Insurance Association of Connecticut, John H. Filer, chairman and chief executive officer, Aetna Life and Casualty, accompanied by Burton E. Burton, senior vice president, group division, Aetna_. Kansas Hospital Association, A. B. Davis, Jr., executive vice president and chairman, board of directors, accompanied by Frank L. Gentry, executive director___. Levetan, Liane, commissioner, De Kalb County, Ga., and member, Health Miller, Morton D., vice chairman, Equitable Life Assurance Society of the Moran, M. Gail, staff director, Committee on Human Resources, National Mott, Anthony, executive director, Finger Lakes Health Systems Agency, Murphy, Richard E., legislative director, Service Employees International National Association of Counties, Liane Levetan, commissioner, De Kalb National Conference of State Legislatures, Hon. David Hollister__ National Council of Community Hospitals, John F. Horty, president, accompanied by John Huff, counsel.. Page 398 264 307 139 280 317 132 272 307 409 115 186 National Council of Health Care Services, Harry Asmus, president, ac- 205 317 National Retired Teachers Association, James M. Hacking, assistant legislative counsel 432 Phillips, Charles D., Ed.D., president, American Protestant Hospital Association Reba, Richard C., M.D., president, American College of Nuclear Physi- Schwinger, Harold N., M.D., chairman, Board of Chancellors, American Seidman, Bert, director, Social Security Department, AFL-CIO, accom- 197 401 332 213 272 293 200 Whalen, Dr. Robert P., on behalf of the Association of State and Territorial 126 COMMUNICATIONS American College of Emergency Physicians. American Association of Homes for the Aging, David C. Crowley, executive vice president 452 463 American Dental Association.... 465 American Institute of Certified Public Accountants: Roscoe L. Egger, Jr., chairman, Federal Government Executive Com- William Freitag, chairman, health care matters__ American Osteopathic College of Radiology, Martin S. Landis, president__ American Society of Internal Medicine, William P. Daines, M.D_ American Society of Oral Surgeons--- American Speech and Hearing Association.. Association of Pathology Chairmen, Inc. Blue Shield Association___. California Medical Association__. Catholic Hospital Association_. Caylor-Nickel Hospital, Inc., Charles H. Caylor, M.D., president_. Page 470 473 473 476 478 484 485 494 496 499 501 503 504 508 510 512 519 528 533 452 496 Chamber of Commerce of the United States, Jan Peter Ozga.... Crowley, David, executive vice president of the Association of Homes for the Aging... Daines, William P., M.D., American Society of Internal Medicine. 478 470 452 Fox, Allan R., president, American Osteopathic College of Pathologists.. 473 470 Gaspar, Haro'd E., M.D., P.A.... 535 Goldbeck, Willis B., director, Washington Business Group on Health_-_Hale, Randolph M., vice president and manager, Industrial Relations Department, National Association of Manufacturers__ 583 572 Hawaii Medical Service Association, Albert H. Yuen, executive vice president 546 Health System Agency of Southwestern Pennsylvania, Matthew Marshall, 547 Homemakers Home and Health Care Services, Ronald E. Rosenberg, vice 552 555 562 Landis, Martin S., president, American Osteopathic College of Radiology.. 476 547 Massachusetts Eye and Ear Infirmary, Charles T. Wood, director___. 563 570 National Association of Manufacturers, Industrial Relations Department, 572 Nightletter for American Medicine, Robert L. Weinmann, M.D., editor and publisher 574 Ozga, Jan Peter, Chamber of Commerce of the United States-- 528 567 Public Citizen's Health Research Group_. 575 Roberts, William F., acting managing director, American Lung Association_ Rosenberg, Ronald E., vice president of planning and development, Homemakers Home and Health Care Services-- 473 552 Schwartz, Ronald D---- Scott, Michael, of Cox, Langford & Brown, counsel to ASA___ 578 373 Servicemaster Industries, Inc., Kenneth T. Wessner, president and chief Page executive officer 580 Smith, John B., legal and legislative counsel, Medical Personnel Pool 567 Sweeney, Robert H., executive director, National Association of Children's Teckemeyer, Robert A., associate executive director, professional relations, Washington Business Group on Health, Willis B. Goldbeck, director--- 570 484 583 574 Wessner, Kenneth T., president and chief executive officer, Servicemaster 580 Wood, Charles T., director, Massachusetts Eye and Ear Infirmary. 563 546 APPENDIXES Appendix A-Communications received by the committee expressing an interest in these hearings__ 449 Appendix B-Health Care Expenditures and Their Control, the Health ADDITIONAL INFORMATION Committee press release announcing these hearings__ Text of the bill, S. 1470__ The subcommittee met, pursuant to notice, at 8:35 a.m., in room 2221, Dirksen Senate Office Building, Hon. Herman E. Talmadge (chairman of the subcommittee) presiding. Present: Senators Talmadge, Dole, and Danforth. Senator TALMADGE. The subcommittee will come to order. Today, we begin 4 days of hearings on S. 1470, the Medicare and Medicaid Administrative and Reimbursement Reform Act. S. 1470, which I introduced joined by Senators Long, Ribicoff, Dole, and 16 other colleagues, is the successor proposal to S. 3205 of the last Congress. S. 3205 was the subject of 5 days of hearings last July. [The committee press release announcing these hearings and the bill S. 1470 follows:] [Press release, Committee on Finance, Subcommittee on Health] FINANCE COMMITTEE ANNOUNCES HEARING ON MEDICARE AND MEDICAID ADMINISTRATIVE AND REIMBURSEMENT REFORM Senator Herman E. Talmadge (D., Ga.), Chairman of the Subcommittee on Health of the Senate Finance Committee, announced today that the Subcommittee will hold a hearing in early June on the various Medicare and Medicaid administrative and reimbursement reform provisions of S. 1470, introduced by Senator Talmadge on May 5, is cosponsored by a total of 19 Senators. The hearing will be held beginning at 8:30 a.m. each day beginning June 7 through June 10 in Room 2221, Dirksen Senate Office Building. Senator Talmadge stated: "S. 1470 is an improved version of S. 3205, a similar proposal introduced in the last Congress. The present bill incorporates constructive testimony received last year during five days of hearings on S. 3205. S. 1470 is designed to deal with, among other things, the problem of the continued explosion in the costs of the Medicare-Medicaid programs. Last year, I pointed out that those programs would cost Federal and State taxpayers more than $38 billion in fiscal 1977. Bad as that was, just one year later these programs are estimated to cost Federal and State governments more than $47 billion in fiscal 1978." Senator Talmadge said, with respect to soaring health costs: "The Congress and the Administration share a common concern; however, I believe we can best control costs by providing hospitals with equitable incentives and with the right kind of penalties." Requests to testify.-Senator Talmadge advised that witnesses desiring to testify during this hearing make their request to testify to Michael Stern, Staff Director, Committee on Finance, 2227 Dirksen Senate Office Building, Washington, D.C. 20510, not later than Friday, May 27, 1977. Witnesses will be notified as soon as possible after this date as to when they are scheduled to appear. |