SUBCOMMITTEE ON HEALTH AND LONG-TERM CARE
CLAUDE PEPPER, Florida, Chairman

IKE F. ANDREWS, North Carolina
EDWARD P. BEARD, Rhode Island
JAMES J. FLORIO, New Jersey
MARILYN LLOYD, Tennessee

H. JOHN HEINZ III. Pennsylvania
WILLIAM S. COHEN, Maine

CONTENTS

Statement by Senator Frank E. Moss-

Statement by Representative Claude Pepper_.

Statement by Representative H. John Heinz III_

Statement by Senator Bill Brock_.

Statement by Representative Wm. J. Randall.
Statement by Senator Charles H. Percy.

CHRONOLOGICAL LIST OF WITNESSES

Martin, Hon. John B., consultant, National Retired Teachers Association/

American Association of Retired Persons.

Koch, Hon. Edward I., Representative from the 18th District of New York.

Etzioni, Dr. Amitai, professor of sociology, Columbia University, and

director, Center for Policy Research.

Hawes, Gerald A., audit manager, office of the auditor general, Sacramento,

Calif.

Warner, Dr. George, special assistant, Health Facilities, Economics, and

Preventive Health Services, New York State Health Department,

Albany, N.Y_

Weikel, Dr. Keith, Commissioner, Medical Services Administration, De-

partment of Health, Education, and Welfare; accompanied by Peter

Franklin, Special Assistant to the Secretary; Dr. Claire Ryder, Director,

Division of Policy Development, Office of Nursing Home Affairs; and

Gerald Sheinbach, Assistant Bureau Director, Division of State Opera-

tions, Bureau of Health Insurance, Social Security Administration---.

Wilsmann, Edward J., president, Upjohn Homemakers Home and Health

Care Services, Inc., Kalamazoo, Mich.

Brown, Richard P., executive vice president, Unihealth Services Corp.,

New Orleans, La..

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Smith, John B., legislative counsel, medical personnel, Personnel Pool of

America, Inc., Fort Lauderdale, Fla...

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Winston, Dr. Ellen, National Council for Homemaker-Home Health Aide

Services, New York, N. Y___

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Tigar, Nancy, assistant director, Council of Home Health Agencies and

Community Health Services, National League for Nursing...

Reese, Eva M., R.N., executive director, Visiting Nurse Service of New

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York

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Rawlinson, Helen L., director of Home Care, Blue Cross of Greater

Philadelphia_

115

Starr, Janet E., executive director, Coalition for Home Health Services

in New York State ---

Pfau, Mary Ann, coordinator of ambulatory and home care nursing

services, nursing services department, American Nurses' Association_-_-_

Hall, Hadley D., executive director, San Francisco Home Health Services--

Semmel, Herbert, Center for Law and Social Policy; accompanied by Ru-

dolph Danstedt, assistant to the president, National Council of Senior

Citizens, Washington, D.C__

Byrne, John, MHA, president, National Association of Home Health

Agencies, and executive director, Visiting Nursing Association of St.

Louis, Mo.; accompanied by Don Trautman, chairman, Legislative

Committee, National Association of Home Health Agencies..

Prendergast, James Terence, legislative counsel for Staff Builders, New

York, N. Y

Keeley, Fred, Home-Kare, Inc., Campbell, Calif..

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APPENDIXES

Appendix 1. Communications between Senator Frank E. Moss, Repre-
sentative Claude Pepper, and David Mathews, Secretary, Department
of Health, Education, and Welfare:

Item 1. Letter from Senator Frank E. Moss, chairman, Senate Sub-
committee on Long-Term Care, and Representative Claude L.
Pepper, chairman, House Subcommittee on Health and Long-Term
Care; to David Mathews, Secretary, HEW, dated December 12,

1975__

Item 2. Letter and enclosure from Senator Frank E. Moss and Repre-
sentative Claude L. Pepper; to David Mathews, Secretary, HEW..
Item 3. Letter from John A. Svahn, Acting Administrator, Social and
Rehabilitation Service, HEW; to Senator Frank E. Moss, dated
October 16, 1975_-_.
Appendix 2. Report by the Office of the Auditor General of California
entitled "A Management Review of the Homemaker-Chore Services
Program," dated June 11, 1975; submitted by Gerald A. Hawes___
Appendix 3. Proposed medical assistance program regulations (home health
services) by the Department of Health, Education, and Welfare, Social
and Rehabilitation Service; from the Federal Register, August 21, 1975-
Appendix 4. Statements from individuals and organizations:

Item 1. Statement of Arthur S. Flemming, Commissioner on Aging,
Department of Health, Education, and Welfare, before the Sub-
committee on Health and Long-Term Care of the House Select
Committee on Aging, November 19, 1975----
Item 2. Statement of Peter Franklin, special assistant to the Secretary,
Department of Health, Education, and Welfare, before the Sub-
committee on Health and Long-Term Care of the House Select
Committee on Aging, November 19, 1975.

Item 3. Statement and attachments of the National Association of
Home Health Agencies, Portland, Oreg.; submitted by John Byrne,
president..

Item 4. Statement and attachment of Edward J. Wilsmann, president,
Homemakers Home and Health Care Services, Kalamazoo, Mich..
Appendix 5. Letters from individuals and organizations:

Item 1. Letter and enclosures from Richard P. Brown, executive vice
president, Unihealth Services Corp., New Orleans, La.; to Val J.
Halamandaris, associate counsel, Senate Committee on Aging, dated
November 4, 1975...

Item 2. Letter from Lawrence N. Fuchs, secretary, Homemaker-Home
Health Aide Association of New York State, Inc.; to David
Mathews, Secretary, HEW, dated September 18, 1975_
Item 3. Letter and enclosures from Cyril F. Brickfield, counsel,
NRTA/AARP; to Senator Frank E. Moss, dated September 24,
1975; submitted by John B. Martin__
Item 4. Letter from_Hon. Patricia Schroeder, Representative in
Congress from the First District of Colorado; to John A. Svahn,
Administrator, Social and Rehabilitation Service, HEW, dated
September 29, 1975---.

Item 5. Letter and enclosure from Maxine A. Thomas, R.N., executive
director, Salt Lake Community Nursing Service (Utah); to Senator
Frank E. Moss, dated October 1, 1975__.
Item 6. Letter and enclosures from Florence Moore, executive director,
National Council for Homemaker-Home Health Aide Services, Inc.,
New York; to John A. Svahn, Acting Administrator, Social and
Rehabilitation Service, HEW, dated October 3, 1975; submitted by
Dr. Ellen Winston___

Item 7. Letter from Eva M. Reese, executive director, Visiting Nurse
Service of New York; to the Administrator, Social and Rehabilita-
tion Service, HEW, dated October 6, 1975-
Item 8. Letter from Florence Moore, executive director, National
Council for Homemaker-Home Health Aide Services, Inc., New
York; to Senator Frank E. Moss, dated October 29, 1975--.
Item 9. Letter from Constance Holleran, deputy executive director,
American Nurses' Association, Inc., Kansas City, Mo.; to Senator
Frank E. Moss, dated November 3, 1975--

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