. B&B INFORMATION & IMAGE MANAGEMENT 300 Pence Georae’s BOULEVARD UPPER MARLEORD, MaRYLanD ZO772 ° UBA © (353) 249-9110 LE TBLATIVE BOTES = + Preyarec for the Nawienal Advisory lentus ©. Sue 2-922, ‘oe Natiowal Alvisory Council om Regional Yed‘oal rrograsr, June 20-21 ,° hy legislative Peference ani Liaison Brancn FABER oy ~2Yice of Program Flamning, Ob, MIE. - @ 7 4 tb June 14, 1966 “The “lexisiative Developments” recently ai etribus sed to Council members comteined an analysis of some of the major legislation introduced in the 89th Congress,-Second Session, in the health and related fields. The “Legislative Notes" tring the stetus of this legislation up so dete and include reference to new legislation introduced and Congressional hearings taking place since the issuance of the Tag siacivs Developments." * MeL 4 re é: . atte , Comparable legistattion « on “thie subject. was introduced in ibe Houxe May 2 Each parilcipating State would ‘develop & Stare plas outlining tut “based spon survey of needs and resources and @ schedule for ‘$73 mlliton for fiscal year 1968, and $100 milifon for fiscal year ‘ wh, ~~ NY "EGTA LAFTOR , wpe do: * erat -y Be. Py Salem pert ee * % “ “o . 7 x . SARE ogee Drie acced by Beo@ior Bealtonme sii for hinsest anton sereti of Saat apes 2oy, vo , ce Keyser Sah og Puma co. eB be test em og otfer Arh Pete Be kee 40, be © onteimas. : 28, vooceragis heir a AS Be ree | Eee GT -y Provisions in brie? mcrae peo rites a Teogras co he atninisuere’ by she Serretary oO Me rrevidtes “a Pingning Grants "ae | Sutbhorines appropriavions of $2.75 miilion to epahie geanr “fF wp ic €90.000 so he mage to the States 65 agede. in planning for 82 Agveloprent of commonlty service programe ani centers. Prog Sree Pirie Ti a borizes appropriacions of $40 milion for fi swat year 1X7 $i: willios for fisesl year 1963, and $89 willion for fiscal year 1969, 20 ke aalotied to the Btates on whe basis of Population, ex any oF need Por comondhy service programs, and financial need of : {be Siane . x Granve could be made ‘for up to T54 of the admnisiiaitve ani overhens coste of commenity service programs and 75% of sev services such as_ joint diagnostic ané referral services which stem from the develop- __ ment of a program and were so. -previously avai leble within te commupisy service ares. 1 + Aevelopmest of a statewide system of comunity service prograns _ iapiemenvation 4 = . - =: . -> , Cous*riciion Granus - Title | fit “aubhborizes appropriasions of $50 million fer fiscal year so asatet im the cost cf construction of community service centers. ‘Federal share would vary from uf 3 %O 2/3 of she cost 5S determine? oy e Stave Coordinating Council. } Aegulettors issued by the Secretary of HEW would prescribe the _ppectfic ‘Sypes we services required to be provided by & community § service ren, Ven + bes i. RR. 15282, Congressman ‘Fogarty HR. 15286, Congressman laird - Faz ay 7% +7 ? asc. ~ ae Fy ws eek. gids 1,..57%, x te ee ant BS ow _ em Net pene mw ee 4 te ~ eee ee OE 5 . oo ee TY e we = ~ ~ on o 7 oF "; te = ue 3 a Te eee Tae ~ he -4F Woe we = oH : ae tan a Fila OR FF nee ~ Fie ot wee a a4tbrary Bovvyise. sen lomscructi om Ac. Bic: AAmeDss of af Me 4 fb ARTE pat Bk pag Be Ebr y vervices and Sonstr Shieh acu “RP Paces” by ee Avge . wiih Comml cee anor mens, On dune 2. internet Lomal _Biusa SLO Se’ ot LOK p RR 1643) the Invernaifonal Rives” on Aer. of 166, amended, wae passe: by the Bouse by @ record vote of 194 to 89 on June é. | De essence, HR. 1b643 would authorize 4 domest Le program administered by the DHEW of federal grants designed to strengthen the resources and capa. | Appropriations totaling $140 million are authorized for ¢he fir ras “ghree | Years--$10 willion for fiscal year 1967,.