Garrahy, Hon, J. Joseph, Governor of the State of Rhode Island, chairman, National Governors' Association Subcommittee on Health Policy--‒‒‒‒ Champion, Hale, Under Secretary of Health, Education, and Welfare, ac- companied by Julius Richmond, Assistant Secretary for Health; Dr. Karen Davis, Deputy Assistant Secretary for Planning and Evaluation (Health), and Henry Foley, Administrator of Health Resources Admin- Herschler, Hon. Edward, Governor of the State of Wyoming. Semmel, Herbert, Director, Consumer Coalition for Health, Washington, D.C., Steve Suitts, executive director, Southern Regional Council, At- lanta, Ga., and Willie Mitchell, national health law program, Newman, Checkoway, Barry, assistant professor of urban and regional planning, Uni- versity of Illinois at Urbana-Champaign; Champaign County Health Fenerty, Anne, Consumer Coalition for Health, Boulder, Colo.... Pitts, Hon. Terrance, supervisor, Milwaukee County, Wis., on behalf of the National Association of Counties, accompanied by Mike Gemmell, NACO associate director for health and education...... McMahon, John Alexander, American Hospital Association; accompanied by Leo J. Gehrig, M.D., senior vice president; and Paul W. Earle, vice president; Frank J. Jirka, M.D., vice chairman, American Medical Asso- ciation Board of Trustees; accompanied by Archie Johnson, M.D., mem- ber of AMA's ad hoc committee on planning and practicing physician from Raleigh, N.C.; and Harry N. Peterson, director, AMA legislative department: Michael Bromberg, director, Federation of American Hos- Mott, Anthony, executive director, Finger Lakes HSA, Rochester, N.Y.; James Suter, executive director, West Virginia HSA, Inc., Charleston, W. Va.; and Dorothy Hoskin, chairman of the governing body, Western Colorado HSA, Grand Junction, Colo., a panel. Martin, Richard, manager, Health Services Industry Relations, Goodyear Tire and Rubber Co., Akron, Ohio; John Brown, director of employee benefits, Genesco, Inc., Nashville, Tenn., and Willis Goldbeck, director, Glasser, Melvin A., director, social security department, United Auto Hollander, Neil, vice president of health care services, Blue Cross Associa- STATEMENTS American Federation of Labor and Congress of Industrial Organizations. Bert Seidman, director, department of social security, prepared statement with appendix--- American Federation of State, County, and Municipal Employees, Robert E. McGarrah, Jr., public policy counsel, public policy analysis department, prepared amendment....... American Health Planning Association, Anthony Mott, executive director, American Hospital Association, prepared statement. Page 967 981 1023 886 960 748 664 612 Atlanta Legal Aid Society, Georgia legal services program, New Orleans Legal Assistance Corp., and the National Health Law Program, Inc., legal services clients, prepared statements--- 412 Blue Cross Association, Neil Hollander, vice preident of health care services, prepared statement-_ 986 Champion, Hale, Under Secretary of Health, Education, and Welfare, accompanied by Julius Richmond, Assistant Secretary for Health; Dr. Karen Davis, Deputy Assistant Secretary for Planning and Evaluation (Health), and Henry Foley, Administrator of Health Resources Administration Prepared statement Checkoway, Barry, assistant professor of urban and regional planning, University of Illinois at Urban-Champaign; Champaign County Health Care Consumers Prepared statement 391 Clark, Hon. Dick, a U.S. Senator from the State of Iowa. 862 Prepared statement (with proposed amendments). 866 Consumer Coalition for Health, Herbert Semmel, director, prepared statement 152 Czerwinski, Joe, State representative from Wisconsin, prepared statement Federation of American Hospitals, Michael D. Bromberg, Esq.. executive director, prepared statement_-- 566 621 Fenerty, Anne, Consumer Coalition for Health, Boulder, Colo- 395 397 Garrahy, Hon. J. Joseph, Governor of the State of Rhode Island, chairman, 41 47 Glasser eMlvin A., director, social security department, United Auto 967 Prepared statement 972 Grimm, Richard, president, Technicare Corp.; Harold Buzzell, president, 1023 1037 Health Industry Manufacturers Association, Harold Buzzell, president prepared statement______ 1037 Health Insurance Association of America. Henry A. Diprete. second vice president, group operations, John Hancock Mutual Life Insurance Co., Prepared statement.. 1012 Herschler, Hon. Edward, Governor of the State of Wyoming_. 