.

STATE OF OHIO DEPARTMENT OF HEALTH,
Columbus, March 23, 1966.

DEAR SENATOR LAUSCHE: I have had an opportunity to review S. 3008 cited as the "Comprehensive Health Planning and Public Health Services Amendments of 1966," introduced by Senator Lister Hill, and referred for consideration by the Senate Committee on Labor and Welfare. I wish to commend this legislation and its purposes to your attention and to express my hope that it will receive favorable consideration by Congress.

Your particular attention is called to the action taken by the Association of State & Territorial Health Officers in support of S. 3008. A copy of the statement presented to the Subcommittee on Health is enclosed.

In Ohio, as in the other States, we have for many years been faced with an increasing fragmentation of health services, resulting in costly duplication and waste. As research and modern techniques produce the means to further elevate the health levels of our people, this fragmentation and waste can only multiply unless the necessary mechanism is developed to unite our total abilities, resources, and efforts.

I believe that S. 3008 represents, to a high degree, a positive and genuine approach through which National, State, and grassroot purposes can be focused on a common goal toward the fulfillment of our country's rightful health heritage. Your earnest consideration of S. 3008 will be very much appreciated and I would be happy to give you any further information you may request with respect to this legislation and its possible impact on Ohio's health programs.

Sincerely yours,

Hon. STEPHEN M. YOUNG,

U.S. Senate, Washington, D.C.

E. W. ARNOLD, M.D.,
Director of Health.

STATE OF OHIO DEPARTMENT OF HEALTH,
Columbus, March 23, 1966.

DEAR SENATOR YOUNG: I have had an opportunity to review S. 3008 cited as the "Comprehensive Health Planning and Public Health Services Amendments of 1966" introduced by Senator Lister Hill, and referred for consideration by the Senate Committee on Labor and Welfare. I wish to commend this legislation and its purposes to your attention and to express my hope that it will receive favorable consideration by Congress.

Your particular attention is called to the action taken by the Association of State & Territorial Health Officers in support of S. 3008. A copy of the statement presented to the Subcommittee on Health is enclosed.

60-955-66-10

In Ohio, as in the other States, we have for many years been faced with an increasing fragmentation of health services, resulting in costly duplication and waste. As research and modern techniques produce the means to further elevate the health levels of our people, this fragmentation and waste can only multiply unless the necessary mechanism is developed to unite our total abilities, resources, and efforts. I believe that S. 3008 represents, to a high degree, a positive and genuine approach through which National, State, and grassroot purposes can be focused on a common goal toward the fulfillment of our country's rightful health heritage. Your earnest consideration of S. 3008 will be very much appreciated and I would be happy to give you any further information you may request with respect to this legislation and its possible impact on Ohio's health programs.

Sincerely yours,

Hon. LISTER HILL

E. W. ARNOLD, M.D.,
Director of Health.

OHIO STATE NURSES ASSOCIATION,
Columbus, Ohio, March 29, 1966.

Chairman, Labor and Public Welfare Committee,
U.S. Senate,

Washington, D.C.

DEAR SENATOR HILL: As the official voice for approximately 40,000 nurses in the State of Ohio, the Ohio State Nurses Association wishes to express its support of S. 3008, the proposed amendment to the Public Health Service Act. Our interest in this legislation stems from our vital concern for the provision of high quality nursing care to patients since this is the main purpose of our organization. We believe that the attainment of this goal depends to a large degree upon the development and improvement of community health services. Over the years numerous public health programs have emerged and grown independently. In many instances the activities of these individual units have duplicated each other, resulting not only in the needless expenditure of time and money, but also in ineffective action. At the same time, other geographical areas have suffered from a total lack of these very same services.

S. 3008 would assist in alleviating this problem by providing meaninful coordination of comprehensive areawide health facility planning. Therefore, we strongly support the enactment of this legislation.

Sincerely,

Senator LISTER HILL,

DOROTHY A. CORNELIUS, R.N.,
Executive Director.

OKLAHOMA CITY, OKLA., April 2, 1966.

Chairman, Senate Committee on Labor and Public Welfare,
Senate Office Building, Washington, D.C.:

Your favorable consideration is urged for passage of S. 3008. A progressive measure of this sort is essential for the continued justification of the expanding research investment in the medical field. Major improvement in the delivery mechanism of health services is becoming more crucial each day as the complexities of life and of environment increase. Reenforced State health departments, particularly in their planning capabilities can wait no longer. Strong leadership by State health departments is vital to comprehensive health planning to meet the requirement of coordinating health resources and a coherent delivery of health services. Oklahoma has already made great strides forward as evidenced by action during our last legislative session by initiating a program of regional health and social services centers whereby the resources and services of State agencies can be coordinated and made complementary. This program has the tangible support of $12 million to assist in the construction of several facilities throughout the State to implement this concept. Already one center is well along in the planning stage and initial construction is expected to begin the close of the year. Goveror Bellmon, by an executive order, has already put into effect the concept of comprehensive health planning which includes pro visions for coordination and cooperation of official and voluntary agencies and the general public through continuous, deliberate, and directed planning efforts both at the State and regional levels. In view of the steps taken by Oklahoma, S. 3008

would be a determining influence to this essential and vital movement in the health field.

KIRK T. MOSLEY, M.D., Oklahoma State Commissioner of Health.

