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COMMITTEE ON WAYS AND MEANS

DAN ROSTENKOWSKI, Illinois, Chairman

SAM M. GIBBONS, Florida
J.J. PICKLE, Texas

CHARLES B. RANGEL, New York
FORTNEY PETE STARK, California
ANDY JACOBS, JR., Indiana
HAROLD E. FORD, Tennessee
ROBERT T. MATSUI, California

BARBARA B. KENNELLY, Connecticut
WILLIAM J. COYNE, Pennsylvania
MICHAEL A. ANDREWS, Texas
SANDER M. LEVIN, Michigan
BENJAMIN L. CARDIN, Maryland
JIM MCDERMOTT, Washington
GERALD D. KLECZKA, Wisconsin
JOHN LEWIS, Georgia
L.F. PAYNE, Virginia

RICHARD E. NEAL, Massachusetts
PETER HOAGLAND, Nebraska
MICHAEL R. MCNULTY, New York
MIKE KOPETSKI, Oregon

WILLIAM J. JEFFERSON, Louisiana
BILL K. BREWSTER, Oklahoma
MEL REYNOLDS, Illinois

BILL ARCHER, Texas
PHILIP M. CRANE, Illinois
BILL THOMAS, California
E. CLAY SHAW, JR., Florida
DON SUNDQUIST, Tennessee
NANCY L. JOHNSON, Connecticut
JIM BUNNING, Kentucky
FRED GRANDY, Iowa

AMO HOUGHTON, New York
WALLY HERGER, California
JIM MCCRERY, Louisiana
MEL HANCOCK, Missouri
RICK SANTORUM, Pennsylvania
DAVE CAMP, Michigan

JANICE MAYS, Chief Counsel and Staff Director CHARLES M. BRAIN, Assistant Staff Director PHILLIP D. MOSELEY, Minority Chief of Staff

SUBCOMMITTEE on Health

FORTNEY PETE STARK, California, Chairman

SANDER M. LEVIN, Michigan BENJAMIN L. CARDIN, Maryland MICHAEL A. ANDREWS, Texas JIM MCDERMOTT, Washington GERALD D. KLECZKA, Wisconsin JOHN LEWIS, Georgia

BILL THOMAS, California
NANCY L. JOHNSON, Connecticut
FRED GRANDY, Iowa

JIM MCCRERY, Louisiana

CONTENTS

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

Page

American Association of Colleges of Nursing, Geraldine Bednash
American Association of Colleges of Osteopathic Medicine, Olen E. Jones,
Jr

221

228

American Medical Peer Review Association, David B. Nash, M.D
American Medical Student Association, Suzanne M. El-Attar, M.D
American Society of Association Executives, David B. Kreidler
Association for Electronic Health Care Transactions, Jim H. Houtz

103

214

273

255

Association of Academic Health Sciences Library Directors, Linda A. Watson
Association of American Medical Colleges, Spencer Foreman, M.D
Bednash, Geraldine, American Association of Colleges of Nursing
C4SI, Inc., Robert Peterson

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Coalition for Consumer Protection and Quality in Health Care Reform, Paul
Kerschner

133

Sanders, Hon. Bernard, a Representative in Congress from the State of Ver-

mont

Snyderman, Ralph, M.D., Duke University Medical Center
Watson, Linda A., Medical Library Association and Association of Academic
Health Sciences Library Directors

177

269

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Blake Insurance Agency, Eric G. Gustafson

504

Bouchard, Laurence, D.O., American Osteopathic Association

465

Carey, Hon. Moses, National Association of Counties, and Commissioner,
Orange County, N.C

377

Hughes, Hon. Harold E., Society of Americans for Recovery

Gustafson, Eric G., Independent Insurance Agents of America, Inc., and Blake
Insurance Agency

504

349

Page

Radaj, Marsha, Wisconsin Health Information Network, and Ameritech
Richardson, William C., Association of American Universities, National Asso-
ciation of State Universities and Land-Grant Colleges, Johns Hopkins Uni-
versity, and Maryland State Health Care Access and Cost Commission
Robbins, Kenneth Č., Illinois Hospital Association

Robinson, Ken, Rural Referral Center Coalition, and East Alabama Medical
Center

Robinson, Kris, American Association of Kidney Patients

Rural Referral Center Coalition, Ken Robinson

451

400

314

329

496

329

Society of Americans for Recovery, Hon. Harold E. Hughes
Sommers, Karl C., Mennonite Mutual Aid

349

558

Spencer, Kathelen V., American Family Life Assurance Co. of Columbus
Stanton, James R., American Health Planning Association and Maryland
Health Resources Planning Commission

529

416

Trade Association Healthcare Coalition and Printing Industries of Maryland,
Arthur Stowe

446

Washington Hospital Center, Howard R. Champion, M.D
Wasserman, Martin P., M.D., National Association of County Health Officials
Wausau Insurance Companies, Galen Barnes
Wisconsin Health Information Network, Marsha Radaj

