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B-197878 1 (1980-07-21)

handle is hein.gao/gaobabjut0001 and id is 1 raw text is: 


                      CO , TR .J      C . UNITED STATE S




      E-1978738                             JuY 21   19L8 QO







      Sne tonorapie -enry A. Vaxana
      tnair an, uoco*.icttee o, Heith
        anG the Elnvironrnent
      Co.it tee on Interstate ano
        i-oreign Comerce
      U.6. house ot Reresentatives

      Lear Mr. Chairman:

           This letter is in response to your request for our
     comn.nts on h... 619g3 which ,ou introduced with Congressman
     Claude Pe.er, Chairman of the House Aging Committee, on
     Decemi.er 19, 1979. If enacted, H.p. 6194, the :edicaid
     Coimunity Care Act of 1980, would amend title XIX of hne
     Social Security Act to provide for comprehensive assessments
     and community-based services under medicaid.

           In your letter you state that H.R. 6194 is intended to
      redress inadequacies in the L:edicaid system which encourages
      ex-ensive ancd oftern unnecessarv institutionalization. These
      problems were.docurented in a recor which we issued on
      November 26, 1979, entitled Enterin. a :;ursin home--Costl
      _licanZtl, s    1-cacaic and tne Eieri. ?he .e canisms
      esra i.snG ir - E.. 6i'4 s;ouL res- eZc many of these Lroleis
      ba: i) assurinS a more efticint I Iccation of >.ecicaid collars
      in ionu-tem care- and 2) ot[er in; -any          C   S a : D I EiC
      in1ivicuais  na  neir famIlie S h0  ri   es ch e e r.. ..erice.
      in aner o n no .es or co2.funi' in -1-u of navinc to enter a
      nursinc. nole.

•     b~uiuor 0.[ State anc: {om.,uni:,,
      Lon -Ier ; (are   tnrtI-es

           This oill .as many :-eatures ..hich shoulc contribute
      sutstantiaii, co i grovements inl tne oeliverv of long-term
      care services naOinally. One of these is tfle focus on


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