$40 million in fiscal year 1968, | apd $55 million in fiscal year 1969- with such sums ag Congress may authorize zor she following wo Fears > 2 , €ilities of colleges and universivies in iaternat donat Bbudies = research». ce is eg ws OTP io Somaree Sle eT Te Ree Gi. tae att 218 gare, “Yoord de) vee “Ne Bouse Govenmon, Operations &pccemmin = atk Legtalacive Fergani zas: ‘a Chk. Sawer Tec ge o - febe Mo? Tepes oy ra « Soe DE = Bay tees hs ie Elem he. - - , . ~ + - oe: es . Fe ey oe ~ = wr wert = he! wh. : 2 oS RT OH alma ak LTE 2 ei Teo Se Drea get eiptemitte presenies befors Shese Gubeommt seer, Se rence Soop entTigye? ds per: as Polo De. Poy iic Healoh gervice anrmald be the Ageasy LO wh veh Orman sesh n8 4d mate AS himurhout the Government, tarp Tor advice on all piers pelaiel io moumun heslih, It eboulA provide trofese? nal ei caer for oe health-relazei activities of ovher agencies st ae. aad ite Fedesl Government. _ Im shor’ , it should erercige g cua, lewdersotp iu health, . Reorgemi zation Bien No. 3 ‘etaply ‘provides the ‘Secre: Lary wiih authord Sy $9 raorgenizge. Tt does not specify what fora ‘the reorganizs\ion da ta TREO LL. Bri efly, 1 propose re) put ‘into effect rm plan developed by the Surgeon - . General with the advice of a committee of distinguished citizens chad red by Dr. John 7 9 Corson or Exineeton University. The plan wails for organi zing she Public Healt ‘h Service inte eight major components: The Buresus of Health Services, Health _Menpover, / @nd Disease and Injury Prevention and Control, National Instit Gute _of Mental Health, end Nationel Institutes of Health, Nav onal a at “the. Sus geon General. Fhe Buren of Healsh Services will serve as @ central resource for . improving the quality and accessibility cf heal.b care for ~he Ameri zen yeople. It will include all PHS activities comeerned with quality — avindards for health service. ‘Ih whl conbine eirecs wedical care programs with those which support new ané improved personal healt wh remy ices. The Buresu of Health venpower will have tke primery concer for buildin: -Sh adequate supply of health menpower for she Netdon. I: will be_ responsible for projecting manpower neede and developing pre: Brame Su wee Chem. It_will serve as a central point of informticn for | educators, ‘administ trators, end others involved in «he reining ot - Brofeset one 1 and. _Bub-professtonal health workers « f Te Batdonal, Center for Health Statistics will continue tu sarve as. wt “units, oF Ahe Service Service, > we plan to strengthen--and to some exten), >» reorganize--tha nO achieve better coordination smong the grants programs of she Service r to establish uniform management policies and practices, and to create in nadie Vion To ‘these. organizational measures, x see. a grest need fox Re ge egg th on tt nee ows wee ae 2 tia » EL. arene eee PE ae ER tae me Ee ik aes cone: g at sea: Be Sisehi ling. : Bot zm cE? Givirnoen. whe iF ‘inten “and. Reatn Prem “Siol Tre ¥, W cae SUSE PES ee . : ~ Sa ameeey oT. wise _ corpora Eo oie PRSEeL, Fume. ome oF ons | “ait Fes wil Healeh Inex ivuhe, plus the For: ¥- Stn apd clexiuguen - pe eget ric Koapiviis It will atwinister es whities srograr of reges eA meroal hevleb aay: ae & bureca OO oa ays aprae Pi TEE or BADE EY wrataing, iemote trecicoha,— ce. EN wi aism ‘ > peineLpel Pomas Suz yesearoh ang program 40 oo and Greg aidic+ VED ‘The WaSional ine: @aloh wail : con iae § to have a supers {uory re tei Loasbip Mo. ite, Ancramre res Les - i Re lgnmet Iusvisutes of Health will remin a bureau of the Publis: bea tis Beeviec, in paraliel with she other bureaus, and wil? coutines So aSrye ae “he ‘principal medical research ern of the Deperiment. | i winl be strengthencd “by, the addition of. Environmen.s” Sealsn Sciences Insti ieute. ? This ational; brary of Moai etue will retain its existing functions. inciting ihe programa initiated under