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 10,000 386 386 65 -65 Memorial Hospital in Manila, which was constructed from A supplemental appropriation for 1965 is anticipated under Proposed for separate transmittal in the amount of $76 thousand. 386 Program and Financing (in thousands of dollars) Costs to this appropriation To June 1964 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 67,505 12,128 18,178 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 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 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 1 Selected resources as of June 30 are as follows: Total selected resources.. 2,260 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 1965 estimate 1,700 61 1966 estimate 6,453 47 2,007 75,403 83,094 93,271 111,288 119,812 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 70,325 80,000 92,500 Analysis of 1966 financing Add resources 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 760-bed hospital at Chicago, Ill.; $11,815 thousand for a and 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: Completed as of June 30, 1964. Under construction June 30, 1964. 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: 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 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." Funds appropriated to the President, "Public works acceleration, executive." Public enterprise funds: Total program costs, funded.. Total obligations..... Receipts and reimbursements from: Sales program: Revenue.. Proceeds from sale of equipment... 21.98 Unobligated balance available, start of 71 Identification code 29-00-4014-0-3-805 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 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. 90 Expenditures Obligations affecting expenditures.. 1964 actual Cash transactions: Gross expenditures.... 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 |