Hon. LISTER HILL,

OREGON STATE BOARD OF HEALTH,

Portland, Oreg., March 31, 1966.

Chairman, Senate Committee on Labor and Public Welfare,
U.S. Senate, Washington, D.C.

DEAR SENATOR HILL: I would like to express my strong support of the position of the State and territorial health officers on Senate bill 3008. As a member of the Association of State and Territorial Health Officers and the health officer representing a State which has a keen interest in the concept of State and Federal partnership in developing health services for the Nation, I thoroughly concur in the principle of adjusting the Federal health grants to the needs of the individual States.

I do believe that the statutory language should require the health officer or his designated representative of each State to be a member of the planning agency within the State. Furthermore, since the health agencies in all of our States have a statutory and moral responsibility for converting health planning concepts into health programs and delivery of services, I sincerely hope that your committee will recognize the necessity of preserving the State health agency's responsibility in the delivery of the planned services to the citizens of its State. I shall be grateful for your consideration and support. Sincerely,

RICHARD H. WILCOX, M.D.,

State Health Officer.

COMMONWEALTH OF PENNSYLVANIA,
DEPARTMENT OF HEALTH,
Harrisburg, March 25, 1966.

Hon. LISTER HILL,

Chairman, Senate Committee on Labor and Public Welfare,
U.S. Senate, Washington, D.C.

Dear SenatoR HILL: I believe it would be most helpful for public health practice in the United States to have S. 3008, the "Comprehensive Health Planning and Public Health Service Amendments of 1966," bill enacted. The contents of this bill are the result of several years of prolonged but careful deliberations between the Department of Health, Education, and Welfare and the Association of State & Territorial Health Officers.

The improved method of Federal grants of health funds for local use as stated in S. 3008 should bring about better coordinated health planning and operations than is now possible with the highly categorized, highly restricted and piecemeal type of operation which is necessary under the present wording of the law.

As the State health officer of Pennsylvania and as the next to the last president of the Association of State & Territorial Health Officers, I respectfully urge the passage of S. 3008. A little modification in the bill would be desirable, such as suggested by William J. Peeples, M.D., commissioner of the Maryland State Department of Health, testifying for the Association of State & Territorial Health Officers.

Sincerely,

C. L. WILBAR, Jr., M.D.

STATE OF RHODE ISLAND
AND PROVIDENCE PLANTATIONS,
DEPARTMENT OF HEALTH,
Providence, March 28, 1966.

Hon. LISTER HILL,

Chairman, Senate Committee on Labor and Public Welfare,

U.S. Senate, Washington, D.C.

DEAR SENATOR HILL: As director of the Rhode Island Department of Health, I have long been concerned with the current method of Federal financing of health :services.

The fragmentation and the lack of adequate support for basic health services presents serious barriers to the development of coordinated programs.

As a member of the advisory group of the Association of State and Territorial Health Officers to the U.S. Public Health Service, I have been actively involved for several years in studying the need for new legislation. Your bill S. 3008 provides the opportunity for correcting many existing deficiencies, and I have written to Senators Pell and Pastore and Congressmen Fogarty and St Germain urging them to vigorously support the Senate and House versions of your bill. I have also requested Gov. John H. Chafee to give his support to this proposed legislation.

Sincerely yours,

JOSEPH E. CANNON, M.D., M.P.H.,

Director of Health.

Senator LISTER HILL,

STATE OF RHODE ISLAND
AND PROVIDENCE PLANTATIONS,
Providence, March 29, 1966.

Chairman, Senate Committee on Labor and Public Welfare,
New Senate Office Building, Washington, D.C.

DEAR SENATOR HILL: The Rhode Island director of health, Dr. Joseph E. Cannon, has informed me of the introduction of your bill, S. 3008, and I wish to give this proposed legislation my full support.

For several years now, I have been increasingly concerned with the fragmentation of health services, the lack of realistic Federal financial support for basic public health programs, and the shortages of trained professional personnel.

The provisions of your bill provide for the correction of some of the inherent defects in the current system and represent a beginning for the orderly development of needed public health services.

Sincerely yours,

JOHN H. CHAFEE, Governor.

SOUTH DAKOTA STATE DEPARTMENT OF HEALTH,
Pierre, March 25, 1966.

Hon. GEORGE MCGOVERN,
U.S. Senate, Washington, D.C.

Dear Senator McGovern: I would like to add my personal endorsement to the statements submitted by the Association of State & Territorial Health Officers to the Subcommittee on Health of the Senate Committee on Labor and Public Welfare during hearings on S. 3008.

In the every-broadening field of public health it is becoming more and more evident that we must have comprehensive planning involving all agencies concerned in the provision of health services. It is also necessary that we provide for more training, both for those who plan and for those who provide service. In South Dakota, our greatest difficulty has been the financing of our basic health programs and assistance is needed in this area rather than in the area of control of certain specific diseases. This assistance is especially needed at the local level.

We therefore urge that favorable consideration be given to S. 3008, the provisions of which will make it possible for us to provide more and better health services to the citizens of our State.

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DEAR SENATOR MUNDT: I would like to add my personal endorsement to the statements submitted by the Association of State & Territorial Health Officers to the Subcommittee on Health of the Senate Committee on Labor and Public Welfare during hearings on S. 3008.

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