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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
and Education Policy Steering Committee of the National Association of
Counties, accompanied by Mike Gennell, legislative representative____
McMahon, John Alexander, president, American Hospital Association, ac-
companied by Alan Manzano, vice president and Leo J. Gehrig, M.D.,
senior vice president_

Miller, Morton D., vice chairman, Equitable Life Assurance Society of the
United States, accompanied by William C. White, Jr., vice president,
Prudential Insurance Co. of America, on behalf of Health Insurance
Association of America___

Moran, M. Gail, staff director, Committee on Human Resources, National
Governors' Conference---

Mott, Anthony, executive director, Finger Lakes Health Systems Agency,
and chairman, Legislative Committee, American Association for Compre-
hensive Health Planning____.

Murphy, Richard E., legislative director, Service Employees International
Union, accompanied by Stanley Wisniewski, research director, Service
Employees International Union___

National Association of Counties, Liane Levetan, commissioner, De Kalb
County, Ga., and member, Health and Education Policy Steering Com-
mittee, accompanied by Mike Gennell, legislative representative_.
National Association of Private Psychiatric Hospitals, Dave M. Davis,
M.D., immediate past president, Georgia Psychiatric Association, direc-
tor of psychiatric services, Peachtree-Parkwood Mental Center and
Hospitals, Atlanta, Ga-----

National Conference of State Legislatures, Hon. David Hollister__ National Council of Community Hospitals, John F. Horty, president, accompanied by John Huff, counsel..

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398

264

307

139

280

317

132

272

307

409

115

186

National Council of Health Care Services, Harry Asmus, president, ac-
companied by Jack MacDonald, executive vice president__
National Governors Conference, M. Gail Moran, staff director, committee
on human resources..

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-
cians, accompanied by John Dring; and Kenneth L. Nicolas, executive
staff

Schwinger, Harold N., M.D., chairman, Board of Chancellors, American
College of Radiology, accompanied by Fredric D. Lake, M.D., president;
J. T. Rutherford, legislative counsel; and Otha W. Linton, director,
governmental relations

Seidman, Bert, director, Social Security Department, AFL-CIO, accom-
panied by Robert McGlotten, Legislative Department, and Richard Shoe-
maker, Social Security Department..
Service Employees International Union, Richard E. Murphy, legislative
director; accompanied by Stanley Wisniewski, research director_.
Stewart, Donald H., M.D., American Association of Neurological Surgeons-
Thevenot, Bruce D., administrator, Government Services Division, Ameri-
can Health Care Association__

197

401

332

213

272

293

200

Whalen, Dr. Robert P., on behalf of the Association of State and Territorial
Health Officials

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-
mittee;

William Freitag, chairman, health care matters__
American Lung Association, William F. Roberts, acting managing director_
American Osteopathic College of Pathologists, Inc., Allan R. Fox, presi-
dent

American Osteopathic College of Radiology, Martin S. Landis, president__
American Osteopathic Hospital Association, Michael F. Doody, president__
American Physical Therapy Association, Robert A. Teckemeyer, associate
executive director professional relations_.
American Society for Medical Technology –
American Society of Clinical Pathologists.

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_.
Center on Social Welfare Policy and Law.

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470

473

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484

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496

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503

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508

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519

528

533

452

496

Chamber of Commerce of the United States, Jan Peter Ozga....
Committee for a Federal Health Bank_.

Crowley, David, executive vice president of the Association of Homes for the Aging...

Daines, William P., M.D., American Society of Internal Medicine.
Doody, Michael F., president, American Osteopathic Hospital Association__
Egger, Roscoe L., Jr., chairman, Federal Government executive committee,
American Institute of Certified Public Accountants__.
Federal Trade Commission, Michael Pertschuk, chairman_.

478

470

452

Fox, Allan R., president, American Osteopathic College of Pathologists..
Freitag, William, chairman, health care matters, American Institute of
Certified Public Accounts__.

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,
Jr., M.D., secretary, board of directors---

547

Homemakers Home and Health Care Services, Ronald E. Rosenberg, vice
president of planning and development_-.
Hospital Association of New York State---
Hospital Financial Management Association___--

552

555

562

Landis, Martin S., president, American Osteopathic College of Radiology..
Marshall, Matthew J., M.D., secretary, board of directors, Health System
Agency of Southwestern Pennsylvania__.

476

547

Massachusetts Eye and Ear Infirmary, Charles T. Wood, director___.
National Association of Children's Hospitals and Related Institutions,
Robert H. Sweeney, executive director---

563

570

National Association of Manufacturers, Industrial Relations Department,
Randolph M. Hale, vice president and manager__-

572

Nightletter for American Medicine, Robert L. Weinmann, M.D., editor and publisher

574

Ozga, Jan Peter, Chamber of Commerce of the United States--
Personnel Pool of America, Inc., John B. Smith, legal and legislative coun-
sel, Medical Personnel Pool Division___.

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
Division, Personnel Pool of America, Inc---

567

Sweeney, Robert H., executive director, National Association of Children's
Hospitals and Related Institutions__

Teckemeyer, Robert A., associate executive director, professional relations,
American Physical Therapy Association___.

Washington Business Group on Health, Willis B. Goldbeck, director---
Weinmann, Robert L., editor and publisher, Nightletter for American
Medicine

570

484

583

574

Wessner, Kenneth T., president and chief executive officer, Servicemaster
Industries, Inc.

580

Wood, Charles T., director, Massachusetts Eye and Ear Infirmary.
Yuen, Albert H., executive vice president, Hawaii Medical Service Asso-
ciation

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
Staff, Education and Public Welfare Division, Congressional Research
Service, Library of Congress__

ADDITIONAL INFORMATION

Committee press release announcing these hearings__

Text of the bill, S. 1470__

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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.

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