the fiscal years ending June 30, 1967 and 1968, the sum of $40,000,000, for the fiscal years ending June 30, 1969 and 1970, the sum of $45,000,000, and for the fiscal year ending June 30, 1971, and for each fiscal year thereafter the sum of $50,000,000; and there is hereby authorized to be appropriated pursuant to section 501(b) for the fiscal years ending June 30, 1963 and 1964, the sum of $10,000,000, for the fiscal years ending June 30, 1965 and 1966, the sum of $12,500,000, for the fiscal years ending June 30, 1967 and 1968, the sum of $15,000,000, for the fiscal years ending June 30, 1699 and 1970, the sum of $17,500,000, and for the fiscal years ending June 30, 1971, and for each year thereafter the sum of $20,000,000. The sums made available under this section shall be used for making payments to States which have submitted and had approved by the Secretary of Health, Education, and Welfare State plans for such services, including specific plans for such services in large cities as provided in section 501 (b). SEC. 502. (a) Out of the sums appropriated pursuant to section 501(a) for each fiscal year beginning after June 20, 1962, the Secretary shall allot one-half as follows: He shall allot to each State $70,000, and shall allot to each State such part of the remainder of this one-half as he finds that the number of live births in such State bore to the total number of live births in the United States in the latest calendar year for which the Secretary has available statistics. (b) Out of the sum appropriated pursuant to section 501 (a) the Secretary shall allot to the States (in addition to the allotments made under subsection 502(a)) for each fiscal year beginning after June 30, 1962, one-half as follows: Such sums shall be allotted from time to time according to the financial need of each State for assistance in carrying out its State plan, as determined by the Secretary after taking into consideration the number of live births in such State; except that not more than 25 per centum of such sums shall be available for grants to State health agencies (administering or supervising the administration of a State plan approved under section 503), and to public or other nonprofit institutions of higher learning (situated in any State), for special projects of regional or national significance which may contribute to the advancement of maternal and child health. (c) Out of the sums appropriated pursuant to section 501(b) for each fiscal year beginning after June 30, 1962, the Secretary shall allot one-half as follows: He shall allot to each State $25,000 and shall allot each State having one or more large cities such part of the remainder of this one-half as he finds that the number of live births in the large cities in such State bore to the total number of live births in such cities in the United States in the latest calendar year for which the Secretary has available statistics. (d) Out of the sums appropriated pursuant to section 501(b) the Secretary shall allot to the States (in addition to the allotments made under subsection 502(c)) for each fiscal year beginning after June 30, 1962, one-half as follows: Such sums shall be allotted from time to time according to the need of the large cities for assistance in carrying out their part of the State plan, as determined by the Secretary after taking into consideration the number of live births in such cities; except that not more than 25 per centum of such sums shall be available for grants to State health agencies or to the health agencies of large cities, and to public or other nonprofit institutions of higher learning (situated in any State), for special projects of regional or national significance which may contribute specifically to the advancement of the health of mothers and children living in such cities. Subsection (c) to become subsection (e). "APPROVAL OF STATE PLANS "SEC. 503. (a) A State plan for maternal and child-health services, including special plans for services in large cities, must (1) provide for financial participation by the State in respect to the purpose of section 501(a) and for participation by the large cities in respect to the purpose of section 501(b): Etc. (continue as at present). "PAYMENT TO STATES "SEC. 504. (a) From the sums appropriated therefor and the allotments available under subsections 502(a) and 502(c), the Secretary of the Treasury shall pay to each State which has an approved plan for maternal and child health services, for each quarter, beginning with the quarter commencing July 1, 1962, amounts, which shall be used exclusively for carrying out the State plan, includ ing plans for large cities, equal to one-half of the total sums, expended from allotments available under subsections 502(a) and 502 (c) during such quarter for carrying out such plan." Etc. (continue with appropriate minor amendments). (Unchanged.) OPERATIONS OF STATE PLANS "PART 2-SERVICES FOR CRIPPLED CHILDREN "APE ‘APPROPRIATIONS "SEC. 511. For the purpose (a) of enabling each State to extend and improve (especially in rural areas and in areas suffering from severe economic distress), as far as practicable under the conditions in such State, services for locating crippled children, and for providing medical, surgical, corrective, and other services and care, and facilities for diagnosis, hospitalization, and aftercare, for children who are crippled or who are suffering from conditions which lead to crippling, and (b) of enabling each State to determine its urban trends and problems in respect to such services and care of crippled and handicapped children, and enabling each State having one or more large cities to make grants to such cities proportional to the number of children in such cities and to their financial and other need for assistance in providing such services and care, there is hereby authorized to be appropriated pursuant to section 511(a) for the fiscal years ending June 30, 1963 and 1964, the sum of $30,000,000, for the fiscal years ending June 30, 1965 and 1966, the sum of $35,000,000, for the fiscal years ending June 30, 1967 and 1968, the sum of $40,000,000, for the fiscal years ending June 30, 1969 and 1970, the sum of $45,000,000, and for the fiscal year ending June 30, 1971, and for each year thereafter the sum of $50,000,000; and there is hereby authorized to be appropriated pursuant to section 511(b) for the fiscal years 1963 and 1964, the sum of $10,000,000 for the fiscal years ending