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CENTER FOR DISEASE
CONTROL—Continued

8. Model standards for prevention

health services—Public Law 95-83, sec. 314 of PHSA; 42 U.S.C. 242b note.

9. Report on administration of the

National swine flu immunization program—PHSA, sec. 3170X2); 42 U.S.C. 247(b).

Establish model standards with respect to preventive health services in communities and report such standard to the Congress.

10. Study of liability for personal The Secretary, injuries or death arising out Aug. 12,1977. of immunization programs and alternative approaches for protection against liability—Public Law 94-380, sec. 3; 42 U.S.C. 247(b).

FOOD AND DRUG ADMINISTRATION

The current supply of the swine flu vaccine to be used in the program; the number of persons inoculated with such vaccine since the last report was made and the immune status of the population; the amount of funds expended for the swine flu program by the United States, each State, and any other entity participating in the program and the costs of each such participant which are associated with the program during the period with respect to which the report is made: and the epidemiology of influenza in the United States during such period. DHEW—by The scope and extent of liability for personal injuries or death arising out of immunization programs and alternative approaches to providing protection against such liability (including a compensation system) for such injuries and recommendations for legislation (including proposed drafts).

or before Apr. 1

control program for the preceding calendar year, including:

1. A thorough appraisal (including statistical

analyses, estimates, and long-term projections) of the incidence of biological injury and effects, including genetic effects, to the population resulting from exposure to electronic product radiation, with a breakdown, insofar as practicable, among the various sources of such radiation.

2. A list of Federal electronic product radia

tion control standards prescribed or in effect in such year, with identification of standards newly prescribed during such year.

3. An evaluation of the degree of observance

of applicable standards, including a list of enforcement actions, court decisions, and compromises of alleged violations by location and company name.

4. A summary of outstanding problems con

fronting the administration of the program in order or priority.

5. An analysis and evaluation of research

activities completed as a result of Government and private sponsorship, and technological progress for safety achieved during such year.

6. A list, with a brief statement of the issues, of

completed or pending judical actions under the program.

7. The extent to which technical information

was disseminated to the scientific, commercial, and labor community and consumer-oriented information was made available to the public.

8. The extent of cooperation between Govern

ment officials and representatives of industry and other interested parties in the implementation of the program including a log or summary of meetings held between Government officials and representatives of industry and other interested parties.

9. Recommendations for additional legislation

deemed necessary to promote cooperation among the several States in the improvement of electronic product radiation control and to strengthen the program.

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Activities for the administration and enforcement of the Fair Packaging and Labeling Act during the preceding fiscal year.

Results of studies conducted under tro electronic product radiation control program.

Study to determine to the extent feasible: (A) the chemical identity of any impurities contained in commercially used saccharin, (B) the toxicity or potential toxicity of any such impurities, including their carcinogenicity or potential carcinogenicity in humans, and (C) the health benefits, if any, to humans resulting from the use of nonnutritive sweeteners in general and saccharin in particular. Report the results of this study and any action proposed to be taken on the basis of the results of this study.

Study based on available information of (A) current technical capabilities to predict the direct or secondary carcinogenicity or other toxicity in humans of substances which are added to, become a part of, or naturally occur in food and which have been found to cause cancer in animals, (B) the direct and indirect health benefits and risks to individuals from foods which contain carcinogenic or other toxic substances, (C) the existing means of evaluating the risks to health from the carcinogenicity or other toxicity of such substances, the existing means of evaluating the health benefits of foods containing such substances, and the existing statutory authority for, and appropriateness of, weighing such risks against such benefits, (D) instances in which requirements to restrict or prohibit the use of such substances do not accord with the relationship between such risks and benefits, and (E) the relationship between existing Federal food regulatory policy and existing Federal regulatory policy applicable to carcinogenic and other toxic substances used as other than foods.

