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?". "Ut of the Federal grants-in-aid published by
shout seems completely inadequate, as do the
ir een appropriated in recent years, which were
Ex also appear to be inadequate.
priated for Federal grants-in-aid for the Public

30m). From that time each year the appro2. Omtantially reduced, so that in the year 1954 we podes taillion for all of these grants-in-aid, as comi in 1950.

Tisatimated, although I realize without any rea! - Wint that would be available to grants-in-aid in

i be only $17 million. What I am trying to do e umplete inadequacy of the amount that is made Inderal Government in grants-in-aid to the States. - want to help the States and get them to welcome

s rou have to make the program more attractive
is year to be at the moment.
2. There is one point that should be called to your

there is a 10 percent reduction from that figure
mis project grants, which are not allocated on a
'' Dat that answers your question, because you are
figures than that, I understand.
Viv,

Thank you.

Association of State and Territorial Health Officers. On page there is a paragraph with a plea for more money to go into support, and it is stated :

Should, for instance, as much as 25 percent of the total be allocated for extension and improvement, worthy as that is, with its biennial reduction of one-fourth of the Federal fund participation, many of the States would be embarrassed and possibly resentful, as well as hard put to take over so large a part of the load, under our present system of taxation,

They agree in there that more funds for support rather than for what you might call categorical programs should be allotted.

That is all I have.
Mr. ROCKEFELLER. Might I comment on that, Mr. Chairman
Senator PURTELL, Yes.

Mr. ROCKEFELLER. I think what is back of the comment in that letter is this: They are worried about this total decline as shown on this chart since 19.30 down to here. That I think is the basic concern they have. They do not mind the idea of improvement, but they are worried about the total reduction of their support funds and the effect on the States

That is a pretty substantial decline that has taken place. I think that is the basis for their fear.

Senator PÜRTELL I want to make clear that the sheet showing the participation in the States is in the record.

Senator LEMMIN. I want to ask one question. Under the expenditures, what are the figures on mental health?

Mr. ROCKEFFILER. It is a total Federal expenditure of S11 million I am having a little trouble reconciling that figure with your $100 million, to tell you the truth. Dr. Scheele seems to know what the an - Wer is

Dr. SCHEFF. We do not, by regulation, permit the States to ex pend the fund they receive from our grant for the giving of custodia care in mental institutions. The big bulk of the expenditure in mout States in for the operation of the mental institutions. Our funila are used more in the front end of the problem, such as in treatment and diagnostie clinics. They are mental health clinics. Our funds may not be used in the actual care of patients.

Senator Linn. I thought that chart purported to be a comparison of Federal grants for mental health with those of the States,

Mr. ROCKHILLI P. It does

Senator LEAV. Due to the fact that New York has $100 million that $11 million does not seem very realistic.

Senator PURTELL. They are matched funds.

Secretary HORRY. It does not in the framework of the Federal law. Dr. Schnele made the important point that all of the states -pend in custodial care great sums for the care of the mentally ill. These are not shown as matching funds.

Senator Leviv. Vav La-k you one other question which I failed to y-k before

The statement was made by somebody here that all States would fare better under this program than they have. On the last sheet in the second column of Public Health you show $17.514.000; I realize perfectly well that that figure cannot pos-ihly he binding and that it is dependent on a great many different ifs, ifs, and ifa I realize that. But when I read the appropriations for the varinus

- HIr

. Chairman. Senator Cooper. : 12e vou have a chart there which shows the

which Senator Lehman referred to, and which Dil to 1954. Could you put in the record the math of those categories beginning, let us say, in

-, lou may have those included in the record.
z Yes. Because we have a statement on 1950, and

priper to show what the various appropriations
'xtrars since then.
1. I think that sheet accompanied the chart, Senator.

No. *** Falural grants-in-aid for Public Health Services. 2. I will ask that that be placed in the record. ales, and it is so ordered. I thought I had

I am very sorry if I haven't

2 right.

1. I think instead of 1950 to 1954 it should be from

likvou are right
I Toatisthesheet I have.
thi to was previously submitted.)

