I appreciate the opportunity to comment on the proposed amendments to In line with my testimony, I would suggest the following change to I would recommend that a Section be added, as C-5, which should read: In addition, I would like to bring to your attention a concern of one One point that has been brought to my attention is the fact that health As you may know, the emphasis has been on eliminating excess hospital capability, and I would like to assure that adequate emphasis is on assuring that rural areas which suffer from lack of medical personnel are given equal attention. With best regards, I am Sincerely, Arlan Sangstand Arlan Stangeland Thank you for allowing me to comment on the proposed amendments to Public Law 93-641, the Health Planning and Resources Development Act of 1974. The amendments offered by the Department of Health, Education, and Welfare provide for some general improvement in the Act. One minor point of duplication in the review processes would be eliminated. Also, state elected officials would have a greater opportunity to influence state health policy under these revisions. However, they fail to address the situation of the single statewide health systems agency structure. As I indicated in my testimony, I believe that this type of system is inappropriate and inherently contains problems which are not conducive to effective and efficient health planning. I hope that you will give consideration to this matter in your deliberations. Yours si EH/soc HPC HEALTH PLANNING COUNCIL OF THE EASTERN SHORE 301/228-8911 DORCHESTER ATTN: Bob Crane Dear Congressman Rogers: We have recently received a letter from Congressman Satterfield P. L. 93-641 would remain open for 10 days following the For the most part we are of the opinion that the Administration's There are a number of other areas where we feel that changes to Section 208: Since representatives of governmental Section 212: As our testimony on allocation of grants We feel that House Bill 10460, Section 206, amending Section 216: SHCC representation based on HSA population will bias State level planning decisions to metropolitan areas and high cost tertiary care, to the detriment of rural area needs for less expensive primary care. This change is highly undesirable in our view. Section 218: State Health Plan approval by the Governor would make the SHCC an organization without meaningful function in our view, and that change is undesirable. Again we thank you for this additional opportunity to comment on these important legislative matters. FAD: jf Yours truly, Fred A. Dierks for Col. Bertram Parr Health Planning Council of The Eastern Shore |