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ALPHABETICAL LIST OF WITNESSES AND THOSE SUBMITTING

STATEMENTS

Addes, George F., United Automobile Workers, CIO, Detroit, Mich...-
Aikin, Mary M., Eaton Manufacturing Co., Cleveland, Ohio.
Allen, Dr. Frederick H., Philadelphia Child Guidance Clinic, Philadelphia,
Pa..

279

282

237

Arnold, Frances P., Girls' Friendly Society of the U. S. A., New York,
N. Y

274

Atwater, Dr. Reginald M., American Public Health Association, New
York, N. Y...

265

Ballard, Russell W., director, Hull House, Chicago, Ill.
Benton House Settlement, Chicago, Ill__

29, 42

280

Boice, Dr. Clyde Allison, Washington, Iowa.

338

Bolt, Dr. Richard, lecturer in public health, University of California,
Berkeley, Calif

90

Bousfield, Dr. M. O., Supreme Liberty Life Insurance Co., Chicago, Ill

218

Bracken, Floyd, recording secretary, Lodge No. 799, Brotherhood of Rail-
way Carmen of America, Lincoln, Nebr

Page

275

216

Brown, Col. James B., Valley Forge General Hospital, Phoenixville, Pa -
Butler, Dr. Allan, Harvard Medical School, Boston, Mass

109, 316

111

Davis, Dr. Michael M., Committee for the Nation's Health, Washington,
D. C.

264

Dilley, Frea C., Fraternal Order of Eagles, National Child Health Com-
mission, Brazil, Ind..

288

286

371

Elliot, Daniel R., Welfare Federation of Cleveland, Cleveland, Ohio---
Engle, Hon. Albert J., United States House of Representatives...
Firger, Mrs. Harry (Ella), Parents' Federation of Greater Boston, Boston,
Mass

Foster, Mrs. James W. (Edith), Owensboro, Ky.

Foster, Dr. L. F., secretary, Michigan State Medical Society, Lansing,
Mich..

273

227

389

386

277

Hunter, Mrs. W. E. (Ruth B.), Bethlehem Creche and Settlement, Chi-
cago, Ill.

Howard, Dr. Joseph H., Obstetrician on behalf of the American Medical
Association, Washington, D. C.

93

281

Jacobs, Mrs. David (Beatrice), League of Women Shoppers, Inc. (New
York Chapter), New York, N. Y

274

Jacobs, Mrs. Eveline B., National Society for Crippled Children and
Adults, Inc., Chicago, Ill..

42

Johnson, Charles S., Fisk University, Nashville, Tenn.

288

Jones, Mrs. Alfred Winslow (Mary Carter), Women's City Club of New
York, Inc., New York, N. Y.

274

Low, Harold I., Association of American Physicians and Surgeons, Chi-
cago, Ill.

390

Lowder, Virgil E., Department of Social Service, Church Federation of
Greater Chicago, Chicago, Ill.

281

McCall, Dr. John Oppie, the Murray and Leonie Guggenheim Dental
Clinic, New York, Ñ. Y.

241

Meyer, Mrs. Eugene, Washington, D. C.

11

Miller, Dr. O. L., Medical Arts Building, Charlotte, N. C.
Miller, Watson B., Administrator, Federal Security Administration_
Mitchell, Dr. Harold H., Long Island City, N. Y.
Mitchell, Dr. John McK., Rosemont, Pa

223

391

219

388

Moore, Hon. Arthur E., judge of probate, Oakland County, Pontiac, Mich.
Nelson, Atley O., Washington Spastic Children's Society, Seattle, Wash...
Noyes, William W., chairman, board of selectmen and board of health,
Bridgewater, Mass..

227

224

270

220

Oxholm, Mrs. Theodor, Spokesmen for Children, Inc., New York, N. Y..
Palmer, Dr. C. L., Medical Society of the State of Pennsylvania, Pitts-
burgh, Pa...

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,

Conn..

Reese, Curtis W., Abraham Lincoln Center, Chicago, Ill.
Reikord, M. K., Illinois Children's Home and Society, Chicago, Ill
Reller, Frank X., chief probation officer, juvenile court, St. Louis, Mo..
Richman, Leon H., Cleveland Chapter of the American Association of
Social Workers, Cleveland, Ohio...

Rogers, Dr. Robert W., Plainfield, N. J..

273

222

282

281

364

284

Sellers, Mrs. R. O. (Katherine W.), Department of Social Service, Church
Federation of Greater Chicago, Chicago, Ill..

290

Sleeper, Ruth, National League of Nursing Education, New York, N. Y..
Staupers, Mabel K., National Association of Colored Graduate Nurses, Inc.,
New York, N. Y.

252

252

Steuer, Wilbur A., National Lawyers Guild, Cleveland Chapter, Cleveland,
Ohio..

287

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Webb, William C., children's dental clinics of the Philadelphia Mouth

Hygiene Association, Philadelphia, Pa.

290

Wisan, Dr. J. M., chief, division of dental health, New Jersey State Depart-
ment of Health, Trenton, N. J..

241

Woolsey, Dr. Ray T., Utah State Medical Association, Salt Lake City,
Utah...

223

Wright, Abigail, head resident, Garibaldi Institute, Chicago, Ill..
Zummak, Leon K., Lutheran Service Center, San Antonio, Tex..

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

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