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1964 actual

2. Domiciliaries..

3. Nursing homes.

750-100-65--55

1964 actual

50 8,750 18,292

50 8,780 13,156

60 9,278 8,247

27,092 21,986 17.585

274

36

310

1965 estimate

274

52

-65

-3

258

1965 1966 estimate estimate

310

310

310

65 -65

310

1966 estimate

Grants-in-aid are made to the Republic of the pines for the medical care and treatment of eligible Philippine Commonwealth Army veterans. Section 632 of title 38, United States Code, as amended, provides for reimbursement at agreed upon patient per diem rates, up to a maximum annual amount of $500 thousand. Medical care and treatment is provided by the Philippine Veterans

Total estimate

91,231 406,913 145,018

386

100, 175
7,937

10,000

386

386

65 -65

Memorial Hospital in Manila, which was constructed from
U.S. grants-in-aid totaling approximately $9,400 thousand.

A supplemental appropriation for 1965 is anticipated under Proposed for separate transmittal in the amount of $76 thousand.

386

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Program and Financing (in thousands of dollars)

Costs to this appropriation

To June 1964
30, 1963 actual

CONSTRUCTION OF HOSPITAL AND DOMICILIARY FACILITIES

For hospital and domiciliary facilities, for planning and for major alterations, improvements, and repairs and extending any of the facilities under the jurisdiction of the Veterans Administration or for any of the purposes set forth in sections 5001, 5002, and 5004, title 38, United States Code, [$98,103,000, including necessary expenses of administration, $97,006,000 to remain available until expended: Provided, That the limitation under the head ["Hospital and domiciliary facilities"] "Construction of hospital and domiciliary Philip-facilities" in the Independent Offices Appropriation Act, [1957 and modernization for the continued operation of the hospital at 1962 on the amount available for [major alteration, rehabilitation, McKinney, Texas, is reduced from "$2,000,000" to "$1,990,000".1 technical services for replacement of the general medical and surgical hospital at Nashville, Tennessee is reduced from "$921,600" to “$846,600.” (Independent Offices Appropriation Act, 1965.)

74,518 11,479
66,692 25,215

67,505 12,128

18,178
326

21,156

1,423

Under existing legislation, 1965.-A supplemental appropriation of $76 thousand is proposed for separate transmittal to permit payment of increased per diem rates to the Philippine Veterans Memorial Hospital for the care and treatment of Commonwealth Army veterans. These rates were recently renegotiated in accordance with provisions of title 38 U.S.C. 632.

1965 estimate

3,063 44,062

13,648

17,463
51
1,000

1964 actual

Note.-Includes $2,006,000 for activities previously carried under "Medical administration and miscellaneous operating expenses." The amounts obligated in 1964 and 1965 are shown in the schedule as comparative transfers.

1966 estimate

518 50,607

15,818

14,121
100
3,600

1965 estimate

Deduct selected resources and unobligated balance, start of year

Analysis of 1966 financing

76

Add selected resources and unobligated balance, end of year

76

2,171 139,788

1,653 138,714

19,119 25,069

15,336 13,832

400 4,000 5,400

76

76

1966 estimate

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1 Selected resources as of June 30 are as follows:
Unpaid undelivered orders......
Advances....

Total selected resources..

2,260
23

18

|

These funds provide for the construction of new hospital and domiciliary facilities, replacement and relocation of existing hospitals and domiciliaries, acquisition of sites, modernization and other improvements, alterations and additions for medical research facilities, nursing home beds, regional offices, supply depots, and data processing centers, including construction, administrative and related staff activities. This estimate is for the sixth increment for financing a 15-year program to modernize the hospital system. While this program will be primarily for improvements to the older (pre-World War II) hospitals, it will also provide for replacement of 12 hospitals acquired from military surplus, for air conditioning where indicated and for the correction of deficiencies in post-World War II hospitals as necessary to bring them up to modern medical

standards.

