MEDICARE REIMBURSEMENT FOR RURAL HEALTH CARE CLINICS

HEARING

BEFORE THE

SUBCOMMITTEE ON RURAL DEVELOPMENT

OF THE

COMMITTEE ON AGRICULTURE,

NUTRITION, AND FORESTRY
UNITED STATES SENATE

NINETY-FIFTH CONGRESS

FIRST SESSION

MARCH 29, 1977

Printed for the use of the Committee on Agriculture, Nutrition, and Forestry

COMMITTEE ON AGRICULTURE, NUTRITION, AND FORESTRY
HERMAN E. TALMADGE, Georgia, Chairman

2

CONTENTS

Statement of—

Beddington, Edgar T., Jr., M.D., chairman, council on legislation,

American Medical Association, accompanied by Henry N. Peterson,

director, department of legislation___

Page

Borsodi, Ralph, representing American Association of Retired Persons
and National Retired Teachers Association__.
Bumpers, Hon. Dale, a U.S. Senator from Arkansas--

Caufield, Stephen C., assistant director, United Mine Workers of Amer-
ica, Health and Retirement Funds_.

Corbett, Eugene C.. Jr., M.D., Central Virginia Health Center, New

Canton, Va....

Clark, Hon. Dick, a U.S. Senator from Iowa.

Davis, Betsy, executive director, Visiting Nurse Association, Burling-
ton, Vt__.

Ewell, Robert C., executive director, Tri-County Health Services Com-
mission, Heppner, Oreg----

Fickel, Jack D., M.D., Red Oak Clinic, Red Oak, Iowa__.

Fifield, Oliver R., president, Blue Cross/Blue Shield of New Hamp-
shire and Vermont, Concord, N.H__

Fox, Dan, physician assistant, president-elect, American Academy of

Physician Assistants, Arlington, Va__

Gehrig, Leo J., M.D., senior vice president, American Hospital Associ-

ation, accompanied by Fred E. Mondragon, president, New Mexico

Hospital Association, Albuquerque, N. Mex--

Golden, Archie, M.D., chairman, Government Relations Committee,

Association of Physician Assistant Programs__

Hantman, David A., M.D., Danville Health Center, accompanied by

Linda Labroke, nurse practitioner, Danville, Vt----

84

81

62

Heath, Sue, nurse practitioner, Champlain Island Health Center,

Grand Isle, Vt----

60

Henning, Faye, accompanied by Rebecca Cornish and Penny Dykstra,

nurse practitioners, Athens, Ga-----

28

Leahy, Hon. Patrick J., a U.S. Senator from Vermont__

10

Pustka, Richard, physician assistant, Family Practice Clinic, Madrid,

Iowa

48

Runyan, John W., Jr., M.D., chairman, Department of Community

Medicine, University of Tennessee, College of Medicine, Nashville,

Tenn

Sundberg, Sally, Madrid, Iowa..

Tufo, Henry M., M.D., Given Health Care Center, Burlington, Vt_-
Walston, David E., physician assistant, accompanied by Jim Clayton,
project director, South Plains Health Providers Organization, Inc.,
Plainview, Tex..

Warden, Richard D., Assistant Secretary for Legislation-Designate,

accompanied by Dr. Karen Davis, Deputy Assistant Secretary for

Planning and Evaluation; Dr. Clifton R. Gaus, Director, Division

of Health Insurance Studies, Office of Research and Statistics, So-

cial Security Administration; Dr. Michael Samuels, Associate Bu-

reau Director for Health Under-served Areas, Health Services Ad-

ministration, and Susan M. Horowitz, Division of Medicine, Bureau

of Health Manpower, Health Resources Administration, Department

of Health, Education, and Welfare.--.

Wilson, Vernon, M.D., vice chancellor for medical affairs, medical cen-
ter, Vanderbilt University, Nashville, Tenn-----
Zimmerman, Anne, president, American Nurses' Association----.

(III)