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Society; National Parent Network on Disabilities; National Spinal Cord Injury Association; National Recreation and Park Association; National Rehabilitation Association; National Transplant Support Network; NISHCreating Employment Opportunities for People with Severe Disabilities; Paralyzed Veterans of America; Research Institute for Independent Living; RESNA-An Interdisciplinary Association for the Advancement of Rehabilitation and Assistive Technologies; Spina Bifida Association of America; Task Force for Health Care Parity for the Environmentally Ill; The Arc; United Cerebral Palsy Associations, Inc., statement and attachment Cost Contained Health Innovations, San Francisco, Calif., Les Fields, statement

Page

653

663

Cult Awareness Network (See listing for American Academy of Child and
Adolescent Psychiatry)

Davis, Hon. Tim, National Council of Elected County Executives, letter
Espy, Donna, Marietta, Ga., letter (forwarded by Hon. John Lewis, a Rep-
resentative in Congress from the State of Georgia)

696

664

Family Service America, Inc. (See listing for American Academy of Child and Adolescent Psychiatry)

Federation of Families for Children's Mental Health (See listing for American
Academy of Child and Adolescent Psychiatry)

Fields, Les, Cost Contained Health Innovations, San Franscisco, Calif., statement

Fox, Ken, PILLCO, McLean, Va., statement

Gantt, Linda, National Coalition of Arts Therapies Associations: American
Art Therapy Association, American Association for Music Therapy, Amer-
ican Dance Therapy Association, American Society for Group Psychotherapy
and Psychodrama, National Drama Therapy Association, and National As-
sociation for Poetry Therapy, statement and attachments
Health Industry Distributors Association, Alexandria, Va., statement and at-
tachments

663

707

691

668

Hill, Kim Eugene, Tilton, Ill., letter

673

Hobson, Hon. David L., and Hon. Thomas C. Sawyer, Representatives in
Congress from the State of Ohio, joint statement

677

Hofer, Steven R., Indianapolis, Ind., letter (forwarded by Hon. Andy Jacobs,
Jr., a Representative in Congress from the State of Indiana)
Houghland, Paul, Jr., Opticians Association of America, statement

679

705

International Association of Psychosocial Rehabilitation Services (See listing
for American Academy of Child and Adolescent Psychiatry)
Kleinman, Susan, American Dance Therapy Association, statement
MacCracken, Livingston W., W. Cornwall, Conn., statement

608

681

Manufacturers' Alliance for Productivity and Innovation, Kenneth McLennan, statement

682

March, Michael S., Boulder, Colo., letter

690

McLennan, Kenneth, Manufacturers' Alliance for Productivity and Innovation, statement

682

National Association for Rural Mental Health (See listing for American Academy of Child and Adolescent Psychiatry)

National Association of Counties (See listing for American Academy of Child
and Adolescent Psychiatry)

National Association of Homes and Services for Children (See listing for
American Academy of Child and Adolescent Psychiatry)

National Association of Protection and Advocacy Systems (See listing for
American Academy of Child and Adolescent Psychiatry)

National Association of Psychiatric Treatment Centers for Children (See list-
ing for American Academy of Child and Adolescent Psychiatry)

National Association of Social Workers (See listing for American Academy
of Child and Adolescent Psychiatry)

National Association of State Mental Health Program Directors (See listing
for American Academy of Child and Adolescent Psychiatry)
National Coalition of Arts Therapies Associations: American Art Therapy
Association, American Association for Music Therapy, American Dance
Therapy Association, American Society for Group Psychotherapy and Psy-
chodrama, National Drama Therapy Association, and National Association
for Poetry Therapy, Linda Gantt, statement and attachments

691

Page

National Community Mental Health Care Council (See listing for American
Academy of Child and Adolescent Psychiatry)

National Council of Elected County Executives:

Hon. Tim Davis, letter

696

Hon. Richard J. Phelps, letter

National Depressive and Manic Depressive Association (See listing for Amer-
ican Academy of Child and Adolescent Psychiatry)

National Federation of Societies for Clinical Social Work (See listing for
American Academy of Child and Adolescent Psychiatry)

National Foundation for Depressive Illness (See listing for American Academy
of Child and Adolescent Psychiatry)

National Mental Health Association (See listing for American Academy of
Child and Adolescent Psychiatry)

National Organization of State Associations for Children (See listing for
American Academy of Child and Adolescent Psychiatry)

Opticians Association of America, Paul Houghland, Jr., statement

699

705

Parks, Sara C., American Dietetic Association, statement and attachment Phelps, Hon. Richard J., National Council of Elected County Executives, letter

613

699

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Retired Officers Association, Frank G. Rohrbough, statement

730

Sawyer, Hon. Thomas C., and Hon. David L. Hobson, Representatives in
Congress from the State of Ohio, joint statement

677

Society for Education & Research in Psychiatric-Mental Health Nursing (See

listing for American Academy of Child and Adolescent Psychiatry) State Farm Mutual Automobile Insurance Co., statement

736

Visscher, Robert D., M.D., American Fertility Society, statement

619

PRESIDENT'S HEALTH CARE REFORM PROPOSALS: IMPACT ON PROVIDERS AND CONSUMERS

TUESDAY, FEBRUARY 1, 1994

HOUSE OF REPRESENTATIVES,
COMMITTEE ON WAYS AND MEANS,
SUBCOMMITTEE ON HEALTH,

Washington, D.C.