Are there any other questions!
- Tute is one thing. In reference to some of the

Insyam is getting smaller each year because of e Lan called attention to the fact that in 1950 there

* propriated and in the Korean war we had $38

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tears from 1936 to 1954 of the Federal grants-in-aid published by the services, that amount seems completely inadequate, as do the amounts that have been appropriated in recent years, which were larger than that, which also appear to be inadequate.

In 1950 we appropriated for Federal grants-in-aid for the Public Health Services $43,135,000. From that time each year the appropriation was very substantially reduced, so that in the year 1954 we appropriated only $22 million for all of these grants-in-aid, as compared to $13 million in 1950.

Under this plan it is estimated, although I realize without any real finality, that the amount that would be available to grants-in-aid in public health would be only $17 million. What I am trying to do - to emphasize the complete inadequacy of the amount that is made available by the Federal Government in grants-in-aid to the States. I think if you really want to help the States and get them to welcome Federal aid, I think you have to make the program more attractive than it appears to me to be at the moment.

Mr. ROCKEFELLER. There is one point that should be called to your
attention. That is, there is a 10 percent reduction from that figure
because of the special project grants, which are not allocated on a
State basis. Not that that answers your question, because you are
talking in far bigger figures than that, I understand.
Senator LEHMAN. Thank you.
Senator COOPER. Mr. Chairman.
Senator PURTELL. Senator Cooper.
Senator COOPER. I notice you have a chart there which shows the
appropriation in 1950 which Senator Lehman referred to, and which
continues on from 1950 to 1954. Could you put in the record the
appropriations in each of those categories beginning, let us say, in
1930 down to this year?
Senator PURTELL. You may have those included in the record.
Senator COOPER. Yes. Because we have a statement on 1950, and
I think it would be proper to show what the various appropriations
have been in all the years since then.

Senator PURTELL. I think that sheet accompanied the chart, Senator.
Did you get one?
Senator COOPER. No.
Senator PCRTELL. Federal grants-in-aid for Public Health Services.
Senator COOPER. I will ask that that be placed in the record,
Senator PURTELL. Yes, and it is so ordered. I thought I had
ordered it, Senator. I am very sorry if I haven't.
Senator COOPER. All right.

Senator LEUMAX. I think instead of 1950 to 1954 it should be from
1936 to 1954.
Senator Cooper. I think you are right.
Senator LEHMAN. That is the sheet I have.
(The table referred to was previously submitted.)
Senator PURTELL. Are there any other questions?
Senator Hiu. There is one thing. In reference to some of the
figures

, it seems the program is getting smaller each year because of the reduction in funds. Is that not true, Mrs. Secretary? In other words, Senator Lehman called attention to the fact that in 1950 there were $13 million appropriated and in the Korean war we had $38

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169, 161
157, 074
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22, 004
32, 536
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224, 133

997,374
1, 159, 318

220, 575
921, 89
469, 499

277, 242
1,206, 523

157, 395
703, 224
217, 475

851, 510
1, 464, 738

212, 470
144, 933
770, 138
331, 190)
537, 209
5.59, 393
171, 461
162, 074

157, 353
1,004,506

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080, 941
84. 570
153, 902

516, 405
61, 563 224, 2900 620, 424
118, 955 210, 004 925, 428
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67, 997 202, 708
100, 705

194, 298 574, 348
202, 553 368, 828 1, 007, 916
283, 363 515, 974 1. 494, 011
127, 615 232, 373 810, 194

01, 793 167, 145 884, 032
171, 336 311, 984 1,014, 196
24, 965

45, 459 152, 153
57, 914 105, 456 345, 734
7. 604
13, 845

71, 449
22, 726

41, 383 144, 338
215, 564 392, 519 1, 025, 633
30, 626

55, 766 219, 868
611, 199 1, 167, 557 2, 871, 453
176, 574 321, 522 1, 457, 692
25, 316

46, 152 174, 719
315, 290 629, 738 1, 746, 948
95, 679 171, 222 715, 162
67, 335 122, 609 370, 016
450, 601 820, 498 2. 470, 139
34, 512

62, 813 193, 619 89, 977 163, 838 757, 602

Blate

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159, 31

SAN,
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2.
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Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvants
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia.
Wisconsin
Wyoming
Alaska
Hawali
Puerto Rico
Virgin Islands

1,003

100.000
44, 417
1000)

31.1
1,400

103 204
10x) (XX)

221
37115
341 913

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100,000

B

CA

DEEFFE

Core

Colon
Clear
Idaho

linois
Indian
IOWA
Louisiana
Kentucky
Maine
Maryland
Massachusetts
Michigan.
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico.
New York
North Carolina
North Dakota
Ohio..
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina

See footnotes at end of table.

