BUDGET FOR FISCAL YEAR 1976-DEPARTMENT REQUEST AND PRESIDENT'S BUDGET
FOR DEVELOPMENTAL DISABILITIES

Mr. ROGERS. Thank you for your patience and we are sorry to have taken so long, but we are grateful to you and the committee stands adjourned until 10 o'clock tomorrow morning.

I did want to mention, Mr. Secretary, it would be helpful if we could have your prepared statements 24 hours before hearings. I know this is sometimes difficult. We are trying to give sufficient notice for hearings.

If you could encourage your people to get us those statements 24 hours in advance of testimony, this would be most helpful.

Secretary WEINBERGER. This is certainly something we will do. It is a point that I make at a different level than you have just made it, but we will do our best to get it to you.

Mr. ROGERS. Thank you.

Without objection, the Chair wishes to place in the record, as though read, a statement by the Honorable Larry J. Winn of Kansas.

STATEMENT OF HON. LARRY J. WINN, A REPRESENTATIVE IN CONGRESS FROM THE STATE OF KANSAS

Mr. WINN. Mr. Chairman and members of the subcommittee, I want to thank you for this opportunity to submit a statement in support of the Rape Prevention and Control Act.

Statistics show rape to be one of the most rapidly growing crimes. in the United States today. And yet, rape is probably the least reported crime in our country, besides being one whose attacker is not likely to be punished. This low conviction rate and the rapidly increasing number of rapes makes it clear that our Nation's rape laws must be reexamined.

This is why I have cosponsored this bill to establish the National Center for the Prevention and Control of Rape. I am hopeful that the creation of a National Center would help develop a full understanding of the nature of the crime and its causes and effects; the impact and the threat of the crime on the victim, her family, and society; and the present methods of treating the victim and the accused.

Such an information center should go a long way toward assisting State and local officials in realizing the devastating psychological impact of rape on the victim and how law enforcement and health agencies have such a special responsibility in assisting the victim to cope with and overcome the massive psychic and emotional scars. Only then can we expect States and communities to develop more effective and more humane, victim-oriented procedures for dealing with the victim of rape.

Since I cosponsored the Rape Prevention and Control Act, I have gained a new awareness of the crime of rape. I am confident that efforts at the Federal, State, and local levels will help curb the explosive rise of this terrible crime.

I would like to share with you statements [see attached] by Asa J. Steen, president of the Metropolitan Organization to Counter Sexual Assault in Kansas City, and Casey Eike, assistant to the Dean of Women at Kansas University and a member of the Lawrence Community/University of Kansas Rape Victim Support Service. The importance of community efforts such as those of these two groups in my district: Increasing public awareness, studying ways of prevention, and educating the public on the proper ways to deal with rape, cannot be stressed enough. The establishment of a National Center would be of tremendous assistance to local groups in helping them meet these goals.

Rape has no regard for age, class, or color. It is a crime forced upon women in every age group, in every socioeconomic class and in every ethnic group. Like many other crimes, it makes no sense, and is a violation of a woman's basic rights.

The Rape Prevention and Control Act symbolizes the recognition that our system of responding to rape is defective. It represents an important step toward re-examination on the national level of some of the commonly held attitudes about rape.

I am pleased that the subcommittee has held these hearings and look forward to favorable action by the full committee and passage by the House and Senate.

The time has come for the Congress to take action to remove the threat of rape from the lives of American women. The Rape Prevention and Control Act purports to do just that.

[Attachments inserted by Mr. Winn follow:]

ATTACHMENT I

The Metropolitan Organization to Counter Sexual Assault was formed to encourage the highest standards of treatment of rape victims through study and research of the multiple facets of the subject, to gain and disseminate information to be utilized in the prevention of rape and the treatment of rape victims, to foster high standards in the investigation and prosecution of rape cases and to encourage needed legislation to further these objectives.

There is a definite need to pursue these objectives on a national level. The passage of the House bill providing for the creation of a national center for the study of rape would provide positive emphasis in this area. Coordinated research, on a national level, is urgently needed. Progress in this area of endeaver is hampered by the lack of funds, to study the problem on a national scale. This organization strongly favors such legislation and the membership will actively support these efforts.

SECTION I-HISTORY AND ORGANIZATION OF THE LAWRENCE COMMUNITY/UNIVERSITY OF KANSAS RAPE VICTIM SUPPORT SERVICE

In the Spring of 1971, a group of women, mostly students at the University of Kansas, came together over a particular issue. A woman friend was raped. For two years these women worked to provide a helping service for other victims of rape. A phone line was established and publicized, groups of women including victims of rape met to discuss the growing problem of attacks on women, and attempts were made to communicate concerns to the law enforcement agencies of the community. The project was successful in terms of the personal support provided to victims, but much less successful in establishing a workable relationship with the police. The experience served to heighten women's awareness of

the magnitude of the problem and of the need for a community to provide a supportive service for victims of sexual assault.

