Statement of-Continued

Moss, Hon. John E., a Representative in Congress from the State of
California..

Peeples, Dr. William J., Commissioner, Maryland State Department
of Health-

Roesch, Robert, director, comprehensive health planning agency,
State of Florida, in behalf of National Governors Conference and
Council of State Governments.

Page

71

276

124. 134

Rogers, Dr. David E., in behalf of the Association of American Medical
Colleges

Schnibbe, Harry C., executive director, National Association of State
Mental Health Program Directors_-
Seidman, Bert, director, Social Security Department, American Fed-
eration of Labor and Congress of Industrial Organizations (AFL-
CIO)
Shoemaker, Richard E., assistant director, Social Security Department,
American Federation of Labor and Congress of Industrial Organiza-
tions (AFL-CIO) __.

Steinberg, Dr. Martin R., member, board of trustees, American
Hospital Association.

Thompson, Julia, director, Washington office, American Nurses'
Association

Veneman, Hon. John G., Under Secretary, Department of Health,
Education, and Welfare

Viguers, Richard T., chairman, Committee on Modernization and
Construction Funds for Teaching Hospitals, Association of American
Medical Colleges -

Williamson, Kenneth, director, Washington Service Bureau, American
Hospital Association..

150, 155

79

Additional material submitted for the record by-
AFL-CIO Executive Council, statement__

Zwick, Daniel, Associate Director, Community Action Health Program, Office of Economic Opportunity.

Wold, Hon. John S., a Representative in Congress from the State of
Wyoming

78

239

123

American Association for Hospital Planning, George A. Lindsley,
M.P.H., president, letter dated March 19, 1969, to Chairman
Staggers

American Heart Association, Walter B. Frommeyer, Jr., president,
and Lewis E. January, past president and legislative spokesman,
statement -

American Institute for Human Engineering, Paul A. Strachan, president, statement.

American Medical Association:

357

368

358

Exhibit E-Comprehensive health planning-

Letter dated April 4, 1969, to Chairman Jarman, re research
activities in the delivery of health care centers.
American Public Health Association, Inc., Berwyn F. Mattison, M.D.,
executive director, letter dated April 4, 1969, to Chairman Staggers_-
Association of American Medical Colleges:

Letter dated April 16, 1969, to Chairman Jarman, re relations
that should exist between Hill-Burton programs and the State
comprehensive planning agencies, research of the association
relevant to the delivery of health services, and impact of the
repayment of guaranteed loans on the cost per patient-day---
Meeting society's expectations for excellence in service and
education.

170

163

Exhibit D-New construction and modernization for hospitals
and public health centers, fiscal year 1969.

Exhibit C-Table 1.-Total projects approved, by fiscal year of
appropriation, July 1, 1947, to June 30, 1968-

Exhibit A-Gains in existing general hospital beds, eight high
and eight low per capita income by States. - -
Exhibit B-Federal share of Hill-Burton projects by type of
facility and type of construction___

100

101

101

102

102

108

361

Additional material submitted for the record by-Continued

Blue Cross Association:

Letter dated April 22, 1969, to Congressman Paul G. Rogers,
with the following attachments___

1. Copy of the annual report of the Commission for Admin-
istrative Services in Hospitals (CASH).

2. Report of CASH to the California Legislature-
3. CASH registered nurse availability survey, 1966-.
4. A CASH chart illustrating the overall impact of CASH
on labor productivity based on best estimates to date. ___
5. American Hospital Association "Nursing Activity Study,
1968"

6. Statement by Walter J. McNerney entitled "Improving
the Effectiveness of Health Insurance and Prepayment".
7. Report of the Secretary's Advisory Committee on Hos-
pital Effectiveness.

8. Report on Blue Cross Association survey on the partici-
pation of Blue Cross plans in areawide planning, 1968-
9. Blue Cross Reports, March 1966, "Utilization Review
and Control Activities in Blue Cross Plans".

10. Blue Cross Reports, June 1967, "Hospital Cost Trends".
Planning of health facilities and services a statement of policy,
September 1968____

Commerce Department, Robert A. Podesta, Assistant Secretary for
Economic Development, letter dated April 14, 1969, to Chairman
Jarman, re coordinated activities of construction and operation of
health facilities with other health programs.

Page 195

196

202

206

210

(1)

(1)

(1)

210

214

226

184

288

Doctors General Hospital, Temple G. Thompson, letter dated April 7, 1969, to Chairman Jarman...

362

Evans, Hon. Daniel J., Governor of Washington, comments on proposed Hill-Burton amendments...

146

Group Health Association of America, Inc., W. P. Dearing, M.D., executive director:

Letter dated April 9, 1969, to Chairman Jarman.......
Letter dated April 28, 1969, to Chairman Staggers, with sug-
gested amendment to H.R. 6797 attached__

363

365

Health, Education, and Welfare Department:

Formula allocations, allocation transfers, and final Federal funds
available for construction grants, by State and program
category:

National Center for Health Services Research and Development-
Material for program committees, and studies of group practice
and prepaid health plans----

Position on the required relationship between the general hospital
and the extended-care facility in a program providing Federal
assistance for the modernization or construction of health
facilities.