Kansas

10.
601.09
Do, 021

07.300
003, ONO
503, 921
305, 759
276, 813
334, 565
689, 809
187, 369
273, 345
196, 565
69-4. 674
450, 506
625, 094
560, 876

81, 729
182, 364
50, 000
80, 229
417, 550

133, 476
1, 062, 697

959, 596
103, 221
772, 920
445, 261

180, 072
1, 205, 038

96, 264 503, 687 Vocational rehabilitation

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813, 157 1, 173, 332

657, 565

751, 086
3, 266, 998
1, 128, 330
8, 522, 752
6, 744, 444

957, 265
5, 921, 444
3, 162, 510
1, 621, 809
9, 114, 951

890, 793 3, 902, 023

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370, 293
4, 802, 350
3, 503, 9906
2, 737, 909
5, 609, 144
5, 127, 919
1, 508, 810
2, 675, 654
4, 276, 671
6, 886, 460
4, 132, 320
5, 459, 443
5,085, 554
1, 157, 320
1,871, 131

970, 018
1, 057, 937
4, 102, 973
1, 400, 176
10, 306, 753
8, 613, 153
1, 221, 720
7, 854, 290
3, 915, 407

1, 986, 108
11, 371, 103
1, 125, 870
4,817, 001

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5, 450, 454
1, 553, 749
2, 808, 704
4, 914, 366
7, 162, 652
4, 332, 011
5, 801, 767
5, 331, 037
1,090, 645
1, 877, 319

944, 743
1,047, 827
4, 416, 348
1, 373, 681
11, 058, 425
8, 988, 210
1, 178, 598
8, 500, 331
4. 087, 372

1, 917, 061
11, 974, 682

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$200, 210, 8:30

Vocation.) 0.00ttan

State

Support

Extension

und improve monts

Special profoot smurtas

Total 1

Txoston

mund improve mont

Support

TOLT

United States total

$21, 661, 616 $6,638, 384 $12, 200,000 $40, 500,000 $22, 174, 407 Alabama

764, 542 128, 882 Arizona.

234, 680 1, 128, 104 694, 005

132, 887 36, 286 66,074 235, 247 138, 070 Arkansas.

483, 629

79, 247 144, 300 707, 176 457, 649 California

885, 963 481, 142

876, 110 2, 243, 215 910, 308 Colorado

190, 345

60, 449 110, 071 360, 865 185, 398 Connecticut

147, 233 88, 836

161, 761 397,830 195, 321 Delaware

104,999 14, 278 25, 999 145, 276 129, 856 District of Columbia

122, 678 35, 272 64, 228 222, 178 102, 980 Florida

551, 859 130, 952 238, 450) 921, 261 Georgia

474, 214 965, 621 148, 482 270, 371 1,384, 474 719, 254 Idaho.

97,509 25, 683 46, 767 169, 959 138, 373 Klinois

693, 680 376.719 685, 965 1, 756, 364 821, 540 Indiana

503, 921 173, 363 315, 676 992, 960 511, 890 Iowa

365, 759 111, 731

203, 451 680, 941 425, 929 Kansas.

276, 843 84, 570 153, 992 515, 405 283, 581 Kentucky

334, 565 61, 563 224, 296 620, 424 632, 895 Louisiana

589, 869 118, 955 Maine

216, 604

527, 515

925, 428

157, 369 37, 342 67, 997 262, 708
Maryland

156, 106
273, 345 106, 705 194, 298 574, 348 267, 519
Massachusetts

496, 565 202, 553
Michigan..

368, 828 1,067, 946 463, 774

694, 674 283, 363 515, 974 Minnesota

1.494,011 699, 419 450, 506

127, 615 Mississippi.