June 30, 1965 and 1966, the sum of $12,500,000, for the fiscal years ending June 30, 1967 and 1968, the sum of $15,000,000, for the fiscal years ending June 30, 1969 and 1970, the sum of $17,500,000, and for the fiscal years ending June 30, 1971 and for each fiscal year thereafter the sum of $20,000,000. The sums made available under this section shall be used for making payments to States which have submitted and had approved by the Secretary of Health, Education, and Welfare State plans for such services, including specific plans for such services in large cities as provided in section 511 (b). SEC. 512. (a) Out of the sums appropriated pursuant to section 511(a) for each fiscal year beginning after June 30, 1962, the Secretary shall allot one-half as follows: He shall allot to each State $70,000, and shall allot the remainder of this one-half to the States according to the need of each State as determined by him after taking into consideration the number of crippled children in such State in need of the services referred to in section 511(a) and the cost of furnishing such services to them. (b) Out of the sum appropriated pursuant to section 511(a) the Secretary shall allot to the States (in addition to the allotments made under subsection (a)) for each fiscal year beginning after June 30, 1962, one-half as follows: Such sums (continue to end of subsection as at present). "(c) Out of the sums appropriated pursuant to section 511(b) for each fiscal year beginning after June 30, 1962, the Secretary shall allot one-half as follows: He shall allot to each State $25,000, and shall allot the remainder of this one-half to the States having one or more large cities according to the need of such cities in each State as determined by him after taking into consideration the number of crippled children in such cities in need of the services referred to in section 511(a) and the cost of furnishing such services to them. (d) Out of the sums appropriated pursuant to section 511(b) the Secretary shall allot to the States (in addition to the allotments made under subsection 512(c)) for each fiscal year beginning after June 30, 1962, one-half as follmcs: Such sums shall be allotted from time to time according to the financial need of the large cities in each State for assistance in carrying out their part of the State plan, as determined by the Secretary after taking into consideration the number of crippled children in such cities in need of the services referred to in section 511(a) and the cost of furnishing such services to them; except that not more than 25 per centum of such sums shall be available for grants to State agencies or large cities and to public or other nonprofit institutions of higher learning (situated in any State), for special projects of regional or national significance which may contribute specifically to the advancement of services for crippled children living in such cities." Subsection (c) to become subsection (e). "APPROVAL OF STATE PLANS "SEC. 513. (a) A State plan for services for crippled children, including special plans for such services in large cities, must (1) provide for financial participation by the State in respect to the purposes of section 511(a) and for participation by the large cities in respect of the purposes of section 511(b): (the remainder as at present). "PAYMENT TO STATES "SEC. 514. (a) From the sums appropriated therefor and the allotments available under subsection 512(a) and 512(c), the Secretary of the Treasury shall pay to each State which has an approved plan for services for crippled children, for each quarter, beginning with the quater commencing July 1, 1962, amounts which shall be used exclusively for carrying out the State plan, including plans for large cities, equal to one-half of the total sum expended during such quarter for carrying out such plan (continue as at present in 514(b) (1), (2), and (3), and in 514(c) except to add in lines 3 and 9 of 514(c) “and 512(d)" after "512(b)" in each line.)" (Unchanged.) "OPERATIONS OF STATE PLANS The CHAIRMAN. We thank you, Mr. Hecht, for these helpful suggestions. Are there any questions? The CHAIRMAN. Mr. Sachs? Mr. Sachs, will you please identify yourself for our record. STATEMENT OF HENRY N. SACHS, CHAIRMAN, NATIONAL CITIZENS COMMITTEE ON CAREERS IN SOCIAL WORK OF THE COUNCIL ON SOCIAL WORK EDUCATION Mr. SACHS. My name is Henry N. Sachs of 875 Park Avenue, New York City. I am an insurance broker by profession and for my pleasure I indulge in philanthropy and I am on the boards of several philanthropic organizations. I am here as chairman of the National Citizens Committee on Careers in Social Work of the Council on Social Work Education. The CHAIRMAN. Mr. Sachs, do you have copies of your statement? Mr. SACHS. Yes, I have a copy of my statement. I have given it to the clerk, and I would thank the chairman to put it in the record. The CHAIRMAN. All right. You are recognized, sir. Mr. SACHS. Thank you, sir. The Council on Social Work Education itself is a body similar to the National Social Welfare Assembly, but is interested primarily in the training and recruiting of social workers. It has as its members 56 graduate schools of social work in the United States, and 42 national agencies, all of those mentioned by Mr. Bondy, who are also members of our organization, that is, all those organizations who have an abiding interest in professional social work. I would like to say as a private citizen that on top of all the humanitarian motives which we all subscribe to, I personally have additional motives in endorsing this type of legislation and in particular this bill. I am a very patriotic citizen, and I am very proud of the United States. Having attended many meetings of the National Strategy Seminar I have learned, and from other sources, that this Nation is threatened by Communist aggression all over the world, that this is a multidimensional warfare, and that we must meet this warfare on a multidimensional basis. I consider not only the military, but I think we must have economic strength, and we must have a climate that will be least fertile for subversion, and I think that in the law two areas the public welfare bill, H.R. 10032, takes an important step which has long been due. However, as to the bill itself, my competency is limited to discussing the section regarding the training. None of the provisions of the bill can be carried out effectively or economically unless we