(b) Enforcement. To investigate, document and carry out pollution control enforcement actions. The budget will meet additional needs for expanding existing studies, investigating new interstate pollution problems, postaction surveillance activities and new enforcement actions. (c) Research, training, and technical services.-To conduct research, field studies and demonstrations of water pollution problems, provide technical assistance and training to Federal, State, and local agencies, collect and disseminate basic data, and service the extramural and waste treatment construction grant programs. Funds are included to expand the acid mine drainage project. The 1966 increase is primarily to provide for activities to be conducted in six new water pollution control laboratories and two new national water quality laboratories. Four of the six water pollution control laboratories and one of the national water quality laboratories will be completed in 1966. Object Classification (in thousands of dollars) Identification code 77 Adjustments in expired accounts.. -186 09-20-0332-0-1-651 1 Includes capital outlay as follows: 1964, $976 thousand; 1965, $1,800 thousand: 1966, $2,100 thousand. Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963, $1.767 thousand (1964 adjustments. -$18 thousand): 1964, $2,007 thousand; 1965, $2,916 thousand; 1966, $3,636 thousand. 1. Grants (a) Research.-Grants are made to public or private agencies, institutions, and individuals for research into problems related to water supply and pollution control. Approximately 215 projects will be supported as compared to 230 in 1965 and 203 in 1964. (b) Fellowships.-Awards support graduate and postgraduate training of individual scientists and engineers in water pollution control research. An estimated 114 fellowships will be awarded as compared to 98 in 1965 and 75 in 1964. 12.0 Personnel benefits.... (c) Training.-Grants to colleges and universities expand training of scientific and engineering manpower required for research and technical operations in water pollution control. An estimated 62 training projects will be supported as compared to 56 in 1965 and 54 in 1964. (d) Control programs.-Grants are made to States and interstate water pollution control agencies to assist them in maintaining adequate programs for water pollution Total number of permanent positions. control. Full-time equivalent of other positions.. Average salary of ungraded positions.. GRANTS FOR WASTE TREATMENT WORKS CONTRUCTION For payments under section 6 of the Water Pollution Control Act, as amended (33 U.S.C. 466e), [$90,000,000: Provided, That allotments under such section 6 for the current fiscal year shall be made on the basis of $100,000,000: Provided further, That none of the sums allotted to a State shall remain available for obligation after December 31, 1965] $100,000,000. (Department of Health, Education, and Welfare Appropriation Act, 1965.) 1,185 173 23.0 Rent, communications, and utilities. 427 24 Unobligated balance available, end of year. 40 New obligational authority (appropriation).. -19,300-23,873 23,873 21,000 -21,000 21,000 Grants are made to State, municipal, intermunicipal, and interstate agencies to stimulate and assist in the construction of sewage treatment works. Funds are allocated to States and other jurisdictions on the basis of population and per capita income. Funds allotted to a State which are not obligated within 6 months following the end of the year for which appropriated are subject to reallotment to States having unmet needs. Before any funds are withdrawn from a State, however, additional grants may be made to communities experiencing Federal impact. State water pollution control agencies certify individual project priorities on the basis of the extent of water pollution and financial need. The Federal Government makes grant offers directly to the municipal or other sponsor of certified projects and administers the grants. A grant may not exceed $600 thousand or 30% of the cost of the project for which it was awarded, whichever is smaller. Where a project serves more than one municipality, the grant is computed on the basis of each community's share of the project cost, under the 30% or $600 thousand limitations, but the aggregate amount of the grant may not exceed $2.4 million. MEDICAL SERVICES HOSPITALS AND MEDICAL CARE For carrying out the functions of the Public Health Service, not otherwise provided for, under the Act of August 8, 1946 (5 U.S.C. 150), and under sections 301 (with respect to research conducted at facilities financed by this appropriation), 321, 322, 324, 326, 331, 332, 341, 342, 343, 344, 502, and 504 of the Act, section 810 of the Act of July 1, 1944, as amended (33 U.S.C. 763c), the Act of July 19, 1963 (Public Law 88-71), Private Law 419 of the Eighty-third Congress, as amended, and Executive Order 9079 of February 26, 1942, including purchase and exchange of farm products and livestock; [purchase of not to exceed two passenger motor vehicles for replacement only;] and purchase of firearms and ammunition; [$53,338,000] $56,846,000, of which $1,200,000 shall be available only for payments to the State of Hawaii for care and treatment of persons afflicted with leprosy: Provided, That when the Public IHealth Service establishes or operates a health service program for any department or agency, payment for the estimated cost shall be made by way of reimbursement or in advance for deposit to the credit of this appropriation. (Department of Health, Education, and Welfare Appropriation Act, 1965.) Transferred from "National Heart Institute" (78 Stat. 210).. 1,331 43 790 Proposed transfer from "Assistance 749 to refugees in the United States". 