“་ ་ ་ ation to institute and carry out an independent, disoceeding pursuant to existing authority, practice, ng in this section shall be construed to limit the free- is Act may ON AND EXTENSION OF PUBLIC HEALTH lic Law 91-515, approved October 30, 1970) A. LEGISLATIVE HISTORY 1 to amend title IX of the Public Health Service Act and improve the existing programs relating to educatraining, and demonstrations in the fields of heart stroke and other major disease and conditions, was January 20, 1970 by Senator Ralph W. Yarborough imself and 18 other Senators). The bill was referred e of Labor and Public Welfare. 5. 3355 and related bills were held before the Subcomn of the Committee on Labor and Public Welfare on I 18, 1970. Senator Ralph W. Yarborough, chairman e, presided. The record of the hearings was printed ng 255 pages. H.R. 17570, a companion to S. 3355, was introduced e John Jarman of Oklahoma on May 11, 1970. This to the Committee on Interstate and Foreign Com .R. 17570 and other bills were held before the Subolic Health and Welfare of the Committee on InterCommerce on June 1, 2, 3 and 4, 1970. Representachairman of the subcommittee, presided. The record as printed in a volume of 300 pages. = reported from the Committee on Interstate and e by Representative Harley O. Staggers of West 3, 1970 (H. Rept. No. 1297). rted from the Committee on Labor and Public Welalph W. Yarborough on August 11, 1970 (S. Rept. ed the House on August 12, 1970. In the Senate, ed on the calendar on August 13, 1970. On Septempassed the Senate, amended, and the Senate asked n September 14, 1970 the House agreed to a conence report was filed by Representative Harley O. Virginia on October 8, 1970 (H. Rept. No. 1590). o the conference report on October 13, 1970. The e conference report on October 14, 1970. The act was approved by the President on October 30, 1970 and became Public Law 91-515. The act B. DIGEST OF THE ACT Extends the existing program relating to education, research, train ing, and demonstrations in the fields of heart disease, cancer, stroše and other major diseases and conditions to include kidney diseases Extends various other programs under the Public Health Service Act Provides specific contract as well as grant authority in carrying ou the purposes of the legislation and to assist in establishing a regions. cooperative arrangement for medical data exchange as well as for research and training, for demonstrations of patient care in the fieldof heart disease, cancer, stroke, and kidney disease, and other related diseases. Extends the regional medical program for a 3-year period, cor mencing in fiscal year 1971, with a total 3-year authorization of $525 million. Requires that a maximum of $15 million of the amount appropriated in fiscal year 1971 be available specifically for activities in the field of kidney disease. Provides that not more than $5 million may be made available in any fiscal year for grants for such new construction. Requires official health and health planning agency representation of. regional advisory groups. Requires that public members include persons familiar with the financing of, as well as need for, services and that such public members be sufficient in number to insure adequate community orientation of regional medical programs. Makes the Chief Medical Director of the Veterans' Administration an ex officio member of the National Advisory Council for the region. medical program. Requires local advisory groups to include as an ex officio member the person designated from the local Veteran's Adminis tration health facility. Increases the size of the National Advisory Council on Regiors' Medical Programs from 16 to 20 members. Designates the Assistant Secretary of Health, Education and Welfare for Health and Scienti Affairs as Chairman. Specifies that outstanding individuals in the study of care of k ney disease be added to the membership of the National Advisory Council on Regional Medical Programs. Extends for three fiscal years (through fiscal year 1973) the a:thorization of appropriations for the programs of Federal financial assistance under section 304 of the Public Health Service Act (relat ing to research and demonstrations). Authorizes the following amounts to be appropriated for st program: $71 million for fiscal year 1971, $82 million for fiscal p 1972, and $94 million for fiscal year 1973. Authorizes contracts for research, experiments, and demonstratie relating to the effective combination or coordination of methods systems for the delivery of health services. Authorizes grants and contracts for projects for research and de onstrations in the provisions of home health services. Directs the Secretary of HEW, to develop, through utilization? the systems analysis method, plans for health care systems desig adequately to meet the needs of the American people. “་་ ་ Secretary to conduct a study of each legislative proposal Secretary to submit a report on the results of such study three years (through fiscal year 1973) the program ates for comprehensive State health planning and aullowing amounts: $15 million for fiscal year 1971, $17. al year 1972, and $20 million for fiscal year 1973. ugh fiscal year 1973 the program of project grants for planning and authorizes the following amounts: $20 al year 1971, $30 million for fiscal year 1972, and $40 year 1973. State area wide health plans shall include home health equires that a majority of the membership of areaning councils be representative of consumers of health gh fiscal year 1973 the program under section 314(d) alth Service Act for grants for comprehensive