Exhibit 75. The Emergency Care Program for Wives and Babies of Our Enilsted Men, by Allan M. Butler, M. D.- Preliminary Monthly Statistical Report on the EMIC Pro- gram, April 1946, by the Children's Bureau, United States Exhibit 77. Ten Years of Progress in Reducing Maternal and Infant Mortality, by Marjorie Gooch, Sc. D., Division of Statis- Exhibit 78. Providing Continuity of Maternity Care in the Rural Areas, as the Private Physician Sees It, by Clyde Allison Boice, M. D. Exhibit 79. Health Needs of School-Age Children and Recommendations for Implementation, by a subcommittee of representatives Exhibit 80. Huran Valley Children's Center, a Guidance Service for Exhibit 81. Why 500 Turned Out Good, 500 Bad, a summary of a study of juvenile delinquency conducted by Sheldon and Eleanor Exhibit 82. Report of the Probation Officer of the Juvenile Court of St. Exhibit 83. Wanted-A Plan for Meeting Children's Dental Health Needs, by Vern D. Irwin, D. D. S., director of dental health, Minnesota Department of Health__- Exhibit 84. How Our Tax Policy Affects the Low Income Groups, a speech by Hon. Albert J. Engle, United States House of Repre- Exhibit 85. Letter of July 3, 1946, from Dr. Harry Gordon, assistant professor of pediatrics, Cornell Univesrity Medical College__ Exhibit 86. Telegram of July 2, 1946, from Dr. John P. Peters, secretary, the Committee of Physicians for the Improvement of Exhibit 87. Letter of July 28, from Sylvia C. Kline, secretary, Baltimore Section, National Council of Jewish Women. Exhibit 88. Letter of June 28, 1946, from Dr. John McK. Mitchell, Rose- ALPHABETICAL LIST OF WITNESSES AND THOSE SUBMITTING STATEMENTS Addes, George F., United Automobile Workers, CIO, Detroit, Mich...- 279 282 237 Arnold, Frances P., Girls' Friendly Society of the U. S. A., New York, 274 Atwater, Dr. Reginald M., American Public Health Association, New 265 Ballard, Russell W., director, Hull House, Chicago, Ill. 29, 42 280 Boice, Dr. Clyde Allison, Washington, Iowa. 338 Bolt, Dr. Richard, lecturer in public health, University of California, 90 Bousfield, Dr. M. O., Supreme Liberty Life Insurance Co., Chicago, Ill 218 Bracken, Floyd, recording secretary, Lodge No. 799, Brotherhood of Rail- Page 275 216 Brown, Col. James B., Valley Forge General Hospital, Phoenixville, Pa - 109, 316 Camalier, Dr. G. Willard, legislative committee, American Dental Associa- Christman, Elisabeth, National Women's Trade Union League of America, Cook, Mrs. Stanley, national chairman of legislation, National Congress of 111 Corbin, Hazel, Maternity Center Association, New York, N. Y.... Congress of Industrial Organizations, Washington, D. C. Cornely, Dr. Paul B., Howard University, Washington, D. C... Davis, Dr. Michael M., Committee for the Nation's Health, Washington, 264 Dilley, Frea C., Fraternal Order of Eagles, National Child Health Com- 288 286 371 Elliot, Daniel R., Welfare Federation of Cleveland, Cleveland, Ohio--- Foster, Mrs. James W. (Edith), Owensboro, Ky. Foster, Dr. L. F., secretary, Michigan State Medical Society, Lansing, Frothingham, Dr. Channing, Faulkner Hospital, Jamaica Plains, Mass.- Gerson, Dorothy, Detroit Nursery School Association, Detroit, Mich.- Glueck, Sheldon and Eleanor, Harvard University, Cambridge, Mass.-. Gooch, Marjorie, Division of Statistical Research, Children's Bureau, United States Department of Labor... Gordon, Dr. Harry, assistant professor of pediatrics, Cornell University, Gourley, Lawrence J., legal counsel, Department of Public Relations, American Osteopathic Association, Washington, D. C.......... Green, William, president, American Federation of Labor, Washington, 273 227 389 386 277 Hodge, Prof. Harold C., University of Rochester School of Medicine and Holt, Dr. L. Emmett, Bellevue Hospital, New York, N. Y.. Hopkirk, Howard W., Child Welfare League of America, New York, N. Y.. Houlton, Ruth, National Organization for Public Health Nursing, Inc., Hunter, Mrs. W. E. (Ruth B.), Bethlehem Creche and Settlement, Chi- Howard, Dr. Joseph H., Obstetrician on behalf of the American Medical 93 281 Jacobs, Mrs. David (Beatrice), League of Women Shoppers, Inc. (New 274 Jacobs, Mrs. Eveline B., National Society for Crippled Children and 42 Johnson, Charles S., Fisk University, Nashville, Tenn. 288 Jones, Mrs. Alfred Winslow (Mary Carter), Women's City Club of New 274 Low, Harold I., Association of American Physicians and Surgeons, Chi- 390 Lowder, Virgil E., Department of Social Service, Church Federation