14. In 84:94-36 DRUG ABUSE OFFICE AND TREATMENT ACT AMENDMENTS OF 1975 941 HEARINGS BEFORE THE SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT OF THE COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE NINETY-FOURTH CONGRESS FIRST SESSION ON H.R. 7547 A BILL TO AMEND THE DRUG ABUSE OFFICE AND TREAT- AND H.R. 4819 A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT, PURPOSES JUNE 10 AND 11, 1975 Serial No. 94-36 Printed for the use of the Committee on Interstate and Foreign Commerce 57-278 O U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1975 COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE HARLEY O. STAGGERS, West Virginia, Chairman TORBERT H. MACDONALD, Massachusetts JOHN E. MOSS, California JOHN D. DINGELL, Michigan PAUL G. ROGERS, Florida LIONEL VAN DEERLIN, California DAVID E. SATTERFIELD III, Virginia W. S. (BILL) STUCKEY, JR., Georgia WILLIAM M. BRODHEAD, Michigan W. G. (BILL) HEFNER, North Carolina ANTHONY TOBY MOFFETT, Connecticut ANDREW MAGUIRE, New Jersey SAMUEL L. DEVINE, Ohio JAMES T. BROYHILL, North Carolina JAMES F. HASTINGS, New York DAVID E. SATTERFIELD III, Virginia TIM LEE CARTER, Kentucky JAMES T. BROYHILL, North Carolina W. G. (BILL) HEFNER, North Carolina (Ex Officio) H. JOHN HEINZ III, Pennsylvania ( Officio) STEPHAN E. LAWTON, Counsel (II) Report of Department of Health, Education, and Welfare on H.R. 7547-- Bryant, Thomas E., M.D., president, Drug Abuse Council, Inc.---- Cooper, Theodore, M.D., Assistant Secretary for Health, Department of Health, Education, and Welfare.. DuPont, Robert L., M.D., Director, National Institute on Drug Abuse, Department of Health, Education, and Welfare, and Di- rector, Special Action Office for Drug Abuse Prevention.. Hesse, Rayburn F., executive director, National Association of State Isbister, James D., Acting Administrator, Alcohol, Drug Abuse, and Mental Health Administration, Department of Health, Education, Schramm, N. T., president, California Conference on Methadone Sopper, Dale W., Acting Deputy Assistant Secretary for Legislation (Health), Department of Health, Education, and Walfare__ Additional material submitted for the record by- American Hospital Association, Leo J. Gehrig, M.D., vice president, letter dated June 6, 1975, to Chairman Rogers- Health, Education, and Welfare Department: Drug abuse costs, 1972-75 and cost-benefit studies- Drug abuse emergency room mentions-March 1974-February Interstate and Foreign Commerce Committee, text of Public Law 92-255, the Drug Abuse Office and Treatment Act of 1972. National Association of State Drug Abuse Program Coordinators: Attachments to Mr. Hesse's prepared statement: Proposed amendments to H.R. 7547 and S. 1608___ Analysis of the President's drug abuse budget proposal. Resolution approved by the NASDAPC board on June 3, 1975, and by action of its members on June 5, 1975, re National Coordinating Council on Drug Education: Attachment to Mr. Perito's prepared statement, drug abuse prevention programs, fiscal years 1969-76-- Letter dated June 26, 1975, from Jospeh F. Corcoran, executive director, NCCDE, re supplemental comments to Mr. Perito's oral statement, with attachments--- Drug abuse prevention programs, fiscal years 1969–76_- Letter dated May 23, 1975, from Jospeh F. Corcoran, ex- ecutive director, NCCDE, to Senator William Hathaway, chairman, Senate Subcommittee on Alcoholism and Narcotics___ National Council of Community Mental Health Centers, Jonas V. National League of Cities and U.S. Conference of Mayors, statement__ Additional material submitted for the record by-Continued Attachments to Dr. DuPont's prepared statement: Page Table 1.-National trends in hepatitis: 1966–71. 170 171 172 Table 4.-The "age" of the heroin problem in major metro- 172 Table 5.-Year of peak incidence in small cities 173 Table 6.-Heroin price and purity-1972-74, retail heroin 173 Table 7.-Year of first heroin use reported by new patients 174 Table 8.-East coast (Boston, Philadelphia, Washington, 175 164 Table 10.-Drug use from a nationwide sample of males- Table 11.-Total funds for Federal drug abuse prevention Major drugs creating problems; emergency rooms, crisis center, Readmissions_. Table 1-1.-Summary of adult experience with 12 types of drugs.. 176 176 185 180 180 183 18 DRUG ABUSE OFFICE AND TREATMENT ACT AMENDMENTS OF 1975 TUESDAY, JUNE 10, 1975 HOUSE OF REPRESENTATIVES, SUBCOMITTEE ON HEALTH AND THE ENVIRONMENT, COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE, Washington, D.C. The subcommittee met at 1:30 p.m., pursuant to notice, in room 2123, Rayburn House Office Building, Hon. Paul G. Rogers, chairman, presiding. Mr. ROGERS. The subcommittee will come to order please. This afternoon the Subcommittee on Health and the Environment begins two days of legislative hearings to consider H.R. 7547, and H.R. 4819, bills which would substantially revise and extend the provisions of the Drug Abuse Office and Treatment Act of 1972, which expires on June 30, 1975. The 1972 act, in recognition of the rapid growth of drug abuse and the attendant social, economic, and enforcement problems and the lack of a coordinated effort by the Federal, State, and local agencies to control and treat drug abuse, created the Special Action Office for Drug Abuse Prevention (SAODAP). As you know, the statutory mission of SAODAP was and is to provide overall planning and policy and establish objectives and priorities for all Federal drug abuse prevention functions. The 1972 act also provided supplemental support to community mental health centers for drug abuse treatment activities, formula grants to the States to help meet the costs of State drug abuse treatment and prevention activities, and special project grants and contracts for treatment, education, counseling, and research programs. At the time of enactment of the 1972 act, many people felt that a coordinated national effort would have an immediate and positive effect with respect to drug abuse. Unfortunately, despite what would appear to be a concerted Federal effort, the problems of drug abuse are still very much with us. In fact, all indicators show that drug abuse is increasing in the United States today, particularly the abuse of heroin. As we begin this series of hearings and our consideration of legislation to extend the 1972 act, the subcommittee is anxious to learn what progress has been made in developing a comprehensive, coordinated long-term Federal strategy encompassing both effective law enforcement against illegal drug traffic and effective health programs to rehabilitate victims of drug abuse. (1) |