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Most of these inquiries and statements of interest do not include specific proposals. Although the Act itself is rather explicit in defining eligibility, it is not at all specific regarding the kinds of "projects and programs in furtherance of the purposes of the subchapter" (Section 5083 and 5093) for which grant assistance might be sought. Publication of regulations will undoubtedly elicit more detailed plans.

Letters, submitted directly and through Congressmen, generally express the need for additional clincal experience opportunities for medical students (Subchapter II) and other health professions and occupations students at all levels (Subchapter III), to complement the academic programs in medical schools, schools of nursing, dentistry, pharmacy, and other health-related fields which have been created or significantly expanded in response to recent Federal, State, or local funding initiatives.


There have been several expressions of general interest from health professions societies, organizations of health professions schools, and others; and inquiries on behalf of “otherwise eligible veterans” (Section 5070e) who are seeking or planning to seek admission to medical schools (Attachment D).

Attachment A



Institution or agency

VA hospital(s)

Alabama... University of Alabama,

Troy State University

Navajo Health Authority.
California.. Charles R. Drew Postgraduate School of Medicine.

San Joaquin Valley Health Consortium.

San Fernando Valley Health Consortium. Georgia.

Georgia State University idaho.

Medical Education Foundation, Inc.-

University of Maine, Bangor.
Mississippi Fifth Congressional District of Mississippi.
New Hampshire. University of New Hampshire..

Wright State University -
South Carolina University of South Carolina.
Tennessee. East Tennessee State University

Texas A&M University System.

Texas College & University System.. West Virginia..... Marshall University -

Medical District No. 14.
Medical District No. 34.
Medical District No. 36.
Mountain Home.
Medical District No. 26.

Attachment B


State and institution or agency Alabama :

University of Alabama in Birmingham*.

University of South Alabama-Mobile. California, Stanford University Medical Center*. Kansas:

Wichita State University.

College of Health Related Professions.
Kentucky, University of Kentucky Medical Center*.
Louisiana, Louisiana State University Medical Center*.
Massachusetts, Boston University*.
Massachusetts :

Boston University*.

Tufts University School of Medicine.
Michigan, University of Michigan School of Medicine.
Mississippi, University of Mississppi Medical Center*.
Nevada, University of Nevada School of Medical Sciences.
New York:

Mt. Sinai Medical Center*.

SUNY at Stonybrook*.
North Carolina, University of North Carolina School of Medicine*.
North Dakota, University of North Dakota School of Medicine.

Oklahoma, University of Oklahoma Medical Center*.
Oregon, University of Oregon Medical Center*.
Rhode Island, Brown University Division of Biological and Medical Sciences.
South Carolina, Medical University of South Carolina*.
South Dakota, University of South Dakota School of Medicine.
Tennessee, University of Tennessee Medical Units*.

University of Texas Southwestern Medical School at Dallas.
Baylor College of Medicine*.
Texas College & University System (all campuses)*.

Texas Tech. University School of Medicine.
Virginia, Eastern Virginia Medical School.

University of Wisconsin (Madison).
Medical College of Wisconsin.

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Alabama, Tuskegee Health Education Center.
California :

California College of Podiatric Medicine.
De Anza Community College.
East Bay Area Health Education Center.
San Joaquin Valley Health Consortium (Fresno Area Health Education


University of Connecticut, School of Allied Health Professions.

Western Connecticut State College. Georgia :

Georgia State University.

Medical College of Georgia, School of Allied Health Sciences.
Idaho, Boise State College, School of Health Sciences.
Illinois :

University of Illinois at the Medical Center, School of Allied Health

College of Saint Francis, Joliet.
Northwestern University Medical School.

Southern Illinois University Vocational Technical Institute, Carbondale. Kansas:

Fort Hays Kansas State College.

Wichita State University, College of Health Related Professions.
Kentucky, Jefferson County Community College.
Massachusetts, Roxbury Community Health Center.

Mid-Michigan Community College.

Saginaw Valley College—Saginaw Area Health Education Center. Minnesota :

Rochester State Junior College.

