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Fiscal year 1955: State breakdown of proposed grants to States in 1956, assuming enactment of proposed legislation for programs which will use,

if proposed legislation is enacted, the basic allotment formula of the Hospital Construction Act
Important: This table presents, upon the basis of certain assumptions, the fiscal effect of propose new legislation covering Federal grants-in-aid for health services and facilities
Votionlellation, votional rehabil1tation, and maternal and chill health and welfare services. The assumptions are: (1) That the sums to be appropriated in 1955 are the same
as those contarlinth President's budget for 1955; (2) that the President's legislative recommendations will be enacted and effoctive on the dates indicated by the appropriate
footnotes. The figures co'tan 1 in this tible represent allotinents to the States. In the event that any State should not appropriate sufficient funds to match the Federal
allotments in accordance with the proposed formulas, the full allotinent would not be available to the States,

48293~-54—pt. 1-19

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Alabarna
Arizons..
Arkansas
California
Colorado
Connecticut.
Delaware
District of Columbia
Florida,
Georgia
luho..
Illinois.
Indiana
lowa
Kinsus
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Veyada
New Hampshire
New Jersey
New Mexico.

See footnotes at end of table.

706, 408
125, 361
423, 292
810, 232
165, 461
140, 814
100,000
100,000
491, 285
707, 915
100,000
622, 885
459, 780
314, 659
260, 574
011, 102
526, 382
140, 911
248, 579
440, 638
033, 026
392, 696
558, 080
485, 190
100,000
159, 531
100,000
100,000
386, 032
120, 436

363, 204

62, 681
211, 646
405, 116
82, 731
70, 407
50,000
50,000
245, 642
353, 957

50,000
311, 443
229, 890
157, 329
130, 287
305, 551
263, 191

70, 455
124, 289
220, 319
316, 513
196, 348
279, 040
242, 745
50,000
79, 766
50,000
50,000
193,016
60, 218

706, 408
126, 361
423, 292
810, 232
165, 461
140, 814
100,000
100,000
491, 285
707, 915
100,000
622, 885
459, 780
314, 659
260, 674
611, 102
626, 382
140, 911
248, 579
440, 638
033, 026
392, 696
558, 080
485, 490
100,000
159, 531
100,000
100,000
386, 032
120, 436

353, 204

62, 681
211, 646
405, 116
82, 731
70, 407
50,000
50,000
245, 642
353, 957

50,000
311, 443
229, 890
157, 329
130, 287
305, 551
263, 191

70, 455
124, 289
220, 319
316, 513
196, 348
279, 040
242, 745
50,000
79, 766
50,000
50,000
193, 016
60, 218

1, 797, 282

318, 951
1,076, 964
2,061, 436

420, 976
358, 267
200,000

200,000
1, 249, 954
1, 801, 115

215, 009
1, 584, 779
1, 169, 799

800, 572

662, 966
1, 554, 801
1, 339, 251

358, 513

632, 447
1, 121, 096
1, 610, 580

999, 118
1, 419, 898
1, 235, 211

200,000
405, 889
200,000
200,000
982, 163
306, 419

30, 832
25,000
25,000
115, 056
25,000
25,000
25,000
25,000
31,022
35, 069
25,000
89, 547
41, 348
25, 998
25,000
29, 397
27, 493
25.000
25, 300
47, 459
66, 688
30,055
25,000
39, 614
25,000
25,000
25,000
25,000
50,869
25,000

3, 947, 338

720, 035
2, 371, 840
4, 607, 188

942, 360
805, 709
525, 000

525, 000
2, 754, 830
3,959, 928

540, 009
3, 542, 982
2, 590, 487
1, 770, 546
1, 469, 688
3, 417,504
2, 945, 890

806, 245
1, 403, 483
2, 490, 469
3, 576, 346
2, 207, 261
3, 119, 138
2,731, 295

525, 000
909, 483
525,000

525, 000 2, 191,

692, 727

524, 400
161, 800

336, 400
1,061, 700

193, 400
203, 200

63, 500
102, 600
407, 400
531, 100
121, 900
835, 900
444, 100
294, 600
246, 300
471,300
401, 900
150,000
279, 200
492, 700
667, 700
354, 200
437, 100
458, 900
115, 100
185, 000
79,000
95, 300
493, 600
148, 600

Fiscal year 1955: State breakdown of proposed grants to States in 1955, assuming enactment of proposed legislation for programs which will use,

is proposed legislation is enacted, the basic allotment formula of the Hospital Construction Act-Continued

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United States total.
Alabama
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Idaho
Minois
Indiana
Iowa
Kansas.
Kentucky
Louisiana
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

See footnotes at end of table.

894, 427
234, 454
587, 287
905, 071
271, 867
273, 334
184, 796
192, 947
479, 247
913, 750
225, 270
719, 945
611, 308
515, 813
357, 653
845, 205
654, 277
242, 317
348, 408
403, 229
811, 578
574, 498
807, 994
600, 805
220, 417
280, 924
173, 074
201, 651
394, 791
239, 278

901, 830
1, 219, 428

238, 090
934, 471
483, 430

291, 645
1, 231, 246

201, 174

$23,000,000

714, 625 141, 597

455, 223
1, 475, 878

202, 822
260, 282
132, 530
175, 500

638, 345
1, 237, 892

76, 723
1.056, 146

456, 824
348, 121
278. 972
176, 948
606, 525
115, 634
291, 262
318, 348
858, 304
397, 803
475, 305
558, 701
118, 549
194, 318
30, 885
64, 630
444, 919

