71 74 Obligated balance, end of year.. 72 Obligated balance, start of year... 77 Adjustments in expired accounts. 90 91 1966, $32 thousand. Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963 $191 thousand (1964 adjustments, $5 thousand): 1964, $219 thousand; 1965, $219 thousand; 1966, $219 thousand. The division of nursing is concerned with the quality and quantity of nursing care essential to meet the health needs of the Nation. Its objective is the improvement of nursing practices of all kinds in hospitals, homes, health agencies and other allied medical care facilities. The problems related to education, nurse supply, distribution of nursing services, and nurse-patient relationships are dealt 26.0 Supplies and materials........ with by means of a balanced program of intramural research, consultation, research grants, fellowships, training grants, projects for improvement of nurse training, and payments to diploma schools of nursing. 11,216 22,939 JonT HOSPITAL CONSTRUCTION ACTIVITIES To carry out the provisions of section 318 and title VI of the Act, as amended, and parts B and C of the Mental Retardation Facilities Construction Act [(77 Stat. 284-290)] (42 U.S.C. 26612677), [$245,846,000] and, except as otherwise provided, the Community Mental Health Centers Act (42 U.S.C. 2681-2687), $303,304,000, of which [$150,000,0001 $160,000,000 shall be for grants or loans for hospitals and related facilities pursuant to section 601(b) of the Public Health Service Act, [$70,000,000] $100,000,000 shall be for grants or loans for facilities pursuant to section 601(a) of the Public Health Service Act, [$2,500,000 $5,000,000 shall be for special project grants pursuant to section 318 of the Public Health Service Act, [$3,012,000] $12,568,000 (including not to exceed $6,900,000 for experimental hospital construction) shall be for the purposes authorized in section 624 of the Public Health Service Act, [$7,500,000] $10,000,000, to remain available until expended, shall be for grants for facilities pursuant to part B of the Mental Retardation Facilities Construction Act, and [$10,000,000] $12,500,000 shall be for grants for facilities pursuant to part C of the Mental Retardation Facilities Construction Act: Provided, That there may be transferred to this appropriation from "Construction of community mental health centers" an amount not to exceed the sum of the allotment adjustments made by the Secretary pursuant to section 202 (c) of the Community Mental Health Centers Act: Provided further, That not less than $60,000,000 of the amount herein appropriated pursuant to section 601(b) shall be available for grants or loans for modernization or replacement of obsolete hospitals and medical facilities: Provided further, That funds made available for the purposes authorized in section 624 of the Act shall not be used to pay in excess of two-thirds of the cost of any experimental or demonstration construction or equipment project to which section 8(b)(4) of the Hospital and Medical Facilities Amendments of 1964 applies. (Department of Health, Education, and Welfare Appropriation Act, 1965.) Program and Financing (in thousands of dollars) 16 Comparative transfers from other accounts.. year.. 24 Unobligated balance available, end of year. New obligational authority. New obligational authority: 41 Transferred to "Salaries and expenses, 42 Transferred from "National Heart Insti- -154,666-163,642 -161.000 163,642 161,000 190,750 2,686 1966, $74 thousand. 2 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963. $282 thousand (1964 adjustments, $1 thousand): 1964, $235 thousand: 1965. $235 thousand; 1966, $235 thousand. Federal funds are provided on a grant or loan basis to assist States, other public agencies, and nonprofit organizations in the construction and modernization of hospitals, public health centers, etc.; special project planning grants; and hospital and medical facilities research. Funds for construction programs, other than the funds available for construction of university-affiliated facilities for the 20,000 mentally retarded, are allocated to the States on the basis of a formula which takes into account population and per capita income. 135,000 10,000 18,000 10,000 1. Grants—(a) Construction of hospitals under the Public Health Service Act.-Federal funds are provided for the construction and modernization of hospitals, long-term care facilities, rehabilitation facilities, diagnostic or diag nostic and treatment centers, public health centers, and related health facilities. The modernization program which starts in 1966 will provide funds for the improvement of quality care hospitals that have become func240,142 252,750 tionally or structurally obsolete and are becoming 3,000 10,750 increasingly inefficient or unsafe to operate. The $260 million requested for 1966 will provide a $780 million program for that year, assuming that the Federal participation will average 33%. (b) Construction of facilities for the mentally retarded.Grants are made for the construction of university-affiliated facilities for the mentally retarded and for facilities for the mentally retarded. Funds available for the construction. of university-affiliated mental retardation facilities are approved on a special project basis. The $22 million requested for 1966 will provide a $45 million program for that year, assuming that the Federal participation will average 50%. 2. Special project planning grants.-Grants are made to local lay and professional groups and organizations in the activation and continued operation of the areawide healthfacility planning program. The $5 million requested for 1966 will stimulate the organization and operation of such groups. 