232, 373 810, 494 455, 034

625, 094 Missouri

91, 793 167, 145 884, 032 586, 082

560, 876 Montana

171, 336 311, 984 1,014, 196 561, 356
Nebraska

81, 729 24, 965 45, 459 152, 153 137, 014
Nevada

182, 364 57, 914 105, 456 345, 734 223, 683
50,000

7. 601 13, 845 71, 449
New Hampshire-

129, 856
80, 229 22, 726 41,383
New Jersey

144, 338 132, 003

417, 550 New Mexico

215, 564 392, 519 1, 025, 633 409, 861
New York

133, 476 30, 626 55, 766 219, 868 137, 537
North Carolina.

1,062, 697 611, 199 1, 167, 557 2,871, 453 1, 153, 161

959, 596 North Dakota

176, 574 321, 522 1, 457, 692 902, 208 Ohio.

103, 221 25, 316 46, 152 174, 719 162, 333

772, 920 Oklahoma

315, 290 628, 738 1, 746, 948 834, 535

445, 261 Oregon

95, 679 171, 222 715, 162 416, 526

180, 072 Pennsylvania.

67, 335 122, 609 370, 016 200, 488 Rhode Island

1, 205, 038 450, 601 820), 498 2, 476, 139 1, 165, 809

96, 264 South Carolina,

34, 512 62,813 193, 619 137, 901

503, 687 89, 977 163, 838 757, 502 470, 869 See footnotes at end of table.

$1, 231, 017 $23, 106, 414

23, 290 717, 391

6,500 144, 630
14,327 471, 976
86, 982 997, 290
10, 928 196, 326
16, 059 211, 380
5,000 134, 856
6, 376 109, 356
23, 674 497, 888
26, 843 746, 097

5,000 143, 373
68, 104 889, 644
31, 341 543, 231
20, 199 446, 128
15, 288 298, 869
22, 268 655, 163
21, 505 549, 020

6, 751 162, 857
19, 290 286, 809
36, 618 500, 392
51, 227 750, 646
23, 071 478, 105
16, 594 602, 676
30, 974 592, 330

5,000 142, 014
10, 470 234, 153
5,000 134, 856
5,000 137, 003
38, 970 448, 831

5, 536 143, 073
115, 917 1, 269, 081
31, 921 934, 129

5,000 167, 333
62, 422 896, 957
17, 297 433, 823
12, 173 212, 661
81, 460 1, 247, 269

6, 239 144, 140 16, 266 487, 135 Vocational rehabilitation

$100, 200, 018

6, 292, 005
1,080, 770
3, 405, 103
7, 715, 222
1, 622, 950
1, 601, 103

765, 463
1, 059, 046
3,952, 263
6, 474, 327

870, 218
6, 416, 059
3, 477, 335
2,784, 493
2, 101, 761
4,324, 441
4, 163, 663
1, 144, 115
2, 656, 715
3,344, 966
5,635, 465
3, 142, 093
4, 365, 857
3,982, 130

813, 157
1, 473, 332

657, 565

751, 086
3, 266, 998
1, 128, 330
8, 522, 752
6, 744, 444

957, 265
5,921, 444
3, 162, 510
1, 621, 809
9, 114, 951

890, 793 3, 902, 023

6, 772, 024
1, 414, 287
4, 250, 117
29, 131, 676
1, 844, 289
1,830, 984
1,070, 873
1, 140, 195
4, 712, 895
7, 390, 656
1, 144, 076
7, 370, 293
4, 802, 359
3, 503, 966
2, 737, 969
5, 609, 144
5, 127, 919
1, 508, 810
2, 675, 654
4, 276, 671
6, 886, 460
4, 132, 320
5, 459, 443
5,085, 554
1, 157, 320
1,871, 131

970, 018
1,057, 937
4, 102, 973
1, 400, 176
10, 305, 753
8,613, 153
1, 221, 720
7,851, 290
3, 915, 407

1, 986, 108
11, 371, 103
1, 125, 870
4,817, 001

$218, 20), 414

7, 240, 805
1, 124, 063
4, 423, 682
0,496, 864
1,887, 239
1,815, 681
1,013, 891
1,093, 131
6,095, 706
7, 509, 682
1, 134, 680
7, 491, 002
5,080,005
3,642, 149
2, 826, 604
5,932, 693
5, 450, 454
1, 553, 749
2, 808, 704
4, 914, 366
7, 162, 652
4, 332, 011
5, 801, 767
5, 331, 037
1, 090, 645
1,877, 319

944, 743
1, 017, 827
4, 416, 348
1, 373,681
11, 058, 425
8, 988, 210
1, 178, 598
8, 500, 331
4,087, 372
1, 917,061
11, 974, 682
1, 115, 915
4, 997, 403

2 1375

31.

