Bernstein, Leo, M.D., State director of health, Hawaii, to Dr. E. A. Rogers, State Department of Health, Nebraska, dated May 22, Cannon, Joseph E., M.D., State director of health, Rhode Island, to Dr. E. A. Rogers, State Department of Health, Nebraska, dated Carvel, Elbert N., Governor of Delaware, to Frank B. Morrison, Egan, William A., Governor, Alaska, to Gov. Frank B. Morrison, Evans, Melvin H., M.D., commissioner of health, Virgin Islands, to Dr. E. A. Rogers, director of health, Nebraska, dated May 28, 1964. Fisher, Dean, M.D., commissioner of health, State of Maine, to Dr. E. A. Rogers, director, Nebraska Department of Health, dated Harmon, Henry A., deputy commissioner, Department of Health and Welfare, Alaska, to Congressman Rivers, dated May 8, 1964....... Hurley, Daniel J., M.D., State health officer, Nevada, to Senator 189 184 Letters to Senator Hill from- Blasingame, F. J. L., M.D., vice president, American Medical Associa- 176 Offutt, A. C., M.D., president, Association of State and Territorial Health Officers, Indianapolis, Ind., dated May 6, 1964 - - - Shanholtz, Mark T., Virginia State health commissioner, Richmond, Number of hospital service areas which have met 100 percent of need for 143 Summary of anticipated construction of hospitals and other medical Varying interest rates reflected in hospital patient-day costs - 153 HOSPITAL AND MEDICAL FACILITIES WEDNESDAY, JULY 8, 1964 U. S. SENATE, SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON LABOR AND PUBLIC WELFARE, Washington, D.C. The subcommittee met, pursuant to notice, at 10:05 a.m., in room 4232, New Senate Office Building, Senator Lister Hill, chairman of the subcommittee, presiding. Present: Senators Hill (presiding), Yarborough, Williams, and Pell. Also present: Senators Clark, a member of the full committee, and Hruska. Committee staff members present: Stewart E. McClure, chief clerk; John S. Forsythe, general counsel; Robert W. Barclay, professional staff member; and Michael J. Bernstein, minority counsel. The CHAIRMAN. The subcommittee will kindly come to order. The Subcommittee on Health is meeting this morning to receive testimony on H.R. 10041 that would extend and expand the HillBurton Act. (H.R. 10041, S. 2531, and S. 894 follow:) 1 88TH CONGRESS 2D SESSION H. R. 10041 IN THE SENATE OF THE UNITED STATES MAY 27 (legislative day, MARCH 30), 1964 Read twice and referred to the Committee on Labor and Public Welfare AN ACT To improve the public health through revising, consolidating, 1 and improving the hospital and other medical facilities provisions of the Public Health Service Act. Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 3 That this Act may be cited as the "Hospital and Medical 4 Facilities Amendments of 1964". 5 SEC. 2. Part B of title III of the Public Health Service 6 Act (42 U.S.C. 243, et seq.) is amended by inserting at 7 the end thereof the following new section: 2 1 "SPECIAL PROJECT GRANTS FOR ASSISTING IN THE AREA 2 WIDE PLANNING OF HEALTH AND RELATED FACILITIES 3 "SEC. 318. There are authorized to be appropriated 4 $2,500,000 for the fiscal year ending June 30, 1965, and 5 $5,000,000 for each of the next four fiscal years to enable 6 the Surgeon General to make grants to the appropriate 7 State agency or agencies designated in accordance with 8 section 604 (a) (1) to cover not to exceed 50 per centum 9 of the costs of projects for developing (and from time to 10 time revising) and supervising and assisting in the carrying 11 out of comprehensive regional, metropolitan area, or other 12 local area plans for coordination of existing and planned 13 health facilities, and facilities related thereto, and services 14 provided by such facilities." 15 SEC. 3. (a) Title VI of the Public Health Service Act 16 (42 U.S.C., ch. 6A, subch. IV) is amended to read as 17 follows: 18 "TITLE VI-ASSISTANCE FOR CONSTRUCTION AND MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES "DECLARATION OF PURPOSE "SEC. 600. The purpose of this title is "(a) to assist the several States in the carrying out of their programs for the construction and modernization of such public or other nonprofit community hospitals 1 2 3 4 5 67 cr 8 9 10 11 12 3 and other medical facilities as may be necessary, in conjunction with existing facilities, to furnish adequate hos pital, clinic, or similar services to all their people; "(b) to stimulate the development of new or improved types of physical facilities for medical, diagnostic, preventive, treatment, or rehabilitative services; and "(c) to promote promote research, experiments, and demonstrations relating to the effective development and utilization of hospital, clinic, or similar services, facilities, and resources, and to promote the coordination of such research, experiments, and demonstrations and the useful application of their results. 13 "PART A-GRANTS AND LOANS FOR CONSTRUCTION AND 14 15 16 17 18 MODERNIZATION OF HOSPITALS AND OTHER MEDICAL FACILITIES "AUTHORIZATION OF APPROPRIATIONS FOR CONSTRUCTION GRANTS "SEC. 601. In order to assist the States in carrying out 19 the purposes of section 600, there are authorized to be ap "(a) for the fiscal year ending June 30, 1965, and each of the next four fiscal years— “(1) $70,000,000 for grants for the construc tion of public or other nonprofit facilities for long term care; |