Activities carried on; an evaluation of the effectiveness of such activities in improving the efficiency and effectiveness of the research, planning, and delivery of health services in carrying out the purposes for which such provisions were enacted; a statement of the relationship between Federal financing and financing from other sources of the activities undertaken pursuant to such provisions (including the possibilities for more efficient support of such activities through use of alternate sources of financing after an initial period of support under such provisions); and such recommendations with respect to such provisions as deemed appropriate.

The state of the Nationis health, its health services, their costs and distributions, and proposals for improvement of the Nationis health statistics, and health information systems. The report is prepared with the assistance and advice of the U.S. National Committee on Vital and Health Statistics.

The administration of the authority for health statistics and health services research evaluations and demonstrations; the National Center for Health Services Research; the National Center for Health Statistics, and programs of international cooperation.

Cost and financing of health care, with a description and analysis of the collected statistics on the subject which includes the trends in health care prices and cost, the sources of payments for health care services, and Federal, State, and local governmental expenditures for health care services.

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Health resources, with a description and analysis, by geographic area, of the collected statistics on the subject which includes physicians, dentists, nurses, and other health professionals by specialty and type of practice and the supply of services by hospitals, extended care facilities, home health agencies, and other health institutions.

Use of health resources, with a description and analysis, by age, sex, income, and geographical area, of the collected statistics on the subject which includes use of (1) ambulatory health services by specialties and types of practice of the health professionals providing such services, and (2) services of hospitals, extended care facilities, home health agencies, and other institutions.

Health of the Nation's people, with a description and analysis, by age, sex, income, and geographic area, of the collected statistics on the extent and nature of illness and disability of the population of the United States (or of any groupings of the people included in the population including life expectancy, the incidence of various acute and chronic illnesses, and infant and maternal morbidity and mortality.

Description and analysis of the data collected pursuant to sec. 708 of the PHS Act on health professions personnel, initially physicians and dentists, and later pharmacists, optometrists, podiatrists, veterinarians, public health personnel, audiologists, speech pathologists, health care administration personnel, nurses, allied health personnel, medical technologists, and others designated by the Secretary, which shall include data respecting the training, licensure status, place or places of practice, professional specialty, practice characteristics, place and date of birth, sex, and socioeconomic background and other demographic information as Secretary may require.

Report on entities' compliance with requirement that entities having residency programs in specified primary care fields, and receiving any Federal assistance, establish or restructure and maintain to maximum extent feasible, a reasonable number of physician training positions as shared schedule positions. Report shall include recommendations for legislation to insure compliance.

The number, an,d type of health profession training, of students receiving scholarships under the scholarship program; the educational institutions at which such students are receiving their training; the number of applications filed under this section in the school year beginning in such year and in prior school years; and the amount of tuition paid in the aggregate and at each educational institution for the school year beginning in such year and for prior school years.

Percentage of filled lst-year positions indirect or affiliated medical residency training programs that are in primary care, with adjustments to deduct number equal to the number of individuals who were in a lst-year position a year earlier but are no longer in a direct or affiliated training program in primary care.

Analysis and evaluation of information contained in reports from schools of medicine and osteopathy on deficiencies in the foreign medical education of U.S. students transferring to U.S. schools and receiving medical training from those schools under grants for this purpose. (Schools receiving grants in fiscal year 1978 must submit reports to Secretary by June 30, 1979.)

Transmitter and date due in Congress

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The Secretary, DHEW—Biennially—To the Committee on Interstate and Foreign Commerce and the Committee on Labor and Public Welfare. 1st report due not later than Oct. 1,1979.

The Secretary, DHEW—To the Committee on Interstate and Foreign Commerce and the Committee.on Labor and Public Welfare—Not later than Oct. 1,1979.

The Secretary, DHEW—Upon graduation of 2d class from each school to which grant was made.

The Secretary, DHEW—Not later than Sept. 30,1979.

Contracted by the Secretary, DHEW—Interim report not later than Mar. 30, 1978— Final report not later than Apr. 1, 1979—To Secretary, Committee on Interstate and Foreign Commerce, and Committee on Labor and Public Welfare.

The Secretary, DHEW—Biennially, not later than Oct. 1 (1st report due Oct. 1,1979).

