APPENDIX (Additional materials submitted for the record) (A) FEDERAL REGISTER, RULES AND REGULATIONS: METHADONE 1. Federal Register, Vol. 35, No. 113-Thursday, June 11, 1970, Proposed 2. Federal Register, Vol. 35, No. 113-Thursday, June 11, 1970, Rules and 3. Federal Register, Vol. 35, No. 144-Saturday, July 25, 1970, Proposed 4. Federal Register, Vol. 35, No. 158-Friday, August 14, 1970 [21 CFR 5. Federal Register, Vol. 35, No. 223-Tuesday, November 17, 1970, 6. Federal Register, Vol. 36, No. 64-Friday, April 2, 1971, Rules and 7. Federal Register, Vol. 37, No. 67—Thursday, April 6, 1972, Proposed 8. Federal Register, Vol. 37, No. 78-Friday, April 21, 1972, Proposed Rule 9. Federal Register, Vol. 37, No. 242-Friday, December 15, 1972, Rules 12. Federal Register, Vol. 38, No. 90-Thursday, May 10, 1973, Rules and 13. Federal Register, Vol. 38, No. 92-Monday, May 14, 1973, Notices, Methadone, Notice of Extension of Interim Approval. Page 717 721 722 722 723 723 729 743 744 780 782 783 784 (B) SUPPLEMENTAL STATEMENTS, ARTICLES, CORRESPONDENCE, EXCERPTS, AND REPORTS PERTAINING TO THE USE AND ABUSE OF METHADONE 1. Letter with enclosures to Hon. Birch Bayh from Joseph A. Oddis, Executive Director, American Society of Hospital Pharmacists, April 17, 1973, regarding the Society's comments and suggestions concerning S. 1115.. 2. Letter with enclosures to Senator Birch Bayh, from Robert G. Newman, M.D., Assistant Commissioner, Addiction Programs, The City of New York Health Services Administration, Department of Health, April 17, 1973, regarding the Programs' comments and suggestions concerning S. 1115. 3. Statement, "A Declining Heroin Addiction Epidemic," by Robert L. 4. Excerpt, "Narcotic-Related Deaths," Government of the District of 7. Excerpt, "Diversion, Urinalysis and Program Abuse,” L. Thomas Carroll, 8. Excerpt, "An Empirical Assessment of the Availability of Illicit Methadone," Carl D. Chambers and James A. Inciardi, Proceedings, Fourth National Conference on Methadone Treatment, 1972, pp. 149151.. 9. Excerpt, "Problems of Controlling Methadone Diversion in an Outpatient Clinic," William H. Dobbs, M.D., and Christine Freeman, R.N., Proceedings, Fourth National Conference on Methadone Treatment, 1972, p. 153. 10. Excerpt, "Methadone on the Streets, As a Parameter of Efficacy," 11. Excerpt, "Methadone fo Kicking and for Kicks," John A. Newmeyer, 13. Excerpt, "The Private Physician in the Future of Methadone Treat- 14. Excerpt, "Some Psychological Aspects of Barbiturate and Ampheta- 15. Excerpt, "Drug Abuse in a Methadone Maintenance Treatment Pro- 17. Excerpt, "Statement by the Black Caucus," by Dick Freeman, Pro- Page 787 798 803 809 812 817 819 820 824 825 830 835 839 842 844 847 851 18. Excerpt, "Statement by the Chicano Caucus," Chale Con La Carga, Proceedings, Fourth National Conference on Methadone Maintenance, 1972, p. 555. 19. Excerpt, "Statement by the Radical Caucus," Proceedings, Fourth National Conference on Methadone Treatment, p. 557... 20. Excerpt from the Second Report of the National Commission on Marihuana and Drug Abuse, "Drug Use in America: Problem in Perspective," 1973, pp. 176-181. 21. Article, “The Vitality of Mythical Numbers," by Max Singer, The Public Interest, pp. 3–9.. 22. Article, "Methadone: best hope for now," by Amitai Etzioni, Smithsonian, April 1973, pp. 50, 52–53.. 23. Article, "The Cure Becomes a New Problem," by Henry L. Lennard, Leon J. Epstein and Mitchell S. Rosenthal, Smithsonian, April 1973, pp. 51, 54-57. 24. Article, "Methadone Maintenance: Trick or Treatment?" By Sidney Cohen, M.D., Human Behavior, Vol. 2, No. 1, January 1973, pp. 22-2525. Article, "Narcotic Withdrawal Syndrome of the Neonate: Comparison of Treatment by Chloropromazine and Diazepam," by Charles H. Bauer, M.D., Adolescent Drug Abuse, Pediatric Annals, February, 1973, pp. 43-47.. 