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Mrs. GREEN. Mr. Chairman, would the gentleman yield?

Mr. GOODELL. Yes.

Mrs. GREEN. Could we ask at the same time that there be included in the record a breakdown by the Department?

The CHAIRMAN. Would you bring that form, Mr. Keppel?

Mr. FRELINGHUYSEN. Mr. Chairman, while we are asking unanimous consents, I would very much like to get a breakdown of what is involved in our medical school construction program, the National Science Foundation and other aspects of education which are not brought under this particular umbrella we have been discussing this

morning.

Mr. CELEBREZZE. We will put it in the record, Mr. Chairman.

SUMMARY OF H.R. 12, 88TH CONGRESS

SHORT TITLE: THE "HEALTH PROFESSIONS EDUCATIONAL ASSISTANCE
ACT OF 1963"

CONSTRUCTION GRANTS

A new 10-year grant program to assist in the construction of new teaching facilities for training of physicians, osteopaths, dentists, pharmacists, optometrists, podiatrists, nurses, and professional public health personnel would be provided in a new part B to title VII of the Public Health Service Act.

Sums authorized to be appropriated each year for grants would be limited by annual ceilings for the 10-year period, July 1, 1963, to June 30, 1973, as follows:

1. Not to exceed $45 million annually for grants for new or expanded teaching facilities for the training of physicians, osteopaths, pharmacists, optometrists, podiatrists, nurses, or professional public health personnel. 2. Not to exceed $15 million annually for grants for new or expanded teaching facilities for the training of dentists.

3. Not to exced $15 million annually for grants for the replacement or rehabilitation of existing teaching facilities for the training of physicians, osteopaths, dentists, pharmacists, optometrists, podiatrists, nurses, or professional public health personnel.

Priority for new or expanded teaching facilities would be based on the relative effectiveness of the proposed facility in expanding the capacity for training students of medicine, dentistry, pharmacy, optometry, podiatry, nursing, or osteopathy, or for the training of professional public health personnel, and in promoting an equitable geographical distribution of opportunities for such training.

Priority for replacement or rehabilitation of existing facilities would be based on the relative need for such replacement or rehabilitation to prevent curtailment of the school's enrollment or deterioration of the quality of training provided, and the relative size of any such curtailment and its effect on the geographical distribution of opportunities for training.

Institutions eligible to apply for grants must be public or other nonprofit schools of medicine, osteopathy, dentistry, pharmacy, optometry, podiatry, or nursing accredited by a recognized body or bodies approved by the Commissioner of Education, or a hospital affiliated with a medical school otherwise eligible to apply if the medical school has approved the application.

The Federal share of construction costs in the case of new schools or major expansion of existing schools could be up to 66% percent of necessary costs of construction. Projects with respect to schools of public health could receive a Federal share up to 75 percent. Other grants under this authorization could not exceed 50 percent of construction costs.

PLANNING GRANTS FOR HEALTH EDUCATION PROGRAMS

In addition to construction grants, the Surgeon General would be authorized to make grants to regional, interstate, State, or local public or nonprofit agencies, institutions, or organizations for planning and determining the need for teaching facilities or otherwise planning a new, expanded or improved program of training for health personnel. Annual appropriations of $500,000 would be authorized.

STUDENT LOANS

The Secretary would be authorized to enter into an agreement for the estab lishment and operation of a student loan fund with any accredited public or nonprofit school of medicine, osteopathy, or dentistry. Each agreement must (1) provide for the establishment of a student loan fund; (2) provide for deposit in the fund of (a) amounts alloted to the school by the Secretary, (b) an additional amount from other sources equal to not less than one-ninth of the amounts allocated by the Secretary, (c) amounts of principal and interest collected on loans, and (d) other earnings of the funds; (3) provide that the fund shall be used only for loans to students of the school in accordance with the agreement and for costs of collection of loans and interest.

Loans could not exceed $2,000 to any student for any academic year or its equivalent, reduced by amounts loaned to such student for that year pursuant to the National Defense Education Act.

Schools would be required to give preference to persons entering as first-year students after June 30, 1963.

Loans would be made on such terms and conditions as the school determines, but could be made only to a student in need of the amount thereof to pursue a full-time course of study at the school leading to a degree of doctor of medicine, doctor of dentistry or an equivalent degree, or doctor of osteopathy.

Loans would be repayable in equal or graduated periodic installments (with right of borrower to accelerate) over the 10-year period which begins 3 years after the student ceases to pursue a full-time course of study at a school of medicine, osteopathy, or dentistry. Periods of active duty (up to 3 years) by the borrower in the uniformed service or as a volunteer under the Peace Corps would be excluded from the 10-year period. Death or permanent and total disability of the borrower would cancel the liability of the borrower to repay unpaid balances and accrued interest.