Housing and Urban Development (HUD), George Romney, Secre-
tary, letter dated April 18, 1969, to Chairman Jarman, re coordina-
tion of activities of construction and operation of health facilities
with other health programs

Javits, Hon. Jacob K., a U.S. Senator from the State of New York, section-by-section analysis of S. 269

Jefferson Parish Medical Society, Frank A., Riddick Jr., M.D., chairman, hospital committee, letter dated March 28, 1969, to Committee on Interstate and Foreign Commerce_

29

58

342

63

358

Kaiser Foundation Health Plan, Inc., Robert J. Erickson, counsel,
letter dated April 3, 1969, to Chairman Jarman
Kraft, Dr. Alfred C., commissioner, office of medical services and
facilities, Department of Public Welfare, Commonwealth of Penn-
sylvania:

359

Comments on proposed Hill-Burton amendments.
Letter dated February 24, 1969, to Congressman Albert W. John-
son of Pennsylvania, re Geisinger Medical Center, with for-
warding letter from Congressman Johnson_-

147

349

In committee files.

Additional material submitted for the record by-Continued

Lambert, Walter N., director, Office of Urban and Federal Affairs,
State of Tennessee, comments on proposed Hill-Burton amend-
ments_

LeVander, Hon. Harold, Governor of Minnesota, letter dated March
31, 1969, to Chairman Jarman.

McCall, Hon. Tom, Governor of Oregon, comments on proposed
Hill-Burton amendments..

Mandel, Hon. Marvin, Governor of Maryland, comments on pro-
posed Hill-Burton amendments..

Mary Hitchcock Memorial Hospital, William Wilson, administrator,

statement__.

National Association of State Mental Health Program Directors,
letter dated October 20, 1966, from Alanson W. Willcox, General
Counsel, HEW, to William E. Schumacher, M.D., president, re
whether definition of "hospital" in section 625(c) of the Public
Health Service Act includes a mental hospital...
National Governors Conference:

Letter dated April 2, 1969, to Congressman Paul G. Rogers, re
comments of various Governors on the methods of financing
Hill-Burton programs, and also forwarding separate comments
from various Governors and State officials regarding Hill-
Burton legislation....

Moderating the cost of hospital care-a monograph.
National League of Cities and the U.S. conference of mayors, joint

statement.

New York State Health Planning Commission, Hollis S. Ingraham,
M.D., et al., telegram dated March 21, 1969, to Chairman Staggers.
Office of Economic Opportunity, letter dated April 10, 1969, to
Representative Paul G. Rogers, with the following attachments_-
ÓEO neighborhood health center experience in the use of multi-
phasic screening--

Page

149

347

143

150

74

283

143

127

352

358

248

249

250

251-253

78

348

Summary of basic immunizations among children under 15 years
of age by area, race, and socioeconomic group...
Comprehensive neighborhood health services projects.
Patman, Hon. Wright, a Representative in Congress from the State
of Texas, letter dated March 5, 1969, to Chairman Staggers---.
Rockefeller, Hon. Nelson A., Governor of New York, statement...
Small Business Administration, Hilary Sandoval, Jr., Administrator,
letter dated April 4, 1969, to Chairman Jarman, re osteopathic
hospital in Jacksonville, Fla..

Smoot, Stanley M., Davis County (Utah) Commission, letter dated
April 11, 1969, to Congressman Laurence J. Burton, of Utah..
U.S. Conference of Mayors and the National League of Cities, joint
statement....

ORGANIZATIONS REPRESENTED AT HEARING

American Federation of Labor and Congress of Industrial Organizations
(AFL-CIO):

Biemiller, Andrew J., director, department of legislation.
Seidman, Bert, director, social security department.

Shoemaker, Richard E., assistant director, social security department.

American Hospital Association:

Steinberg, Dr. Martin R., member, board of trustees.

Williamson, Kenneth, director, Washington service bureau.

American Medical Association:

Hampton, Dr. H. Phillip, member, council on legislative activities.
Harrison, Bernard P., director of legislative department.

American Nurses' Association:

MacVicar, Jean Thomson, chairman, committee on legislation.

Thompson, Julia, director, Washington office.

Association of American Medical Colleges:

Berson, Dr. Robert C., executive director.

McNulty, Matthew F., Jr., associate director.

Rogers, Dr. David E.

Viguers, Richard T., chairman, committee on modernization and
construction funds for teaching colleges.

288

351

352

ORGANIZATIONS REPRESENTED AT HEARING-Continued

Association of State and Territorial Health Officers:

Barr, Dr. Robert N., secretary and executive officer, Minnesota State Department of Health.

Henderson, William F., executive secretary, North Carolina Medical Care Commission.

Blue Cross Association, James Ensign, vice president.

Council of State Governments. (See National Governors Conference.)

Health, Education, and Welfare Department:

Veneman, Hon. John G., Under Secretary.

Black, Creed C., Assistant Secretary for Legislation.

Cavanaugh, James H., Director, Office of Planning and Program Coordination.

Kelly, James F., Assistant Secretary, Comptroller.

Lewis, Irving J., Deputy Administrator, Health Services and Mental Health Administration.

Maryland State Department of Health:

Guthrie, Dr. Eugene H., executive director, Maryland Comprehensive Health Planning Agency.

Peeples, Dr. William J., Commissioner.

National Association of State Mental Health Program Directors, Harry C. Schnibbe, executive director.

National Governors Conference and Council of State Governments:

Barnaby, Robert, assistant director, comprehensive health planning agency, State of Florida.

Jensen, Allen, special assistant.

Roesch, Robert, director, comprehensive health planning agency, State of Florida.

Office of Economic Opportunity:

Bryant, Dr. Thomas, Assistant Director for Health Affairs (acting).
Zwick, Daniel, Associate Director, community action health program.