3. Hospital and medical facilities research.-Funds are provided to permit research, experiments, and demonstrations relating to the effective development and utilization of hospital services and resources, and to make grantsin-aid to States, political subdivisions, universities, hospitals, and other public and private nonprofit institutions or organizations for such projects; funds are also provided to public and nonprofit agencies for the construction of experimental units of hospital and other health facilities. 4. Operations and technical services.-State agencies are provided technical assistance in making inventories of their hospitals, public health centers, and other health facilities in determining the type, size, and location of additional facilities required, and in developing programs, to meet the indicated needs. Technical assistance is also provided to States and to communities regarding the planning, programing, and design of hospital and other medical facilities, including facilities for the care of the mentally retarded. Proposed hospital and other health facility projects are reviewed to determine eligibility and compliance with the law and regulations. State plans and their annual revisions are reviewed and approved. Project applications, plans and specifications, wage rates, and contracts are reviewed for compliance with standards, and surveillance is maintained over projects under construction. Payments are computed and made as construction progresses and when final payment is in order. Object Classification (in thousands of dollars) To carry out [parts] part B [and C] of title VII and part A of title VIII of the [Public Health Service] Act, [$110,782,0001 $90,599,000, of which [$60,000,000] $45,000,000 is for grants to assist in construction of new teaching facilities pursuant to paragraph (1) of section 720 of the Act, [$20,000,000 $15,000,000 is for grants to assist in construction of new teaching facilities for dentists pursuant to paragraph (2) of section 720, [$20,000,000 $15,000,000 is for grants for replacement or rehabilitation of existing teaching facilities pursuant to paragraph (3) of section 720, [and $10,200,000 is for loans and for assisting in the establishment and operation of student loan funds pursuant to such part C $5,000,000 is for grants to assist in construction of new or replacement or rehabilitation of existing facilities for collegiate schools of nursing pursuant to section 801; and $10,000,000 is for grants to assist in construction of new or replacement or rehabilitation of existing facilities for associate degree and diploma schools of nursing pursuant to section 801: Provided, That amounts appropriated herein for grants [and loans] shall remain available until expended. [Loans and payments for the next succeeding fiscal year: For making, after March 31 of the current fiscal year, loans and payment to schools under part C of title VII of the Public Health Service Act for the first quarter of the next succeeding fiscal year such sums as may be necessary, and the obligations incurred and expenditures made hereunder shall be charged to the appropriation for that purpose for such fiscal year: Provided, That such payments to schools pursuant to this paragraph may not exceed 50 per centum of the amount authorized in such part C for this purpose for the next succeeding fiscal year.] (Department of Health, Education, and Welfare Appropriation Act, 1965.) Note.-Excludes $15,488 thousand for activities transferred in the estimates to "Community health practice and research." The amount obligated in 1965 is shown in the schedule as a comparative transfer. (b) Construction of teaching facilities for nurses.. 15,000 2,036 12.0 Personnel benefits... 11.3 Positions other than permanent.. Total personnel compensation.. 13 Financing: 21.0 Travel and transportation of 2,786 249 16 Comparative transfers to other accounts... 10,286 22.0 Transportation of things...--- persons. 329 40 23.0 Rent, communications, and utilities. 25.2 Services of other agencies. 25.3 Payment to "Bureau of State Services 70 Receipts and other offsets (items 11-17)... 10,286 26.0 Supplies and materials. management fund". 31.0 Equipment.. 41.0 Grants, subsidies, and contributions. 72 Obligated balance, start of year... 96,082 -96,082 -149,681 219,623 248,549 273,554 90 Expenditures 14.700 37,000 Federal funds are provided on an individual project basis to assist in the construction of medical, dental, pharmaceutical, optometric, podiatric, osteopathic, and public health teaching facilities under the provisions of Public Law 88-129 (approved September 24, 1963) and the construction of schools of nursing under the provisions of Public Law 88-581 (approved September 4, 1964). These funds provide the basis for expanding and rehabilitating teaching facilities and represent an important step in increasing the supply of vitally needed physicians, dentists, nurses, and other health professions personnel. 1. Grants (a) Construction of teaching facilities for medical, dental, and other health personnel.-Grants are made to public and other nonprofit agencies and organizations for construction of teaching facilities for medical, dental, and other health personnel. As of July 31, 1964, institutions have submitted 184 letters of intent. Of these, 137 estimates have been received, indicating a need of over $1 billion in total construction costs. The $75 million requested for 1966 will provide a $150 million program for that year, assuming that the Federal participation will average 50%. 