the Medical Idbrarier Assista Aot Of 1955. We are considering masures to further. Strengthen and — consolidate che scientific. faa nd professional commmicationn functi cue ia the Nas slonal ibrar, . She bringipal national source of reliable statistical date ¢nh health I also expect to make further studies of the relationships between cthe National Center for Health Statistics and other Seta-gathering To assure efficien: administration the roug. “programy: ‘of the _ ffice of the Surgeon Geveral. The proposed changes will be designes a central. point of contact within-the Service for all program invoiving ouner agencies and ins’ ‘I putions. , ingroving our capability for planning and coordinasing the Department ‘= head ah programs an tor ef ° et ~ At “ne wa 2 oe BBO Vu 8.0. Gls a or. abe®ank, Fe . - . an - ‘feng Se . rT tw execr iv: seein. BBL, So remlese the < Lb oF generat to me Ly a agaed by the House om april 2f ane this bill. es OF SE Psl cepar wed Ry che. Beaace Comm ree Commities, doncaimed aucticmer © ‘out Lime Landis na je Of &. GaRe abl some Da nol. BLL oF tm Monrouey feendaniiie senigoed to eke ‘he lt Bore restrict vive on the use of_ animale <1. | ye senech., c - Previorv ei. the Commerce Committec held a one-day nearing, May 2°. on BE Smsuiments to Chadrwan Magnuson’ 8 b131. S. 2322, as pr roposed: By Sena Lor Mouresey. Witnesses testifying before the Committee at that times ineluded=-in opposition to the amendmenss: the Director, NIH; Dr. Fhilip RB, tee, Assistant, Secretary for Health and Sclentific Affairs, DHSW; Dr. George _ Irving, Department of Agriculture; Dr. Albers Sabin, professor of. a research pediatrics, University of Cincinnati; and Dr. John F. Hogmess, Dean, School of Medicine, University of Washington. Testifying in a support of the amendments were; Senator Clark (Pa.); Dr. Nicholas 8. Gimbel, Chief of Surgery, Detroit Metropolitan Hospital; and Dr. Bennett _ Derby, Head of Neurology; Veterans" ‘Administration Hospital. In his ‘prepared statement presented to the Committee, Dr. Shannon testified thet "..cwe feel that the theft of dogs and cats and their care and hand). - ‘ing by dealers and during transportation ean best be handled ‘through a bill: slong the lines of H.R. 13081...one limited to regulating the transporta- — ; tion and sale of dogs and cats for research: ‘purposes. Separate > comples — mentary legislation should be enacted to govern the care and handling of laboratory apimals by research and educational facilities. We Suppor 8. 3332 for this purpose.” (5S. 3332, recently introduced by Senator Hill, would bave the Secretary of HEW establish national standards for Jaborasury ee animal care to be met by all institutions as a condition for receiving Yeleral support for research involving-the use of animals.) Recent legislation introduced providing “special assintance for the iwprovemant of laboratory animal facilities, and to otherwise ‘agsure humane care and treatment ed laboratory animals": H.R. 15129, Congressman Fogarty on May 8 — - HOR. 15268, Chairman Staggers, House Interstate and Fo oneign : “=: Commerce Committee on May 25 a ; ae 7 (Companion bills * to So » 3382) -seendfied Pox Soeke neayective, agencies. regula: nlong with reapecs bo 4 bo prescription drag advertisements and WAG in his discussion of tsp, Commissioner Goddard releted thet on Mss 18 FS BTA he Commissioner stressed thet! "our programs ‘in the drag aiuse | somtrcl vas Bree _ iavolve nos only coordinat tion with, the efforts of. other. Federal, en: Ler oo contemied, but also a “elose working relationship with ‘ace amd local : _Raudetionel » ‘ z % we. “ee *. ~ummad ssiorer James Goiderd, FDA, aad g Thad rman Paul. Faand, biKo Mig IA, & @sjor peoercion of the Subcotmmittec" 6 ; Blacuaston WEB “(ge eenr as WELLER the avraell slug 6isins made