Statistics and other information respecting public and community health personnel; and activities conducted under authorities for grants to graduate programs in health administration and for special project grants and contracts to such programs and to schools of public health for new or expanded programs in specified fields, including an evaluation of such activities, and such recommendations for legislation as Secretary deems necessary.

A report on the results of studies to identify types of allied health personnel and the various training programs currently offered, to, establish classification of such personnel, to determine costs of education, and to identify classifications in which critical shortages exist; a report on studies conducted in coordination with NCHS of allied health personnel (types of activities current and anticipated needs, present supply and distribution, and salaries among other items); a report on, including an evaluation of activities conducted under PHS Act for assistance to allied health training, including such recommendations for legislation as Secretary deems necessary.

Ability of a school of medicine on behalf of which a grant was made for initial development (effective fiscal years 1977 and 1978), to improve access to health care for residents of the geographical regions in which the clinical training programs of the school are located.

After Oct. 1,1978, assessment of program contracts for the development of area health education center programs to determine effect of projects on the distribution of health manpower and on the access to and the quality of health care in the area In which such projects are located.

Average costs of chiropractic education, current demand for chiropractic services, current costs of chiropractic services. (Note: the Secretary must enter into an agreement with an appropriate nonprofit group or association to conduct this study.)

Determinations on:

The supply (both current and projected and within the United States and within each State) of registered nurses, licensed practical and vocational nurses, nurses' aides, registered nurses with advanced training or graduate degrees, and nurse practitioners;

The distribution, within the United States and within each State, of such nurses so as to determine (a) those areas of the United States which are oversupplied or undersupplied, or which have an adequate supply of such nurses in relation to the population of the area, and (b) the demand for the services which such nurses provide; and

The current and future requirements for such nurses, nationally and within each State. Data on:

The number and distribution of nurses, by type of employment and location of practice; the number of nurses who are practicing full time and those who are employed part time, within the United States and within each State; the average rates of compensation for nurses, by type of practice and location of practice;

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HEALTH RESOURCES ADMINISTRATION—Continued

The activity status of the total number of registered nurses within the United States and within each State; The number of nurses with advanced training or graduate degrees in nursing, by specialty, including nurse practitioners, nurse clinicians, nurse researchers, nurse educators, and nurse supervisors and administrators; and The number of registered nurses entering the United States annually from other nations, by country of nurse training and by immigrant status. The report includes an analysis of such determinations and data, and recommendations for such legislation that will achieve an equitable distribution of nurses within the United States and within each State, and adequate supplies of nurses within the United States and within each State. Cost analysis study of managerial, operational, and financial reforms instituted in schools of medicine, osteopathy, dentistry, public health, veterinary medicine, optometry, pharmacy, or podiatry.

Administration of the NHSC, including the number,
identity, and priority of areas designated as
having health manpower shortages; the number
of applications filed for assignment of Corps per-
sonnel and the action taken on applications; the
number and types of additional Corps personnel
to be assigned, and the need for additional per-
sonnel for the Corps; recruitment efforts and
number of qualified applicants; the number of
patients seen and patient visits recorded; re-
tention rate information; evaluation of expired
agreements; and amounts charged, collected and
paid to the Secretary.
Summary of the activities under each program of
assistance authorized by title XIII (HMO's) of the
PHS Act. The summary shall include:

1. A summary of each grant, contract, loan, or
loan guarantee made under the title in
the period covered by the report and a
list of the HMO's which during such
period became qualified HMO's for pur-
poses of sec. 1310.
?. The statistics and other information reported
in such period in accordance with sec.
1301(cXH) of the Act;
3. Findings with respect to the ability of the
health maintenance organizations assisted
under this title:

(A) To operate on a fiscally sound

basis without continued Federal financial assistance;

(B) To meet the requirements of sec.

1301(c) of the Act respecting their organization and operation;

(C) To provide basic and supplemental

health services in the manner prescribed by sec. 1301(b) of the Act;

(D) To include indigent and high-risk

individuals in their membership; and

(E) To provide services to medically

underserved populations; and