29,042 28,641 28,716 5,440 -6,065 -186 1965 estimate 27,905 35,009 35,065 35,126 6,065 -7,441 33,638 112 1966 estimate 40,601 (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 40,601 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) 40,601 40,601 7.441 -9,068 38,969 5 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. control. (e) Demonstration.-Grants are awarded public and private institutions and agencies for field investigations and studies of an applied nature to test and illustrate the applicability of research findings and newly developed techniques to problems of water supply and pollution control. An estimated 25 grants will be supported as compared to 29 in 1965 and 19 in 1964. 2. Direct operations (a) Comprehensive planning.—To develop comprehensive river basin water pollution control programs to conserve the waters of the Nation. The funds provide for expanding five existing projects, initiating two new projects and contraction of two existing projects. (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 Full-time equivalent of other positions. Average GS salary Average salary of ungraded positions.. 26.0 Supplies and materials.. 41.0 Grants, subsidies, and contributions.. 99.0 Total obligations... Personnel Summary 1964 actual 7.885 40 8,242 1,185 1,035 173 427 236 753 597 700 1,306 56 693 1,002 72 12,163 2 28,641 1,326 63 1,188 7.5 $7,219 $5,744 1965 1966 estimate estimate 9,634 29 9,978 1.474 1,216 175 577 212 1,284 600 1,182 1,329 67 885 1,294 870 13,921 1 35,065 12,394 455 29 12,878 1,795 1,482 250 749 282 1,360 600 1.427 1,419 54 1,081 1.246 1,370 14,607 1 40,601 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 De cember 31, 1965] $100,000,000. (Department of Health, Education, and Welfare Appropriation Act, 1965.) PUBLIC HEALTH SERVICE-Continued General and special funds-Continued ENVIRONMENTAL HEALTH-Continued GRANTS FOR WASTE TREATMENT WORKS CONSTRUCTION-Con. Program and Financing (in thousands of dollars) Identification code 09-20-0352-0-1-651 Program by activities: 10 Grants for construction (costs-obligations) (object class 41.0). Financing: 21 Unobligated balance available, start of year... 24 Unobligated balance available, end of year. 40 New obligational authority (appropriation).. Relation of obligations to expenditures: 71 Total obligations (affecting expenditures) 72 Obligated balance, start of year. 74 Obligated balance, end of year.. 77 Adjustments in expired accounts. 90 Expenditures... Number of: Construction starts Plants finished. Grant offers. WORKLOAD STATISTICS 1957-63 92,873 -23,873 21,000 3,700 790 749 2,651 4,406 729 100,000 85,427 92,873 100,000 149,615 167,539 186,412 -167,539-186,412 -206,412 -1,070 66,432 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. 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. -21,000 21,000 90,000 100,000 74,000 80,000 1964 1965 1966 actual estimate estimate 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.) Program and Financing (in thousands of dollars) 3. Operation of health units. 4. Personnel detailed to other agencies.. 5. Payments to Hawaii.. Financing: Receipts and reimbursements from: Comparative transfers from other accounts. 46 Total program costs, funded 1 Change in selected resources 2. Total obligations..... 11 14 16 25 Unobligated balance lapsing............. New obligational authority.. New obligational authority: 40 Appropriation 42 Transferred from "National Heart Institute" (78 Stat. 210)... 1964 actual Appropriation (adjusted). Proposed transfer from "Assistance to refugees in the United States"-- 168 -30 -24 114 1964 actual 1965 estimate 59,183 380 59,564 30 -7,689 -554 -34 6 30 55,159 59,185 61,140 1,570 1,730 1,751 943 1.098 1,108 312 355 356 1,200 1,200 1,200 63,568 65,555 1965 1966 estimate estimate 63,568 1966 estimate 51,293 54,637 -8.334 -8,109 -597 -600 65,555 56,846 56,846 56,846 Hospital patients, by type of hospital: General hospitals. Psychiatric hospitals. 1963 750 770 Total...... Hospital patients, by type of beneficiary: American seamen.. Narcotic addicts.. Patients with leprosy. Coast Guard... Bureau of Employees' Compensation.. Veterans.. Uniformed services dependents. Total.... Includes capital outlay as follows: 1964, $691 thousand; 1965, $980 thousand; 1966, $1,565 thousand. 