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CONTENTS

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Grant, Dr. Murray, Director, Department of Public Health_.
Halstead, George, Executive Assistant__

8, 16

16, 27

Kerr, Dr. Lorin E., chairman, District of Columbia Public Health
Advisory Council_

Robinson, William A., assistant corporation counsel.

Visiting Nurse Association, Mrs. Peter Soyster--

56

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64

MATERIAL SUBMITTED FOR THE RECORD

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Christ Child Society, Inc., of Washington, D.C., Mrs. Albert J. Headley, Page
president, letter dated March 29, 1967, to Chairman Dowdy--
Citizens Concerns for Better Living:

Reeder, Helen E., director, letter to Chairman Dowdy--
White, Mrs. Christine, president, letter to Chairman Dowdy---

Columbia Lighthouse for the Blind, J. Arthur Johnson, executive director

letter dated April 4, 1967, to Chairman Dowdy---

District of Columbia Government:

Grant, Dr. Murray, Director, Department of Public Health:
Letter dated May 1, 1967, to clerk, summarizing proposed District
of Columbia plan under title XIX..

126

Memorandum dated December 16, 1966, to District of Columbia

Commissioners, transmitting proposed District of Columbia

plan

Ropshaw, F. E., Secretary, Board of Commissioners, letter dated May
4, 1967, advising of status of proposed District of Columbia plan___
Tobriner, Hon. Walter N., President, Board of Commissioners:

Letter dated March 10, 1967, to Chairman McMillan on H.R. 3972_
Letter dated March 29, 1967, to Chairman McMillan furnishing
information requested--.

Letter dated May 27, 1966, to the Speaker.

District of Columbia Nurses' Association, William A. Lang, Executive
Director, letter dated April 27, 1967 to Chairman Dowdy---
District of Columbia Tuberculosis Association, Raymond M. Taylor, execu-
tive director, letter dated March 24, 1967, to Chairman McMillan__
Florence Crittendon Home & Hospital, Inc., Mrs. Leora L. Conner, ACSW,
executive director, letter dated April 3, 1967, to Chairman Dowdy--
Greater Washington Central Labor Council, AFL-CIO, J. C. Turner, presi-
dent, letter dated April 18, 1967, to Chairman Dowdy__-
Health Association of Wayne County, Inc., Mrs. Hazel L. Perrels, execu-
tive director, letter dated March 31, 1967, to Congressman Horton___.
Health Facilities Planning Council for Metropolitan Washington, D.C.,
William T. Hannan, letter dated March 23, 1967, to Chairman Dowdy--
Help for Retarded Children, Inc., David Silberman, executive director,
letter dated March 30, 1967, to Chairman Dowdy.
Homemaker Service of the National Capital Area, Inc., Mrs. C. Worth
Sprunt, president, letter dated April 20, 1967, to Chairman Dowdy____
Ionia R. Whipper Home, Inc., Mrs. Elizabeth M. Goodman, president,
board of directors, letter dated March 24, 1967, to Chairman Dowdy---
Jewish Foundation for Retarded Children, Inc., Erwin Friedman, director,
letter dated April 5, 1967, to Chairman Dowdy----
McMillan, Hon. John L., chairman, House District Committee, letter dated
March 16, 1967, to Hon. Walter N. Tobriner__.

New York State Tuberculosis and Respiratory Disease Association, Inc.,

Robert D. Ragsdale, executive director, letter dated March 29, 1967, to

Congressman Horton

Planned Parenthood of Metropolitan Washington, D.C., Inc., Mrs. Donald

Hiss, president, letter dated March 29, 1967, to Chairman Dowdy.

Prevention of Blindness Society of Metropolitan Washington, Helen Curtis

Demary, executive director, letter dated April 3, 1967, to Chairman

Dowdy

Redd, Carol, Mrs., letter to Chairman Dowdy.

Rudger, Lenora, statement dated April 3, 1967---

Social Hygiene Society of Metropolitan Washington, William F. Benedict,

for the board of directors, letter dated March 30, 1967, to Congressman

Abernethy

73

73

Southwest Crusade for Better Welfare, Shirley Tinch, ways and means
chairman, letter dated April 3, 1967, to Chairman Dowdy-

Southwest Health Council, Mrs. Helen Walker, chairman, statement dated

April 4, 1967__.

Travis County (Tex.) Tuberculosis Association, Franklin W. Denius, Esq.,
letter dated March 29, 1967, to Chairman Dowdy---.

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Washington Area Council of Alcoholism, Inc., Mrs. Theresa Abbott, execu- Page
tive director, letter dated April 3, 1967, to Chairman Dowdy.
Washington Hearing Society, Ruth A. Hudnut, executive director, letter
dated April 5, 1967, to Chairman Dowdy-----

Washington Hospital Center, Gilbert Hahn, Jr., president, board of

trustees, letter dated March 28, 1967, to Chairman Dowdy-

68

MEDCAL CARE UNDER 1965 SOCIAL SECURITY

AMENDMENTS

TUESDAY, MARCH 14, 1967

HOUSE OF REPRESENTATIVES,

SUBCOMMITTEE No. 3 oF THE

COMMITTEE ON THE DISTRICT OF COLUMBIA,

Washington, D.C.

The Subcommittee met, pursuant to notice, at 11:00 o'clock, a.m., in Room 1310, Longworth House Office Building, Honorable John Dowdy, presiding.

Present: Representatives Dowdy (Chairman), Abernethy, Horton, Zwach, Springer and Horton.

Also present: James T. Clark, Clerk; Hayden S. Garber, Counsel; Sara Watson, Assistant Counsel; Donald Tubridy, Min. Clerk; Leonard O. Hilder, Investigator.

Mr. DowDY. We will take up the so-called Medicaid Bills, H.R. 3972 by Mr. McMillan and H.R. 6818 by Mr. Nelsen. These bills will be made a part of the record at this point, along with a staff memorandum thereon.

(H.R. 3972 and H.R. 6818 and the staff memorandum follow:) (H.R. 3972, 90th Cong., 1st sess., by Mr. McMillan on January 26, 1967, and H.R. 6818, by Mr. Nelsen on March 8, 1967)

A BILL To enable the District of Columbia to participate in the health and medical assistance benefits made available by the Social Security Amendments of 1965, and for other purposes

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That the Board of Commissioners of the District of Columbia is hereby authorized, within available appropriations and allotted funds, to take such action and to promulgate such rules and regulations as may be necessary to permit District of Columbia participation in, and to secure for the District of Columbia the health and medical assistance benefits made available by, titles XVIII and XIX of the Social Security Act, as amended, notwithstanding any other provision of law establishing (1) a durational residency requirement, (2) a means test, (3) per diem or other periodic rates for the inpatient or outpatient care or treatment of the medically needy (by which term is meant those whose income and resources are insufficient to meet the cost of necessary medical services), or (4) the financial responsibility of relatives of the medically needy, for persons provided health and medical care and treatment by or at the expense of the District of Columbia.

MARCH 10, 1967.

STAFF MEMORANDUM ON H.R. 3972

FOREWORD

(1) The Social Security amendments of 1965, approved July 30, 1965 (P.L. 89-97; 79 Stat. 286) opened the door to the States and to the District of Colum

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