In his recent testimony before the Subcommittee on Health and the Environment, Mr. Hale Champion, Under Secretary of HEW, stated that DHEW intended to propose amendments to Public Law 93-641, the Health Planning and Resources Development Act of 1974. Later in the hearings, I requested that the witnesses The DHEW draft bill has now been received and a copy is enclosed for your consideration. If you desire to comment please do so in writing and mail to: Honorable Paul G. Rogers, Chairman Subcommittee on Health and the Environment ATTN: Bob Crane Comments must be received no later than February 24th. I would also appreciate it if you would send a copy of your comments to me. With best wishes, I am DES/JJ/al Sincerely yours, DAVID E. SATTERFIELD, III 95TH CONGRESS 2D SESSION H. R. 11077 IN THE HOUSE OF REPRESENTATIVES FEBRUARY 22, 1978 Mr. STAGGERS introduced the following bill; which was referred to the Committee on Interstate and Foreign Commerce A BILL To amend title XV of the Public Health Service Act to revise and extend the authorities and requirements under that title for health planning, to provide for assistance to hospitals in discontinuing inappropriate services, and for other 1 purposes. Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 3 4 SHORT TITLE AND REFERENCES IN ACT SECTION 1. (a) This Act may be cited as the "Health 5 Planning Amendments and Hospital Services Discontinua6 tion Act of 1978". 7 (b) Whenever in this Act an amendment or repeal is 8 expressed in terms of an amendment to, or repeal of, a 1 section or other provision, the reference shall be considered 2 to be made to a section or other provision of the Public 3 Health Service Act, unless otherwise specifically stated. 4 5 6 7 TITLE I-THREE-YEAR AUTHORIZATION EXTENSIONS THREE-YEAR AUTHORIZATION EXTENSIONS SEC. 101. (a) Section 1516 (c) (1) is amended by 8 striking out "and" after "1976," and by inserting before 9 the period", $115,400,000 for the fiscal year ending Sep10 tember 30, 1979, and such sums as may be necessary for 11 the fiscal years ending September 30, 1980, and Septem12 ber 30, 1981". 13 (b) Section 1525 (c) is amended by striking out "and" 14 after "1976," and by inserting before the period ", 15 $30,000,000 for the fiscal year ending September 30, 1979, 16 and such sums as may be necessary for the fiscal year end17 ing September 30, 1980, and September 30, 1981". 18 (c) Section 1526 (e) is amended by striking out "and" 19 after "1976," and by inserting before the period ", $2,000,20 000 for the fiscal year ending September 30, 1979, and 21 such sums as may be necessary for the fiscal years ending 22 September 30, 1980, and September 30, 1981". 23 (d) Section 1534 (d) is amended by striking out 24 "and" after "1976," and by inserting before the period ", 25 $6,900,000 for the fiscal year ending September 30, 1979, 1 and such sums as may be necessary for the fiscal years 2 ending September 30, 1980, and September 30, 1981". 3 TITLE II-AMENDMENTS TO HEALTH PLANNING 4 AUTHORITIES 5 HEALTH SERVICE AREAS IN METROPOLITAN AREAS 6 SEC. 201. The last sentence of section 1511(a) is 7 amended by striking ont "each State" and inserting in lieu 8 thereof "any State". 9 REVISION OF BOUNDARIES OF HEALTH SERVICE AREAS 10 SEC. 202. The first sentence of section 1511 (b) (4) 11 is amended by inserting after "the requirements of subsec12 tion (a)" the following: "or a change in the boundary of 13 such area would result in a health service area which better 14 meets the requirements of such subsection". 15 IMPROVED COORDINATION BETWEEN GOVERNING BODIES 16 FOR HEALTII PLANNING AND THEIR PUBLIC REGION 17 AL PLANNING BODIES OR UNITS OF GENERAL LOCAL 18 19 GOVERNMENT SEC. 203. (a) Section 1512 (b) (3) (A) is amended 20 by striking out the first sentence and inserting in lieu 21 thereof the following: "A health systems agency which is 22 a public regional planning body or unit of general local 23 government shall establish a separate governing body for 24 health planning in accordance with subparagraph (C), 25 which shall have the responsibilities prescribed by subpara |