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104833 1 (1978-01-30)

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                        J)ODCUMENT RESUME
04833 - [B0345205]

Implementation of the ational Health Planning and Besources
Development Act of 1974,, January 30, 1978. 27 pp.

Testimony betore the House Committee on Interstate and Foreign
Commerce: Health and-the Environment Subcommittee; by James D.
Martin, Deputy Director,, Human Resources Div.

Contact: Human Resou ces Div.
Orqaaization Concern#: Department of Health, Education, and
    Welfare.
Congressional Relevanci: House Committee on Interstate and
    Foreign Commerce! Health and the Envircnment Subcommittee.
Authority; National *&)th Planning and Resources Development
    Act of 1974 (P.L. 0-641). P.L. 95-142. P.L. 95-215.


         A review of 1e implementation of the National Health
Planninq and Resource_ Development Act of 1974 involved 15
health systems agencies, 11 State health planning aM
development aqencies, .4 regional centers for health planning,
and 4 Department of Health, Education, and Welfare (HEW)
reqional oftices. As,,.Q January 1978, only two of eight sets of
requlations needed by local and State health planning agencies
had been finalized. DAjlays in providinq instructions to HEW
reqionai offices resulted in actions that appear to be
inconsistent with int'ial Bureau of Health Plann3-nq and
Fesources Developmenfquiaelines and which may have caused
inconsistent implemepVAtion of the planning prcgram throughout
the country. Organizational problems experiencod by the Bureau
need to be rededied as soon as possible. Health sy:.tems agencies
included in the revied were concerned with the availability and
adequacy of data with which to develop a health systems plan. In
passinq the 1974 act, the Congress did nct provide health
systems agencies with any specific authority over Federal health
facilities. To specifically exclude Federal facilities from the
national health planning program is to impede the ability of the
iccal and SIate aqenjc tc carry cut the responsibilities given
them by the Conqress. LAuthor/SJ)

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