2,9
+23.1
+23.9
+13.4
+32.6

+3,2
+28.9
+16.0
+30.4
+16.8
+46.1
+30.8
+34.5
+37.2
+30.0
+35.8

+5.7
+46.9
+27.1
+37.9
+32.9
+33.9
+29.4
+27.4
+43.7
+39.5
+35. 2
+21.7
+29.8
+33.3
+23. 1
+43. 6
+29.2
+20.1
+31,4
+25.3
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[graphic]

Vocational education

All programs

State

Extension

and
Improve-

Support:

Special
project
grants 1

Percent
increase,
1956 over

1954

Total

Extension

and
improve-
ment 3

Support:

Total 1

1954

1955

1956

ment?

South Dakota
Tennessee
Texas..
t'lah..
Vermont.
Virginia
Washington
West Virginia
Wisconsin
Wyoming-
Ala-ka..
Hawan
Puerto Rico
Virgin Islands

110, 326

725, 552
1, 313, 319
114, 013

66, 223
613, 999
271, 820
396, 005
434, 545
52, 113
50,000
102, 666
636, 600

28, 049
137, 584
315, 921
31, 133
15, 714
147, 761
104, 212

82, 415
149, 496
13, 011

5, 449 21, 121 93, 483

51, 074
250, 526
629, 891
56, 689
28, 614
269.063
189, 760
150, 069
272, 217
23, 691

9,923
38, 460
170, 222

189, 449
1, 113, 662
2, 289, 134

201, 835

110, 551
1,060, 826

565, 792
628, 489
856, 258
88, 815
65, 372
162, 247
900, 305

161, 222

679, 574
1, 212, 514

135, 458
132, 617
604, 260
274,052
377, 364
468, 329
129, 856
104, 356
129, 856
581, 564
31, 500

5,071
24, 872
62, 536
5, 628
5, 000
26, 713
18, 839
14,899
27, 026
5,000
5,000
5,000
16,884
2, 500

166, 293

704, 446
1, 275. 050

141, 086
137, 647
630, 973
292, 891
392, 263
495, 355
134, 856
109, 356
134, 856
598, 448
34,000

932, 553
5, 277, 077
8,588, 749
1,033. 330

747, 329
4, 417, 597
2, 253, 939
3,066, 628
3, 511, 822

703, 238
724, 663

939, 549
4, 298, 902

269, 080

1, 219, 976
6, 600, 027
11, 216, 286
1, 260, 936
1,064, 399
5, 791, 246
2, 666, 003
3, 749, 482
4, 295, 760
1,040, 233

982, 521
1, 123, 031
5, 583, 154

578, 582

1, 200, 904
6,860, 245
12, 358, 585
1, 236, 072
1,013, 131
6, 147, 075
2,628, 601
3, 815, 842
4, 453, 668

978, 135

918, 322 1,064, 486 6,141, 419

533, 146

+28.8
+30. O
+43.9
+19.6
+35.6
+39.2
+16.6
+24. 4
+26.8
+39.1
+26.7
+13.3
+42.9
+98.1

I Note: These totals do not include funds for special project grants which are intended to be expended at the State and community levels but are not allocated among the States on a formula basis. The assumed amounts of these special project funds which will augment the amounts allocated by formula, as shown in this table, are as follows: Public health, $1,946,000; maternal and child welfare, $3,000,000; vocational rehabilitation, $1,000,000; and vocational education, $1,231,917.

? It is assumed that these programs, recommended by the President, will become effective on July 1, 1954 (start of fiscal year 1955) as recommended.

: It is assumed that these programs, recommended by the President, will become effective on July 1, 1955 (start of fiscal year 1956) as recominended.

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