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Health, Education, and Welfare Department:

Batalden, Dr. Paul B., Acting Director, Bureau of Community Health Serv.

ices, Health Services Administration. Brown, Dr. Bertram S., Director, National Institute of Mental Health, Na

tional Institutes of Health. Buzzell, Harold O., ing Director, Health Services Administration. Edwards, Dr. Charles C., Assistant Secretary. Egeberg, Dr. Roger 0., Interim Administrator, Alcohol, Drug Abuse, and

Mental Health Administration. Eshelman, William, Acting Deputy Commissioner, Rehabilitation Services

Administration, Social and Rehabilitation Service. Hellman, Dr. Louis, Deputy Assistant Secretary for Population Affairs,

Office of the Assistant Secretary for Health. Miller, Joan H., Deputy Assistant Secretary for Legislation (Welfare). Sopper, Dale, Legislative Officer, Office of the Assistant Secretary for Legisla

tion. Mental Health/Mental Retardation Services, Homestead Hospital Community

Mental Health Center, Leslie Del Pizzo, director.
Migrant Legal Action Program, Miriam Guido, staff attorney.
National Advisory Council on Services and Facilities for the Developmentally Dis-

abled, Elizabeth M. Boggs, Ph.D., chairman. National Association for Mental Health, Inc., Hilda H. Robbins, vice president,

Region I. National Association for Retired Citizens, John Bowling, chairman, Governmental

Affairs Committee. National Association of Coordinators of State Programs for the Mentally Retarded, Inc.:

Gettings, Robert, executive director.

Ray, David B., Jr., legislative chairman. National Association of Counties:

Berman, Dr. Bernard, commissioner, Oakland County, Mich., and member,

Health and Education Steering Committee of NAČo. Brumback, Dr. Carl, health officer, Palm Beach County, Fla., and board

member, NACo.
Tabor, Ralph, director, Federal Affairs, NACo.
National Association of Neighborhood Health Centers:

Ashford, L. Jerome, executive director.
Cantrell, F. Daniel, president.
Hill, Madeline, community coordinator, Health Planning Council for Greater

Boston, Waltham, Mass.
Holzberg, Harvey A., director, Sunset Park Family Health Center, Brooklyn,

N.Y. Lloyd, Dr. William B., director, Martin Luther King, Jr. Neighborhood

Health Center, Bronx, N.Y.
Saunders, director, Elizabeth Courtney Health Center, St. Louis, Mo.
Shirley, Dr. Aaron, director, Jackson-Hinds Comprehensive Neighborhood

Health Center, Jackson, Miss.
National Association of State Mental Health Program Directors:

Gaver, Dr. Kenneth, president.

Schnibbe, Harry. National Conference on Developmental Disabilities: Barrett, Bernetta, chairperson, State Planning and Advisory Council, De

velopmental Disabilities, State of Illinois. Cohen, Allen R., director, Developmental Disabilities Planning and Advisory

Council, State of Virginia.
Hemphill, Clell L., director, Developmental Disabilities, Office for Planning

and Programing, State of Iowa. Howse, Jennifer L., Ph.D., director, Developmental Disabilities Section,

Division of Retardation, State of Florida, and chairman, Governmental

Affairs, NCDD.
Leathe, Jack, Texas Planning Advisory Council.

ORGANIZATIONS REPRESENTED AT HEARINGS-Continued National Congress of Parents and Teachers, Mrs. William C. Baisinger, coordina

tor of legislative activity. National Consortium for Child Mental Health Services, Virginia Crockford. National Council of Community Mental Health Centers:

Hunter, William F., Ph.D., chairman-elect, and area program director,

Range Mental Health Center, Virginia, Minn.