Meanwhile, the City of Lawrence, Kansas was experiencing a marked increase in sex crimes. Percentages were running higher than the national percentage increases in crimes against persons, and specifically for forcible and attempted rapes. Citizens were hardly able to ignore this increased criminal activity. In 1972, on the university campus alone, there were 18 reported sex offenses, most of which were committed by the same suspect. The heightening widespread concern spurred additional women into action.

In the fall of 1973, several new women met with the originator of the initial rape victim service. These women included an Assistant to the Dean of Women, the Director of Headquarters, a drug and personal crisis center, the Director of the University Information Center, a 24 hour referral and information service, the Director of a Women's Residence Hall, the Director of Penn House, a lowincome community help agency, and other community women. A new organization, the Lawrence Community/University of Kansas Rape Victim Support Service, was formed.

Because many of these women had already established working relationships with city, county, and campus officials, including law enforcement officers, the essential confidence relationships were easier to build. The cooperation of the city police, city detectives, campus police, county sheriff, and county attorney has only been surpassed by the dedication of the members of the Rape Victim Support Service. Thus evolved a highly effective and much needed community service.

SECTION II-ACTIVITIES AND PROJECTS OF THE LAWRENCE COMMUNITY/UNIVERSITY OF KANSAS RAPE VICTIM SUPPORT SERVICE

As a result of the growing concern about assaults against women in the Lawrence area, several projects have been launched.

I. Rape Prevention Slide Show

In the fall of 1973, the University of Kansas Dean of Women's Office and the Campus Security and Parking Department produced a rape prevention slide show entitled, "WOMEN TAKE WARNING." The slide show presented facts about assaults in the community and demonstrated simple precautionary measures, as well as self-defense techniques, useful to women in protecting themselves. The slide show, which is accompanied by a Rape Victim Support Service member and a self-defense instructor, has been presented extensively on the K.U. campus and the Lawrence community. Many requests have been received to present the program in other communities. The slide show program has proven itself a very effective educational tool.

II. Project Whistlestop

Another rape prevention project was begun in April of 1974 with the establishment of Project Whistleshop. This campus and community effort involved selling a silver whistle to women to wear as a sign of awareness of the need for selfprotection, and to blow as a signal of distress. A publicity campaign was launched within the community to ensure public awareness and understanding of the project. Rape Victim Support Service members worked with other representatives of women's groups, University and city officials, campus and city police and attorneys, and the County Sheriff's office in effecting Project Whistlestop. Several thousand whistles were sold, and police records show a marked decrease in the number of assaults for the two month period following the initiation of Project Whistlestop, as compared to the corresponding time period the previous year. III. Rape Victim Support Service

The Members of the Lawrence Community/University of Kansas Rape Victim Support Service has undertaken many other specific activities. In order to raise public awareness of the problem of assaults against women, we have participated in several radio programs on the subject and given information for newspaper articles. Staff members wrote a paper, "How To Start a Rape Victim Support Service," and compiled a paper on the legal aspects of the crime. We have talked with people from other communities about what we are doing and are interested in sponsoring a statewide conference on rape and rape victim support.

The staff of the Rape Victim Support Service makes a continuous effort to maintain communication within the group and to keep up to date on vital informa

tion. At the inception of the program, we made an effort to learn all possible ramifications of an assault, including police and hospital procedures, legal aspects, and social and psychological effects. We met with city and campus police, detectives, city and campus hospital personnel, the County Attorney, the County Sheriff, mental health workers, and the author of the Kansas Criminal Code. Since that time we have attended conferences on the subject, started regular data keeping from police files, and maintained several notebooks and files of all information and contacts we have collected. The staff meets weekly to share information and to outline future activities.

Establishing and maintaining a working relationship with agencies involved with rape victims has been a major concern. We have met with the Chief of Police and all of the city detectives, the County Sheriff, and all of his Deputies. Certain staff members meet weekly with campus police, and other staff members have regular communication with the County Attorney. One of our first actions was the establishment of a 24 hour phone referral through two 24 hour telephone hotlines. These hotlines can locate an available staff person any time of the day or night. We outlined our purpose, membership, and referral phone numbers on a three by five inch card which we had printed and distributed for all campus and city police to carry on their clipboards. We have developed a highly successful cooperative working relationship with the police. We participated in the campus police in-service training, helped set up communication between the Lawrence and Kansas City detective units, helped detectives locate assault victims for identification of a suspect, and have been allowed to do the initial questioning of a victim for police reports. One detective credited us with the increasing community cooperation with police in preventing and reporting all kinds of crime.

The most important thing we have done and the purpose behind our activities is the assistance of women who have been victims of rape and assault. Since our formation we have talked with approximately 25 victims of assault, 10 family members or close friends, and other involved individuals such as Resident Directors and Advisors. Of these cases, 13 are considered crisis intervention cases in which less than one week had elapsed since the attack. Other cases involved communicating with women who are still attempting to integrate an event which took place some time before.