of 281 MacLean, Dr. Basil C., Strong Memorial Hospital, Rochester, N. Y. Magee, Elizabeth S., executive secretary, National Child Labor Commit- McCall, Dr. John Oppie, the Murray and Leonie Guggenheim Dental 241 Meyer, Mrs. Eugene, Washington, D. C. 11 Miller, Dr. O. L., Medical Arts Building, Charlotte, N. C. 223 391 219 388 Moore, Hon. Arthur E., judge of probate, Oakland County, Pontiac, Mich. 227 224 270 Oppenheimer, Dr. Ella, director, Bureau of Maternal and Child Welfare, District of Columbia, Washington, D. C.. Osgood, Argilla R., Ipswich, Mass.. 220 Oxholm, Mrs. Theodor, Spokesmen for Children, Inc., New York, N. Y.. Park, Dr. Edward A., Johns Hopkins Hospital, Baltimore, Md.. Pepper, Claude, Senator (D., Florida)- Perkins, Dr. William, Council of Social Agencies, Philadelphia, Pa... Peters, Dr. John P., secretary, Committee of Physicians for the Improve- ment of Medical Care, New York, N. Y... Powers, Dr. Grover F., Yale University School of Medicine, New Haven, Reese, Curtis W., Abraham Lincoln Center, Chicago, Ill. 273 222 282 281 364 284 Sellers, Mrs. R. O. (Katherine W.), Department of Social Service, Church 290 Sleeper, Ruth, National League of Nursing Education, New York, N. Y.. 252 252 Steuer, Wilbur A., National Lawyers Guild, Cleveland Chapter, Cleveland, 287 Stevenson, George, National Committee for Mental Hygiene, New York, Taylor, Holman, State Medical Association of Texas, Fort Worth, Tex.. Turner, Mary B., St. John's Day Care Center, Cleveland, Ohio... Vaughan, Mrs. Eleanor, vice chairman, Congress of American Women, Wall, Dr. Joseph S., chairman, committee on legislation, the American Academy of Pediatrics, representing the American Medical Association, Webb, William C., children's dental clinics of the Philadelphia Mouth 290 Wisan, Dr. J. M., chief, division of dental health, New Jersey State Depart- 241 Woolsey, Dr. Ray T., Utah State Medical Association, Salt Lake City, 223 Wright, Abigail, head resident, Garibaldi Institute, Chicago, Ill.. 281 291 MATERNAL AND CHILD WELFARE FRIDAY, JUNE 21, 1946 UNITED STATES SENATE, COMMITTEE ON EDUCATION AND LABOR, Washington, D. C. The committee met at 3 p. m., pursuant to call, Senator Claude Pepper presiding. Present: Senators Murray (chairman), Pepper, Fulbright, Aiken, and Donnell. Senator PEPPER. The committee will be in order. We have called the committee to hold this hearing at this time to discuss the merits of S. 1318, a bill to provide for the general welfare by enabling the several States to make more adequate provision for the health and welfare of mothers and children and for services to crippled children, and for other purposes. A copy of the bill will be inserted into the record at this point. (The bill is as follows:) [S. 1318, 79th Cong., 1st sess.] A BILL To provide for the general welfare by enabling the several States to make more adequate provision for the health and welfare of mothers and children and for services to crippled children, and for other purposes Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the "Maternal and Child Welfare Act of 1945." TITLE I-MATERNAL AND CHILD HEALTH SERVICES APPROPRIATION SEC. 101. For the purpose of enabling each State to provide and maintain services and facilities to promote the physical and mental health of mothers during the maternity period, and of children, including medical, nursing, dental, hospital, and related services and facilities required for maternity care, preventive health work and diagnostic services for children, school health services, care of sick children, and correction of defects and conditions likely to interfere with the normal growth and development and the educational progress of children, and to develop more effective measures for carrying out the purposes of this title, including demonstrations and the training of personnel for State and local maternal and child health services, there is hereby authorized to be appropriated for the fiscal year ending June 30, 1946, the sum of $50,000,000, and for each year thereafter a sum sufficient to carry out the purposes of this title. The sums authorized under this section shall be used for making payments to States which have submitted to and had approved by the Chief of the Children's Bureau, State plans for developing such programs and providing such care and services. ALLOTMENTS TO STATES SEC. 102. (a) For the fiscal year ending June 30, 1946, and for each year thereafter, the Secretary of Labor shall allot to each