138 Hollander, Neil, vice president of health care services, Blue Cross Association and Henry A. Diprete, second vice president, group operations, John Hancock Mutual Life Insurance Co., a panel____ Prepared statement Jirka, Frank Jr., M.D., vice-chairman, board of trustees, American Medical Johnson, Archie, M.D., American Medical Association, prepared statement__ Martin, Richard, manager, Health Services Industry Relations, Goodyear Mott, Anthony, executive director, Finger Lakes HSA, Rochester, N.Y.; Prepared statement --. McMahon, John Alexander, president, American Hospital Association; accompanied by Leo J. Gehrig, M.D., senior vice president; and Paul W. Earle, vice president; Frank J. Jirka, M.D., vice chairman, American Medical Association Board of Trustees; accompanied by Archie Johnson, M.D., member of AMA's Ad Hoc Committee on Planning and practicing physician from Raleigh, N.C.; and Harry N. Peterson, director, AMA legislative department; Michael Bromberg, director, Federation of American Hospitals, a panel. Page 981 986 593 601 948 951 853 736 747 586 Prepared statement__ 644 McGarrah, Robert E., Jr., public policy counsel, public policy analysis department, American Federation of State, County, and Municipal Employees, AFL-CIO, Washington, D.C.- 957 Prepared statement 930 Pitts, Hon. Terrance, Supervisor, Milwaukee County, Wis., on behalf of the National Asociation of Counties, accompanied by Mike Gemmell, NACO associate director for health and education___. 534 Seidman, Bert, director, department of social security, AFL-CIO, accompanied by Richard Shoemaker assistant director__ 881 Prepared statement 886 Semmel, Herbert, director, Consumer Coalition for Health, Washington, 142 Prepared statement 152 Service Employees International Union. AFL-CIO, Washington, D.C., 938 190 United Auto Workers, Melvin A. Glaser, director, social security department, prepared statement___ 972 Wisniewski, Stanley, research director, Service Employees International 934 Prepared statement__. 938 ADDITIONAL INFORMATION Articles, publications, etc.: Actions Approved by the National Steering Committee on Voluntary 726 Amendment Proposals to the National Health Planning and Resources 670 708 1057 Articles, publications, etc. :-Continued Computed Tomography and the Quality of Radiation Therapy, by J. Consumer Guide to Local Health Care Planning, from the Association Cost of Planning Under Public Law 93-641, Current Experience and HSA Governing Body Composition Analysis of Region II, by Herbert Minimally Funded and Rural Health Systems Agencies statement of Placebo or Cure? State and Local Health Planning Agencies in the Page 340 767 317 1061 809 198 186 539 Proposals for Amendments to Public Law 93-641, from the Consumer 179 Study of Single HSA States and Section 1536 States, executive 790 Communications to: Kennedy, Hon. Edward M., chairman, Subcommittee on Health and Public officials on governing bodies_ 53 374 583 611 1047 86 Results of the HSA project review process, August 1974 to February 854 Status of certificate of need and section 1122 programs in the States 136 HEALTH PLANNING AMENDMENTS OF 1978 THURSDAY, FEBRUARY 2, 1978 U. S. SENATE, SUBCOMMITTEE ON HEALTH AND SCIENTIFIC RESEARCH, Washington, D.C. The subcommittee met, pursuant to notice, at 9:55 a.m., in room 5302, Dirksen Senate Office Building, Senator Edward M. Kennedy (chairman of the subcommittee), presiding. Present: Senators Kennedy, Pell, and Schweiker. Also present: Stuart Shapiro, M.D., professional staff member; Robert Wenger, J.D. counsel; Peter Harris, professional staff member; David Winston, professional staff member; and Polly Gault, professional staff member. Senator PELL. The Human Resources Committee will come to order. The chairman of our subcommittee, Senator Kennedy, has asked that I open the hearing in his behalf since he is presently testifying on the full employment bill. He will be here shortly, but as a matter of courtesy to the witnesses and for the sake of expedition, he asked me to get the ball rolling. We will now insert Senator Kennedy's opening statement in the record. [The statement referred to follows:] OPENING STATEMENT OF SENATOR EDWARD M. KENNEDY Senator KENNEDY. I am pleased to open a series of hearings on S. 2410, "The Health Planning Amendments of 1978" which I introduced last week along with Senators Schweiker, Javits, Randolph, Pell, and Chafee. These amendments build and strengthen the "National Health Planning and Resources Development Act of 1974," and should help us achieve a rational system of health planning so that every American will be able to receive quality health care at a reasonable cost. When the Congress enacted that historic legislation in 1974, it made the finding that "The achievement of equal access to quality health care at a reasonable cost is a priority of the Federal Government." Tragically, with the rapidly escalating cost of health care, we are perhaps further from that goal today than we were 3 years ago. National health expenditures tripled between 1965 and 1975. In fiscal year 1977 over $160 billion was spent on health care. Health expenditures now account for 8.7 percent of the GNP. The rate of increase was approximately twice the CPI for the same period. The costs of medicare and medicaid went up billions last year and the total Federal share of these health expenditures has now reached almost $50 billion. (1) |