1964 actual

A construction program of $97,006 thousand is recommended for 1966 to be with obligational authority. The amount for construction of replacement and relocation hospitals includes $17,093 thousand for a

1,767
376
30
1,829

1965 estimate

1,700
76

61
1,970

1966 estimate

6,453

47

2,007

75,403 83,094
35,885 36,718

93,271
4,347

111,288 119,812 97,618

-1,814 -1,965 -72,589-39,911-20,167 39,911 20,167 19,555 76,796 98,103 97,006

111,288 119,812 97,618

-1,814 -1,965

97,618

109,474 117,847
103,425 142,574 180,421
-142,574-180,421-185,539

70,325 80,000 92,500

Analysis of 1966 financing

Add
selected

resources
and un-
obligated
balance,

end of

year

Deduct selected

resources

and unobligated balance

start of

year

7,931

47

34

188,426

7,060

33

192, 161

1963 1964 1965 93,450 129, 885 166, 703 2,206 1,656 1,556

1966 171, 150 1,456

95,656 131,541 168, 259 172,606

Appropri

ation re

Appropri- quired to
ation complete
required
for 1966

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760-bed hospital at Chicago, Ill.; $11,815 thousand for a
480-bed hospital at Columbia, Mo.; $15,109 thousand for
the first phase of replacement and modernization at North-
replacement and modernization at Hines, Ill.;, $1,013
port, N.Y.; $1 million to complete first phase of the
thousand to complete 1,040-bed hospital at Los Angeles,
Calif.; $703 thousand to complete 1,160-bed hospital at
Long Beach, Calif.; $1 million for site acquisition
for the 1,000-bed hospital at Long Island, N.Y.; $800
Tex.; and $1 million for planning a 1,040-bed hospital
thousand for planning a 760-bed hospital at San Antonio,
at San Diego, Calif. The amount for modernization
and other improvement projects includes $24,819 thousand
to continue projects for which planning is in
process
$9,566 thousand for new projects which will ultimately cost
$20,226 thousand. $500 thousand is included for planning
the modernization of a hospital building for domiciliary
additional 2,000 beds for furnishing nursing home care,for
at Wood, Wis.; $5 million is included to provide an
accordance with Public Law 88-450. The amount for

and

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research facilities includes $3,392 thousand to continue projects for which planning is in process and $2,190 thousand for new projects. Also included is $2,006 thousand for planning, administration and related staff activities.

In accordance with the Government's policy to provide fallout shelter facilities in new construction, funds are included in this estimate for fallout shelter facilities as follows: For construction and planning Northport, N.Y., $69 thousand. For planning only: San Antonio, Tex., $8 thousand; San Diego, Calif., $8 thousand; and Lexington, Ky., $6 thousand. It is estimated that a total of $245 thousand will be requested in future budgets to complete construction of the shelter facilities at these 3 stations.

1. Hospitals-(a) New.--This activity covers the new hospitals and bed-addition projects authorized in 1947 and subsequent years. It provides for 77 projects to add 38,240 beds and 12 projects for conversion of beds at existing hospitals. This activity is scheduled for completion with the construction of the Washington, D.C., 710-bed hospital in 1965.

(b) Replacement and relocation.-This activity provides for replacement and relocation of beds which are housed in temporary, obsolete or hazardous structures. The program, initiated in 1955, currently includes 24 projects for approximately 18,129 beds. Status of beds to be provided under this title follows:

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Completed as of June 30, 1964.

Under construction June 30, 1964.
Scheduled to be placed under construction, 1965....

4. Research facilities. This activity provides for construction of medical research facilities. The status of the projects in this program, excluding those which were financially completed as of June 30, 1963, follows (dollars in thousands):

Identification code 29-00-0108-0-1-804

11.1 11.3

11.5

1965 estimate 1966 estimate 500 2,500 2,000

VETERANS ADMINISTRATION

Personnel compensation:
Permanent positions.
Positions other than permanent....
Other personnel compensation.......

Total personnel compensation.. Personnel benefits....

12.0 21.0

Travel and transportation of persons. 22.0 Transportation of things........... 23.0 Rent, communications, and utilities.

