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SERVICES, EDUCATION, AND RELATED AGENCIES
APPROPRIATIONS FOR 1993

HEARINGS

BEFORE A

SUBCOMMITTEE OF THE

COMMITTEE ON APPROPRIATIONS
HOUSE OF REPRESENTATIVES

ONE HUNDRED SECOND CONGRESS
SECOND SESSION

SUBCOMMITTEE ON THE DEPARTMENTS OF LABOR, HEALTH AND
HUMAN SERVICES, EDUCATION, AND RELATED AGENCIES

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MICHAEL A STEphens, Robert L. KNISELY, SUSAN E QUANTIUS, Mark J. MIODUSKI,
and JOANNE L ORNDORFF, Subcommittee Staff

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National Institute of Diabetes, Digestive, and Kidney
Diseases...........

867

National Institute of Neurological Disorders and Stroke.
National Institute of Allergy and Infectious Diseases
National Institute on Deafness and Other Communication
Disorders..........

997

1125

1285

National Institute of Child Health and Human Development 1381
National Institute on Aging....

1495

Printed for the use of the Committee on Appropriations

54-99 0

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1992

For sale by the US Government Printing Office

Superintendent of Documents, Congressional Sales Office Washington, DC 20402

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COMMITTEE ON APPROPRIATIONS

JAMIE L. WHITTEN, Mississippi, Chairman

WILLIAM H. NATCHER, Kentucky,

Vice Chairman

NEAL SMITH, Iowa

SIDNEY R. YATES, Illinois

DAVID R. OBEY, Wisconsin

EDWARD R. ROYBAL, California
LOUIS STOKES, Ohio
TOM BEVILL, Alabama
BILL ALEXANDER, Arkansas
JOHN P. MURTHA, Pennsylvania
BOB TRAXLER, Michigan
JOSEPH D. EARLY, Massachusetts
CHARLES WILSON, Texas
NORMAN D. DICKS, Washington
MATTHEW F. MCHUGH, New York
WILLIAM LEHMAN, Florida
MARTIN OLAV SABO, Minnesota
JULIAN C. DIXON, California
VIC FAZIO, California

W. G. (BILL) HEFNER, North Carolina

LES AUCOIN, Oregon

BERNARD J. DWYER, New Jersey

STENY H. HOYER, Maryland

BOB CARR, Michigan

ROBERT J. MRAZEK, New York

RICHARD J. DURBIN, Illinois

RONALD D. COLEMAN, Texas

ALAN B. MOLLOHAN, West Virginia

LINDSAY THOMAS, Georgia

CHESTER G. ATKINS, Massachusetts

JIM CHAPMAN, Texas

MARCY KAPTUR, Ohio

LAWRENCE J. SMITH, Florida

DAVID E. SKAGGS, Colorado

DAVID E. PRICE, North Carolina

NANCY PELOSI, California

PETER J. VISCLOSKY, Indiana

JOSEPH M. McDADE, Pennsylvania
JOHN T. MYERS, Indiana
CLARENCE E. MILLER, Ohio
LAWRENCE COUGHLIN, Pennsylvania
C. W. BILL YOUNG, Florida
RALPH REGULA, Ohio
CARL D. PURSELL, Michigan
MICKEY EDWARDS, Oklahoma
BOB LIVINGSTON, Louisiana
BILL GREEN, New York
JERRY LEWIS, California
JOHN EDWARD PORTER, Illinois
HAROLD ROGERS, Kentucky
JOE SKEEN, New Mexico
FRANK R. WOLF, Virginia
BILL LOWERY, California
VIN WEBER, Minnesota
TOM DELAY, Texas

JIM KOLBE, Arizona

DEAN A. GALLO, New Jersey BARBARA F. VUCANOVICH, Nevada JIM LIGHTFOOT, Iowa

FREDERICK G. MOHRMAN, Clerk and Staff Director

NOTES:

The Honorable Silvio O Conte was Ranking Minority Member of the Committee until his death on February 8, 1991

The Honorable William H Gray III resigned from the Committee on September 11, 1991

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, EDUCATION, AND RELATED AGENCIES APPROPRIATIONS FOR 1993

THURSDAY, MARCH 12, 1992.

NATIONAL INSTITUTES OF HEALTH

OVERVIEW

WITNESSES

DR. BERNADINE P. HEALY, DIRECTOR, NIH

DR. JOHN W. DIGGS, DEPUTY DIRECTOR FOR EXTRAMURAL RESEARCH, NIH

DR. JAY MOSKOWITZ, ASSOCIATE DIRECTOR FOR SCIENCE POLICY AND
LEGISLATION

JOHN D. MAHONEY, ASSOCIATE DIRECTOR FOR ADMINISTRATION, NIH
DR. LEAMON M. LEE, DIRECTOR, DIVISION OF FINANCIAL MANAGEMENT,
NIH

DR. ANTHONY S. FAUCI, DIRECTOR, NATIONAL INSTITUTE OF ALLERGY
AND INFECTIOUS DISEASES AND ASSOCIATE DIRECTOR FOR HIV RE-
SEARCH, NIH

DENNIS P. WILLIAMS, DEPUTY ASSISTANT SECRETARY, BUDGET, DHHS

OPENING REMARKS

Mr. NATCHER. At this time we take up the budget request for the National Institutes of Health for fiscal year 1993.

We have before the Committee Dr. Healy, the Director.

Dr. Healy, it is a pleasure to have you back before the Committee. You are making an excellent Director for the Institutes and you are going to establish a good record. That is the way we feel about you.

We are delighted to have you.

Before you give us your statement, tell us who you have with you at the table.

INTRODUCTION OF WITNESSES

Dr. HEALY. Thank you, Mr. Natcher.

I have Dr. John Diggs, Deputy Director for Extramural Research; Dr. Jay Moskowitz, Associate Director for Science Policy and Legislation; Dr. John D. Mahoney, Associate Director for Administration; Dr. Leamon M. Lee, Director, Division of Financial Management; Dr. Anthony S. Fauci, Director, National Institute of Allergy and Infectious Diseases and Associate Director for HIV Research;

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