(1) Except as otherwise provided in this subsection, the provisions of this section shall be applicable to Guam in the same manner in which they apply to the States. Amounts paid to Guam from its allotment under subsections (a), (b), (c), or (e) of this section, together with matching funds of Guam, may, with the approval of the Surgeon General, be expended in carrying out the purposes specified in any such subsection or subsections other than the one under which the allotment was made. [p. 53] 1.12j(2) SENATE COMMITTEE ON INTERIOR AND S. REP. No. 2662, 84th Cong., 2d Sess. (1956) IMPLEMENTING SECTION 25 (B) OF THE ORGANIC ACT OF GUAM JULY 19 (legislative day, JULY 16), 1956.-Ordered to be printed Mr. JACKSON, from the Committee on Interior and Insular Affairs, submitted the following REPORT [To accompany H.R. 11522] The Committee on Interior and Insular Affairs, to whom was referred the bill (H. R. 11522) to implement section 25 (b) of the Organic Act of Guam by carrying out the recommendations of the Commission on the Application of Federal Laws to Guam, and for other purposes, having considered the same, report favorably thereon with amendments and recommend that the bill, as amended, do pass. Favorable committee action, based on the hearing and executive agency reports, was unanimous. [p.1] 18. Section 18 amends the Public Health Service Act to authorize the Surgeon General to extend certain services to Guam. The Public Health Service Act is now generally applicable to Alaska, Hawaii, Puerto Rico, and the Virgin Islands, and some of its provisions apply to Guam, as well. Two of the most important activities authorized by the act do not, however, apply to Guam: namely, the detaining of personnel and the payment of grants-inaid for the study, prevention, control, and treatment of certain diseases (such as tuberculosis, venereal disease, mental health, heart disease, and cancer). Because Guam's health needs differ from those of other areas in the United States, it was thought desirable to extend these activities authorized by the Public Health Service Act to Guam on a more flexible basis than applies elsewhere. Section 18 provides the necessary flexibility, and allows grants to Guam for the study of such diseases as might be most prevalent in the territory. [p. 7] DEPARTMENTAL REPORTS Favorable reports on H. R. 6254 and H. R. 9216, which subsequently became H. R. 11522, from the Departments of the Interior, Justice, Navy, and Treasury are given below. The Department of Agriculture opposed certain provisions of the original bill, H. R. 6254, and for that reason those provisions were stricken when H. R. 11522 was introduced. This measure is therefore now acceptable to the Department of Agriculture. The Department of Agriculture feels that many of the programs of that Department are not suited to the needs of Guam, because of the comparatively small area and the different farming conditions to be found there. The Department has initiated plans to study the agricultural needs of the territory, with a view to making recommendations as to what types of agricultural assistance might appropriately be extended to it. 1.12j(3) CONGRESSIONAL RECORD, VOL. 102 (1954) 1.12j(3)(a) June 18: Passed House, p. 10510 [No Relevant Discussion on Pertinent Section] 1.12j(3)(b) July 23: Amended and passed Senate, p. 13909 [No Relevant Discussion on Pertinent Section] [p. 8] 1.12j(3)(c) July 25: House concurs in Senate amendments, p. 14450 [No Relevant Discussion on Pertinent Section] 1.12k AMENDMENTS TO 8314(c) OF THE PUBLIC July 22, 1958, P.L. 85-544, § 1, 72 Stat. 400 Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That the last sentence of subsection (c) of section 314 of the Public Health Service Act, as amended (42 U. S. C. 246 (c)), is amended by inserting “(1)" immediately after "available", and by striking out the period at the end thereof and inserting in lieu thereof a comma and the following: "and (2) an amount, not to exceed $1,000,000 to enable the Surgeon General to make grants-in-aid, under such terms and conditions as may be prescribed by regulations, for provision in public or nonprofit schools of public health accredited by a body or bodies recognized by the Surgeon General, of comprehensive professional training, specialized consultative services, and technical assistance in the fields of public health and in the administration of State and local public health programs, except that in allocating funds made available under this clause (2) among such schools of public health the Surgeon General shall give primary consideration to the number of federally sponsored students attending each such school." [p. 400] 1.12k (1) HOUSE COMMITTEE IN INTERSTATE AND FOREIGN COMMERCE H.R. REP. No. 1593, 85th Cong., 2d Sess. (1958) AMENDING SECTION 314 (c) OF THE PUBLIC HEALTH SERVICE ACT APRIL 2, 1958.-Ordered to be printed Mr. WILLIAMS of Mississippi, from the Committee on Interstate and Foreign Commerce, submitted the following REPORT [To accompany H.R. 11414] The Committee on Interstate and Foreign Commerce, to whom was referred the bill (H. R. 11414) to amend section 314 (c) of the Public Health Service Act, so as to authorize the Surgeon General to make certain grants-in-aid for the support of public or nonprofit educational institutions which provide training and services in the fields of public health and in the administration of State and local public health programs, having considered the same, report favorably thereon without amendment and recommend that the bill do pass. [p. 1] The testimony was overwhelmingly in favor of immediate enactment of this legislation. The witnesses stressed the great need for additional public health personnel on all levels of government-Federal, State, and local. Specific examples were given as to the numbers of budgeted public health positions which have remained vacant because the supply of trained health personnel is inadequate.2 NEED FOR LEGISLATION The subcommittee and the full committee gave careful consideration to all of the views expressed by the witnesses. The committee feels that this is emergency legislation necessary to enable the 11 schools of public health in the United States to carry on their activities which are vitally necessary if public health programs at all levels of government are not to be seriously curtailed for want of an adequate supply of trained public health personnel. Recognizing the scarcity of public health personnel, Congress in 1956 enacted Public Law 911, 84th Congress, providing for a 3-year program of graduate traineeships for public health personnel. Recipients of Federal traineeship grants under this program and similar programs sponsored by a number of Federal agencies, States, and local governments attend for the most part the 11 schools of public health which would be qualified to receive aid under the proposed legislation. Five of these schools are public schools supported mostly by public funds (California, Michigan, Minnesota, North Carolina, and Puerto Rico). The remaining six schools are private schools supported mainly by private funds (Columbia, Harvard, Johns Hopkins, Pittsburgh, Tulane, and Yale). The graduates of these schools for the most part go into public service. Of the 3,000 graduates during the years 1950 to 1955, 70 percent went into Federal, State, and local public service; 22 percent are working for voluntary organizations; and 8 percent are employed in industry and elsewhere where they are concerned with matters of industrial and public health. In excess of two-thirds of the students attending schools of public health are sponsored by Federal, State, or local governments, and by the World Health Organization. In 1957-58, for example, 717 out of a total of 1,065 (68 percent students) were government sponsored. The governments pay the tuition of these students but tuition on the average covers only 11 percent of the basic teaching budgets of the schools of public health. The tuition paid by all government agencies for the 717 government sponsored students amounted to $495,000 (or an average of $691 per student). The cost to the schools of training these students amounted to $3,622,000 (or $5,052 per student). This left a deficit of $3,127,000 (or $4,361 per student), which means that State and private funds which support the 11 schools of public health are subsidizing public health training for the Federal Government, State and local governments, foreign governments, industry and other organizations requiring the services of trained public health personnel. 2 A 1951 study showed 3,200 budgeted but unfilled positions in State and local health departments. Last year 30 percent of local health officer positions were vacant. A 1953 study showed 1,720 additional public health physicians are required to meet minimum standards (1 public health physician per 50,000 population). |