EMENT UF Proton U.S. GOVERNMENT PRINTING OFFICE 70-662 WASHINGTON : 1976 For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D.C. 20402 - Price $2.70 09 -00 GBC INTOMA SENATE SPECIAL COMMITTEE ON AGING FRANK CHURCH, Idaho, Chairman EDWARD W. BROOKE, Massachusetts CHARLES H. PERCY, Illinois EDWARD M. KENNEDY, Massachusetts ROBERT T. STAFFORD, Vermont WALTER F. MONDALE, Minnesota J. GLENN BEALL, JR., Maryland VANCE HARTKE, Indiana PETE V. DOMENICI, New Mexico CLAIBORNE PELL, Rhode Island BILL BROCK, Tennessee DEWEY F. BARTLETT, Oklahoma SUBCOMMITTEE ON LONG-TERM CARE FRANK E. MOSS, Utah, Chairman HIRAM L. FONG, Hawaii EDWARD W. BROOKE, Massachusetts EDWARD M. KENNEDY, Massachusetts J. GLENN BEALL, JR., Maryland CLAIBORNE PELL, Rhode Island PETE V. DOMENICI, New Mexico THOMAS F. EAGLETON, Missouri BILL BROCK, Tennessee DEWEY F. BARTLETT, Oklahoma HOUSE SELECT COMMITTEE ON AGING WM. J. RANDALL, Missouri, Chairman CLAUDE PEPPER, Florida BOB WILSON, California SPARK M. MATSUNAGA, Hawaii WILLIAM C. WAMPLER, Virginia EDWARD R. ROYBAL, California JOHN PAUL HAMMERSCHMIDT, Arkansas FRED B. ROONEY, Pennsylvania H. JOHN HEINZ III, Pennsylvania MARIO BIAGGI, New York WILLIAM S. COHEN, Maine WALTER FLOWERS, Alabama RONALD A. SARASIN, Connecticut IKE F. ANDREWS, North Carolina WILLIAM F. WALSH, New York JOHN L. BURTON. California CHARLES E. GRASSLEY, Iowa EDWARD P. BHRV, Rhode Island THEODORE M. (TED) RISENHOOVER, MICHAEL 1. BLOUIN, Iowa Oklahoma GILBERT GUDE, Maryland SUBCOMMITTEE ON HEALTH AND LONG-TERM CARE CLAUDE PEPPER, Florida, Chairman IKE F. ANDREWS. North Carolina H. JOHN HEINZ III. Penpsylvania WILLIAM S. COHEN, Maine CONTENTS Page 123牡约约 41 Statement by Senator Frank E. Moss... Statement by Representative Claude Pepper. Statement by Representative H. John Heinz III. Statement by Senator Bill Brock.. Statement by Representative Wm. J. Randall.. Statement by Senator Charles H. Percy-- CHRONOLOGICAL LIST OF WITNESSES Martin, Hon. John B., consultant, National Retired Teachers Association/ American Association of Retired Persons.. Koch, Hon. Edward I., Representative from the 18th District of New York. Etzioni, Dr. Amitai, professor of sociology, Columbia University, and director, Center for Policy Research Hawes, Gerald A., audit manager, office of the auditor general, Sacramento, Warner, Dr. George, special assistant, Health Facilities, Economics, and Preventive Health Services, New York State Health Department, Weikel, Dr. Keith, Commissioner, Medical Services Administration, De- partment of Health, Education, and Welfare; accompanied by Peter Franklin, Special Assistant to the Secretary; Dr. Claire Ryder, Director, Division of Policy Development, Office of Nursing Home Affairs; and Gerald Sheinbach, Assistant Bureau Director, Division of State Opera- tions, Bureau of Health Insurance, Social Security Administration -- Wilsmann, Edward J., president, Upjohn Homemakers Home and Health Care Services, Inc., Kalamazoo, Mich.. Brown, Richard P., executive vice president, Unihealth Services Corp., Smith, John B., legislative counsel, medical personnel, Personnel Pool of America, Inc., Fort Lauderdale, Fla. Winston, Þr. Eilen, National Council for Homemaker-Home Health Aide Tigar, Nancy, assistant director, Council of Home Health Agencies and Community Health Services, National League for Nursing- Reese, Eva M., R.N., executive director, Visiting Nurse Service of New Rawlinson, Helen L., director of Home Care, Blue Cross of Greater Starr, Janet E., executive director, Coalition for Home Health Services Pfau, Mary Ann, coordinator of ambulatory and home care nursing services, nursing services department, American Nurses' Association.--- Hall, Hadley D., executive director, San Francisco Home Health Services.