fox” “Meacuria, ” ae 28Ei rin tables that ins Mamifsetirers alleged would provide wp to eighs hours of relief, an¢_ adveriigivs cliims made for Serax, a prescription drug for elderly persons, which the Government BSS charged ure false and mi siege lng ur, Goddars | seatified : 2n Kis opening statement “yhat, "yes. bine peed estabtigh @ towl system to examine ade from the whole spectrum < of Brg | advertisers, veterinary as weil ss mmman.” Further, thet in order *% achieve @ more effec nive enforce % program, FDA wax preparing stronger "sonaisering the need for requiring pre-cleararce of new af, afbexr successful crimina 1 or selgure action and es a yart of injunctive rel a rings, Commissioner Goddard presented 8 prepares | s detailing she history of FDA's efforts cope vith +! of drug abuse bePore the passage | of the peg. Abuse. Control 5 anil _he ir subsegu published in the Federal Register @ proposal ta conmsrol lysergic acid and lysergic acid amide under the new drug control amendments. This propesad: | being based primarily on the fact Ghat these substences are a_gterting ~~ material im a method of preparing ISD. He stated that "hs this date, vy. ob, Pectlons to thi 8 proposal have been received. . . . eyrencies having responsibllit cies in this same area...We will be. providing. States with training for their agents as well, as informational and | eb pe * Leas - we ee BLL UnE. ge PRE RES SE oian d fy Saks Seka “RIEL re EY Ak a & a ec aa » Phe Rouse Yews eit Means ‘Cena soee. held | s Pe VO mL day nparlinc, ce Tue bey feo op HR. BéGi, Chalraan Mille’ bill so dmplemany the Arrewsain, on be a Depdrsa btn ot Biucasinnal, Sclantific, ané culowral eetertel~ : ium eigvature €@4 lake Suecess on Nevenuer =, aes VEOGEMRGS AxGaate aad gf. Ree. GAR (furtia) Ms BO give eYteat to tne Agwesrmernt, 1 veda, ngs inher mig SL Sirewleatica of Viruel tat xfs sy af am Btucauionsl, Se : Sabeuxel Character, 3% Reteut 4x ips Of Retrut as Fierens SE Ags reenen Bs sts 3 tho ai. gr aement, vates., we *. implement: sdk by: phe. Congress woulé Yomovye auides on tae Bh . educational, scientific, and eultars: witeriala, gach ae ks: wee, waps, Bhd aclentifie. Fostrunente. fsported by solengi £2 2a ead eiseational inst tdtuiions when like , ntcumente ‘and miterinls ara mot made in the United States. Re Bes wouLe provide: for Amplenentation of this: Agree. H, Se “Bee. 688 would tuple 2 Beirut ‘Agreement. in soppareble mane ‘60 provide for duty-free imparts ‘trentment for vi Vviewel and | antory materials The Senate Gove Government. Gperations Special “gubcomai sige on Research, Chairman Harris, Oklehom, held an executive soniuer ey 2G, to ‘receive she vi & Of. sous. of, he. Fetter Bp scientific” regarding. the” stablishmen’ or ae a he benae Gove ramen? Cnuoredome Bubs cen! cue nme) oe ok ae, ese mal 2Pog tem. 222 Uxee . hard: rennet in ; unde s 5] BY “gee te 2 Stam we it eet Ed HR Me wh BRR EPR na We om ORL Ress ra as Tete openitie phase oF a proposed series of nearing: we: fireti< so “whe organization and ecordimation of Fedorel tesusreh sa. La.ong programs of the doug ISD" including che role of mplic iva.e agencies, the extent of siause of ISh, and recormenta- Lton of leading experta om jhe subjecs. of £20, dw aidiufeon, vepreseniatives of Fu, PRE, and VA, the +hree Feleral agensie: most involved im the research, reguiatiion, development, esd medical use of tS8. “Bresenued testimony <0 the Supconmmdt tec . Le z Bere seen &. aon Some of the other aress WHOL which future nearing wih (focus aves : Child Health and Fealth Fersomel _ we Frograns for Mental Health and Mental Ret vardatien Progrems for the Aged , _ , Programs for Disabled end Rebabilitation Sommandey Health Prograns | The biLI would amend the FHS Act to increase - she “oppure und” fer Yor training medical technologists and personnel