Martin, Hon. John B., consultant, National Retired Teachers Association/
American Association of Retired Persons..
Koch, Hon. Edward I., Representative from the 18th District of New York-
Etzioni, Dr. Amitai, professor of sociology, Columbia University, and
director, Center for Policy Research..
Hawes, Gerald A., audit manager, office of the auditor general, Sacramento,
Calif
Warner, Dr. George, special assistant, Health Facilities, Economics, and
Preventive Health Services, New York State Health Department,
Albany, N.Y.__
Weikel, Dr. Keith, Commissioner, Medical Services Administration, De-
partment of Health, Education, and Welfare; accompanied by Peter
Franklin, Special Assistant to the Secretary; Dr. Claire Ryder, Director,
Division of Policy Development, Office of Nursing Home Affairs; and
Gerald Sheinbach, Assistant Bureau Director, Division of State Opera-
tions, Bureau of Health Insurance, Social Security Administration___
Wilsmann, Edward J., president, Upjohn Homemakers Home and Health
Care Services, Inc., Kalamazoo, Mich.
Brown, Richard P., executive vice president, Unihealth Services Corp.,
New Orleans, La..
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Starr, Janet E., executive director, Coalition for Home Health Services
in New York State
Pfau, Mary Ann, coordinator of ambulatory and home care nursing
services, nursing services department, American Nurses' Association----
Hall, Hadley D., executive director, San Francisco Home Health Services__
Semmel, Herbert, Center for Law and Social Policy; accompanied by Ru-
dolph Danstedt, assistant to the president, National Council of Senior
Citizens, Washington, D.C..
Byrne, John, MHA, president, National Association of Home Health
Agencies, and executive director, Visiting Nursing Association of St.
Louis, Mo.; accompanied by Don Trautman, chairman, Legislative
Committee, National Association of Home Health Agencies
Prendergast, James Terence, legislative counsel for Staff Builders, New
York, N. Y.
Keeley, Fred, Home-Kare, Inc., Campbell, Calif.........
Appendix 1. Communications between Senator Frank E. Moss, Repre-
sentative Claude Pepper, and David Mathews, Secretary, Department
of Health, Education, and Welfare:
Item 1. Letter from Senator Frank E. Moss, chairman, Senate Sub-
committee on Long-Term Care, and Representative Claude L.
Pepper, chairman, House Subcommittee on Health and Long-Term
Care; to David Mathews, Secretary, HEW, dated December 12,
1975.
Item 2. Letter and enclosure from Senator Frank E. Moss and Repre-
sentative Claude L. Pepper; to David Mathews, Secretary, HEW.-
Item 3. Letter from John A. Svahn, Acting Administrator, Social and
Rehabilitation Service, HEW; to Senator Frank E. Moss, dated
October 16, 1975--
Appendix 2. Report by the Office of the Auditor General of California
entitled "A Management Review of the Homemaker-Chore Services
Program," dated June 11, 1975; submitted by Gerald A. Hawes ----
Appendix 3. Proposed medical assistance program regulations (home health
services) by the Department of Health, Education, and Welfare, Social
and Rehabilitation Service; from the Federal Register, August 21, 1975-
Appendix 4. Statements from individuals and organizations:
Item 1. Statement of Arthur S. Flemming, Commissioner on Aging,
Department of Health, Education, and Welfare, before the Sub-
committee on Health and Long-Term Care of the House Select
Committee on Aging, November 19, 1975-
Item 2. Statement of Peter Franklin, special assistant to the Secretary,
Department of Health, Education, and Welfare, before the Sub-
committee on Health and Long-Term Care of the House Select
Committee on Aging, November 19, 1975---
Item 3. Statement and attachments of the National Association of
Home Health Agencies, Portland, Oreg.; submitted by John Byrne,
president...
Item 4. Statement and attachment of Edward J. Wilsmann, president,
Homemakers Home and Health Care Services, Kalamazoo, Mich..
Appendix 5. Letters from individuals and organizations:
Item 1. Letter and enclosures from Richard P. Brown, executive vice
president, Unihealth Services Corp., New Orleans, La.; to Val J.
Halamandaris, associate counsel, Senate Committee on Aging, dated
November 4, 1975-.
Item 2. Letter from Lawrence N. Fuchs, secretary, Homemaker-Home
Health Aide Association of New York State, Inc.; to David
Mathews, Secretary, HEW, dated September 18, 1975__
Item 3. Letter and enclosures from Cyril F. Brickfield, counsel,
NRTA/AARP; to Senator Frank E. Moss, dated September 24,
1975; submitted by John B. Martin...