have the proper personnel trained and properly equipped to carry out these provisions. Unless we have that we have the abuses and we have the waste that we heard about, and there is a tremendous shortage of professionally trained social workers in the entire United States. Currently, among the 35,000 State and public assistance employees throughout the county, only 41% percent, according to the Bureau of Labor Statistics, have full professional training, that is, a master's degree in social work, which requires 2 years of postgraduate study in one of the accredited schools of social work. The Department of Health, Education, and Welfare has set a modest 10-year goal of 331⁄2 percent of their workers, so that there remains a tremendous gap that needs to be filled, and I want to particularly emphasize the importance of the various provisions in the bill that will provide grants in title I, part A, on a 75-25 basis and in title B. Complete grants, both of which are definitely necessary. It has been a failure of past legislation, and I refer particularly to the bill last year on juvenile delinquency, which provided only shortterm training. Valuable as such training is, it cannot by itself meet the needs for the supervision which is very important for the planning and per se for the very training of these short-term trainees. The tuition fees that the various schools of social work receive in no way pay for the cost. The cost of social work education is one of the highest. Because of the 2 years only one-third is spent in the classroom, and the other two-thirds are spent at various social agencies, public or private, where the student is more or less like an intern in a medical school and requires individual supervision. It is therefore most important, and I wish to stress this to your committee, that ample provisions be made to permit grants to the schools so that they can train as many students as possible and help fill the big gap that exists today in the government and elsewhere, and when I say government, this is mostly State and local government, in qualified personnel to administer not only effectively, but economically, the very provisions which our country needs for survival. (The statement referred to follows:) TESTIMONY IN SUPPORT OF PROVISIONS OF PUBLIC WELFARE BILL (H.R. 10032) FOR GRANTS FOR TRAINING PUBLIC WELFARE PERSONNEL (By Henry N. Sachs, chairman, national citizens committee on careers in social work of the Council on Social Work Education, New York, N.Y.) There are currently more than 35,000 State and local public assistance employees throughout the country, only 4.5 percent of whom have had the basic social work training recommended for practice in this field, and yet they are expected to deal with some of the most complicated personal and family social problems coming to any social agency, such as unmarried parenthood, dependent children, family breakdown, desertion, delinquency, and chronic dependency.1 The acute shortage of personnel qualified by education to staff State and local public assistance programs is, of course, directly worsened by the critical shortage of social workers throughout the whole field. This is a point I would like to emphasize to this committee, for although we are urging you to provide funds for training family and child welfare workers because this is the most neglected area of training in the field, there is a great and growing need in other areas such as juvenile delinquency, corrections, and the aged. Since Congress has before it requests for funds for training doctors, nurses, dentists, and other categories of professional personnel which are in short supply, we need to bring to your attention the critical need for funds to help train public welfare staffs who deal with the largest number of cases requiring public care. The reason why this lack of training of public welfare personnel is viewed so seriously is that we now have enough evidence to show that properly trained social work personnel working intensively with ADC families is the only way in which we can hope to restore them to greater self-reliance, give the children of these families and honest chance to become self-reliant citizens, to conserve human and economic values and resources as well as to save public funds." The request that you provide training funds for public welfare staff is in no sense new to the Federal Government, for Federal funds have been and are being made available for the training of social workers in psychiatric, medical, Vocational rehabilitation, and military programs. Although the need for trained public welfare workers is acute, schools of social work currently have unused capacity, and there are large numbers of public welfare employees and college students who are eager to study social work if they can get some help in meeting the costs. Staff training programs now being carried out by some States would be greatly aided and increased by the provisions of the proposed bill under title I, part A for Federal contributions of 75 percent to States toward the cost of training personnel employed or preparing for employment in the State agencies or their subdivisions. Direct Federal help to students and to schools of social work in the institutions of higher learning is also needed in order to achieve the goal of more effective public welfare programs. As is the case in medical education, the cost of education is greater than tuition income, and schools need direct aid in addition to scholarships provided to students. This would be given under part B of the proposed bill by providing for Federal grants to institutions of higher learning and for fellowships and traineeships. It is understood that some of the funds expended under the various provisions of this bill could be used for inservice training and some for professional education. There is great need for both types of training. More personnel with full professional training is needed for giving service to complicated cases and for supervisory, planning, and training positions. The large numbers of staff for whom professional education would not be feasible at the present time would nevertheless be able to perform more economically and effectively as a result "Salaries and Working Conditions of Social Welfare Manpower," 1960, U.S. Bureau of Labor Statistics. 2 See "The Practical Value of Social Work Service: Preliminary Report on 10 Demonstration Projects in Public Assistance" (app. II). |