Statement of-Continued MacGregor, Hon. Clark, a Representative in Congress from the State Mason, Dr. W. B., representing the American Chemical Society.. Miller, Dr. Alan, commissioner, New York State Department of Neibel, Oliver J., Jr., executive director and general counsel, College Perry, Billy Dwight, special counsel, American Medical Technologists. Peterson, Dr. Paul Q., Deputy Director, Bureau of Health Services, Roberts, Hon. Kenneth A., legislative counsel, College of American Robinson, Tom, president, International Society of Clinical Laboratory Schnibbe, Harry C., executive director, National Association of State Mental Health Program Directors.. Sencer, Dr. David J., Director, Communicable Disease Center, Simard, Dr. Ernest E., president, College of American Pathologists-- Smith, Hon. Hulett C., Governor of the State of West Virginia.. Stanerson, B. R., executive secretary, American Chemical Society. Stewart, Dr. Wellington B., chairman, board of medical technologists, American Society of Clinical Pathology... Stewart, Dr. William H., Surgeon General, Public Health Service, Department of Health, Education, and Welfare--- Stocklen, Dr. Joseph B., representing the National Tuberculosis Teague, Dr. Russell E., president-elect, The Association of State and Thompson, Julia, director, Washington office, American Nurses' Page 125 115 106 239 315 95 293 149 Turner, Dr. Thomas B., dean, School of Medicine of the Johns Hopkins University, representing the Association of American Medical Colleges... Vander Zee, Rein J., attorney, International Society of Clinical Venable, Dr. John H., president, The Association of State and Terri- Volpe, Hon. John A., Governor of the State of Massachusetts... Ward, C. D., general counsel, National Association of Counties--. Wilson, Dr. John B., chairman, council on legislation, American Dental Additional material submitted for the record by- Agnew, Hon. Spiro T., Governor of the State of Maryland, letter_... Letter from Joint Commission on Accreditation of Hospitals re standards of hospital clinical laboratories... Principles to guide development of statewide comprehensive Protocol for health care planning within a State_ American Medical Association, statement_ American Rehabilitation Foundation, The, letter from Dr. Paul M. Ellwood, Jr., executive director. - Amos, Dr. James R., North Dakota State health officer, telegram. Association of State and Territorial Health Officers, letter dated June Bionetics Research Laboratories, Inc., letter dated May 19, 1967, to Chairman Staggers, from Francis E. Miller, president, with attached 362 86 264 Burns, Hon. John A., Governor of the State of Hawaii, letter California Department of Public Health, telegram from Dr. Lester Excerpts from PHS Regulations (§§ 32.14, 32.15, and 32.17) _ _ _ _ Title 42, United States Code, section 249 (a) - Group Health Association of America, Inc., letter from Dr. W. Palmer Clinical laboratory fee schedules, examples of, under licensure___ Clinical laboratory licensing, personnel required and administra- Clinical laboratory standards for licensure, recommendations for Cost estimates for sections 304, 309, and 314 (a)-(e) of H. R. 6418 27 Exception to limitation of Federal contribution of 50 percent to 53 43 HEW financial participation in birth control and/or family 47 Status of family planning programs. 45 Hospital cost increases in 1966, contributing factors. National Advisory Council on Education for the Health Profes- sions, additional representative to, per section 11(c) of H.R. Public Health Service formula grant programs included in sec- Public Health Service project grant programs included in sec- Iealth Insurance Association of America: Letter dated June 26, 1967, re section 5 of H.R. 6418, with ac- 302 Membership of community health planning committee.. 301 Additional material submitted for the record by-Continuea Idaho Department of Health, telegram from A. W. Clotz, doctor of Idaho Health Association, telegram from Jack Jelke, president.. International Society of Clinical Laboratory Technologists, proposed model State licensure statute.. Kaiser Foundation Hospital Plan, Inc.: Proposed amendment to H.R. 6418- Kerner, Hon. Otto, Governor of the State of Illinois, letter___ Page 354 358 365 Maddox, Hon. Lester, Governor of the State of Georgia, telegram___ Mayo Foundation: 248 243 350 350 Budget estimate-medical information system. Missouri Division of Health, telegram from Dr. L. M. Garner, acting National Association for Mental Health, Inc., statement_ _ Mental health program statistics for four typical States: Cali- National Committee for Careers in Medical Technology: Letter dated June 27, 1967, re proposed language to amend section 795(1) (A) (ii) 103 97 National Cystic Fibrosis Research Foundation, letter from Dr. Milton 365 New Mexico Department of Public Health, letter from Dr. Edwin O. 362 O'Rourke, Dr. Edward, Commissioner of Health, New York City, 324 Pima County (Ariz.) Health Department, letter from Dr. Frederick J. 364 Planned Parenthood-World Population: Resolution adopted by the 323 PARTNERSHIP FOR HEALTH AMENDMENTS OF 1967 TUESDAY, MAY 2, 1967 HOUSE OF REPRESENTATIVES, COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE, Washington, D.C. The committee met at 10 a.m., pursuant to notice, in room 2123, Rayburn House Office Building, Hon. Harley O. Staggers (chairman) presiding. The CHAIRMAN. The committee will come to order. The hearings today are on H.R. 6418 which I introduced at the request of the administration, known as the Partnership for Health Amendments of 1967. Last year in the closing days of the 89th Congress, our committee reported out a 1-year bill providing for comprehensive health planning, and eliminating the categorical grants for public health services within the States, providing instead authority for formula grants and project grants for public health programs generally. The current legislation would