Our services are available 24 hours a day by contacting one of the community or campus hot lines. Posters on campus and in the community publicize the service, and law enforcement officers inform victims about the service immediately following a complaint.

The Lawrence Community/University of Kansas Rape Victim Support Service strongly urges the adoption of the Rape Prevention and Control Act. The establishment of a National Center for the Prevention and Control of Rape will not only provide much needed assistance to citizens and law enforcement officials working with the crime of rape, but will aid general public awareness of the magnitude of the problem. Statistics from every part of the country will bear out the fact that the crime of rape is growing and permeates all segments of our society. The adoption of the Rape Prevention and Control Act will initiate much needed national action in order to bring a halt to this heinous crime.

Mr. ROGERS. The committee stands adjourned.

[The following statements and letters were received for the record:]

STATEMENT OF GOVERNOR HUGH L. CAREY OF NEW YORK

I appreciate having the opportunity to express my opinions concerning the Health Revenue Sharing, Health Services bill, H.R. 2954 before this committee. As you know, Congressional authorization for the programs under this bill expired June 30, 1974 and the continuing resolution for continued funding expires February 28, 1975. I urge the Committee to give their immediate attention to the fate of Health Revenue Sharing and to the threats by the Administration to cut the health services budget by 20% and to rescind 314d funding. A letter received from H.E.W. on December 26, 1974 states the Agency's intention to recommend rescission of 314d funds for the fourth quarter.

Much is at stake here for New York State and the nation. Without this legislation, critical health services could not be delivered in the areas of Community Mental Health, Migrant health services, family planning and many others. In these times of dramatic fiscal problems it is a fallacy to believe that the State and local governments can assume the responsibility for developing and operat

ing public health services "of all kinds." Moreover, at a time when Congress is concerned about the rapidly increasing unemployment rate, it does not seem reasonable to cut authorizations that provide over 230 positions in New York State alone. The elimination of these positions would negate the efforts shown by Congress in the area of public service employment.

The termination of just the 314d funding would mean the elimination of the following programs:

1. Provision of Tuberculosis care in nine communities of New York where the incidence of this disease is the highest.

2. Surveillance and intervention regarding insect-borne diseases.

3. Provision of direct health sanitation services in communities not represented by county health departments, and direction and coordination of this activity, and public health nursing in other communities.

4. Health guidance services provided for our Indian Citizens residing on Reservations in New York State.

5. Central Departmental and Regional Office direction and coordination of Community Health Programs.

6. Provision of labor relation services.

7. Provision of regulatory activities in the area of milk and food production and distribution.

In addition, these eight programs would be substantially reduced :

1. Provision of adequate medical, nursing and special health manpower throughout New York State.

2. Consultation to localities regarding the operation and inspection of public water supplies and inspectional activities of these supplies through contract with the United States Geological Survey.

3. Physical therapy consultation to New York State hospitals.

4. Provision of professional and public education services.

5. Regulation of the sanitary aspects of migrant labor camps.

6. Regulation of the use of X-rays and ionizing and non-ionizing radiation sources for the protection of public health.

7. Conduct of Epidemiological studies in the area of cancer control.

8. Direction and coordination of the statewide emergency health services program.

In closing, I would like to emphasize my commitment to public health services programs. At a time of economic stress which we are experiencing today, these vital health programs should not be eliminated. In fact, they should not even be reduced.

STATEMENT OF THE AMERICAN HOSPITAL ASSOCIATION

The American Hospital Association, which represents some 7,000 hospitals and other health care institutions (including most of the hospitals of the country; numerous extended and long-term care institutions; mental health facilities; hospital schools of nursing; and other organizations and institutions) and over 20,000 personal members, appreciates the opportunity to present recommendations in support of H.R. 2954, the Health Revenue Sharing and Health Services Act of 1975.

HEALTH REVENUE SHARING

Title I of H.R. 2954 would extend and amend Section 314(d) of the Public Health Service Act. The program of formula grants to the states for public health projects as authorized by Section 314(d) is part of the "Partnership for Health" program, and the American Hospital Association has supported this program from its inception. We continue to do so. We note that while H.R. 2954 drops the requirement of the existing program for state matching of the federal grant funds, it requires states to provide assurances satisfactory to the Secretary of HEW that federal funds will be used to make a significant contribution toward providing and strengthening public health services, and not to supplant nonfederal funds. We believe such a requirement for maintenance of state effort is desirable. We recommend enactment of Title I of H.R. 2954 as introduced.

COMMUNITY MENTAL HEALTH CENTERS

The American Hospital Association strongly concurs with the intent of Title III of H.R. 2954 to extend the Community Mental Health Centers Program. The Association's House of Delegates has passed a formal resolution acknowledging