Public Health Service Short title Appalachian Regional Development Act of 1965-- Grants for mental retardation programs. Community immunization grants. Programs for domestic agricultural migratory workers. Special project grants for community health services. Heart Disease, Cancer, and Stroke Amendments of 1965. Solid Waste Disposal Act.. Health Professions Educational Assistance Amendments of 1965: Educational improvement grants. Student loans. Loans to schools. Scholarship grants. Medical Library Assistance Act of 1965: Construction of facilities. Training grants.. Fellowships. Research grants and contracts.. Basic resources grants Regional medical libraries grants. Publications support.. Establishment of regional libraries. 1967 authorization 1 $69, 000, 000 2,750,000 500,000 2 24, 000, 000 11, 000, 000 8, 000, 000 50, 000, 000 3 5, 000, 000 10,000,000 4280, 000, 000 500,000 90, 000, 000 845,000 14, 000, 000 40, 000, 000 (5) 25, 000, 000 (6) 10, 000, 000 1, 000, 000 500,000 3, 000, 000 3,000,000 2,500,000 1,000,000 2,000,000 1 The single amount authorized to be appropriated through June 30, 1967, is available until expended. 2 Plus amounts required for continuation of grants made in 1966. 3 Included in $50,000,000 above. The single amount authorized is for fiscal years 1968 and 1969 as well as fiscal year 1967. $ $480,000,000 for fiscal years 1967-69, of which not more than $160,000,000 may be available before July 1, 1967, and not more than $320,000,000 may be available before July 1, 1968. $1,500,000 total. Formula for 1967: To each school of medicine, osteopathy, dentistry, optometry, podiatry, or pharmacy, $2,000 multiplied by o the number of full-time, 1st-year students and 2d-year students of each school. Grants for waste treatment works construction... Mar. 9, 1965... Appalachian Regional Development Act of 1965. 1 Represents balance of $6,000,000 authorization available through June 30, 1967. 1967 authorization $150, 000, 000 20, 000, 000 13, 000, 000 Social Security Amend- 2. Voluntary supple- Payments to individuals age 65 and over for the cost of inpatient hospital services (after deductible of $40); posthospital care and home health care (after three days of hospitalization); and outpatient diagnostic services (80 percent after $20 deductible). Payments made for services to individuals not insured under social security and railroad retirement programs to be financed from the general fund. The hospital insurance program will provide protection to about 19,300,000 individuals by the end of fiscal year 1967. During the year, an estimated 4,400,000 individuals will receive services under the program at a cost of $2,300,000,000 including $283,000,000 financed from general funds. Payments to individuals age 65 and over who enroll in the program for physicans' services in and out of institutions (80 percent after $50 deductible). An estimated 15,600,000 individuals will be enrolled in the program by the end of fiscal year 1967. Of this number, about 4,200,000 persons will receive payments totaling $765,000,000 for physicians' and related services. Enrollees in the program pay monthly premiums of $3 and a matching amount is paid from general revenues. The Government's matching share in fiscal year 1967 is estimated at $550,000,000. 3. Benefit increase... 7-percent increase ($4 minimum) in the primary 4. Payments to 5. Payments to wid- 6. Definition of dis- 7. Entitlement to 8. Transitional-in- insurance amount rates. As a result of this change in the law, an estimated 20,700,000 persons will be receiving higher monthly benefits at the end of June 1967. About $1,400,000,000 in additional benefits will be paid in fiscal year 1967. Entitlement to children's benefits is continued from age 18 to age 22 for children of deceased, disabled, or retired workers attending school. This change in the law will result in an addi tional 333,000 children receiving monthly bene fits at the end of June 1967 and $215,000,000 in additional benefit payments in fiscal year 1967. Widows are entitled to monthly benefits at age 60 at an actuarially reduced rate. As a result of this change in the law, an additional 186,000 widows will be receiving benefits at the end of June 1967 and $165,000,000 in benefits will be paid in fiscal year 1967. Entitlement to disability benefits may be established if the disability lasts or is expected to last 12 months. This replaces the requirement that a disability must be of long-continued and indefinite duration or expected to result in death. As a result of this change in the law, an estimated 79,000 disabled workers and their dependents will be receiving benefits at the end of June 1967 and an additional $50,000,000 in benefits will be paid in fiscal year 1967. Entitlement to disability benefits is no longer precluded by prior entitlement to reduced oldage benefits. An estimated 41,000 disabled workers and their dependents will be receiving benefits at the end of June 1967 and $40,000,000 in benefits will be paid in fiscal year 1967 as a result of this change in the law. Persons age 72 or over who are not fully insured under previous law may be entitled to monthly benefits under transitional eligibility provi sions. As a result of this change in the law, an estimated 315,000 individuals will be receiving monthly benefits at the end of June 1967. Public Date enacted Law No. 89-97.--- 9. Modification of 10. Payment to trust The new retirement test permits an annual earned income of $1,500 instead of $1,200 without a loss of benefits. The range for making a $1 reduction in benefits for each $2 in earnings is raised from $1,200 to $1,700 to $1,500 to $2,700. Above $2,700 benefits are reduced by $1 for each $1 of earnings. This provision is effective for taxable years ending after 1965. This change will result in additional monthly benefit payments of $325,000,000 to 750,000 persons on the benefit rolls. Reimbursement to the trust funds from the general funds for benefits and administrative costs after Sept. 1, 1950, plus future costs has been authorized in Public Law 89-97 to be made over a 50-year period ending June 30, 2015. An appropriation request for $105,000,000 for fiscal year 1967 has been submitted in accordance with this provision of the amendments. Noncontributory credits for military service during the period Sept. 16, 1940, to Jan. 1, 1957, were granted for social security purposes. The trust funds have been reimbursed for benefits and administrative costs incurred up to Sept. 1, 1950. Training of professional $5,000,000. personnel for the care of crippled children. Grants to States for public assistance: Increased Federal financial participation. Federal participation in Earned income ex- Federal participation in Estimated cost in 1967 of new authorizations: $300,400,000. Authorizes average monthly increase in assistance payments of about $2.50 for needy aged, blind, and disabled recipients and $1.25 for AFDC recipients. Cost in 1967 estimated at $150,000,000. Authorizes Federal participation in public assistance payments for aged in institutions for mental illness and tuberculosis. To provide assistance for an estimated 45,000 aged persons, this amendment is expected to cost $75,000,000 in 1967. Authorizes exemption of earned income under certain conditions in determining need in programs for the aged, disabled, and dependent children. Estimated to cost $13,000,000 in 1967. Authorizes Federal participation estimated to cost $2,000,000 in 1967. (1) Authorizes expanded medical care grant-in- |