University of Minnesota Medical School. Mississippi, University of Mississippi Medical Center, School of Health Re

lated Professions. Missouri, Central Missouri State College. Nebraska :

Kearney State College-Kearney.

Tiniversity of Nebraska-Lincoln Area Health Education Center.
New York:

Adeiphi University-Long Island.
Consortium of Health and Educational Institutions—Bath, New York.

SUNY-Downstate Medical Center.
New Mexico, University of Albuquerque.
North Carolina :

Duke University Medical Center-Division of Allied Health.
East Carolina University-Fayetteville.
Western Carolina University.

Ohio, Wright State University.
Oklahoma, University of Oklahoma—College of Allied llealth Professions.
Pennsylvania :

Elizabethtown College-Elizabethtown.
St. Francis College, Altoona Lakes Area Health Education Center.

Temple L'niversity-School of Allied Health Professions.
Tennessee, Vanderbilt University School of Allied Health Professions.

C'entral Texas Regional Medical Education Foundation (Temple Junior

St. Joseph's Hospital, Houston.

University of Texas-San Antonio.
Utah, Weber State College.
Washington, City of Seattle-Schools and Colleges.

Attachment D



Arkansas State Medical Society.

A practicing physician. Maine, Maine's Regional Medical Program. New York, 29th District of New York (Congressman Stratton)-Albany/Schnec

tady area. Ohio:

"Interested citizens of Ross County" (Chillicothe area).

Ohio State University-President's Office.
Tennessee, Ralph F. Morton, M.D., Sevier Medical Group, Kingsport.


Association of American Medical Colleges.
Association of Schools of Allied Health.
American Medical Association-Council on Medical Education.
American Podiatric Association.
American Optometric Association.
Association of Colleges of Pharmacy.


Senator Jacob Javits.
Senator James Buckley.
Senator Bob Packwood.
Congressman Olin Teague.

Senator CRANSTON. What is the status of regulations for implementing the present public law; when will they be issued ?

Mr. Wilson. Sir, we hope to have them published in the Federal Register within 45 days. As you know, we have had a great deal of difficulty with these regulations. This is a new field that we are entering and we have had difficulty with some of the questions that were posed by the law.

These questions in large measure were submitted to our special medical advisory group [SMAG] which has now met upon them through a subcommittee and through the advisory group itself, and made recommendations back to the General Counsel.

The regulations are in the process now of being finalized and submitted one more time, I think, to SMAG, and then they will be published in the Federal Register so that we may then receive comments from the general public. We hope to have this done in 45 days.

Senator CRANSTON. If you would share the regulations with us, if you can, before they are formalized, we would appreciate it.

Dr. MUSSER. Sir, they will be printed in the Federal Register first.

[Subsequently, the Veterans' Administration submitted the following information:]

Final draft of regulations for implementation of Public Law 92-541 are in preparation. It is expected that they will be published in the Federal Register on or before May 30, 1973, as proposed by Mr. Wilson at the time of his appearance before Mr. Cranston and the subcommittee.

Senator CRANSTON. What are you doing to carry out the Regional Medical Educational Center Program which the VA was directed to establish in the public law in the new subchapter II, added to Chapter 73?

Dr. MUSSER. Well, I must confess that I apparently hadn't read that part of the law well enough until the special medical advisory group met and then they called my attention to it.

Since then we have been trying to develop a plan as to how we will implement that segment.

Senator CRANSTON. Have any regional centers been identified?

Dr. MUSSER. As you know, we already have become involved in eight so-called area health education centers, and one might get into a semantic exercise in this regard because these could be called medical educational centers just as well.

So that in this sense we already have become involved in this type of activity.

Senator CRANSTON. Have regulations been prepared in this area?
Dr. MUSSER. No, sir.
Senator CRANSTON. When will they be prepared ?

Dr. MUSSER. As I say, we are working on our plans and since these regulations will not require the approvals and the other regulations will, it would be forthcoming perhaps in a month or so.