26. Article, "Babies Born Addicted to Methadone," by Stuart Auerbach, 27. Article, letter to the editor, "Methadone Babies," by Miryam Davis, 29. Article, "A Second Generation of Junkies?" By Jacqueline Trescott, 30. Bulletin, "Diagnosis and Treatment of Poisoning with Methadone," by Vincent P. Dole, Frances F. Foldes, Harold Trigg, J. Waymond Robinson, and Saul Blatman, National Clearinghouse for Poison Control Centers, U.S. Department of Health, Education, and Welfare, Public Health Service, Food and Drug Administration, Bulletin, March-April 1971... 31. Article, "Special problems of government-controlled methadone maintenance programs," by Robert G. Newman, M.D., Contemporary Drug Problems, a Law Quarterly, Spring 1972, pp. 183-190. 32. Article, "Addicts and Methadone: a Dilemma," by Dr. Paul Cushman, Jr., The Wall Street Journal, January 10, 1973 Page 853 853 854 857 861 863 867 871 874 876 876 878 881 884 887 33. Article, "Curse or Cure?" by Ida Walters, The Wall Street Journal, July 27, 1972_. 890 34. Article, "Methadone: Will It Spread Addiction?" by August Gribbin, The National Observer, May 27, 1972 (with enclosures) 35. Letter to John Rector, Deputy Chief Counsel of the Subcommittee from David A. Winston, Health Assistant, State of California, Health and Welfare Agency, October 19, 1972__ 36. Statement of the National Research Council, National Academy of Sciences-National Academy of Engineering, Division of Medical Sciences, Committee on Problems of Drug Dependence, "Oral Methadone Maintenance Techniques in the Management of Morphine-Type Dependence".. 37. Statement on Confidentiality by Dr. Jerome H. Jaffe, Director of the 38. Excerpt, "Confidentiality of patient records," Section 408 of Title IV, 40. Opinion of State of New York Court of Appeals, "The People vs. 41. Resource Guide of Heroin Treatment Articles, "Show Me Something 894 896 900 901 906 907 915 920 930 METHADONE USE AND ABUSE-1972 TUESDAY, NOVEMBER 14, 1972 U.S. SENATE, COMMITTEE ON THE JUDICIARY SUBCOMMITTEE TO INVESTIGATE JUVENILE DELINQUENCY Los Angeles, Calif. The subcommittee (composed of Senators Bayh, Hart, Burdick, Kennedy, Cook, Hruska, Fong and Mathias) met, pursuant to notice at 11:00 a.m., in room 8529, of the New Federal Building, 300 North Los Angeles Street, Hon. Birch Bayh (chairman) presiding. Present: Senator Birch Bayh and Senator Roman Hruska. Also present: Mathea Falco, staff director and chief counsel; John M. Rector, deputy chief counsel; Mary K. Jolly, editorial director and chief clerk; B. Elizabeth Marten; personal secretary to the staff director and chief counsel; Billy M. Wise, professional staff member; Malcolm Hawk, legislative assistant to Senator Hruska; Ronald Meredith, legislative assistant to Senator Cook; and Betty A. Webb, minority clerk. Mr. BAYH. The hearing will come to order. I think that I can speak for both my colleague and myself, when I say that we appreciate this welcome to "sunny" California which has been given the committee this morning. For those of you in the news media. I hope you put no relevance in the fact that Senator Hruska is situated somewhat to the right of Senator Bayh and the converse being true. I think that it is just an accident of the draw. Mr. HRUSKA. It depends whether you are looking at it this way, or that way [indicating]. Mr. BAYH. Right. We can handle it any way we want to. [Laughter.] Perhaps the best way to deal with this is to resist the senatorial temptation of summarizing for 30 minutes what might be more appropriately dealt with in about 8 or 9 minutes to lay the foundation of our hearing this morning, and then my colleague can follow. We will get to the real reason for being here in California. I have a prepared statement that I will read. Let me summarize by saying that our basic purpose for being here is to take advantage of the experience that the State of California has had in the treatment of heroin addiction and the application of methadone. I think it is fair to say that the State of California has had considerable experience with methadone and has imposed a regulatory scheme stricter than most, if not all, the other States. I, for one, am anxious to learn what role methadone should play in a comprehensive approach to heroin addiction. |