Item 4. Letter from Hon. Patricia Schroeder, Representative in
Congress from the First District of Colorado; to John A. Svahn,
Administrator, Social and Rehabilitation Service, HEW, dated
September 29, 1975---.
Item 5. Letter and enclosure from Maxine A. Thomas, R.N., executive
director, Salt Lake Community Nursing Service (Utah); to Senator
Frank E. Moss, dated October 1, 1975-
Item 6. Letter and enclosures from Florence Moore, executive director,
National Council for Homemaker-Home Health Aide Services, Inc.,
New York; to John A. Svahn, Acting Administrator, Social and
Rehabilitation Service, HEW, dated October 3, 1975; submitted by
Dr. Ellen Winston___
Item 7. Letter from Eva M. Reese, executive director, Visiting Nurse
Service of New York; to the Administrator, Social and Rehabilita-
tion Service, HEW, dated October 6, 1975__
Item 8. Letter from Florence Moore, executive director, National
Council for Homemaker-Home Health Aide Services, Inc., New
York; to Senator Frank E. Moss, dated October 29, 1975.
Item 9. Letter from Constance Holleran, deputy executive director,
American Nurses' Association, Inc., Kansas City, Mo.; to Senator
Frank E. Moss, dated November 3, 1975---
Appendix 6. Additional material submitted for the record:
Item 1. Position paper entitled "Public Management of Health and
Home Care for the Aged and Disabled," submitted by Amitai
Etzioni, director, Center for Policy Research, Columbia University-
Item 2. Initial policy statement on supplementary services, adopted
by the Board of Directors, National Council for Homemakers-
Home Health Aide Services, Inc., May 4, 1974; submitted by Dr.
Ellen Winston..
Item 3. Revised draft of a bill to provide for homemaker-home health
aide services to all individuals and families in need of such care;
submitted by the National Council for Homemaker-Home Health
Aide Services, Inc.-.
Item 4. Proposed regulations for Federal certification of unlicensed
proprietary home health agencies; from the Congressional Record,
October 8, 1975, submitted by Herbert Semmel..
Appendix 7. HEW audit on three agencies offering homemaker chore
services; released to the press on May 18, 1976:
Item 1. Letter from Richard Ballard, branch manager, HEW Audit
Agency, San Francisco, Calif.; to Mario Obledo, secretary, Health
and Welfare Agency, State of California; submitting proposed HEW
Audit Agency report..
Item 2. Newspaper article from the Sacramento Bee, May 18, 1976---
PROPRIETARY HOME HEALTH CARE
TUESDAY, OCTOBER 28, 1975
U.S. SENATE AND HOUSE OF REPRESENTATIVES,
SUBCOMMITTEE ON LONG-TERM CARE OF THE
SENATE SPECIAL COMMITTEE ON AGING AND THE
SUBCOMMITTEE ON HEALTH AND LONG-TERM CARE OF THE
HOUSE SELECT COMMITTEE ON AGING,
Washington, D.C. The subcommittees met, pursuant to notice, at 9:30 a.m., in room 6202, Dirksen Senate Office Building, Hon. Frank E. Moss and Hon. Claude Pepper, chairmen, presiding.
Present: Senators Moss, Clark, Percy, and Brock; Representatives Pepper, Randall, Edward, Beard, Marilyn Lloyd, Heinz, and Cohen. Also present: From the Senate Special Committee on Aging: Val J. Halamandaris, associate counsel; Margaret Fayé, minority professional staff member; Patricia Oriol, chief clerk; Eugene Cummings, printing assistant; and Dona Daniel, assistant clerk. From the House Select Committee on Aging: Robert Weiner, majority staff director; Elliot Stern, minority staff director; and Martha Jane Maloney, professional staff member.
STATEMENT BY SENATOR FRANK E. MOSS
Senator Moss. The hearing will come to order. This is a joint hearing by the Subcommittee on Long-Term Care of the Special Committee on Aging of the Senate, together with the Subcommittee on Health and Long-Term Care of the House of Representatives Select Committee on Aging.
We are indeed pleased to have the chairman of the House subcommittee, and the ranking Republican member of the House subcommittee to participate with us in this hearing.
The ranking Republican member of the Senate Special Committee on Aging, Senator Percy, has been delayed for a few minutes by another hearing, but as soon as he completes his statement there, he will join us, and we hope that other members of the two subcommittees will have an opportunity to come for at least part of the hearing. It is a very busy time, of course, in our congressional session, and so we have problems of high attendance. I see Representative Cohen is here, and we hope that others will be able to join us.
We appreciate your presence here today to discuss the August 21 proposed HEW regulations* which allow greater participation by proprietary home health agencies in the medicaid program.
*For text of proposed regulations, see pp. 198–206.
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