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Y 4. In84:10-36

REGIONAL MEDICAL PROGRAMS; ALCOHOLICS AND
NARCOTICS ADDICTS FACILITILS; HEALTH
SERVICES FOR DOMESTIC AGRICUL-

TURAL MIGRATORY WORKERS

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COMMITTEE ON
INTERSTATE AND FOREIGN COMMERCE
HOUSE OF REPRESENTATIVES

NINETIETH CONGRESS

SECOND SESSION

ON

H.R. 15758

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 AU-
THORIZATION OF GRANTS FOR HEALTH OF MIGRATORY
AGRICULTURAL WORKERS, TO PROVIDE FOR SPECIALIZED
FACILITIES FOR ALCOHOLICS AND NARCOTIC ADDICTS, AND

FOR OTHER PURPOSES

MARCH 26, 27, AND 28, 1968

Serial No. 90-36

Printed for the use of the
Committee on Interstate and Foreign Commerce

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON : 1968

93-453 O

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COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE

HARLEY 0. STAGGERS, West Virginia, Chairman
SAMUEL N. FRIEDEL, Maryland

WILLIAM L. SPRINGER, Illinois
TORBERT H. MACDONALD, Massachusetts SAMUEL L. DEVINE, Ohio
JOHN JARMAN, Oklahoma

ANCHER NELSEN, Minnesota
JOHN E. MOSS, California

HASTINGS KEITH, Massachusetts JOHN D. DINGELL, Michigan

GLENN CUNNINGHAM, Nebraska
PAUL G, ROGERS, Florida

JAMES T. BROYHILL, North Carolina
HORACE R. KORNEGAY, North Carolina JAMES HARVEY, Michigan
LIONEL VAN DEERLIN, California

ALBERT W. WATSON, South Carolina
J.J. PICKLE, Texas

TIM LEE CARTER, Kentucky FRED B. ROONEY, Pennsylvania

G. ROBERT WATKINS, Pennsylvania JOHN M. MURPHY, New York

DONALD G. BROTZMAN, Colorado DAVID E. SATTERFIELD III, Virginia CLARENCE J. BROWN, JR., Ohio DANIEL J. RONAN, Illinois

DAN KUYKENDALL, Tennessee
BROCK ADAMS, Washington

JOE SKUBITZ, Kansas
RICHARD L. OTTINGER, New York
RAY BLANTON, Tennessee
W. S. (BILL) STUCKEY, JR., Georgia
PETER N. KYROS, Maine

W. E. WILLIAMSON, Clerk
KENNETH J. PAINTER, A88istant Clerk

ANDREW STEVENSON
JAMES M. MENGER, Jr.

Professional Staff

WILLIAM J. DIXON
ROBERT F. GUTHRIE

1

SUBCOMMITTEE ON PUBLIC HEALTH AND WELFARE

JOHN JARMAN, Oklahoma, Chairman PAUL G. ROGERS, Florida

ANCHER NELSEN, Minnesota DAVID E. SATTERFIELD III, Virginia TIM LEE CARTER, Kentucky PETER N. KYROS, Maine

JOE SKUBITZ, Kansas

d

from the nber 1967, A Plea for

CONTEST

Page 222 304

Vindsor C.

303

ms, state

86 84

R. 15758

119 121

ical pro

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Hearings held on

March 26, 1968.
March 27, 1968

March 28, 1968
Text of H.R. 15758.
Report of —

Agriculture Department.
Health, Education, and Welfare Department

Treasury Department.
Statement of -

Becker, William N., Jr., assistant 3"

Illinois Department of Mental Health
Boche, H. Leonard, director, Department no

Board of Christian Social Concerts !
president, Association of Halfway 1. a...

North America
Bratrude, Dr. Amos, Washington 2

Association of General Practitioners
Breslow, Dr. Lester, president-leet.

ciation..
Brill, Dr. Henry, member, Committee on

pendence, American Medical issorta: ...
Brumback, Dr. Carl L., member. Exec. -

Health Association
Cannon, Dr. Bland W., member. CAD.

American Medical Association..
Carpenter, Thomas P., president, Y* :

Inc..
Chambers, Dr. J. W. representaz

Georgia
Chapman, Dr. Carleton B, trocket
Cook, Dr. Richard S., cref. Di 2006

ment of Mental Health
Daley, Hon. Richard J. TO?
Phyllis K. Snyder, execucra 1.2

Center.
De Bakey, Dr. Miscari. har

University College Gi Vization
Dimas, George Cocina

holism Programs
Elam, Dr. Lloyd, a on
Fair, Clinton V., esa

62 Missouri

85

87 e grants,

88 115

76 m grant

65 atement

64 medical

46 Itinuing

61 disease,

13 health

73

66-72 by in

33 funds,

34

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ompli-
ilation

Labor and Conssi STEL
Farber, Dr. Sicer Team

Foundation, Biesd ME
Fishman, Dr. sec. It ***

College of Meet TEEL
University Comedy juz
Harrison, Bercare ar

ical Association
Hechler, Hon. KEL 2 TEDENTI

West Virginia
Hewlett, Gus, exeer je pomena

Alcoholism Program
Huitt, Ralph K. Assisiar uma

Health, Education, auc Vahara
Johnston, Helen, Chief, liige Entretien

Services, Department of Heart
Klerman, Dr. Gerald L. 285022
versity School of Mediene, 200 per
Center