Senator CRANSTON. While I am talking about it, section 4121, “Designation of Regional and Medical Education Centers, "-subsection (a)-reads in Public Law 92-511:

In carrying out his functions under section 4101 of this title with regard to the training of health manpower, the Administrator shall implement a pilot program under which he shall designate as Regional Medical Education Centers such Veterans' Administration hospitals as he determines appropriate to carry out the provisions of this subchapter in geographically dispersed areas of the United States.

Are you saying nothing is being done under that?

Dr. MUSSER. No, as I say, we already have eight hospitals designated as area health education centers, and for all practical purposes these are the same as regional educational centers. And, we are further planning the expansion of this particular activity.

Senator CRANSTOx. Well, I will submit the questions following up on that for the record, and I would appreciate it if you would take a personal interest in that authority, and I will indicate to you where I think there is a problem that ought to be attended to.

Dr. MUSSER. All right.

Senator CRANSTON. Dr. Musser and Mr. Wilson, could you both take a special interest in the three projects being proposed specifi

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cally for East L.A., Watts, and Sacramento, and come to see me in May, at a time when we can mutually arrange to report on progress specifically on them?

Specifically I would like to know whether there are any fiscal year 1973 funds available to get started with an outpatient clinic at the Martin Luther King Jr. General Hospital.

Dr. MUSSER. Yes, sir.

Senator CRANSTON. We will submit detailed questions to follow up on each of those three points.

In the interest of time, because we are expecting a rollcall, we have some additional questions that we will submit for the record. So, I thank you very much for your great help to this subcommittee, and your attendance, and your information responses this morning.

I would like to say to my colleagues that because there is now a rollcall scheduled for precisely 12, which is going to occur, I suggest that we recess now and reconvene at 1:30.

Is that satisfactory? Mr. Wilson. Senator, do you expect us back at 1:30 ? Senator CRANSTON. No, you do not need to be back, we are finished.

Mr. Wilson. Thank you very much. We always appreciate the courtesy of the committee.

Senator CRANSTON. Thank you very much. If a representative of yours can be here to hear what transpires this afternoon, we would like to have him.

Mr. WILSON. There will be someone here.
[The prepared statement of Mr. Wilson follows:]


VETERANS AFFAIRS; VETERANS' ADMINISTRATION Mr. Chairman and Members of the Subcommittee: It is a privilege to appear before your Subcommittee today. We are grateful for this opportunity of reviewing the current status of programs in the Department of Medicine and Surgery.

Initially, Mr. Chairman, I would like to make a few preliminary remarks and then call on Dr. Marc Musser, the Chief Medical Director, for a more indepth review of the DM&S medical program.

We are currently operating 168 hospitals, 206 outpatient clinics, 18 domiciliaries, and 81 nursing home care units. In addition, VA patients are cared for under VA auspices in non-VA and State hospitals, State domiciliaries, and community and State nursing homes. The Veterans Administration also authorizes, on a fee-for-service basis, visits to non-VA physicians and dentists for outpatient treatment.

During FY 1972, the number of VA patients treated rose to record-breaking levels. Over 944,000 were treated, representing a 3.5 per cent increase from the previous year and the highest number ever for a single year. Also, outpatient medical and dental workloads reached the highest levels since World War II.

Treatment of veterans for drug dependence received increasing emphasis. A total of 26 drug dependence treatment centers were added to the six previously activated.

The Budget for the Department of Medicine and Surgery exceeded 2.3 billion dollars in Fiscal Year 1972, an increase of 18 per cent over Fiscal Year 1971.

Regionalization, the delivery of health care on an area basis, was completed in Fiscal Year 1972 and continued to prove its effectiveness.

Looking at Fiscal Year 1973—both the magnitude and quality of VA's hospital and medical program are at an all-time high. Our budget of $2.7 billion for the program is the highest in history—up $320 million over last year. We will spend almost $76 million for medical and prosthetic research-up $7 million over FY 1972. A record-high average of 162,000 veterans will receive VA hospi

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