public nd authorizes the following amounts: $130 million for $145 million for fiscal year 1972, and $165 million for Secretary of HEW to authorize insurance carriers, to, or which participate in the carrying out of, conhealth benefits for active or retired Federal emin any State contracts entitling beneficiaries to reve medical services from a group practice unit with has arranged for the provision of such services. m rules on compensation of advisory council memorize committees to be established where there is sh advisory councils. C. TEXT OF THE LAW text of Pubic Law 91-515. les III and IX of the Public Health Service Act d, and improve the program of research, investiganing, and demonstrations authorized thereunder, es. the Senate and House of Representatives Public Health s of America in Congress assembled, DMENTS TO TITLE IX OF THE C HEALTH SERVICE ACT le may be cited as the "Heart Disease, Kidney Disease Amendments of 1970". 900 of the Public Health Service Act is lows: Service Act, 84 Stat. 1297. 84 Stat. 1298. Appropriations. 82 Stat. 1005. 42 USC 299a.. Funds, limitation. 79 Stat. 926; 82 Stat. 1006. 42 USC 299a. "PURPOSES "SEC. 900. The purposes of this title are— "(a) through grants and contracts, to encourage and assist in the establishment of regional cooperative arrange ments among medical schools, research institutions, ar hospitals for research and training (including continuing education), for medical data exchange, and for demor strations of patient care in the fields of heart disease, can cer, stroke, and kidney disease, and other related diseases "(b) to afford to the medical profession and the medica institutions of the Nation, through such cooperative ar rangements, the opportunity of making available to the s patients the latest advances in the prevention, diagnosis and treatment and rehabilitation of persons suffering fro these diseases; "(c) to promote and foster regional linkages amongi health care institutions and providers so as to strengthe and improve primary care and the relationship between. specialized and primary care; and "(d) by these means, to improve generally the quality and enhance the capacity of the health manpower and facilities available to the Nation and to improve health serv ices for persons residing in areas with limited health serv ices, and to accomplish these ends without interfering wit the patterns, or the methods of financing, of patient care or professional practice, or with the administration of he pitals, and in cooperation with practicing physicians, mesi cal center officials, hospital administrators, and representa tives from appropriate voluntary health agencies. SEC. 103. (a) (1) The first sentence of section 901 (a) of suck Act is amended by striking out "and" immediately after "June 30, 1969,", and by inserting immediately before ", for grantthe following: ", $125,000,000 for the fiscal year ending Ju 30, 1971, $150,000,000 for the fiscal year ending June 30, 19, and $250,000,000 for the fiscal year ending June 30, 1973". ! (2) Such first sentence is further amended by striking out the period after "title" and inserting in lieu thereof "and for cor-j tracts to carry out the purposes of this title." (3) Such section 901 (a) is amended by striking out the s ond sentence and inserting in lieu thereof the following: "01 the sums appropriated under this section for the fiscal year ende ing June 30, 1971, not more than $15,000,000 shall be availa for activities in the field of kidney disease. Of the sums appro priated under this section for any fiscal year ending after Jure 30, 1970, not more than $5,000,000 may be made available » any such fiscal year for grants for new construction." (b) Section 901 of such Act is further amended by add at the end thereof the following new subsection: "(e) At the request of any recipient of a grant under this title, the payments to such recipient may be reduced by the fair market value of any equipment, supplies, or services furnished ry to such recipient and by the amount of the , traveling expenses, and any other costs in cone detail of an officer or employee of the Governcipient when such furnishing or such detail, as e, is for the convenience of and at the request of und for the purpose of carrying out the regional m to which the grant under this title is made." tion 902 (a) of such Act is amended by striking 84 Stat. 1298. agnosis, and treatment relating to heart disease, 42 USC 299b. e, and, at the option of the applicant, related es" and inserting in lieu thereof "training, presis, treatment, and rehabilitation relating to cer, stroke, or kidney disease and, at the option other related diseases". 02(f) is amended by striking out "includes" on 903 (b) (4) of such Act is amended- rting immediately after "under the program", ng out "need for the services provided under and inserting in lieu thereof "need for and e services provided under the program, and group shall be sufficient in number to insure unity orientation (as determined by the 84 Stat. 1299. 42 USC 299c. rt of the second sentence of section 904 (b) 42 USC 299d. ng paragraph (1) is amended by striking 4) and" and inserting in lieu thereof the 903 (b) (4), if opportunity has been prorecommendation, for consideration of the ublic or nonprofit private agency or orgaveloped a comprehensive regional, metror local area plan referred to in section area in which the regional medical propplication is made will be located, and if n 905 (a) of such Act is amended to read Secretary may appoint, without regard to National Ad visory Council on Regional Medical Pro42 USC 299e. grams. |