1,299 The 1961 amendments to the Federal Water Pollution Control Act authorized an annual level of Federal grant money of $90 million for 1963 and $100 million for 196467. However, in 1964 and 1965 Congress appropriated $90 million on the basis of a $100 million allocation. This estimate provides the maximum amount authorized for 1966. Number of: Construction starts Plants finished. Grant offers. WORKLOAD STATISTICS The estimates for 1966 reflect savings from the proposed closing of two hospitals, cost of care of patients hospitalized in contract facilities, provision of staff for the added workload of increased outpatient visits and the care of new fisherman beneficiaries, staff increases to improve patient-staff ratios, enlargement of the intern and resident training program, and the initiation of a 4year plan to eliminate the backlog of equipment replacement needs in these hospitals. Funds are included in the budget estimate for the Buildings and facilities appropriation to plan the modernization of the five largest hospitals. 2. Coast Guard medical services.-Medical services are provided for Coast Guard personnel at shore stations and on vessels. 3. Operation of health units.-The Service operates health programs for Federal agencies on a reimbursable basis. Consultative and related services are performed for Federal agencies relative to their employee health programs. 4. Personnel detailed to other agencies.-Medical, dental, and other professional personnel are detailed to certain other Federal agencies on a reimbursable basis. 5. Payments to Hawaii.-Grants are made to Hawaii to persons afflicted. defray the cost of care and treatment of with leprosy. Average daily patient load is expected to be 268 in 1966, compared with 274 in 1964 and 272 in 1965. A supplemental appropriation is anticipated for 1965. Object Classification (in thousands of dollars) 1. Inpatient and outpatient care. With the closing in AVERAGE DAILY PATIENT LOAD AND ANNUAL TOTAL Identification code Personnel compensation: 11.1 Permanent positions....... 11.3 Positions other than permanent.. 11.5 Other personnel compensation. Total personnel compensation.. 12.0 Personnel benefits.... 21.0 Travel and transportation of persons. 513 Leprosarium.. 314 314 314 25.1 Other services.. 25.2 Services of other agencies.. 26.0 Supplies and materials. 31.0 Equipment... 41.0 Grants, subsidies, and contributions.. Narcotic addicts... 1,294 1,294 1.294 Patients with leprosy.. 319 Coast Guard... 260 Veterans.. Bureau of Employees' Compensation.. 121 281 Under existing legislation, 1965.-An increase of $427 thousand is required to finance wage board costs that were not included in the 1965 appropriation. FOREIGN QUARANTINE ACTIVITIES For carrying out the purposes of sections 361 to 369 of the Act, relating to preventing the introduction of communicable diseases from foreign countries, the medical examination of aliens in accordance with section 325 of the Act, and the care and treatment of quarantine detainees pursuant to section 322 (e) of the Act in private or other public hospitals when facilities of the Public Health Service are not available, including insurance of official motor vehicles in foreign countries when required by law of such countries, [$6,851,000] $7,811,000. (Department of Health, Education, and Welfare Appropriation Act, 1965.) Program and Financing (in thousands of dollars) Quarantine and visa medical examination activities.Aliens and visa applicants are examined in order exclude those who are physically or mentally defectiy and to prevent issuance of visas to persons medical excludable from the United States. Other inspections a made to prevent the introduction into the United Stat of quarantinable and other communicable diseases. Increases in 1966 are for (a) cost of increased soci security contributions; (b) increased reimbursements State Department for administrative support; (c) i creased cost of civil service retirement for foreign servi nationals; and (d) extending to two new locations foreign countries the physical examination of visa appl cants by personnel under contract with the Public Healt Service. Basic workload data are: [In thousands] Expenditures excluding pay increase supplementals. Expenditures from military pay in crease supplemental.. 82 INDIAN HEALTH ACTIVITIES For expenses necessary to enable the Surgeon General to carry out the purposes of the Act of August 5, 1954 (68 Stat. 674), as amended; purchase of not to exceed [thirty-three] thirty-nine passenger motor vehicles, including twenty-three for replacement only; hire of passenger motor vehicles and aircraft; purchase of reprints; payment for telephone service in private residences in the field, when authorized under regulations approved by the Secretary; and the purposes set forth in section 301 (with respect to research conducted at facilities financed by this appropriation), 321, 322(d), 324, and 509 of the Public Health Service Act; [$61,620,000 $66,093,000. (Department of the Interior and Related Agencies Appropriation Act, 1965.) Program and Financing (in thousands of dollars) 1 Includes capital outlay as follows: 1964, $743 thousand; 1965, $782 thousand; 1966, $1,420 thousand. Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963, $1,613 thousand (1964 adjustments, $324 thousand); 1964, $1,564 thousand; 1965, $1,564 thousand: 1966, $1,564 thousand. 3 Reimbursements from non-Federal sources represent collections from pay patients (42 U.S.C. 221). This program provides medical care and public health services for Indians and Alaska native beneficiaries. Increases in 1966 are for (a) additional staff to meet expanding outpatient workloads and to staff new facilities, (b) to provide for medical residency programs, (c) to improve service in hospital and health programs, and (d) the initiation of a 4-year plan to eliminate the backlog of equipment replacement needs in Indian hospitals. 1. Hospital health services.-This activity consists of 47 general hospitals and their outpatient clinics and 2 tuberculosis sanatoriums, 42 in the continental United States and 7 in Alaska. These totals do not include Tucson (San Xavier) hospital where direct hospital serv |