Statement by-Continued

Lentz, Edward A., president, Association of Areawide Health Planning
Agencies

Letton, Dr. A. Hamblin, chairman, Medical and Scientific Committee,
American Cancer Society-

Lewis, Irving, Deputy Administrator, Health Services and Mental
Health Administration, Department of Health, Education, and
Welfare..

Page

249

146

70

Maxwell, Judge Stephen L., chairman, Regional Advisory Group,
Northlands Regional Medical Program, Inc., St. Paul, Minn.--- 198, 202
Merrill, Dr. John P., director, Cardiorenal Laboratory, Peter Bent
Brigham He pital, in behalf of the National Kidney Foundation. 108, 118
Metts, Dr. James C., Jr., Savannah, Ga...... --

Moscato, Joi, Acting Assistant Administrator for Legislation,
Health Services and Mental Health Administration, Department
of Health, Education, and Welfare..
Moses, Dr. Campbell, medical director, American Heart Association..
Murtaugh, Joseph S., director, Department of Planning and Policy
Development, Association of American Medical Colleges. – –
Najarian, Dr. John S., professor and chairman, Department of
Surgery, College of Medical Sciences, University of Minnesota, in
behalf of the National Kidney Foundation.......

236

70

226

228

108, 122

Parry, Dr. William, professor of urology and chairman, Department of
Urology, University of Oklahoma, in behalf of the National Kidney
Foundation..

108

Peterson, Harry N., attorney, Legislative Department, American
Medical Association..

222

Robison, Hon. Howard W., a Representative in Congress from the
State of New York..

107

Ruhe, Dr. C. H. William, director, Division of Medical Education,
American Medical Association__.

222

Sanazaro, Dr. Paul, Director, National Center for Health Services
Research and Development, Department of Health, Education, and
Welfare..

Schlesinger, Richard, executive vice president, Community Health
Information and Planning Service, Inc., Syracuse, N. Y., and also
on behalf of American Public Health Association....
Schreiner, Dr. George E., president, National Kidney Foundation,
and professor of medicine, director of renal division, Georgetown
University.

70

141

108, 128

Shanholtz, Dr. Mack I., past president, Association of State and
Territorial Health Officers...

Sieverts, Steven, director, Association of Areawide Health Planning
Agencies...

153

249

Van Ness, Edward H., vice chairman, board of directors, American
Academy of Comprehensive Health Planning...

155

Additional material submitted for the record by

American Hospital Association, Washington Service Bureau, Kenneth Williamson, deputy director, letter dated June 12, 1970, to Chairman Staggers_

285

287

273

American Nurses' Association, Inc., Eileen M. Jacobi, R.N., Ed. D., executive director, letter dated June 9, 1970, to Chairman Jarman.. American Optometric Association, statement_.

Comprehensive Health Planning Council of Western New York, Inc.,
Mitchell E. Roth, executive director, and John R. F. Ingall, M.D.,
director, Regional Medical Program of Western New York, letter
dated April 15, 1970, to Chairman Staggers--

DeBakey, Michael E., M.D., Baylor College of Medicine, Texas Medi-
cal Center, letter dated May 31, 1970, to Chairman Jarman..
Duff, Dr. Ivan F., director, Regional Arthritis Control Program in
Michigan, letter dated June 4, 1970, to Congressman Paul G.
Rogers re estimate of what increase in manpower would be required
to meet the challenge of the arthritis problem and its cost..
Federation of American Hospitals, Sam A. Weems, statement..
Health, Education, and Welfare Department:

Budget estimates-Fiscal years 1969-73..........

Need for technical amendment to section 314(e) to permit trans-
fer of OEO projects...

Population in areas receiving 314(b) planning grants____

Additional material submitted for the record by---Continued
Health Insurance Association of America, statement_ _ _
Kansas State Board of Health, Mrs. Norma Satten, coordinator, letter
dated June 4, 1970, to Chairman Staggers_

Lattimer, Dr. John K., professor and chairman, Department of Urol-
ogy, Columbia University College of Physicians and Surgeons,
statement__

Memorial Hospital for Cancer and Allied Diseases, Edward J. Beattie,
M.D., chief medical officer, letter dated June 11, 1970, to Chairman
Jarman..

Mid-Rio Grande Health Planning Council, Joe M. Henry, chairman,
letter dated May 29, 1970, to Chairman Staggers__
National Cystic Fibrosis Research Foundation:

Barbero, Giulio J., M.D., chairman, Department of Pediatrics,
Hahnemann Medical College and Hospital, Philadelphia-
Congressional testimony on pulmonary disease. --
Petty, Thomas L., M.D., F.C.C.P., associate professor of medi-
cine, director, respiratory care unit, University of Colorado
Medical Center, Denver, Colo.-statement entitled "We Need
Programs for Chronic Airway Obstruction".

Waring, William W., M.D., chief, School of Medicine, Tulane
University, New Orleans, La.-letter dated March 16, 1970,
to Dr. John F. Herndon re discontinuance of the chronic res-
piratory diseases control program and the National Center for
Chronic Disease Control__.

National Kidney Foundation, computer capabilities in organ retrieval
and tissue typing... --

New York State Cancer Programs Association, Inc., George M.
Saypol, M.D., president, letter dated June 3, 1970, to Chairman
Jarman

Nobles, Lewis, president, Mississippi College, letter dated April 30,
1970, to Congressman Charles Griffin, with forwarding letter..
Phillips, Harry T., M.D., director, Training Program for Health
Planners, School of Public Health, University of North Carolina,
letter dated June 9, 1970, to Chairman Jarman__
Regional Medical Program Directors:

Examples of regional medical program activities that have a
direct effect upon the availability of patient care, the quality of
that care, and the cost of medical care in general.
Letter dated July 17, 1970, from J. Gordon Barrow, M.D., director,
Georgia Regional Medical Program, to Congressman Rogers re
Public Health Service physicians serving in areas short of
physician services.