Morris, Jonas V., executive director. National Easter Seal Society for Crippled Children and Adults, Maurice New

burger, Ph.D. National League of Cities, the U.S. Conference of Mayors, and the U.S. Con

ference of Health Officers, Dr. C. M. G. Buttery, director of Public Health,

Portsmouth, Va. National Society for Autistic Children, Mary S. Akerley, first vice president and

chairman, National Affairs Committee. Pennsylvania Migrant Health Project, Maria A. Matalon, R.N., field coordinator. Philadelphia Forum of Mental Health and Mental Retardation Centers, Anthony

F. Santore, chairman, and chairman, West Philadelphia Community Mental

Health Consortium, Inc. Planned Parenthood Federation of America, Frederick S. Jaffe, vice president. Population Council, Sheldon J. Segal, Ph. D., vice president and director, Bio

medical Division. Range Mental Health Center, Virginia, Minn., William F. Hunter, Ph. D., area

program director, and chairman-elect National Council of Community Mental

Health Centers. Sound View-Throgs Neck Community Mental Health Center, Bronx, N.Y.,

Perry McFarland, demonstrations officer. U.S. Catholic Conference, Rev. Msgr. James T. McHugh, director, Family Life

Division. United Cerebral Palsy Association, Inc., Paula B. Hammer, Governmental

Activities Committee. United Methodist Church, Dr. McKinnon White, vice president of the Board

of Church and Society. United Mental Health, Inc., Allegheny County, Pa., Alex T. Powell, Jr., president. Virginia Department of Mental Health, Dr. Joseph Bevalagua, director, Com

munity Services. West Philadelphia Community Mental Health Consortium, Inc. Anthony F.

Santore, chairman, and chairman, Philadelphia Forum of Mental Health and

Mental Retardation Centers. Western Psychiatric Institute and Clinic, University of Pittsburgh, Ronald

Forsythe, assistant executive director. Women's Lobby, Inc.:

Burris, Carol, president.

Pattin, Ellen, director, Health Research.
Zero Population Growth, Inc.:

Senderowitz, Ms. Judith, president.
Tarnow, Mrs. Joyce, Miami Chapter.




Washington, D.C. The subcommittee met at 10 a.m., pursuant to notice, in room 2322, Rayburn House Office Building, Hon. Paul G. Rogers, chairman, presiding.

Mr. ROGERS. The subcommittee will come to order, please.

This morning the subcommittee begins 6 days of hearings on H.R. 11511 and H.R. 11845, introduced by most of the members of the subcommittee, H.R. 11518, introduced by Mr. Heinz, as well as several related bills dealing with targeted services programs which affect millions of Americans, most of whom are disadvantaged physically, culturally, or economically.

They involve the provision of health care in special areas of national significance. They include block grants to States, a program which was developed in the early 1960's to help States defray the costs of public health services.

They include assistance to community mental health centers, a program initiated in 1963 with the goal of providing all citizens access to mental health services with emphasis on community treatment. They involve assistance for family planning programs which serve not only as a means of fertility control but also as the only entry point into health services for many people.

They include the developmental disabilities program, a program designed to expand the role of the States in the development of a wide variety of comprehensive resources to bear on the problems of the developmentally disabled. They include assistance to migrants, most of whom are culturally and economically deprived and ineligible for medicaid.

Finally, they include assistance to neighborhood health centers, which have brought primary care to millions of economically deprived Americans.

The concern of the Congress with these programs is reflected in the fact that the number of Members of Congress that sponsored the bills that affect these programs run into the hundreds.

A year ago this subcommittee conducted hearings on a bill which extended these and other expiring health programs for 1 year. In debate on that legislation on the floor of the House, members of this subcommittee promised thorough review of each expiring program and legislative changes if necessary. It is a proposal, not a decision. This subcommittee welcomes constructive suggestions on ways to improve these services programs.

Without objection the text of the bills covered by this hearing shall be placed in the record at this point.

[The testimony resumes on p. 457.]
[The text of bills and agency reports thereon follow:]

(H.R. 11511, introduced by Mr. Rogers on November 15, 1973; and H.R. 11845, introduced by Mr. Rogers (for himself, Mr. Kyros, Mr. Preyer, Mr.

Symington, Mr. Roy, Mr. Carter, Mr. Heinz, and Mr. Hudnut) on December 7,

1973, are identical as follows:)

To amend the Public Health Service Act and related laws to

revise and extend programs of health revenue sharing and

health delivery, 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, 3 That this Act may be cited as the “Health Revenue Sharing

4 and Health Services Act of 1973”.




Sec. 101. This title may be cited as the “Special Health

7 Revennie Sharing Act of 1973".


SEC. 102. Section 314 (d) (1) of the Public Health

9 Service Act (relating to grants to States for comprehensive

10 public health services) is amended by striking out "and"

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