entitled in the ordinary course a little later on. They will repay the advances as fiscal 1973 goes on. We think that this is a useful accommodation to the States. Mr. CARDWELL. Here is an article referring to Pennsylvania. Mr. CARDWELL. No; it's just for your general information. Mr. FLOOD. I was intrigued by this one. The best of two marvelous worlds. FUNDS HELD IN RESERVE What funds do you have currently held in reserve for savings? That will be Mr. Miller's question. Mr. MILLER. Mr. Chairman, we will actually have no funds in reserve for savings by the end of the year. Some of the money in reserve is more than 1 year's money and we are carrying over to the next fiscal year. The balance of the reserves are savings in administrative costs. As you know, we do have an employment reduction planned. Mr. FLOOD. I was going to ask you about that, but we spent so much time on that yesterday I thought we had it well covered. Mr. MILLER. When we came to the Congress with the 1973 budget we didn't ask for the money necessary to cover the pay raise. The savings resulting from the employment reduction will be used as an offset against that. We have no program funds that we have in reserve. Mr. FLOOD. Mr. Michel? Mr. MICHEL. First, may I commend you, Mr. Secretary, on the very comprehensive statement which gives us a good view of what the Department's feeling is with respect to the priorities in this overall budget. Mr. FLOOD. Will the gentleman yield? Mr. MICHEL. Yes. Mr. FLOOD. I am so sorry. I did forget something. Last week there was a tremendous convention here of the orthopedic people. It was extraordinary. It was really quite a convention. I met with them and with their ladies one morning. Four hundred or five hundred ladies appeared for the coffee over here. IMPORTANCE OF ORTHOPEDICS Is the epidemic of automobile, industrial, home and other accidents increasing our dependence on orthopedics? Not that you are a specialist in orthopedics, but I wanted to ask you this. Secretary RICHARDSON. I am sure, Mr. Chairman, that home and automobile accidents create a demand for the services of orthopedic surgeons more than for any other kind of medical skill. I am not aware that the rate of increase in that type of accident, however, is greater than the rate of increase in other demands for medical services. Mr. FLOOD. I am informed that the National Health Survey, published by U.S. Public Health Service, HEW, reports some 50 million injuries for 1969, approximately one out of four in U.S. population. About 30 percent involve the musculoskeletal system: 5.5 million fractures and dislocations; 9.7 million sprains and strains requiring medical care or disability time. Last year, in our conference report, page 7 House Report 92-401, regarding amendment No. 21, we added to our original House figure for the National Institute of Arthritis and Metabolic Diseases: * $3,460,000 which is the amount estimated to be necessary to fund at least 50 percent of the competing research applications that will be on hand during the fiscal year 1972. Has that been carried out? Secretary RICHARDSON. Yes. The most current estimate is that the Institute will be able to fund approximately 51 percent of requests which will be approved for payment by the appropriate advisory bodies. Mr. FLOOD. How large an appropriation for fiscal 1973 would be required to fund all the research, fellowship, and training grant requests in the field of orthopedic surgery that have been approved but not funded? Secretary RICHARDSON. I'll be glad to supply that for the record. (The requested information follows:) ORTHOPEDIC SURGERY PROGRAM-NATIONAL INSTITUTE OF ARTHRITIS AND METABOLIC Mr. FLOOD. What would it take by way of NIH money to fund all the research, fellowship, and training grant requests in the musculoskeletal field? Secretary RICHARDSON. I'll be glad to supply that for the record. (The requested information follows:) Secretary RICHARDSON. I think we ought to refer again to the program I mentioned in my statement, to develop emergency services. Mr. FLOOD. Mr. Michel? ORGANIZATIONAL CHANGES IN DEPARTMENT Mr. MICHEL. Mr. Secretary, it's quite obvious from the kind of statement you have given us here today that at this juncture certainly you have a hold on your Department. I am not altogether sure that you would have felt similarly a year ago when you testified, having only taken over a few months prior to your first opportunity to testify here before the committee. It is the fastest growing department of Governmen. And I commend you for the manner in which you have taken up the reins and gotten control of all these new things. Have there been any organizational and structural changes in the Department in the last year? Secretary RICHARDSON. First, Mr. Michel, let me thank you for your kind observations about my statement and about my own role in the Department. I would like to, in acknowledging that, pay special tribute to my associates in the Department. I think we have an extraordinarily capable group of people. They have the happy faculty, in addition, of working effectively together. As I mentioned in my prepared statement, Assistant Secretary Lynn and Assistant Secretary Cardwell and their staffs work really in a joint basis in the analysis of departmental strategies and the whole budget development process, as well as other functions of the Department. I think they are increasingly meshing together as department wide activities. There have been a number of internal rearrangements of the operating agencies. The Health Services and Mental Health Administration, for instance, has organized itself into four broad areas-mental health, health services planning and development, health services delivery and preventive health services. There has been established a Bureau of Product Safety in the Food and Drug Administration, and some internal reorganization of the Office of Education. There has been no major overall restructuring of the Department pending what we had hoped would be affirmative action by the Congress on the President's proposal to create a Department of Human Resources. EFFECT OF H.R. 1 ON ORGANIZATION This is a timely question you have asked. We will have to consider what organization and structural changes would have to be made, assuming the enactment of H.R. 1. As you know, H.R. 1 would transfer the adult categories of public assistance to the Social Security Administration and provide for a basic minimum national level of assistance. The minimum national level would be federally financed and States could supplement this level if they chose to do so. Mr. MICHEL. But you haven't as yet given any serious consideration to what kind of specific structural changes would have to be made; have you? Secretary RICHARDSON. We have a group right now under the overall direction of the Assistant Secretary for Administration and Management, Dr. Rodney Brady, which is devoting itself to this question in anticipation of the enactment of H.R. 1. We realized that since the Department of Human Resources would not go through in this Congress that we would have to take some interim steps. I expect to have recommendations from the group working on this sometime in March. ORGANIZATIONAL CHART Mr. MICHEL. Could we have placed in the record at this point an upto-date organizational chart for the Department with, as I asked last year, the names of the individuals in those boxes who head up those departments? Then it might not be a bad idea to see that every member, at least of this subcommittee, gets one of those made up to put in our offices so that when we are trying to get in touch with these people we don't have to go through four or five different numbers. Secretary RICHARDSON. All right. (The information follows.) |