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Kuykendall, Hon. Dan, a Representative in Congress from the State Page
Nelligan, William D., executive director, American College of Cardi-
Schnibbee, Harry C., executive director, National Association of State
Southworth, Louis S., assistant supervisor, Division of Alcoholism,
California Committee on Regional Medical Programs, statement of
Hampton, Dr. H. Phillip, Tampa, Fla., letter-
Effectiveness of regional medical programs, statement on.
Regional medical programs, progress report, for heart disease,
problems of the inner city, statement on..
Matsunaga, Hon. Spark M., a Representative in Congress from the
Additional information submitted for the record by-Continued
Budget and personnel, Dec. 1, 1967-Nov. 30, 1968..
Preliminary evaluation report--
Dr. M. Mitchell-Bateman, director.
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REGIONAL MEDICAL PROGRAMS; ALCOHOLICS AND
NARCOTICS ADDICTS FACILITIES; HEALTH SERVICES FOR DOMESTIC AGRICULTURAL MIGRATORY WORKERS
TUESDAY, MARCH 26, 1968
HOUSE OF REPRESENTATIVES,
Washington, D.C. The subcommittee met at 10 a.m., pursuant to notice, in room 2322, Rayburn House Office Building, Hon. Paul G. Rogers presiding (Hon. John Jarman, chairman).
Mr. KYROS (presiding). The subcommittee will please be in order.
The hearings today are on H.R. 15758, introduced by Chairman Staggers at the request of the administration.
This bill would extend and expand the existing authorizations for regional medical programs, would extend the program of health services for domestic agricultural migratory workers, and would provide matching grants for construction and staffing of facilities for prevention of alcoholism addiction and for treatment of alcoholics and narcotic addicts.
REGIONAL MEDICAL PROGRAMS
In 1965, the Congress considered legislation proposing the establishment of regional medical programs designed to improve the health care of the American people in the fields of heart disease, cancer, stroke and related diseases. The Congress made substantial revisions in the proposed program, providing in general for a maximum of decentralization of the decisionmaking process and encouraging the maximum feasible cooperation between public and private groups interested in the health of the American people.
It is impossible to give a simple description of a regional medical program since every program established is different, with each program tailored specifically to the needs of the region served.
Over 90 percent of the population of the United States is or will be covered by regional medical programs established on the local level either on an operational basis today or through programs currently in the planning stage. Eventually, 100 percent of our population will be covered by these programs.
Many fears and reservations were expressed at the time the Congress was considering the initial legislation. It is my understanding, however, that many of the groups which had reservations about the initial proposals have since modified their positions, in large measure
because of the modifications that were made in the program by the Congress and the manner in which the program has been administered to date.
As I understand the bill presented to us, no major changes are proposed. The principal purpose of the legislation is to extend the program beyond its scheduled expiration date of June 30 this year, with minor improvements that experience has shown to be necessary or desirable.
In regard to the section on domestic agricultural migratory workers, the bill also proposes to extend for two additional years the existing program of Federal grants for health services to domestic agricultural migratory workers. The existing program is also scheduled to expire June 30 this
year, so extension is essential at this time if these workers, who are among the neediest today, are to continue to receive the services they need.
ALCOHOLIC AND NARCOTICS ADDICTS
Title II of this bill would establish a program designed to provide assistance in the treatment and rehabilitation of alcoholic and narcotic addicts. The program proposed is an extension of the principles already embodied in the community mental health centers and mental retardation facilities acts approved by this committee in 1963. The bill provides matching grants for construction and operation of facilities which are part of a complex providing essential elements of comprehensive mental health services in order to provide services for the prevention and treatment of alcoholism.
Grants are also authorized for construction and operation of special residential and other facilities for treatment of homeless alcoholics; grants for construction and operation of facilities for prevention and treatment of narcotic addiction; and grants for training and evaluation relating to the prevention and treatment of narcotic addiction.
There are a substantial number of witnesses who have requested the opportunity to be heard on this legislation, which is indicative of the broad public response to the needs which will be served by the enactment of this bill.
We hope to be able to expedite these hearings in order that the legislation may reach the President's desk at the earliest possible date in view of the relatively brief time remaining before two of the programs contained in the bill are scheduled to expire.
The bill under consideration, and agency reports on the bill, will be included in the record at this point.
(The bill, H.R. 15758, and departmental reports thereon, follow :)
[H.R. 15758, 90th Cong., second sess.) A BILL To amend the Public Health Service Act so as to extend and improve the provisions
relating to regional medical programs, to extend the authorization of grants for health of migratory agricultural workers, to provide for specialized facilities for alcoholics and narcotic addicts, and for other purposes
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
TITLE I-REGIONAL MEDICAL PROGRAMS
EXTENSION OF REGIONAL MEDICAL PROGRAMS
SEC. 101. Section 901(a) of the Public Health Service Act (42 U.S.C. 299a) is amended by striking out "and" before “$200,000,000” and by inserting after