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COMMITTEE ON HUMAN RESOURCES

HARRISON A. WILLIAMS, JR., New Jersey, Chairman

JENNINGS RANDOLPH, West Virginia
CLAIBORNE PELL, Rhode Island
EDWARD M. KENNEDY, Massachusetts
GAYLORD NELSON, Wisconsin
THOMAS F. EAGLETON, Missouri
ALAN CRANSTON, California
WILLIAM D. HATHAWAY, Maine
DONALD W. RIEGLE, JR., Michigan

JACOB K. JAVITS, New York
RICHARD S. SCHWEIKER, Pennsylvania
ROBERT T. STAFFORD, Vermont

ORRIN G. HATCH, Utah

JOHN H. CHAFEE, Rhode Island

S. I. HAYAKAWA, California

STEPHEN J. PARADISE, General Counsel and Staff Director
MARJORIE M. WHITTAKER, Chief Clerk
DON A. ZIMMERMAN, Minority Counsel
GREGORY FUsco, Minority Staff Director

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Text of: S. 2410_.

CONTENTS

Page

CHRONOLOGICAL LIST OF WITNESSES

THURSDAY, FEBRUARY 2, 1978

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Glasser, Melvin A., director, social security department, United Auto Page
Workers

Hollander, Neil, vice president of health care services, Blue Cross Associa-
tion and Henry A. Diprete, second vice president, group operations, John
Hancock Mutual Life Insurance Co., a panel_...
Grimm, Richard, president, Technicare Corp.; Harold Buzzell, president,
Health Industry Manufacturers Association; Dr. Walter Robb, vice
president and general manager, medical systems division, General Elec-
tric Co.; and Bob Haggland, president, EMI Medical Inc., a panel_------

STATEMENTS

American Federation of Labor and Congress of Industrial Organizations, Bert Seidman, director, department of social security, prepared statement with appendix..

American Federation of State, County, and Municipal Employees, Robert E. McGarrah, Jr., public policy counsel, public policy analysis department. prepared amendment..

967

981

1023

886

960

American Health Planning Association, Anthony Mott, executive director, prepared statement___

748

American Hospital Association, prepared statement_
American Medical Association, prepared statement.

664

612

Atlanta Legal Aid Society, Georgia legal services program, New Orleans Legal Assistance Corp., and the National Health Law Program, Inc., legal services clients, prepared statements_.

412

Blue Cross Association, Neil Hollander, vice preident of health care services, prepared statement....

Champion, Hale, Under Secretary of Health, Education, and Welfare, accompanied by Julius Richmond, Assistant Secretary for Health; Dr. Karen Davis, Deputy Assistant Secretary for Planning and Evaluation (Health), and Henry Foley, Administrator of Health Resources Administration

Prepared statement

Checkoway, Barry, assistant professor of urban and regional planning, University of Illinois at Urban-Champaign; Champaign County Health Care Consumers

Prepared statement

Clark, Hon. Dick, a U.S. Senator from the State of Iowa

986

78

97

388

391

862

Prepared statement (with proposed amendments)

866

Consumer Coalition for Health, Herbert Semmel, director, prepared statement

152

Czerwinski, Joe, State representative from Wisconsin, prepared statement Federation of American Hospitals, Michael D. Bromberg. Esq., executive director, prepared statement__

566

621

Fenerty, Anne, Consumer Coalition for Health, Boulder, Colo
Prepared statement.

395

397

Garrahy, Hon. J. Joseph, Governor of the State of Rhode Island, chairman,
National Governors' Association Subcomimttee on Health Policy..
Prepared statement

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Glasser eMlvin A., director, social security department, United Auto
Workers

967

Prepared statement

972

Grimm, Richard, president, Technicare Corp.; Harold Buzzell, president,
Health Industry Manufacturers Association: Dr. Walter Robb, vice presi-
dent and general manager, medical systems division. General Electric
Co.; and Bob Hagglud, president, EMI Medical Inc., a panel_
Prepared statement..

1023

1037

Health Industry Manufacturers Association, Harold Buzzell, president prepared statement_____.

1037

Health Insurance Association of America. Henry A. Diprete, second vice president, group operations, John Hancock Mutual Life Insurance Co., Prepared statement_-_

1012

Herschler, Hon. Edward, Governor of the State of Wyoming....

138

Hollander, Neil, vice president of health care services, Blue Cross Association and Henry A. Diprete, second vice president, group operations, John Hancock Mutual Life Insurance Co., a panel..

Prepared statement

Jirka, Frank Jr., M.D., vice-chairman, board of trustees, American Medical
Association, prepared statement--

Johnson, Archie, M.D., American Medical Association, prepared statement__
Leahy, Hon. Patrick, a U.S. Senator from the State of Vermont---.

Prepared statement__.

Martin, Richard, manager, Health Services Industry Relations, Goodyear
Tire and Rubber Co., Akron, Ohio; John Brown, director of employee
benefits, Genesco, Inc., Nashville, Tenn., and Willis Goldbeck, director,
Washington Business Group on Health, a panel___

Mott, Anthony, executive director, Finger Lakes HSA, Rochester, N.Y.;
James Suter, executive director, West Virginia HSA, Inc., Chareston,
W.Va.; and Dortohy Hoskin, chairman of the governing body, Western
Colorado HSA, Grand Junction, Colo., a panel___.