in cther allied health professions, improve the educational quality of schosls ror treininy such alifed health professions personnel, end strengshen and Luaprove the existing student loam programs for sedt Ca... dembal, podietiry, pharmey, oplometric, and nursing students. Beh Grant Colleges Oo Jume 1, the Senate Inbor and fublé Welfare special | Subonmet ties on Sea Grant Colleges under Chairman Fell [RY ) approved for full Committee — cunsi@eration, with amendments, the Chalrmac's b2ia, 6. hoo, auth rtefogr Lhe establishment of programs of education. training, am reserreh in ‘ae waving stlences - The House Merchant, Marine and Fisheries Subcoms.! tke un ceanogranby us é & cmeadgy Verde, June - vw. HOR, 19799. m related Pri? tnpradwem? Ly Cope tpseman Hogere (Plort , The major differences bet ; wane ar follows: ‘l. §. 2439 would amend the a ston! Setence Foun tihign Ast oP L9Eo ac as to axthorive the BSF so adwinister *he ee tablisheent and operaticu oF 864 greg colleges | and programs » LR, 15192 would anend tivle It of the Merchant. “Mirtne Act » 1936, av as to authorize the Board of Regents of the Sul vhsontan _Ineiit wurden, acting through the Becretary of the ‘Buithsonias . to Cary out the 2. Bs 2h39 would authorize appropria = ft - 1967, $15 million for fiscal year 1968, and $20 milion for fiscal 7 Lyesr, 1969 with Federal matching funds a paying wp to 66 af” af the towl +. -eost of grants ‘aud dontracts for sea grant (Gollages 8 ‘end progress H.R. 15192 would au horize ti 7 x of Regen (Ok ents “with the Secretary of jhe Interior with | bee was fw jointly or exclusively, of areas of the submerged Jands cr the Outer Toe ~: Continental Shelf. - ne. is no ‘provision for funding | oy direct = ue “ Subhorization. a So) 8. B39 would authorise she , extabiistesns of & » Hat tonal “Bavie sory ' Cowieil on Ses Grant Colleges and Programs to be ecumposed of ha riemiPre y appointed ty the President, persons prominent in public life or is the fields of education, oceanclogy, ocean technology, and ot. ger rhelt- related to warlne resources. HOR. 19192 carries no such provision. ae aN y> N Woe N SYSTEMS ANALYSIS This policy statement is to be used by those applicants who desire to incorporate systems analysis methodologies into their applications. The use of systems analysis methodologies in regional medical programs is encouraged, but only to such an extent as it is considered applicable as an essential integral component of the individual program proposed by the applicant. The applicant should emphasize the development of innovative, adequately formulated studies of realistically restricted problems involving the application of "systems": methodologies rather than submit an application dominated by general proposals for the utilization of large scale "systems" approaches for the design of a regional medical program. The Division of Regional Medical Programs will explore through contracts and selective studies the applicability of systems analysis to the planning and implementation of a regional medical program. One approach to the use of systems analysis in current grant applications, within the framework of this policy, is the incorporation of limited numbers of personnel with such analytic skills into the planning process. These personnel may come from university departments or schools of industrial engineering, schools of public health, commercial systems firms, those with experience in program planning and budgeting, and a variety of other sources. It is expected that from such a beginning, areas worthy of more detailed activity may well become apparent and qualify for subsequent additional grant support, Applicants are encouraged to direct any questions they may have relative to the use of systems analysis to the Division of Regional Medical Programs.