SUBMISSIONS FOR THE RECORD

American Academy of Child and Adolescent Psychiatry; American Association
for Marriage and Family Therapy; American Association for Partial Hos-
pitalization; American Association of Children's Residential Centers; Amer-
ican Association of Pastoral Counselors; American Association of Psychiatric
Services for Children; American Association of Private Practice Psychia-
trists; American Counseling Association; American Family Foundation;
American Occupational Therapy Association; American Psychiatric Associa-
tion; American Psychiatric Nurses Association; American Psychoanalytic
Association; American Psychological Association; American Society for Ado-
lescent Psychiatry; Anxiety Disorders Association of America; Association
for the Advancement of Psychology; Bazelon Center for Mental Health
Law; Children and Adults with Attention Deficit Disorders; Child Welfare
League of America; Cult Awareness Network; Family Service America,
Inc.; Federation of Families for Children's Mental Health; International
Association of Psychosocial Rehabilitation Services; National Association
for Rural Mental Health; National Association of Counties; National Asso-
ciation of Homes and Services for Children; National Association of Psy-
chiatric Treatment Centers for Children; National Association of Protection
and Advocacy Systems; National Association of Social Workers; National
Association of State Mental Health Program Directors; National Commu-
nity Mental Health Care Council; National Depressive and Manic Depres-
sive Association; National Federation of Societies for Clinical Social Work;
National Foundation for Depressive Illness; National Mental Health Asso-
ciation; National Organization of State Associations for Children; and Soci-
ety for Education & Research in Psychiatric-Mental Health Nursing, joint
statement

American Association for Marriage and Family Therapy (See listing for Amer-
ican Academy of Child and Adolescent Psychiatry)
American Association for Partial Hospitalization (See listing for American
Academy of Child and Adolescent Psychiatry)

American Association of Children's Residential Centers (See listing for Amer-
ican Academy of Child and Adolescent Psychiatry)

American Association of Pastoral Counselors (See listing for American Academy of Child and Adolescent Psychiatry)

American Association of Private Practice Psychiatrists (See listing for American Academy of Child and Adolescent Psychiatry)

318

385

521

451

581

American Association of Psychiatric Services for Children (See listing for
American Academy of Child and Adolescent Psychiatry)
American Chiropractic Association, statement and attachments

590

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

American Dance Therapy Association, Susan Kleinman, statement

American Dietetic Association, Sara C. Parks, statement and attachment

608 613

American Family Foundation (See listing for American Academy of Child and Adolescent Psychiatry)

Page

American Fertility Society, Robert D. Visscher, M.D., statement
American Insurance Association, Debra T. Ballen, statement

619

621

American Occupational Therapy Association, statement (Also see listing for
American Academy of Child and Adolescent Psychiatry)
American Orthotic and Prosthetic Association, statement

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

American Psychiatric Nurses Association (See listing for American Academy
of Child and Adolescent Psychiatry)

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

American Psychological_Association (See listing for American Academy of
Child and Adolescent Psychiatry)

American Society for Adolescent Psychiatry (See listing for American Acad-
emy of Child and Adolescent Psychiatry)

Anxiety Disorders Association of America (See listing for American Academy
of Child and Adolescent Psychiatry)

Appleton, Miles L., Berwick, Pa., statement and attachments (forwarded by
Hon. Paul E. Kanjorski, a Representative in Congress from the State of
Pennsylvania)

Aronson, Diane, RESOLVE, statement and attachment

Association for the Advancement of Psychology (See listing for American
Academy of Child and Adolescent Psychiatry)

626

632

636

722

Association of Minority Health Professions Schools, statement
Ballen, Debra T., American Insurance Association, statement

646

621

Bazelon Center for Mental Health Law (See listing for American Academy of Child and Adolescent Psychiatry)

Bridge Insurance & Professional Services, Cicero, Ind., Irle L. Bridge, statement and attachment

648

Child Welfare League of America (See listing for American Academy of Child
and Adolescent Psychiatry)

Children and Adults with Attention Deficit Disorders (See listing for Amer-
ican Academy of Child and Adolescent Psychiatry)
Consortium for Citizens with Disabilities: Aids Action Council; American
Academy of Physical Medicine and Rehabilitation; American Association
of Mental Retardation; American Association for Respiratory Care; Amer-
ican Association of University Affiliated Programs for Persons with Devel-
opmental Disabilities; American Congress of Rehabilitation Medicine;
American Council of the Blind; American Counseling Association; American
Foundation for the Blind; American Network of Community Options and
Resources; American Occupational Therapy Association; American Psycho-
logical Association; American Speech-Language-Hearing Association; Amer-
ican State of the Art Prosthetic Association; Amputee Coalition of America;
Association for Education and Rehabilitation of the Blind and Visually
Impaired; Association of Academic Physiatrists; Association of Maternal
and Child Health Programs; Autism National Center; Bazelon Center for
Mental Health Law; Center on Disability and Health; Council for Excep-
tional Children; Disability Rights Education and Defense Fund; Epilepsy
Foundation of America; Federation of Families for Children's Mental
Health; Higher Education Consortium for Special Education; International
Association of Psychosocial Rehabilitation Centers; Joseph P. Kennedy, Jr.
Foundation; Learning Disabilities Association of America; National Associa-
tion of Developmental Disabilities Councils; National Association of Medical
Equipment Services; National Association of Private Schools for Exceptional
Children; National Association of Protection and Advocacy Systems; Na-
tional Association of School Psychologists; National Association of State
Directors of Developmental Disabilities Services; National Association of
the Deaf; National Center for Learning Disabilities; National Community
Mental Healthcare Council; National Consortium for Physical Education
and Recreation for Individuals with Disabilities; National Council on Inde-
pendent Living; National Easter Seal Society; National Head Injury Foun-
dation; National Mental Health Association; National Multiple Sclerosis

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