Prepared statement

McMahon, John Alexander, president, American Hospital Association; accompanied by Leo J. Gehrig, M.D., senior vice president; and Paul W. Earle, vice president; Frank J. Jirka, M.D., vice chairman, American Medical Association Board of Trustees; accompanied by Archie Johnson, M.D., member of AMA's Ad Hoc Committee on Planning and practicing physician from Raleigh, N.C.; and Harry N. Peterson, director, AMA legislative department; Michael Bromberg, director, Federation of American Hospitals, a panel..

Page

981

986

593

601

948

951

853

736

747

586

Prepared statement..

644

McGarrah, Robert E., Jr., public policy counsel, public policy analysis department, American Federation of State, County, and Municipal Employees, AFL-CIO, Washington, D.C.-

957

Prepared statement

980

Pitts, Hon. Terrance, Supervisor, Milwaukee County, Wis., on behalf of the National Asociation of Counties, accompanied by Mike Gemmell, NACO associate director for health and education__

534

Seidman, Bert, director, department of social security, AFL-CIO, accompanied by Richard Shoemaker assistant director_.

881

Prepared statement

886

Semmel, Herbert, director, Consumer Coalition for Health, Washington,
D.C. Steve Suitts, executive director, Southern Regional Council, At-
lanta, Ga., and Willie Mitchell, National Health Law Program, Newnan,
Ga., a panel_---

142

Prepared statement

152

Service Employees International Union, AFL-CIO, Washington, D.C.,
Stanley Wisniewski, research director, prepared statement_
Southern Regional Council, Steve Suitts, executive director, prepared
statement

938

190

United Auto Workers, Melvin A. Glaser, director, social security department, prepared statement__.

972

Wisniewski, Stanley, research director, Service Employees International
Union, Washington, D.C___

934

Prepared statement_____

938

ADDITIONAL INFORMATION

Articles, publications, etc.:

Actions Approved by the National Steering Committee on Voluntary
Cost Containment, Dec. 20, 1977__.

726

Amendment Proposals to the National Health Planning and Resources
Development Act of 1974, from the American Hospital Association___
Background of and Implementation of the Voluntary Cost Contain-
ment Program, from the American Hospital Association, American
Medical Association, and Federation of American Hospitals----
Body Computed Tomography: A Clinically Important and Efficacious
Radiologic Procedure, from Opinion, April 1977---.

670

708

1057

Articles, publications, etc. :-Continued

Computed Tomography and the Quality of Radiation Therapy, by J.
Robert Stewart, University of Utah Medical Center, Salt Lake City,
Utah and Larry D. Simpson, Memorial Sloan-Kettering Cancer Cen- Page
ter, New York, N.Y__.

Consumer Guide to Local Health Care Planning, from the Association
of Health Care Consumers_.

Cost of Planning Under Public Law 93-641, Current Experience and
Projected Needs of Ten HSA's from the American Health Planning
Association

HSA Governing Body Composition Analysis of Region II, by Herbert
H. Hyman, Ph.D., public health consultant, May 1976.
Medical Progress: Medical Implications of Computed Tomography
("Cat Scanning"), by Herbert L. Abrams, M.D., and Barbara J.
McNeil, M.D., Ph.D., from the New England Journal of Medicine,
Feb. 2, 1978__

Minimally Funded and Rural Health Systems Agencies statement of
position, of the, by Dorothy Hoskin, president, Western Colorado
Health Systems Agency, Inc.--.

Placebo or Cure? State and Local Health Planning Agencies in the
South, by Wayne Clark, director, Southern Governmental Monitor-
ing Project, Southern Regional Council_____
Proposed Amendments on Composition of Health Systems Agencies,
from the Consumer Coalition for Health__.
Proposed Amendments to the National Health Planning and Resources
Development Act of 1974, from the National Association of Counties,
Washington, D.C____

1059

340

767

317

1061

809

198

186

539

Proposals for Amendments to Public Law 93-641, from the Consumer
Coalition for Health____.

179

Study of Single HSA States and Section 1536 States, executive summary

790

Communications to:

53

374

583

Kennedy, Hon. Edward M., chairman, Subcommittee on Health and Scientific Research, from Governor Richard D. Lamm, chairman, Task Force on Health Planning, National Governors Association (with enclosure), Feb. 8, 1978_ Kennedy, Hon. Edward M., chairman, Subcommittee on Health and Scientific Research, from Herbert Semmel, president, Consumer Coalition for Health, Feb. 23, 1978 (with enclosure) .......... Kennedy, Hon. Edward M., chairman, Subcommittee on Health and Scientific Research, from Michael K., Gemmell, associate director, National Association of Counties, Feb. 24, 1978 (with attachments) __ Kennedy, Hon. Edward M., Chairman, Subcommittee on Health and Scientific Research, from James H. Sammons, M.D., executive vice president, American Medical Association, Chicago, Ill., Mar. 10, 1978 Shapiro, Stuart, professional staff member. Subcommittee on Health and Scientific Research, Committee on Human Resources, from Walter L. Robb, vice president and general manager, medical systems division, General Electric Co., Feb. 14, 1978 (with enclosures) ------ 1047 Selected tables:

611

Public officials on governing bodies.--

86

Results of the HSA project review process, August 1974 to February 1977 --

854

Status of certificate of need and section 1122 programs in the States
(as of Aug. 31, 1977).

136

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