The subcommittee met, pursuant to call, at 10 a.m., in room 1310, Longworth House Office Building, Hon. Fortney Pete Stark (chairman of the subcommittee) presiding.

[The press releases announcing the hearing follow:]

FOR IMMEDIATE RELEASE

THURSDAY, SEPTEMBER 30, 1993

PRESS RELEASE #18

SUBCOMMITTEE ON HEALTH

COMMITTEE ON WAYS AND MEANS

U.8. HOUSE OF REPRESENTATIVES

1102 LONGWORTH HOUSE OFFICE BLDG. WASHINGTON, D.C. 20515

TELEPHONE: (202) 225-7785

THE HONORABLE PETE STARK (D., CALIF.), CHAIRMAN,
SUBCOMMITTEE ON HEALTH,

COMMITTEE ON WAYS AND MEANS, U.S. HOUSE OF REPRESENTATIVES,
ANNOUNCES HEARINGS

ON

HEALTH CARE REFORM:

THE PRESIDENT'S HEALTH CARE REFORM PROPOSALS

The Honorable Pete Stark (D., Calif.), Chairman, Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives, announced today that the Subcommittee will hold a series of hearings on issues relating to the President's health care reform proposals.

The hearings will begin on Thursday, October 7, 1993, at 10:00 a.m. in the main Committee hearing room, 1100 Longworth House Office Building. They will continue on Tuesday, October 12, 1993, in the main Committee hearing room, 1100 Longworth House Office Building, beginning at 10:00 a.m. Subsequent hearings will be announced at a later date.

"The

-

goals

In announcing the hearings, Chairman Stark said: President's health care reform plan presents a comprehensive response to the nation's most pressing problem. The plan would commit the nation to universal health coverage and to cost containment we have been seeking for many years. The President's proposals are complex, and we want to explore this plan and the alternatives to it, thoroughly, before proceeding to mark up a bill. We, therefore, expect to hold hearings to examine various aspects of the proposals throughout the fall of 1993."

Oral testimony will be heard from invited and public witnesses during the course of the Subcommittee hearings on the President's proposals.

BACKGROUND:

The first hearing, scheduled for October 7, will include testimony from representatives of affected groups, including labor unions, health care providers, and health insurers.

Testimony from Administration experts on various aspects of the President's proposals, including benefits, coverage, low-income subsidies, cost containment, governance, and Medicare proposals, will be heard by the Subcommittee at the next two hearings. The first day

of Administration witnesses will be held on October 12, and the second day will be announced in a later press release.

At subsequent hearings the Subcommittee will receive testimony from Members of Congress and from representatives of other affected groups, including consumer and employer groups.

Testimony will be heard at additional hearings to focus on a series of priority health reform issues, including:

(1) Role of State governments and the Federal Government, including the role and functions of the proposed National Health Board, the Department of Health and Human Services, and other Federal agencies;

(2) Role and functions of the proposed health alliances;

(3)

(4)

Health cost containment, including premium caps and
alternative mechanisms;

Proposed insurance reforms and their impact, risk
selection, and risk adjustment;

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(5) Impact of the plan on underserved inner-city and rural
areas;

(6)

Impact of the plan on low-income populations generally; (7) Medicare savings proposals;

(8)

(9)

Impact of the plan on the structure and future of the
Medicare program, including the proposed Medicare drug
benefit;

Alternatives to the plan, including single-payer options, and other managed-competition options;

(10) Administrative simplification under the plan;

(11) Quality assurance;

(12) Fraud and abuse measures;

(13) Retiree health benefits;

(14) Long-term care benefit;

(15) Proposed standard health benefit package;

(16) Graduate medical education and academic medical centers;

(17) Impact of the plan on other affected groups and
individuals.

Hearings also will be scheduled by the full Committee on Ways and Means to consider financing issues (other than Medicare savings proposals) and other tax-related matters.

DETAILS FOR SUBMISSION OF REQUESTS TO BE HEARD:

Members of Congress, individuals and organizations interested in presenting oral testimony before the Subcommittee must submit their requests to be heard by telephone to Harriett Lawler, Diane Kirkland or Karen Ponzurick [(202) 225-1721] no later than the close of business on Friday, October 15, 1993, to be followed by a formal written request to Janice Mays, Chief Counsel and Staff Director, Committee on Ways and Means, U.S. House of Representatives, 1102 Longworth House Office Building, Washington, D.C. 20515. staff will notify by telephone those scheduled to appear as soon as possible after the filing deadline and after additional hearings have been scheduled.

The

Individuals and organizations must specify in their requests to testify on which topic they would like to be heard. Given the limited time for the Subcommittee to hear from public witnesses, it is likely that witnesses will be restricted to one scheduled appearance before the Subcommittee. Additional comments on other aspects of the President's proposals may be submitted for the printed record of the appropriate hearing.

It is urged that persons and organizations having a common position make every effort to designate one spokesperson to represent them in order for the Subcommittee to hear as many points of view as possible. Witnesses are reminded that the Subcommittee has held extensive hearings on various health reform issues earlier this year. To the extent possible, witnesses need not restate previous testimony heard by the Subcommittee.

Time for oral presentations will be strictly limited with the understanding that a more detailed statement may be included in the printed record of the hearing. In addition, witnesses may be grouped as panelists with strict time limitations for each panelist.

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