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HEALTH PLANNING AMENDMENTS OF 1978

HEARINGS

BEFORE THE

SUBCOMMITTEE ON
HEALTH AND SCIENTIFIC RESEARCH

OF THE

COMMITTEE ON HUMAN RESOURCES

UNITED STATES SENATE

NINETY-FIFTH CONGRESS

SECOND SESSION

ON

S. 2410

TO AMEND TITLES XV AND XVI OF THE PUBLIC HEALTH
SERVICE ACT TO REVISE AND EXTEND THE AUTHORITIES
AND REQUIREMENTS UNDER THOSE TITLES FOR HEALTH

PLANNING AND HEALTH RESOURCES DEVELOPMENT

FEBRUARY 2, 3, AND 6, 1978

PART 1

Printed for the use of the Committee on Human Resources

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COMMITTEE ON HUMAN RESOURCES

HARRISON A. WILLIAMS, JR., New Jersey, Chairman JENNINGS RANDOLPH, West Virgiola JACOB K. JAVITS, New York CLAIBORNE PELL, Rhode Island

RICHARD S. SCHWEIKER, Pennsylvania EDWARD J. KENNEDY, Massachusetts ROBERT T. STAFFORD, Vermont GAYLORD NELSON, Wisconsin

ORRIN G. HATCH, Utah THOMAS F. EAGLETON, Missouri

JOHN H. CHAFEE, Rhode Island
ALAN CRANSTON, California

S. I. HAYAKAWA, California
WILLIAM D. HATHAWAY, Maine
DONALD W. RIEGLE, JR., Michigan

STEPHEN J. PARADISE, General Counsel and Staff Director

MARJORIE M. WHITTAKER, Chief Clerk
DON A. ZIMMERMAN, Minority Counsel
GREGORY Fusco, Minority Staff Director

SUBCOMMITTEE ON HEALTH AND SCIENTIFIC RESEARCH

EDWARD M. KENNEDY, Massachusetts, Chairman CLAIBORNE PELL, Rhode Island

RICHARD S. SCHWEIKER, Pennsylvania GAYLORD NELSON, Wisconsin

JACOB K. JAVITS, New York WILLIAM D. HATHAWAY, Maine

JOHN H. CHAFEE, Rhode Island
HARRISON A. WILLIAMS, JR., New Jersey
(ex officio)

LAWRENCE HORWITZ, J.D., Staff Director
DAVID WINSTON, Minority Counsel

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CONTENTS

Page

4

Text of : S. 2410_.

CHRONOLOGICAL LIST OF WITNESSES

78

13S

3SS

39.3

Pitts. Hon. Terrance, supervisor, Milwaukee County, Wis., on behalf of the

National Association of Counties, accompanied by Mike Gemmell, NACO

associate director for health and education.-

MCVahon, John Alexander, American Hospital Association ; accompanied

by Leo J. Gehrig, M.D., senior vice president; and Paul W. Earle, vice

president; Frank J. Jirka, J.D., vice chairman, American Merlical Asso-

ciation Board of Trustees; accompanied by Archie Johnson, JI.D., mem-

ber of AMA's ad hoc committee on planning and practicing physician

from Raleigh, N.C.; and Harry X. Peterson, director, AMA legislative

department; Michael Bromberg, director, Federation of American Hos-

pitals, a panel.-----

Mott, Anthony, executive director, Finger Lakes HSA, Rochester, N.Y.;

James Suter, executive director, West Virginia HSA, Inc., Charleston,

W. Va.; and Dorothy Hoskin, chairman of the governing body, Western

Colorado HSA, Grand Junction, ('olo., a panel.

Martin, Richard, manager, Health Services Industry Relations, Goodyear

Tire and Rubber ('o., Akron, Ohio; John Brown, director of employee

benefits, Genesco, Inc., Nashville, Tenn., and Willis Goldbeck, director,

Washington Business Group on Health, a panel ---

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

Seidman, Bert, director, department of social security, AFL-CIO, accom-

panied by Richard Shoemaker, assistant director...

Wisniewski, Stanley, research director, Service Employees International

L'nion, Washington, D.C..

Leahy, Hon. Patrick, a U.S. Senator from the State of Vermont

McGarrah, Robert E., Jr., public policy counsel, public policy analysis de-

partment, American Federation of State, County, and Municipal Em-

ployees, AFI-CIO, Washington, D.C.

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

967 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_.

981 Grimm, Richard, president, Technicare Corp. ; Harold Buzzell, president,

Health Industry Manufacturers Association; Dr. Walter Robb, vice president and general manager, medical systems division, General Electric Co.; and Bob Haggland, president, EJII Medical Inc., a panel.----- 1023

STATEMENTS

886

960

745 664 612

112

986

78 97

American Federation of Labor and Congress of Industrial Organizations,

Bert Seidman, director, department of social security, prepared state

ment with appendix-American Federation of State County, and Municipal Employees, Robert E.

McGarrah, Jr., public policy counsel, public policy analysis department.

prepared amendment---
American Health Planning Association, Anthony Jott, executive director,

prepared statement.---
American Hospital Association, prepared statement-
American Medical Association, prepared statement-
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---Blue Cross Association, Veil Hollander, vice preident of health care serv

ices, prepared statement.-Champion, Hale, Under Secretary of Health, Education, and Welfare, ac

companied 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 Adminis-
tration

Prepared statement
Checkoway, Barry, assistant professor of urban and regional planning. I'ni-

versity of Illinois at Urban-Champaign ; Champaign County Health Care
Consumers

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

Prepared statement (with proposed amendments).
Consumer Coalition for Health, Herbert Semmel, director, prepared state-

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

director, prepared statement..
Fenerty, Anne, Consumer Coalition for Health, Boulder, Colo.

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

Prepared statement
Glasser ,elllvin A., director, social security department, United Auto
Workers

Prepared statement
Grimm, Richard, president, Technicare Corp. ; Harold Buzzell, president,

Health Industry Manufacturers Association : Dr. Walter Robh, vice presi-
dent and general manager, medical systems division, General Electric
Co.; and Bob Hagglud, president, EMI Medical Inc., a panel --

Prepared statement.
Health Industry Manufacturers Association, Harold Buzzell, president

prepared statement----
Health Insurance Association of America. Henry A. Diprete second rice
president, group operations, John Hancock Mutual Life Insurance ('o..

Preparell statement.---
Herschler, Ilon. Edward, Governor of the State of Wyoming.

388 391 862 866

152 566

621

395 397

41 47

967 972

1023 1037

1037

1012 138

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