Letter dated July 17, 1970, from J. Gordon Barrow, M.D., direc-
tor, Georgia Regional Medical Program, to Congressman
Kyros re reasons for opposing H.R. 15960 especially from the
standpoint of its alleged capability of better coordinating
various Federal health programs thereby lessening duplication
and fragmentation..

United Community Funds and Councils of America, Inc., William
Aramony, executive vice president, letter date June 10, 1970, to
Chairman Jarman...

Page

275

284

111

293

284

174

172

171

140

288

296

300

213

220b

219

289

United Steelworkers of America, John J. Sheehan, legislative director,
statement-

278

283

Washington/Alaska Regional Medical Program, Donald R. Sparkman,
M.D., director, letter dated April 10, 1970, to Congressman Pauĺ
G. Rogers.

ORGANIZATIONS REPRESENTED AT HEARINGS American Academy of Comprehensive Health Planning, Edward H. Van Ness, vice chairman, board of directors.

American Cancer Society:

Farber, Dr. Sidney, immediate past president.

Letton, Dr. A. Hamblin, chairman, Medical and Scientific Committee.

American Heart Association:

January, Dr. Lewis E., former president.
Moses, Dr. Campbell, medical director.

ORGANIZATIONS REPRESENTED AT HEARINGS-Continued

American Medical Association:

Cannon, Dr. Bland, member, Council on Medical Education.

Peterson, Harry N., attorney, Legislative Department.

Ruhe, Dr. C. H. William, director, Division of Medical Education.

American Public Health Association, Richard Schlesinger, chairman, Community Health Planning Section.

Association of American Medical Colleges:

Danielson, John, director, Department of Teaching Hospitals and Health Services.

Murtaugh, Joseph S., director, Department of Planning and Policy Development.

Association of Areawide Health Planning Agencies:

Gottlieb, Symond R., president-elect.

Hiscock, William Mc., director.

Lentz, Edward A., president.

Sieverts, Steven, director.

Association of State and Territorial Health Officers, Dr. Mack I. Shanholtz, past president.

Community Health, Inc., New York, N. Y., Dr. James R. Kimmey, executive director.

Health, Education, and Welfare Department:

Egeberg, Dr. Roger O., Assistant Secretary for Health and Scientific Affairs. Lewis, Irving, Deputy Administrator, Health Services and Mental Health Administration.

Moscato, John, Acting Assistant Administrator for Legislation, Health Services and Mental Health Administration.

Sanazaro, Dr. Paul, Director, National Center for Health Services Research and Development.

National Cystic Fibrosis Research Foundarion, Dr. John F. Herndon, vice president for medical affairs.

National Kidney Foundation:

Merrill, Dr. John P., director, Cardiorenal Laboratory, Peter Bent Brigham Hospital.

Najarian, Dr. John S., professor and chairman, Department of Surgery, College of Medical Sciences, University of Minnesota.

Parry, Dr. William, professor of urology and chairman, Department of Urology, University of Oklahoma.

Schreiner, Dr. George E., president, National Kidney Foundation, and professor of medicine, director of renal division, Georgetown University. Regional Medical Program Directors, Dr. J. Gordon Barrow, director, Georgia Regional Medical Program.

Syracuse (N.Y.) Community Health Information and Planning Service, Inc., Richard Schlesinger, executive vice president.

COMPREHENSIVE HEALTH PLANNING AND REGIONAL

MEDICAL PROGRAMS

MONDAY, JUNE 1, 1970

HOUSE OF REPRESENTATIVES,

SUBCOMMITTEE ON PUBLIC HEALTH AND WELFARE,
COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE,

Washington, D.C.
The subcommittee met at 10 a.m., pursuant to notice, in room 2322,
Rayburn House Office Building, Hon. John Jarman (chairman)
presiding.

Mr. JARMAN. The subcommittee will please be in order.

The hearing today is on bills pending before the committee to extend and modify title IX of the Public Health Act, generally known as Regional Medical Programs and section 314 of the Public Health Services Act authorizing comprehensive health planning and formula and project grants to the States for health services.

The administration has proposed legislation H.R. 15960, which would integrate these two programs as well as the National Center for Health Services, Research, and Development, by placing them in a single title in the Public Health Service Act, giving them a common statement of purpose, a single advisory council, and a single annual report.

The purpose of these hearings will be to explore the alternative proposals for extending and improving these programs, each of which expires June 30, 1970.

At this point there will be included in the record the text of the bills and the agency reports thereon.

(The bills and reports referred to follow :)

(1)

भू

[H.R. 15960, H.R. 16147, and H.R. 16798, 91st Cong., 2d sess., introduced by Mr. Staggers (for himself and Mr. Springer) on February 17, 1970; Mr. Robison on February 24, 1970; and Mr. Patten on April 7, 1970, respectively, are identical as follows:]

A BILL

To amend and improve the Public Health Service Act to aid
in the development of integrated, effective, consumer-
oriented health care systems by extending and improving
regional medical programs, supporting comprehensive plan-
ning of public health services and health services develop-
ment on a State and areawide level, promoting research and
demonstrations relating to health care delivery, encouraging
experimentation in the development of cooperative local,
State, or regional health care delivery systems, enlarging the
scope of the National Health Survey, facilitating the develop-
ment of comparable health information and statistics at the
Federal, State, and local levels, and for other purposes.

1 Be it enacted by the Senate and House of Representa

2 tives of the United States of America in Congress assembled,

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