Loans would bear interest at the rate of 3 percent per annum on the unpaid balance computed only for periods during which the loan is repayable.

Ten percent of the unpaid balance of loans plus accrued interest on such amount, up to a total of 50 percent, would be canceled for each year during which:

1. The borrower practices medicine, dentistry, or osteopathy in an area of the United States which has a shortage of physicians or dentists, and the appropriate State health authority certifies that such practice helps to meet such shortage in that area; or

2. The borrower is employed full-time as a physician or dentist by a non-Federal public agency or nonprofit private agency or organization, and the appropriate State health authority certifies that such employment helps meet a shortage of and need for persons to perform such employment; or 3. The borrower is on active duty as a physician or dentist with a uniformed service, or is employed full-time as a physician or dentist by a Federal agency, and the head of the uniformed service or Federal agency certifies that such service or employment helps meet a shortage of and need for persons to perform such service or employment.

LOANS TO SCHOOLS

The Secretary could make a loan to a school to help it meet its obligations to deposit in the student loan fund an amount equal to one-ninth of the amounts allocated to the school by the Secretary under the agreement to establish and operate a student loan program. Such loan could be made only if the school shows it is unable to secure such funds upon reasonable terms and conditions from non-Federal sources. A loan to the school would bear interest at a rate sufficient to cover the costs of administering the school loans, the cost of the funds to the Treasury, and probable losses.

APPROPRIATION AUTHORIZATIONS

The sums authorized to be appropriated to carry out the loan provisions would be: $5.1 million for fiscal year ending June 30, 1964; $10.2 million for fiscal year ending June 30, 1965; $15.4 million for fiscal year ending June 30, 1966; $20.6 million for fiscal year ending June 30, 1967; $21.0 million for fiscal year ending June 30, 1968; and such sums for the fiscal year ending June 30, 1969 and each of the 2 succeeding fiscal years as may be necessary to enable

students receiving a loan for any academic year ending before July 1, 1968 to continue or complete their education.

Sums appropriated would be allotted to schools which have established loan funds and have made application for an allotment.

HEALTH RESEARCH FACILITIES AMENDMENTS

Finally, the bill would amend the existing research facilities construction grant provisions of title VII of the Public Health Service Act in three respects: 1. Provisions of the Davis-Bacon Act (relating to the payment of prevailing wage rates) and requirements of payment of time and one-half for overtime for workmen employed on construction projects would be made applicable to construction projects aided under this program.

2. The Surgeon General would be authorized to provide technical assistance in the planning and designing of facilities for research in the sciences related to health.

3. The Surgeon General would be given flexible authority for participating in the financing of research facilities of particular regional or national significance.

H.R. 12, 88th Cong.-The "Health Professions Educational Assistance Act of 1963," estimate of additional cost, 1964-68

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I. Grants for construction of medi-
cal, dental, osteopathic and

public health teaching facilities_ $25,000,000 $75,000,000 $75,000,000 $75,000,000

Planning grants.

II. Student loans...

500,000 500,000 5,100,000 10, 200,000 350,000 400,000

500,000 15, 400, 000 400,000

500,000 20,600,000 400,000

$75,000,000 500,000

21, 000, 000

400,000

96,900,000

III. Administration..

Total.........

Expenditures:

I. Grants for construction of medi-
cal, dental, osteopathic, and
public health teaching facilities
Planning grants..

II. Student loans..

III. Administration

Total.

Man-years of employment..

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70,000,000

500,000

21,000,000

400,000

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SELECTED BUDGET ITEMS RELATED TO SCIENCE EDUCATION FROM THE BUDGET OF THE U.S. GOVERNMENT, FISCAL YEAR ENDING JUNE 30, 1964, PAGES 864-865

1. Development and improvement of institutional science programs.-The Foundation provides matching grants for the construction, renovation, and equipping of basic science laboratories and related facilities particularly in colleges and universities and supports the development and improvement of the science programs of institutions of higher learning.

1962 actual___ 1963 estimate__

1964 estimate__

111

Thousands

$34, 839 47, 400 171,000

2. Science educations programs.-The Foundation awards fellowships for the summer or academic year to graduate science students, college science faculty, foreign senior scientists, and high school science and mathematics teachers and supports summer study programs for graduate teaching assistants.

1962 actual..

1963 estimate___

1964 estimate_.