1,500

1,000

5. Experimental hospital facilities.-This program was initiated in 1963 to provide experimental facilities to help determine the most advantageous functional arrangements for hospital nursing units and supporting facilities. The only project currently authorized under this title is estimated to cost $475 thousand and was placed under construction in 1963. No new projects are proposed in 1966. 6. Other facilities.-This activity provides for necessary construction at all other Veterans Administration facilities including regional offices, supply depots and data processing centers. No new projects are proposed in 1966. The status of the projects in this program, excluding those which were financially completed as of June 30, 1963, follows (dollars in thousands):

1,000

500 2,500

Number of Total estimated projects cost of projects

1964 actual

Number of projects

4,308 587 34 4,929

331

143

6

13

25

15

1

7. General administration. This activity provides for planning, administration and related staff activities previously carried under "Medical Administration and Miscellaneous Operating Expenses." The amounts in 1964 and 1965 for this activity are shown in the schedule as comparative transfers.

Object Classification (in thousands of dollars)

7

48

3,000 1,000

1965 estimate

$2,126

2,543

4,698 660 35 5,393 365

156

7

48

6,926

7,599 507

Total estimated cost of projects $48 56 52

1966 estimate

4,736 659 35

5,430

369

179 7

48

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Grants are to be made to assist the several States to construct State home facilities for furnishing nursing home care to war veterans as authorized by 78 Stat. 501, enacted August 19, 1964. This legislation authorizes the appropriation of $5 million each year for 5 years commencing in 1965 for this purpose. This request covers the first annual increment under this authorization.

Grants may not exceed 50% of the estimated cost of construction of each project. The number of beds for which grant funds may be authorized for any State may not exceed a ratio of 1 per 2,000 war veterans.

5,000

10

14

27

10 70

ALLOCATIONS RECEIVED FROM OTHER ACCOUNTS

Note. Obligations incurred under allocations from other accounts are included in the schedules of the parent appropriations as follows: Health, Education and Welfare:

Office of Education, "Payments to school districts."
Public Health Service, "National Cancer Institute."

Funds appropriated to the President, "Public works acceleration, executive."

Public enterprise funds:

Total program costs, funded..
Change in selected resources 1-

Total obligations.....
Financing:

Receipts and reimbursements from:
Non-Federal sources:

Sales program: Revenue..
Undistributed receipts:

Proceeds from sale of equipment...
Miscellaneous revenue...

21.98 Unobligated balance available, start of

71

Identification code 29-00-4014-0-3-805

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CANTEEN SERVICE REVOLVING FUND Program and Financing (in thousands of dollars)

year.

Obligations in excess of availability, start of year...

24.98 Unobligated balance available, end of

93

94

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year.

Obligations in excess of availability, end of year-Capital transfer to general fund.

New obligational authority....

Relation of obligations to expenditures: Total obligations.___

72.98 Obligated balance, start of year.
74.98 Obligated balance, end of year..

90

Expenditures

Obligations affecting expenditures..

1964 actual

Cash transactions:

Gross expenditures....
Applicable receipts..

504 49,125 281 49,406

34,960 36,607 37,908

11,878 12,598 13,178 1,783 1,953 1,966

48,621

51,158

53,052

49,406 Receipts and other offsets (items 11-17)-| -49,962

609

1,500

1965 1966 estimate estimate

-556

3,864 -3,515

-207

814

51,972 209 52,181

-49,797 -52,055 -53,941

-35

-30

-30 -141

-130

-135

-1,553

-609

-471

1,119

938

-39

3,515 -3,646

-170

53,990

53.990

471

-519 170

52,181 53,990 -52,220 -54,112

- 122 3,646 -3,742 -218

49,758 52,048 53,894 -49,965-52,218-54,112

1 Balances of selected resources are identified on the statement of financial condition.

The Veterans Canteen Service was established by Congress in 1946 to furnish at reasonable prices merchandise and services necessary to the comfort and well-being of veterans in hospitals and domiciliaries operated by the Veterans Administration (38 U.S.C. 4201-08).

Budget program. Sales are expected to be $52,055 thousand in 1965 and it is estimated sales will be $53,941 thousand during 1966. Operating costs will increase

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