- Semmel, Herbert, Center for Law and Social Policy; accompanied by Ru- dolph' Danstedt, assistant to the president, National Council of Senior Byrne, John, MHA, president, National Association of Home Health Agencies, and executive director, Visiting Nursing Association of St. Louis, Mo.; accompanied by Don Trautman, chairman, Legislative Committee, National Association of Home Health Agencies... Prendergast, James Terence, legislative counsel for Staff Builders, New York, NY 83 09/97 APPENDIXES committee on Long-Term Care, and Representative Claude L. 165 Item 2. Letter and enclosure from Senator Frank E. Moss and Repre sentative Claude L. Pepper; to David Mathews, Secretary, HEW-- 166 Item 3. Letter from John A. Svahn, Acting Administrator, Social and Rehabilitation Service, HEW; to Senator Frank E. Moss, dated 176 Appendix 2. Report by the Office of the Auditor General of California entitled "A Management Review of the Homemaker-Chore Services Program,” dated June 11, 1975; submitted by Gerald A. Hawes--- 177 Appendix 3. Proposed medical assistance program regulations (home health services) by the Department of Health, Education, and Welfare, Social and Rehabilitation Service; from the Federal Register, August 21, 1975. 198 Appendix 4. Statements from individuals and organizations: Item 1. Statement of Arthur S. Flemming, Commissioner on Aging, Department of Health, Education, and Welfare, before the Sub- 207 Item 2. Statement of Peter Franklin, special assistant to the Secretary, Department of Health, Education, and Welfare, before the Sub- 209 Item 3. Statement and attachments of the National Association of Home Health Agencies, Portland, Oreg.; submitted by John Byrne, 215 Item 4. Statement and attachment of Edward J. Wilsmann, president, Homemakers Home and Health Care Services, Kalamazoo, Mich.. 226 Appendix 5. Letters from individuals and organizations: Item 1. Letter and enclosures from Richard P. Brown, executive vice president, Unihealth Services Corp., New Orleans, La.; to Val J. 239 Item 2. Letter from Lawrence N. Fuchs, secretary, Homemaker-Home Health Aide Association of New York State, Inc.; to David 242 Item 3. Létter and enclosures from Cyril F. Brickfield, counsel, NRTA/AARP; to Senator Frank E. Moss, dated September 24, 243 Item 4. Letter from Hon. Patricia Schroeder, Representative in Congress from the First District of Colorado; to John A. Svahn, 252 Item 5. Letter and enclosure from Maxine A. Thomas, R.N., executive director, Salt Lake Community Nursing Service (Utah); to Senator 253 Item 6. Letter and enclosures from Florence Moore, executive director, National Council for Homemaker-Home Health Aide Services, Inc., 254 Item 7. Letter from Eva M. Reese, executive director, Visiting Nurse Service of New York; to the Administrator, Social and Rehabilita- 257 Item 8. Letter from Florence Moore, executive director, National Council for Homemaker-Home Health Aide Services, Inc., New York; to Senator Frank E. Moss, dated October 29, 1975--- 258 American Nurses' Association, Inc., Kansas City, Mo.; to Senator 259 Pogo 260 263 Appendix 6. Additional material submitted for the record: Item 1. Position paper entitled "Public Management of Health and Home Care for the Aged and Disabled,” submitted by Amitai Etzioni, director, Center for Policy Research, Columbia University. Item 2. Initial policy statement on supplementary services, adopted Ellen Winston.. aide services to all individuals and families in need of such care; Aide Services, Inc.- proprietary home health agencies; from the Congressional Record, October 8, 1975, submitted by Herbert Semmel.. services; released to the press on May 18, 1976: Agency, San Francisco, Calif.; to Mario Obledo, secretary, Health Audit Agency report.. 265 267 272 291 |
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