94173-63

-8

Thousands $78, 580 89,000 154, 500

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Funds are provided for summer, inservice, and academic-year institutes for the training of elementary, secondary school, and college teachers of science and mathematics.

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The Foundation also supports (a) projects directed toward the improvement of school and college science and mathematics course content; (b) programs to stimulate interest in and secure improvement of teaching and training in the sciences at secondary school and college levels; and (c) training grants to expand graduate enrollments in the engineering, math, and physical sciences.

Mr. GOODELL. Mr. Chairman, I don't want to take very much more time, but I do want to say to you, Mr. Secretary, that, in line with what Mr. Landrum and Mr. Brademas said, I think there might be some purpose served in your presenting at the outset an omnibus bill in order to give us a sense of direction and orientation in the Congress as to what your total program is, but from that point on I think to pursue it and ask for an omnibus bill is to invite complete disaster. If you do this, I think you are taking a Neanderthal club where we require a surgical scalpel to get anything here, and I would hope and urge upon you that you recognize this and not say that unless we take all phases we should have no program at all, because I can tell you-and I think every person here can tell you—if that is the way the Congress approaches it and the administration approaches it, you are going to get nothing at all. It is that simple.

I think you have, by your statement today, pushed the Congress into a trap and we have got to extricate ourselves from that trap. I think you will have bipartisan support in trying to extricate us from that trap of the omnibus approach, but it is going to take some intelligent and sensitive handling on our part, on the part of the administration as well as bipartisanship here.

I am certainly interested in no partisan viewpoints on this at all, but I think a lot of us are getting tired of being pushed into that trap every year, and getting nothing before we get through.

Mr. CELEBREZZE. I would say-let's keep the record straight. I am not here pushing politics. I am not here pushing anything but education.

Mr. GOODELL. I understand you are not, but you are inadvertently pushing us.

Mr. CELEBREZZE. As to your statement that I could push Congress into a trap, I wish I had the intelligence that I could push Congress into a trap. It would be tremendous. I wouldn't be here, believe me. What we are trying to do is to give you our honest, frank opinion as to what we think the needs are, as we are presenting it to you for your consideration.

I have said time and time again, I have said it three times this morning, that whether you come out with an omnibus bill, whether you come out with no bill, that is a question for this Congress to determine. We will present our evidence to you, and you make the decision.

Now I think it is unfair for you to put the total burden on the administration.

Mr. GOODELL. I don't put the total burden on you. I think you will have to continue to share your part of the burden, however, through our deliberations.

Mr. CELEBREZZE. We will be happy to. We will give you all the information you need.

Mr. GOODELL. If you don't say the executive's influence in this is not a very substantial factor, and if you continue to take the blunt instrument approach, I don't think we can get together the bipartisan forces here that are necessary to put this legislation through. We couldn't do it 2 years ago and I don't think we can do it now. The CHAIRMAN. The time of the gentleman has expired. The gentleman from Illinois.

Mr. PUCINSKI. Mr. Secretary, I also want to congratulate you for the very fine presentation here today, and I don't think, in my judgment, I would be too concerned about this great solicitude that some of our colleagues are showing here about your effort to come in with an omnibus bill. What they really are saying is that they want to pick and choose. What they really are saying is that they want, for instance, to pass an impacted-areas bill which will give 3,500 school districts I think 3,000 school districts-around $350 million.

There are 305 Members of Congress who have these districts in their districts, and, so, they vote for that bill, and then they turn right around and vote against a $300 million appropriation to give all 35,000 school districts in America some help.

Mr. GOODELL. Would the gentleman yield?

Mr. PUCINSKI. No, I will not yield. I don't have the time. Because they say that that will mean Federal controls. And I saw this happen 2 years ago.

And, so, what they would like to do is to have this administration say "We will go along with you on this."

Mr. GOODELL. Would the gentleman yield for one sentence?

Mr. PUCINSKI. You have brought us the magnitude of the problem, and then this Congress, of course, is going to make the final decisions. I am, though, somewhat disappointed that we have not heard a little more about the problem of the private school, and it is my sincere hope, Mr. Secretary, that the administration is going to review this problem. There are 7 million youngsters in this country attending private schools. The operating cost alone, without talking about the cost of plant, is estimated at $3 billion a year.

Now, if these 7 million children were to be dumped on the public schools overnight or within a period of 6 months, that would mean chaos for the public school system.

I am glad to see the gentleman from Ohio, Mr. Ayres, and Mr. Ashbrook join me in trying to get some tax relief for parents whose children are attending private schools.

I also hope there will be improvements in NDEA, and I was wondering if you care to venture an opinion at this time. Do you think

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