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1,070 waste treatment facilities can be supported. The 1965 amendments also authorized a new program of research and demonstration projects dealing with sewer overflow and storm water control, and our 1967 budget seeks the full authorization.

In direct Federal operations, the largest increases in the 1967 budget are for developing comprehensive river basin pollution control programs to provide a regulated supply of clean water for all legitimate uses. The 1967 budget provides for initiating four new development phase projects and expanding six existing projects. In addition, by the end of 1967 it is anticipated that five water laboratories will be completed and in operation. Under new legislation we propose to strengthen enforcement procedures, including registration of all wastes discharged into navigable rivers. Expansion of research, training, and control programs is also proposed, with greater support for demonstration of new techniques for advanced waste treatment.

AIR POLLUTION AND ENVIRONMENTAL SANITATION

The Clean Air Act Amendments and Solid Waste Disposal Act of 1965 are aimed at strengthening our ability to combat the contamination of our environment by giving us the authority to control air pollution from new motor vehicles and to support projects for the planning, development, and conduct of solid waste disposal programs. We have already published standards to control air pollution from new motor vehicles. The 1967 budget requests substantial increases for all parts of the air pollution program, and for the solid waste disposal program.

CONSUMER PROTECTION

The authority of the Food and Drug Administration to control the illicit distribution of dangerous psychotoxic drugs was expanded in legislation approved last year. In 1967, we are requesting a very substantial staffing expansion for the Food and Drug Administration, principally for drug abuse control activities, medical and scientific evaluation of drugs and other industry proposals, and education and voluntary compliance activities.

PUBLIC WELFARE

Our programs of vocational rehabilitation, social insurance, income maintenance, and the new programs for the aging all reflect the basic concern of this Department for human well-being and personal development.

VOCATIONAL REHABILITATION

Development of the full potential of disabled persons is the purpose of the Department's vocational rehabilitation program. The Vocational Rehabilitation Act Amendments of 1965 will enable us to expand rapidly our potential for achieving rehabilitation. A change in the matching formula under the basic Federal-State support program will result in a very substantial increase in Federal support. The amendments also establish new programs to help States plan for expanding rehabilitation services, construct rehabilitation facilities and workshops, and improve workshop programs to bring about a capacity for rehabilitating larger numbers of persons. We estimate that with this

new authority, the number of persons rehabilitated will increase from 135,000 in 1965 to 207,500 in 1967. To provide the skilled manpower needed to achieve our goals, our 1967 budget includes a higher level of support for the training program, particularly for long-term traineeships.

In a related development, the 1965 social security amendments for the first time provided for the payment from trust funds for vocational rehabilitation services to disability insurance beneficiaries. This program is also being administered by the Vocational Rehabilitation Administration.

SOCIAL SECURITY

I have already mentioned the new health insurance and rehabilitation programs established in the 1965 social security amendments. The amendments also affected other parts of the social insurance programs. The new law provided the first general increase in social security cash benefits since 1958. The amendments also liberalized the definition of disability, and provided for the continuation of benefits to disabled workers' children who attend school after reaching age 18. With the changes in the law, we estimate that in 1967 about 22.7 million persons will receive over $20.8 billion in old-age, survivors, and disability insurance benefits.

PUBLIC ASSISTANCE

The 1965 Social Security Act Amendments also made significant improvements in Federal programs to provide money payments to needy individuals and families and expanded authorizations for social welfare services needed by these persons as well as others in our society. These new and improved efforts enable us to build on the basic and important programs of public assistance and child welfare, recognizing them as central to the overall campaign to ameliorate and overcome the effects of poverty and to prevent dependency whenever possible. Under the public assistance programs, part of the increased Federal requirements in fiscal year 1967 are related to newly authorized program changes designed to stimulate States and localities to make more adequate payments to needy recipients, to provide greater incentives to recipients who have the potential to seek employment and rehabilitation opportunities, and to include new groups of needy persons not previously eligible under the federally assisted programs.

In addition to their medical assistance aspects, the public assistance programs as they have been modified and strengthened by Congress in recent years provide the chief means of aiding those who live below the poverty level. The Federal, State, and local funds that support these programs assist approximately 2.8 million needy aged, blind, and disabled persons each month, and they also assist about 3.5 million children and over 1 million adults in families caring for these dependent children. Social services without money payments reach several hundred thousand additional persons.

ADMINISTRATION ON AGING

The Older Americans Act of 1965 established a new agency within our Department-the Administration on Aging. It also authorized a program of support for community planning, services, and training

in the field of againg, and for contracts for research, demonstration, and training projects. The dimensions of the needs in these areas are reflected dramatically in the number of older Americans and the paucity of the resources now available to serve them. Prior to the Older Americans Act, only about 800 of some 18,000 communities in the United States had established groups planning coordinated programs for the elderly. By 1970, we estimate a need for 7,500 persons trained in the area of aging. Our 1967 budget requests increases in all programs under the act to begin to meet the identified need.

DEPARTMENTAL LEADERSHIP

Mr. Chairman, as I have already indicated, first among the things that we must do in 1967 is the task of insuring that these many new programs and responsibilities get off to a good start and operate smoothly and effectively.

During the half dozen months that have passed since I became Secretary, I have devoted particular attention to the selection of key personnel to insure leadership and direction both at the departmental level and at the operating agency level. During this time, we have, with the support of the Congress, established additional Assistant Secretaries all of which have been filled-and we have also established and filled a number of other key positions in my own office, including a Special Assistant for Civil Rights-an area to which I plan to give a great deal of attention during the coming year. At the operating agency level, we have appointed a new Surgeon General, and new Commissioners of Education, Food and Drugs, and Aging. We still have before us the task of selecting a commissioner to head the newly organized Federal Water Pollution Control Administration. and certain other key positions at the operating agency level. Our objective here is to bring the Department's activities closer together and to improve leadership at every level.

Although I am gratified by our accomplishments thus far, I nevertheless see a need to strengthen and improve our organizational structure and our ability to provide leadership and staff support throughout the Department. A number of proposals to this end are contained in the budgets of the operating agencies and the budget request for the Office of the Secretary. I submit these proposals to you and urge their adoption.

If I may insert one comment here, Mr. Chairman, I want to emphasize as strongly as I can the great need for effective management of these programs. It seems to me that nothing can thwart the intent of Congress more effectively than bad management. If someone is trying to thwart you deliberately, you have a chance to get at him, but if he is thwarting you because he is managing a program badly, there is little you can do. It seems to me anything I can do to get these programs off to an effective start to meet the intent of Congress will be to the benefit of all of us.

CONCLUSION

That concludes my statement, Mr. Chairman. I strongly urge your approval of our 1967 budget, which will enable us to achieve sub

stantial progress in meeting identified needs in the areas of health, education, and welfare.

I shall be happy to try to answer any questions that the committee may wish to ask. However, before proceeding with the committee's questions, I would like, with your permission, to highlight the or ganizational arrangements and staff changes which we have made and the approach we are taking to strengthen mangement and coordination of the complex and interrelated programs of the Department.

ORGANIZATIONAL ARRANGEMENTS WITHIN THE DEPARTMENT

May I speak to the chart here?
Mr. FOGARTY. Go right ahead.
(The chart referred to follows:)

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