137, 713
1, 279, 951

980, 756
109, 988
598, 251
474, 446

261, 139
1, 411, 494

102, 575

$163,990, 618

5, 282, 095
1 080, 770
3, 405, 103
7, 715, 222
1, 522, 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

843, 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

27.0
47.5
40.9
25.6
24. 1
12. 1
28. 2
27.6
32.6
23. 8.
22.5
24.8
26.4

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Fiscal year 1955: State breakdown of proposed grants to states in 199.55, 4x8uming enactment of proposed legislation for programs which

will 18, is proposed legislation is enacted, the basic allotment formula of the Hospital Construction Act Continued

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South Carolina
Sotin skola
Tennessee
TA

10, 288
12, -59
61,005
151, 891
13, 910
7,036

Veriorat
Virginia
Washington
West Virginia.
Wisconsus
Wyoming
Alaska
Hwaii
Puerto Rico
Virgin Islands

231, 303

5, 133
1, 295, 956

226, NO
199.926
TMI, 295
343, 460
599, 907
563, 399
188, 293
174, 527
202, 279
907, 361
163, 436

536, 702

99, 050 773, 110 I, 183, 3086

121, 486

81, 899
606, 618
417, 813
442, 646
403, 0129
72, 360
50,000
137, 541
354, 480

46, 662
36,902
66, 939
5, 826
2, 440
9, 457
41, 858

576,990
111, 615

834, 715 1, 338, 197

135, 426

88, 935
672, 781
464, 475
479, 548
529, 968
78, 186
52, 440
146, 998
396, 338

465, 085
195, 039

076, 0.14
1, 184, 150

165, 983
161.938
609, 166
344,578
392, 528
582, 771
158, 654
128,654
158, 054
538, 626
40,000

3,902, 023

932. 553
5, 277, 077
8, 588, 749
1.033, 330

747, 329
4, 417, 587
2, 253, 989
3, (-66, 628
3,511, 822

703, 238
724,663

939, 549
4, 298, 902

269, 080

4, 817.001
1, 219, 976
6, 10, 027
11, 246, 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

23. 4
30.8
25, 1
30.9
22.0
42. 4
31.1
18.3
22.3
22.3
47.9
35. 6
19.5
29.9
115.0

I It is assumed that these programs, recommended by the President, will become effec-
live on July 1, 1954 (start of fiscal year 1955) as re ominended.

Tentative allotments based upon 1955 budget estimate under title VI of the Public
Health Service Act, s amended.

Estiinated allo stion bis Ton amounts for allotment grants to States included in 1955 Budget of the Unite 1 States and conputed on basis of current formulae.

• Ercludes $2.887,500 “reserve fund B" for allotments for special projects, contained in

1955 Budget of the United States under present title V of the Social Security Act, as
annended.

5 Assumes $3 million special project grant distributed on basis of population for "sub-
stantial nationwide expansion" and excludes $500,000 for grants on an individual project
basis.

* Includes $7,138,330 permanent appropriation under Smith-Hughes Act, and
$17,500,000 estimated in 1955 Budget of the United States under the George-Barden Act.

5

Senator PURTELL. I thought that might be along the line you were talking about, Senator.

Senator COOPER. I have one other question. I know most poor States are always looking for money and searching for money. Do you think there is any danger in this in that there is any tendency to channel too large a percentage of support into these poor States, or could they do it without the approval of the Department?

Secretary Hobby. It would depend on the level of the appropriation, Senator Cooper. The level in support and in extension and improvement, and in special projects.

Senator COOPER. That is the tendency for local governments to get some of their operating costs on somebody else's back.

Mr. ROCKEFELLER. I think the Secretary's point is very important. The State really has no say over how much it gets in support grants, because the Congress will determine what funds will be allocated to that phase of the three-part grant program. Then the money would be divided according to the Hill-Burton formula, so that it would go to them and they would get their share automatically.

Senator COOPER. Take that list with Public Health on it. Would there be a possibility within the State of making a plan within the State? For example, to channel its funds more into its operating costs, let us say, perhaps under general health, than it would be in the programs which you have termed categorical? Let us say in research, perhaps?

Mr. ROCKEFELLER. That would really be up to the State health officer to determine, I suppose, working with the governor and the county health people.

Senator COOPER. It is a great temptation, though, to get rid of some of those operating costs.

Would you all have any control or possibility of reviewing those programs

Secretary Hobby. I will let Dr. Scheele answer that particularly; but he does review the State plan. I would like him to simplify that.

Dr. SCHEELE. The States would be required to submit their plans for approval. I believe our working relationship with them is such that we could talk with them on a friendly basis and avoid that very situation happening

Senator COOPER. You recognize there is always that possibility. Dr. SCHEELE. Yes, sir. This has always been a problem and it is a problem today. We have $10 million in the general-assistance grant, and they can do it with that money today. So this is not new, but it is an old problem. We found them very good about not using that money just to cover up certain administrative expenses they wanted to relieve State funds from, and also in the budgets in TB and venereal disease and mental health.

The white parts of the bars on this chart show they have been interested in getting State and local money into those special programs. I think there is some evidence.

Mr. ROCKEFELLER. That is overmatching. Dr. SCHEELE. That is right. They are actually overmatching and just won't use the Federal grant to cover those programs which are not going to add very much to public health.

Senator Cooper. The reason why I asked that is for this reason: Someone is going to testify later on this. It is the statement for the

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