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COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE

HARLEY O. STAGGERS, West Virginia, Chairman SAMUEL N. FRIEDEL, Maryland

WILLIAM L. SPRINGER, Illinois TORBERT H. MACDONALD, Massachusetts SAMUEL L. DEVINE, Ohio JOHN JARMAN, Oklahoma

ANCHER NELSEN, Minnesota JOHN E. MOSS, California

HASTINGS KEITH, Massachusetts JOHN D. DINGELL, Michigan

GLENN CUNNINGHAM, Nebraska PAUL G. ROGERS, Florida

JAMES T. BROYHILL, North Carolina HORACE R. KORNEGAY, North Carolina JAMES HARVEY, Michigan LIONEL VAN DEERLIN, California

ALBERT W. WATSON, South Carolina J. J. PICKLE, Texas

TIM LEE CARTER, Kentucky FRED B. ROONEY, Pennsylvania

G. ROBERT WATKINS, Pennsylvania JOHN M. MURPHY, New York

DONALD G. BROTZMAN, Colorado DAVID E. SATTERFIELD III, Virginia CLARENCE J. BROWN, JR., Ohio DANIEL J. RONAN, Illinois

DAN KUYKENDALL, Tennessee
BROCK ADAMS, Washington

JOE SKUBITZ, Kansas
RICHARD L. OTTINGER, New York
RAY BLANTON, Tennessee
W. S. (BILL) STUCKEY, JR., Georgia
PETER N. KYROS, Maine

W. E. WILLIAMSON, Clerk
KENNETH J. PAINTER, A88istant Clerk

ANDREW STEVENSON
JAMES M. MENGER, Jr.

Professional Staff

WILLIAM J. DIXON
ROBERT F. GUTHRIE

SUBCOMMITTEE ON PUBLIC HEALTH AND WELFARE

JOHN JARMAN, Oklahoma, Chairman PAUL G. ROGERS, Florida

ANCHER NELSEN, Minnesota DAVID E. SATTERFIELD III, Virginia TIM LEE CARTER, Kentucky PETER N. KYROS, Maine

JOE SKUBITZ, Kansas

CONTENTS

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Hearings held on-

Page

March 26, 1968.

1

March 27, 1968-

131

March 28, 1968.

231

Text of H.R. 15758..

2

Report of
Agriculture Department..

8
Health, Education, and Welfare Department.
Treasury Department -

8

Statement of -

Becker, William N., Jr., assistant chief, Division of Alcoholism,

Illinois Department of Mental Health...

260

Boche, H. Leonard, director, Department of Social Welfare of the

Board of Christian Social Concerns of the Methodist Church, and
president, Association of Halfway House Alcoholism Programs of
North America -

291
Bratrude, Dr. Amos, Washington (State) Medical Association and
Association of General Practitioners...

197

Breslow, Dr. Lester, president-elect, American Public Health Asso-

ciation.

168

Brill, Dr. Henry, member, Committee on Alcoholism and Drug De-

pendence, American Medical Association.

147, 150

Brumback, Dr. Carl L., member, Executive Board, American Public

Health Association.-

200

Cannon, Dr. Bland W., member, Council on Medical Education,

American Medical Association.--

147, 148

Carpenter, Thomas P., president, National Council on Alcoholism,

Inc.

211

Chambers, Dr. J. W., representing the Medical Association of

Georgia

208

Chapman, Dr. Carleton B., Association of American Medical Colleges. 123

Cook, Dr. Richard S., chief, Division of Alcoholism, Illinois Depart-

ment of Mental Health..

260

Daley, Hon. Richard J., mayor, Chicago, Ill., presented by

Phyllis K. Snyder, executive director, Chicago Alcoholic Treatment

Center...

131

De Bakey, Dr. Michael, chairman, Department of Surgery, Baylor
University College of Medicine, Houston, Tex. ---

133
Dimas, George C., president, North American Association of Alco-
holism Programs.-

185
Elam, Dr. Lloyd, Association of American Medical Colleges.

123

Fair, Clinton M., legislative representative, American Federation of

Labor and Congress of Industrial Organizations (AFL-CIO)--- 231

Farber, Dr. Sidney, director of research, Children's Cancer Research
Foundation, Boston, Mass..

139
Fishman, Dr. Jacob, professor of psychiatry, Howard University

College of Medicine (Washington, D.C.), and director, Howard
University Community Mental Health Center.--

277
Harrison, Bernard, director, Legislative Department, American Med-
ical Association -

147
Hechler, Hon. Ken, a Representative in Congress from the State of
West Virginia

207
Hewlett, Gus, executive secretary, North American Association of
Alcoholism Programs.-

185

Huitt, Ralph K., Assistant Secretary for Legislation, Department of

Health, Education, and Welfare.

9

Johnston, Helen, Chief, Migrant Health Branch, Bureau of Health

Services, Department of Health, Education, and Welfare--

9

Klerman, Dr. Gerald L., associate professor of psychiatry, Yale Uni-

versity School of Medicine, and director, Connecticut Mental Health

Center..

282

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