S. Congress. Senate., COMMITTEE ON

.
LABOR AND PUBLIC WELFARE.

UNITED STATES SENATE

EIGHTY-NINTH CONGRESS

SECOND SESSION

ON

S. 3008

A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO
PROMOTE AND ASSIST IN THE EXTENSION AND IMPROVE-
MENT OF COMPREHENSIVE HEALTH PLANNING AND
PUBLIC HEALTH SERVICES, TO PROVIDE FOR A MORE
EFFECTIVE USE OF AVAILABLE FEDERAL FUNDS FOR
SUCH PLANNING AND SERVICES, AND FOR OTHER

PURPOSES

MARCH 16 AND 17, 1966

Printed for the use of the
Committee on Labor and Public Welfare

.!!!

COMMITTEE ON LABOR AND PUBLIC WELFARE

LISTER HILL, Alabama, Chairman PAT MCNAMARA, Michigan

JACOB K. JAVITS, New York WAYNE MORSE, Oregon

WINSTON L. PROUTY, Vermont RALPH W. YARBOROUGH, Texas

PETER H. DOMINICK, Colorado JOSEPH S. CLARK, Pennsylvania

GEORGE MURPHY, California JENNINGS RANDOLPH, West Virginia

PAUL J. FANNIN, Arizona
HARRISON A. WILLIAMS, JR., New Jersey
CLAIBORNE PELL, Rhode Island
EDWARD M. KENNEDY, Massachusetts
GAYLORD NELSON, Wisconsin
ROBERT F. KENNEDY, New York

STEWART E. MCCLURE, Chief Clerk
JOHN S. FORSYTHE, General Counsel
STEPHEN KURZMAN, Minority Counsel

SUBCOMMITTEE ON HEALTH

LISTER HILL, Alabama, Chairman RALPH W. YARBOROUGH, Texas

JACOB K. JAVITS, New York HARRISON A. WILLIAMS, JR., New Jersey GEORGE MURPHY, California CLAIBORNE PELL, Rhode Island EDWARD M. KENNEDY, Massachusetts

ROBERT W. BARCLAY, Professional Staff Member

Roy H. MILLENSON, Minority Clerk

II

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1966 a

CONTENTS

Text of S. 3008.

President's health message..

Page

2

28

CHRONOLOGICAL LIST OF WITNESSES

March 16, 1966

Cohen, Hon. Wilbur J., Under Secretary of the Department of Health,

Education, and Welfare, accompanied by Ralph K. Huitt, Assistant

Secretary for Legislation; Dr. Philip R. Lee, Assistant Secretary for

Health and Scientific Affairs; Dr. Leo J. Gehrig, Deputy Surgeon Gen-

eral, Public Health Service; and Dr. Paul Peterson, Associate Chief,

Bureau of Health Services.

Peeples, William, J., M.D., M.P.H., commissioner, Maryland State De-

partment of Health, on behalf of Association of State and Territorial

Health Officers

Boggs, Mrs. Fitzhugh W., chairman, Committee on Governmental Affairs,

National Association for Retarded Children, Inc.-..

39

80

88

105

108

MARCH 17, 1966

Hogan, Dr. Bartholomew, deputy medical director, American Psychiatric

Association.

Galagan, Dr. Donald A., dean of the Dental College, University of Iowa,

accompanied by Bernard J. Conway, chief legal officer, American Dental

Association, and Hal Christensen, Washington counsel.

'avis, Dr. V. Terrell, of New Jersey, on behalf of National Association of

'tate Mental Health Program Directors.

sig, Dr. Helen, president, American Heart Association accompanied

Dr. James V. Warren, professor of medicine, Ohio State University

anu Rome A. Betts, executive director, American Heart Association.---

MacCracken, William P., Jr., Washington counsel, American Optometric

Association.

113

118

124

STATEMENTS

85

87

88

91

39

American Public Health Association, prepared statement.-

Association of State and Territorial Health Officers, prepared statement.--

Boggs, Mrs. Fitzhugh W., chairman, Committee on Governmental Affairs,

National Association for Retarded Children, Inc.-

Prepared statement..

Cohen, Hon. Wilbur J., Under Secretary of the Department of Health,

Education, and Welfare, accompanied by Ralph K. Huitt, Assistant

Secretary for Legislation; Dr. Philip R. Lee, Assistant Secretary for

Health and Scientific Affairs; Dr. Leo J. Gehrig, Deputy Surgeon

General, Public Health Service; and Dr. Paul Peterson, Associate Chief,

Bureau of Health Services ---

Davis, Dr. V. Terrell, of New Jersey, on behalf of National Association of

State Mental Health Program Directors --

Galagan, Dr. Donald A., dean of the Dental College, University of Iowa,

accompanied by Bernard J. Conway, chief legal officer, American Dental

Association, and Hal Christensen, Washington counsel

Prepared statement..

Gehrig, Dr. Leo J., Deputy Surgeon General, Public Health Service

Hogan, Dr. Bartholomew, deputy medical director, American Psychiatric

Association

MacCracken, William P., Jr., Washington counsel, American Optometric

Association..

Peeples, William J., M.D., M.P.H., commissioner, Maryland State De-
partment of Health, on behalf of Association of State and Territorial
Health Officers.-

113

108

110

52

105

124

80

III