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Insurance Association of Connecticut, John H. Filer, chairman and chief
Levetan, Liane, commissioner, De Kalb County, Ga., and member, Health
Miller, Morton D., vice chairman, Equitable Life Assurance Society of the
Moran, M. Gail, staff director, Committee on Human Resources, National
Mott, Anthony, executive director, Finger Lakes Health Systems Agency,
Murphy, Richard E., legislative director, Service Employees International
National Association of Counties, Liane Levetan, commissioner, De Kalb County, Ga., and member, Health and Education Policy Steering Committee, accompanied by Mike Gennell, legislative representative_‒‒‒‒ National Association of Private Psychiatric Hospitals, Dave M. Davis, M.D., immediate past president, Georgia Psychiatric Association, director of psychiatric services, Peachtree-Parkwood Mental Center and Hospitals, Atlanta, Ga_-_
National Conference of State Legislatures, Hon. David Hollister___. National Council of Community Hospitals, John F. Horty, president, accompanied by John Huff, counsel---
National Council of Health Care Services, Harry Asmus, president, ac
companied by Jack MacDonald, executive vice president__.
National Retired Teachers Association, James M. Hacking, assistant legis-
Reba, Richard C., M.D., president, American College of Nuclear Physicians, accompanied by John Dring; and Kenneth L. Nicolas, executive staff
Schwinger, Harold N., M.D., chairman, Board of Chancellors, American
Seidman, Bert, director, Social Security Department, AFL-CIO, accom-
Service Employees International Union, Richard E. Murphy, legislative
can Health Care Association__.
Whalen, Dr. Robert P., on behalf of the Association of State and Territorial
American Association of Homes for the Aging, David C. Crowley, executive vice president
American College of Emergency Physicians..
452 463 465
American Institute of Certified Public Accountants:
Roscoe L. Egger, Jr., chairman, Federal Government Executive Com-
William Freitag, chairman, health care matters.
American Osteopathic College of Radiology, Martin S. Landis, president__
executive director professional relations_ American Society for Medical TechnologyAmerican Society of Clinical Pathologists_
American Society of Internal Medicine, William P. Daines, M.D_
Blue Shield Association---
California Medical Association_.
Catholic Hospital Association__
Caylor-Nickel Hospital, Inc., Charles H. Caylor, M.D., president_.
Chamber of Commerce of the United States, Jan Peter Ozga__
Crowley, David, executive vice president of the Association of Homes for
Daines, William P., M.D., American Society of Internal Medicine
American Institute of Certified Public Accountants____
Fox, Allan R., president, American Osteopathic College of Pathologists___
Gaspar, Haro'd E., M.D., P.A___
Goldbeck, Willis B., director, Washington Business Group on Health___ Hale, Randolph M., vice president and manager, Industrial Relations Department, National Association of Manufacturers--
Hawaii Medical Service Association, Albert H. Yuen, executive vice presi
Health System Agency of Southwestern Pennsylvania, Matthew Marshall,
Homemakers Home and Health Care Services, Ronald E. Rosenberg, vice
Hospital Financial Management Association_
Landis, Martin S., president, American Osteopathic College of Radiology--
Agency of Southwestern Pennsylvania___
Massachusetts Eye and Ear Infirmary, Charles T. Wood, director_
Robert H. Sweeney, executive director--
National Association of Manufacturers, Industrial Relations Department,
Randolph M. Hale, vice president and manager.
Nightletter for American Medicine, Robert L. Weinmann, M.D., editor and
Ozga, Jan Peter, Chamber of Commerce of the United States---
sel, Medical Personnel Pool Division___ Public Citizen's Health Research Group
Roberts, William F., acting managing director, American Lung Association_
makers Home and Health Care Services__.
Schwartz, Ronald D---
Scott, Michael, of Cox, Langford & Brown, counsel to ASA..
470 535 583
Servicemaster Industries, Inc., Kenneth T. Wessner, president and chief Page executive officer
Smith, John B., legal and legislative counsel, Medical Personnel Pool
Sweeney, Robert H., executive director, National Association of Children's
Teckemeyer, Robert A., associate executive director, professional relations,
American Physical Therapy Association__
Washington Business Group on Health, Willis B. Goldbeck, director---
Wessner, Kenneth T., president and chief executive officer, Servicemaster
Wood, Charles T., director, Massachusetts Eye and Ear Infirmary_.
Appendix A-Communications received by the committee expressing an in-
Appendix B-Health Care Expenditures and Their Control, the Health
Committee press release announcing these hearings.
MEDICARE AND MEDICAID ADMINISTRATION AND REIMBURSEMENT REFORM ACT
TUESDAY, JUNE 7, 1977
The subcommittee met, pursuant to notice, at 8:35 a.m., in room 2221, Dirksen Senate Office Building, Hon. Herman E. Talmadge (chairman of the subcommittee) presiding.
Present: Senators Talmadge, Dole, and Danforth.
Senator TALMADGE. The subcommittee will come to order. Today, we begin 4 days of hearings on S. 1470, the Medicare and Medicaid Administrative and Reimbursement Reform Act. S. 1470, which I introduced joined by Senators Long, Ribicoff, Dole, and 16 other colleagues, is the successor proposal to S. 3205 of the last Congress. S. 3205 was the subject of 5 days of hearings last July.
[The committee press release announcing these hearings and the bill S. 1470 follows:]
[Press release, Committee on Finance, Subcommittee on Health]
FINANCE COMMITTEE ANNOUNCES HEARING ON MEDICARE AND MEDICAID ADMINISTRATIVE AND REIMBURSEMENT REFORM
Senator Herman E. Talmadge (D., Ga.), Chairman of the Subcommittee on Health of the Senate Finance Committee, announced today that the Subcommittee will hold a hearing in early June on the various Medicare and Medicaid administrative and reimbursement reform provisions of S. 1470, introduced by Senator Talmadge on May 5, is cosponsored by a total of 19 Senators.
The hearing will be held beginning at 8:30 a.m. each day beginning June 7 through June 10 in Room 2221, Dirksen Senate Office Building.
Senator Talmadge stated: "S. 1470 is an improved version of S. 3205, a similar proposal introduced in the last Congress. The present bill incorporates constructive testimony received last year during five days of hearings on S. 3205. S. 1470 is designed to deal with, among other things, the problem of the continued explosion in the costs of the Medicare-Medicaid programs. Last year, I pointed out that those programs would cost Federal and State taxpayers more than $38 billion in fiscal 1977. Bad as that was, just one year later these programs are estimated to cost Federal and State governments more than $47 billion in fiscal 1978." Senator Talmadge said, with respect to soaring health costs: "The Congress and the Administration share a common concern; however, I believe we can best control costs by providing hospitals with equitable incentives and with the right kind of penalties."
Requests to testify.-Senator Talmadge advised that witnesses desiring to testify during this hearing make their request to testify to Michael Stern, Staff Director, Committee on Finance, 2227 Dirksen Senate Office Building, Washington, D.C. 20510, not later than Friday, May 27, 1977. Witnesses will be notified as soon as possible after this date as to when they are scheduled to appear.