1 Selected resources as of June 30 are as follows: 1964 actual 59,564 -8,277 1964 adjustments 1965 1966 848 848 1,007 1,007 Total selected resources. 1,520 45 1,855 1,855 1,855 Reimbursements from non-Federal sources represent collections from pay patients (42 U.S.C. 221). 1. Inpatient and outpatient care. With the closing in 1965 of the Chicago and Memphis hospitals, the remaining 10 general hospitals, 2 psychiatric hospitals, and a leprosy hospital will be operated to provide medical and dental care to the legal beneficiaries of the Public Health Service. In the general hospitals, the primary direct beneficiaries cared for are American seamen, coastguardsmen and their dependents and Government employees injured in the course of their work. Reimbursable care is furnished for patients of other agencies, the largest segment thus provided for being Department of Defense personnel and their dependents. Estimated inpatient workloads by type of hospital are expected to be as follows: AVERAGE DAILY PATIENT LOAD AND ANNUAL TOTAL OUTPATIENT VISITS 1964 actual 2,478 1,813 314 4,605 1,711 1,294 319 1964 848 -45 1,007 1965 1966 estimate estimate 51,287 3,279 -2,090 -114 52,362 51,894 259 165 234 275 348 4,605 763,624 609,833 63,568 65,555 -8,931 -8,709 54,637 56,846 2,090 4,833 -4,833 -7,141 54,538 1,757 1,294 319 268 163 195 289 339 4,624 804,000 641,900 129 138 1 194 Contract care patients............--- 1965 estimate 1966 estimate 2,530 2,386 1,780 1.786 314 314 4,624 4,486 1,695 1.294 319 260 121 195 281 321 4,486 770,000 723,800 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. Total number of permanent positions.. Average salary of ungraded positions.. 1964 actual 39,569 574 1,266 527 467 41,409 43,792 4,917 5,077 1,217 138 2,572 965 5,911 664 1,210 28 60,025 -461 59,564 7,027 121 6,681 5.4 $5,789 $5,315 1965 1966 estimate estimate 41,872 42,261 613 613 1,307 1,285 519 489 1,217 119 2,653 1,578 6,395 980 1,210 64,029 -461 63,568 6,950 121 6,690 5.4 $6,095 $5,505 44,159 5,167 513 483 1,168 119 3,026 2,242 6,330 1,565 1,210 65,982 -427 65,555 6,900 121 6,672 5.5 $6,094 $5,424 Identification code 09-20-0310-0-1-651 10 43 44 Program by activities: Quarantine and visa medical activities (program costs, funded) 1. Change in selected 2 resources Total obligations. 1964 actual 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) Appropriation (adjusted). Proposed supplemental due to civilian pay increase.... Proposed supplemental due to military pay increase... 1965 estimate 1964 actual 427 427 427 -12 415 6.456 98 6,554 1965 estimate 1966 estimate 6,851 12 6,851 145 13 12 1966 estimate 7,311 7,311 7,311 7,311 7,311 10 11.5 Object Classification (in thousands of dollars) 1964 actual Personnel compensation: Permanent positions... Positions other than permanent.. Other personnel compensation......... Total personnel compensation.... 12.0 Personnel benefits..... 21.0 Travel and transportation of persons. 22.0 Transportation of things..... 23.0 Rent, communications, and utilities. 24.0 Printing and reproduction.... 25.1 Other services.. 25.2 Services of other agencies. 26.0 Supplies and materials.. 31.0 Equipment..-- Subtotal..... 95.0 Quarters and subsistence charges.. 99.0 Total obligations...... Total number of permanent positions.... Full-time equivalent of other positions. Average number of all employees.. Average GS grade.. Identification code 09-20-0390-0-1-651 Average GS salary. Average salary of ungraded positions. Personnel Summary 1964 actual 272 195 124 95 6,574 -27 6,547 1965 1966 estimate estimate 4,901 63 296 5,260 469 183 88 139 39 450 222 124 62 689 691 11 10 639 665 5.4 $5,789 5.4 $6,095 $5,315 $5,505 4,921 61 298 5.280 476 183 88 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) 7,036 -27 7,338 -27 7,009 7,311 710 241 124 58 139 39 686 10 660 5.5 $6,094 $5.424 1965 1966 estimate estimate 36,763 38,151 39,478 10,977 11,815 12,892 10,654 11.662 12,670 1,753 1,834 1,843 -324 59,822 63,462 66,883 275 60,097 63,462 66,883 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 |