extend through fiscal 1972 the authorizations for comprehensive health planning and public health services grants; would broaden and consolidate authorizations for research, experiments and demonstrations relating to the development and financing of health services and facilities; authorize cooperation with States and localities in emergency health planning; provide for licensing clinical laboratories, make permanent the existing temporary authorization for research contracts; and delete the authority currently in the law for the Commission of Education to accredit schools of nursing. This is a very important, a very complicated bill. We expect that the hearings will last at least 2 weeks, in view of the large number of witnesses who have asked to be heard. I might say at this time that the committee faces a rather difficult problem. I stated on the floor yesterday that if we received recommendations from the President dealing with the threatened railroad strike we would promptly start hearings on that legislation. That legislation will take some time for the committee to consider, and I regret to have to say that it may be necessary to suspend these hearings when we get the President's recommendation. It was some years ago that Teddy Roosevelt stirred the Nation with his call for a vigorous and healthy life. We have come a long way since that time, and the medical world has been stimulated to prodigious efforts to increase the control of science over the physical man. That is the purpose of this proposed legislation today, to tie together the achievements of medical science and put behind them whatever resources of the Government may be available to reach the goal of universal health. 1 A healthy nation will be able to take advantage of our enormous opportunities. Although we have many problems, perplexing problems facing us and the Congress and even the Nation such as the Vietnam war, the threatened railroad strike, and many other things, we, as a committee, are determined to carry on in the field of health and do what we can to improve the lot of the medical man and medical science in getting the achievement of science to the public of the nation. (The bill, H.R. 6418, and departmental reports thereon, follow :) [H.R. 6418, 90th Cong., 1st sess.] A BILL To amend the Public Health Service Act to extend and expand the authorizations for grants for comprehensive health planning and services, to broaden and improve the authorization for research and demonstrations relating to the delivery of health services, to improve the performance of clinical laboratories, and to authorize cooperative activities between the Public Health Service hospitals and community facilities, 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 "Partnership for Health Amendments of 1967". GRANTS FOR COMPREHENSIVE HEALTH PLANNING AND PUBLIC HEALTH SERVICES SEC. 2. (a) (1) Subsection (a) (1) of section 314 of the Public Health Service Act (42 U.S.C. 246, as amended by section 3 of the Comprehensive Health Planning and Public Health Services Amendments of 1966, Public Law 89749) is amended (1) by striking out "1968" the first time it appears and inserting in lieu thereof "1972" and (2) by striking out "and $5,000,000 for the fiscal year ending June 30, 1968" and inserting in lieu thereof "$7,000,000 for the fiscal year ending June 30, 1968, and such sums as may be necessary for the next four fiscal years." (2) Subsection (a) (2) of such section is amended by redesignating subparagraphs (I) and (J) as subparagraphs (J) and (K), respectively, and by inserting after subparagraph (H) the following new paragraph: "(I) effective July 1, 1968, (i) provide for assisting each health care facility in the State to develop a program for capital expenditures for replacement, modernization, and expansion which is consistent with an overall State plan developed in accordance with criteria which the Secretary determines will meet the needs of the State for health care facilities, equipment, and services without duplication and otherwise in the most efficient and economical manner, and (ii) provide that the State agency furnishing such assistance will periodically review the program (developed pursuant to clause (i)) of each health care facility in the State and recommend appropriate modifications thereof;". (3) The last sentence of subsection (a) (4) of such section is amended by inserting before the period at the end thereof ", except that in the case of the allotments for the fiscal year ending June 30, 1970, and for each of the next two fiscal years, it shall not exceed 75 per centum of such cost". (b) Subsection (b) of such section is amended by striking out "1968" the first time it appears and inserting in lieu thereof "1972" and by striking out “and $7,500,000 for the fiscal year ending June 30, 1968", and inserting in lieu thereof "$7,500,000 for the fiscal year ending June 30, 1968, and such sums as may be necessary for the next four fiscal years". (c) Subsection (c) of such section is amended by striking out “1968" the first time it appears and inserting in lieu thereof "1972" and by striking out "and $2.500.000 for the fiscal year ending June 30, 1968" and inserting in lieu thereof "$2,500,000 for the fiscal year ending June 30, 1968, and such sums as may be necessary for the next four fiscal years". (d) (1) Subsection (d)(1) of such section is amended by striking out “$62.500,000 for the fiscal year ending June 30, 1968," and inserting in lieu thereof "$70,000,000 for the fiscal year ending June 30, 1968, and such sums as may be necessary for the next four fiscal years,". (2) Subsection (d) (7) of such section is amended by adding at the end thereof the following new stentence: "Effective with respect to allotments under this subsection for fiscal years ending after June 30, 1968, at least 70 per centum of such amount reserved for mental health services and at least 70 per centum of the |