41.0 Total number of permanent positions.. Average GS salary.... GEORGE WASHINGTON UNIVERSITY HOSPITAL CONSTRUCTION Identification code (b) Construction of teaching facilities for nurses.-Grants are made to public and other nonprofit organizations for construction of teaching facilities for nurses. As of July 31, 1964, institutions have submitted 67 letters of intent. 09-20-0360-0-1-651 Of these, 43 estimates have been received, indicating a need of over $65 million in total construction costs. The $15 million requested for 1966 will provide a $30 million program for that year, assuming that the Federal participation will average 50%. 2. Operations and technical services.-Planning agencies and sponsoring institutions are provided technical assistance in (a) assessing and evaluating their teaching facility needs, (b) determining the type, size, and location of additional facilities required, (c) developing coordinated and well-balanced teaching programs, and (d) planning, programing, and designing teaching facilities. Applications for aid in constructing teaching facilities are reviewed to determine their eligibility and compliance with the law and regulations. Site visits are made of proposed projects for the purpose of evaluating the validity of and need for teaching facilities proposed and establishing the basis for determination regarding relative priority. Plans and specifications are reviewed for compliance with standards, surveillance is maintained over contract awards, payment of approved wage rates and other aspects of construction, and payments are certified based on the inspections of site work. Funds for construction purposes are committed for the projects after consultation with the appropriate National Advisory Council. Payments are computed and made as construction progresses. Program by activities: 10 Grants for hospital construction (costs- 40 New obligational authority (appropriation) – Relation of obligations to expenditures: 71 Total obligations (affecting expenditures). 2,500 72 74 Obligated balance, end of year. Obligated balance, start of year.. 2,500 1,000 -2,500 -1,000 Expenditures. 1,500 1,000 90 ENVIRONMENTAL HEALTH SCIENCES To carry out, except as otherwise provided for, sections 301, 311, and 314(c) of the Act with respect to environmental health and arctic health activities, [$9,350,000 $15,933,000. (Department of Health, Education, and Welfare Appropriation Act, 1965.) Note. Includes $156 thousand for activities previously carried under the following titles (in thousands of dollars): 40 18 5 32 61 Excludes $5 thousand for activities transferred in the estimates to "Salaries and expenses, Office of the Surgeon General." The amounts obligated in 1964 and 1965 are shown in the schedule as comparative transfers. 1965 1966 estimate estimate 6,219 3,578 1 Includes capital outlay as follows: 1964, $35 thousand; 1965, $449 thousand; 1966, $409 thousand. 2 Selected resources as of June 30 are as follows: Unpaid undelivered orders 1963, $0; 1964, $154 thousand; 1965, $154 thousand; 1966, $154 thousand. This appropriation finances extramural and intramural research and training activities which are basic to all environmental health programs. These activities, together with those funded by the categorical appropriations, make possible a unified approach to the study of the health of man in his total environment. 1. Grants (a) Research.-Research grants which are multicategorical in purpose or scope and which cannot be appropriately funded in a categorical appropriation are awarded to organizations and institutions for the conduct of basic research in all environmental health scientific areas. This includes the establishment of institutes for research and research training which are located within academic institutions regionally distributed throughout the Nation. Approximately 59 projects will be supported in 1966 as compared to 37 in 1965 and 23 in 1964; 5 of the 59 projects proposed for 1966 will be university institutes for environmental health sciences. (b) Training.-Grants are made to colleges and universities to provide support for the development and improvement of broad-based engineering and scientific 15,933 competencies required for environmental health research. Approximately 55 projects will be supported in 1966 as compared to 45 in 1965. 864 3,378 5,272 5,272 15,933 Change in selected 2. Arctic Health Research Center.-At the research center in Alaska, studies are conducted on problems of 15,933 environmental sanitation, endemic and epidemic communicable diseases, including diseases transmissible from animals to man, and the nutritional and physiological aspects of arctic life. The increase requested in 1966 will be used for the transfer of the environmental sanitation section from Anchorage, Alaska to the new water pollution control field laboratory in Fairbanks, Alaska. 15,933 4,224 9,350 -4 42 Transferred from "National Heart Institute" (78 Stat. 210).. 15 43 Appropriation (adjusted). 4,235 44 Proposed supplemental due to civilian pay increases.. 9,350 15,933 Proposed supplemental due to military 15.933 9,380 15,933 3. Research, training, and technical services.-Research on problems of common interest to all environmental health programs is undertaken in environmental toxicology, epidemiology, and pesticides. The increase requested in 1966 will permit emphasis on development of more sensitive methods for toxicological analysis and biological assessment; expansion of the pesticide registration program, the pesticide intelligence system, and the nine community studies initiated in 1965, together with initiation of three new ones. |