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SELECT COMMITTEE ON AGING

U.S. HOUSE OF REPRESENTATIVES

NINETY-FOURTH CONGRESS

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CONTENTS

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

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APPENDIXES

Appendix 1. Communications between Senator Frank E. Moss, Representative Claude Pepper, and David Mathews, Secretary, Department of Health, Education, and Welfare:

Item 1. Letter from Senator Frank E. Moss, chairman, Senate Sub-
committee on Long-Term Care, and Representative Claude L.
Pepper, chairman, House Subcommittee on Health and Long-Term
Care; to David Mathews, Secretary, HEW, dated December 12,
1975.

Item 2. Letter and enclosure from Senator Frank E. Moss and Repre-
sentative Claude L. Pepper; to David Mathews, Secretary, HEŴ..
Item 3. Letter from John A. Svahn, Acting Administrator, Social and
Rehabilitation Service, HEW; to Senator Frank E. Moss, dated
October 16, 1975..

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--
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.
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-
committee on Health and Long-Term Care of the House Select
Committee on Aging, November 19, 1975...
Item 2. Statement of Peter Franklin, special assistant to the Secretary,
Department of Health, Education, and Welfare, before the Sub-
committee on Health and Long-Term Care of the House Select
Committee on Aging, November 19, 1975..

Item 3. Statement and attachments of the National Association of
Home Health Agencies, Portland, Oreg.; submitted by John Byrne,
president..

Item 4. Statement and attachment of Edward J. Wilsmann, president,
Homemakers Home and Health Care Services, Kalamazoo, Mich..
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.
Halamandaris, associate counsel, Senate Committee on Aging, dated
November 4, 1975---

Item 2. Letter from Lawrence N. Fuchs, secretary, Homemaker-Home
Health Aide Association of New York State, Inc.; to David
Mathews, Secretary, HEW, dated September 18, 1975-
Item 3. Letter and enclosures from Cyril F. Brickfield, counsel,
NRTA/AARP; to Senator Frank E. Moss, dated September 24,
1975; submitted by John B. Martin...

Item 4. Letter from Hon. Patricia Schroeder, Representative in
Congress from the First District of Colorado; to John A. Svahn,
Administrator, Social and Rehabilitation Service, HEW, dated
September 29, 1975---

Item 5. Letter and enclosure from Maxine A. Thomas, R.N., executive
director, Salt Lake Community Nursing Service (Utah); to Senator
Frank É. Moss, dated October 1, 1975.

Item 6. Letter and enclosures from Florence Moore, executive director,
National Council for Homemaker-Home Health Aide Services, Inc.,
New York; to John A. Svahn, Acting Administrator, Social and
Rehabilitation Service, HEW, dated October 3, 1975; submitted by
Dr. Ellen Winston__.

Item 7. Letter from Eva M. Reese, executive director, Visiting Nurse
Service of New York; to the Administrator, Social and Rehabilita-
tion Service, HEW, dated October 6, 1975-
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---.
Item 9. Letter from Constance Holleran, deputy executive director,
American Nurses' Association, Inc., Kansas City, Mo.; to Senator
Frank E. Moss, dated November 3, 1975..

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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
by the Board of Directors, National Council for Homemakers-
Home Health Aide Services, Inc., May 4, 1974; submitted by Dr.
Ellen Winston__.

Item 3. Revised draft of a bill to provide for homemaker-home health
aide services to all individuals and families in need of such care;
submitted by the National Council for Homemaker-Home Health
Aide Services, Inc.--.

Item 4. Proposed regulations for Federal certification of unlicensed proprietary home health agencies; from the Congressional Record, October 8, 1975, submitted by Herbert Semmel

Appendix 7. HEW audit on three agencies offering homemaker chore
services; released to the press on May 18, 1976:

Item 1. Letter from Richard Ballard, branch manager, HEW Audit
Agency, San Francisco, Calif.; to Mario Obledo, secretary, Health
and Welfare Agency, State of California; submitting proposed HEW
Audit Agency report--

Item 2. Newspaper article from the Sacramento Bee, May 18, 1976--

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