State, out of the sums appropriated pursuant to section 101, such part of $5,000,000 as he finds that 1 the number of children under twenty-one years of age in such State bore to the total number of children under twenty-one years of age in the United States, in the latest calendar year for which the Bureau of the Census has available statistics. (b) For the fiscal year ending June 30, 1946, and for each year thereafter in addition to the allotments made under subsection (a), the Secretary of Labor shall allot to the States, out of the sums appropriated pursuant to section 101, the amount remaining after the amount allotted under subsection (a) has been deducted, taking into consideration for each State such factors as (1). the number of mothers and of children under twenty-one years of age in the State for whom service and care provided for in section 101 are to be made available, and the cost of furnishing such services and care to them, (2) the special problems of maternal and child health, and (3) the financial need of the State for assistance in carrying out the State plan. APPROVAL OF STATE PLANS SEC. 103. (a) A State plan for maternal and child health services under this title must (1) provide for financial participation by the State; (2) provide for a State-wide program or for extension of the program each year so that a State plan adequate to carry out the purposes specified in section 101 will be in effect in all political subdivisions of the State, not later than July 1, 1955; (3) provide that as services and facilities are furnished under the plan they shall be available to all mothers and children in the State or locality who elect to participate in the benefits of the program, and that there will be no discrimination because of race, creed, color, or national origin, and no residence requirements; (4) provide for the administration of the plan by the State health agency or for the supervision of the administration of the plan by the State health agency, and for appropriate coordination of the plan with the general publichealth and medical-care program of the State health agency: Provided, That in carrying out the purposes of this title, the State health agency may develop agreements or cooperative arrangements with other State or local public agencies whose functions include the provision of services similar or related to the services furnished under the State plan; (5) be made part of the State plan for maternal and child-health services submitted in accordance with the provisions of title V, part 1, of the Social Security Act; (6) provide such methods of administration as are necessary for the proper and efficient operation of the plan, including methods relating to the establishment and maintenance of (A) personnel standards on a merit basis, except that the Chief of the Children's Bureau shall exercise no authority with respect to the selection, tenure of office, and compensation of the individual employed in accordance with such methods, (B) standards for professional personnel rendering medical, dental, nursing, and related types of care or service and standards for hospitals and other institutional care and services, such standards to be established by the State health agency after consultation with professional advisory committees appointed by the State health agency, and (C) such methods of administration of medical care as will insure (1) the right of mothers and children, or persons acting in their behalf, to select, from among those meeting standards prescribed by the State health agency in accordance with methods set forth in the State plan, the physician, hospital, clinic, or health service agency of their choice (provided that the physician, hospital, clinic, or health service agency selected may refuse to accept the case), and where no such selection is made, the State plan shall set forth the method by which care will be made available; (2) a high quality of care by providing for adequate remuneration for the persons and institutions providing medical care and related services; opportunities for postgraduate training of professional and technical personnel; and such use of health centers, hospitals, clinics, and health service agencies, public and voluntary, as will achieve the satisfactory distribution and coordination of preventive, diag nostic, consultative, and curative services for mothers and children furnished by general practitioners, specialists, public health personnel, labora |