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· A653 1989 Pt. 3

COMMITTEE ON APPROPRIATIONS

JAMIE L. WHITTEN, Mississippi, Chairman

WILLIAM H. NATCHER, Kentucky

NEAL SMITH, Iowa

SIDNEY R. YATES, Illinois
DAVID R. OBEY, Wisconsin

EDWARD R. ROYBAL, California
LOUIS STOKES, Ohio
TOM BEVILL, Alabama
BILL ALEXANDER, Arkansas
JOHN P. MURTHA, Pennsylvania
BOB TRAXLER, Michigan

JOSEPH D. EARLY, Massachusetts
CHARLES WILSON, Texas

LINDY (MRS. HALE) BOGGS, Louisiana
NORMAN D. DICKS, Washington
MATTHEW F. McHUGH, New York
WILLIAM LEHMAN, Florida
MARTIN OLAV SABO, Minnesota
JULIAN C. DIXON, California
VIC FAZIO, California

W. G. (BILL) HEFNER, North Carolina

LES AUCOIN, Oregon

DANIEL K. AKAKA, Hawaii
WES WATKINS, Oklahoma

WILLIAM H. GRAY III, Pennsylvania
BERNARD J. DWYER, New Jersey
STENY H. HOYER, Maryland

BOB CARR, Michigan

ROBERT J. MRAZEK, New York

RICHARD J. DURBIN, Illinois

RONALD D. COLEMAN, Texas

ALAN B. MOLLOHAN, West Virginia

LINDSAY THOMAS, Georgia

CHESTER G. ATKINS, Massachusetts

JIM CHAPMAN, Texas

SILVIO O. CONTE, Massachusetts
JOSEPH M. McDADE, Pennsylvania
JOHN T. MYERS, Indiana
CLARENCE E. MILLER, Ohio
LAWRENCE COUGHLIN, Pennsylvania
C. W. BILL YOUNG, Florida
RALPH REGULA, Ohio
VIRGINIA SMITH, Nebraska
CARL D. PURSELL, Michigan
MICKEY EDWARDS, Oklahoma
BOB LIVINGSTON, Louisiana
BILL GREEN, New York
JERRY LEWIS, California
JOHN EDWARD PORTER, Illinois
HAROLD ROGERS, Kentucky
JOE SKEEN, New Mexico
FRANK R. WOLF, Virginia
BILL LOWERY, California
VIN WEBER, Minnesota
TOM DELAY, Texas
JIM KOLBE, Arizona

DEAN A. GALLO, New Jersey

FREDERICK G. MOHRMAN, Clerk and Staff Director

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59-602151

DEPARTMENTS

OF LABOR, HEALTH AND

HUMAN SERVICES, EDUCATION, AND RELATED AGENCIES APPROPRIATIONS FOR 1990

MONDAY, MARCH 20, 1989.

DEPARTMENT OF HEALTH AND HUMAN SERVICES

HEALTH RESOURCES AND SERVICES ADMINISTRATION

WITNESSES

JOHN H. KELSO, ACTING ADMINISTRATOR

JAMES A. WALSH, ASSOCIATE ADMINISTRATOR FOR OPERATIONS AND MANAGEMENT

DR. DANIEL F. WHITESIDE, DIRECTOR, BUREAU OF MATERNAL AND CHILD HEALTH AND RESOURCES DEVELOPMENT

DR. EDWARD D. MARTIN, DIRECTOR, BUREAU OF HEALTH CARE DELIVERY AND ASSISTANCE

DR. J. JARRETT CLINTON, DIRECTOR, BUREAU OF HEALTH PROFESSIONS DENNIS P. WILLIAMS, DEPUTY ASSISTANT SECRETARY, BUDGET, OFFICE OF THE SECRETARY

Mr. NATCHER. At this time, we take up the Health Resources and Services Administration's request for fiscal year 1990. We have before the committee Mr. John H. Kelso, the Acting Administrator. Mr. Kelso, tell us who you have with you at the table.

Mr. KELSO. On my far right is Mr. Dennis Williams, the Deputy Assistant Secretary for Budget in the Office of the Secretary. Next to him is Dr. Daniel Whiteside, Director of the Bureau of Maternal and Child Health and Resources Development; and to my immediate right is Dr. Ed Martin, Director, Bureau of Health Care Delivery and Assistance.

On my immediate left is Mr. James Walsh, the Associate Administrator for Management and Operations; and next to him is Dr. Jarrett Clinton, the Director of the Bureau of Health Professions.

OPENING STATEMENT

Mr. NATCHER. Thank you.

Mr. Kelso, we will be pleased to hear from you.

Mr. KELSO. Thank you.

I have a statement which, with your permission, we will enter in the record, and I will synopsize.

Mr. NATCHER. Yes.

Mr. KELSO. In brief, the fiscal year 1990 budget request for Health Resources and Services is $1,252,348,000 and 1,498 full-time equivalent employees. This would, one, fund our infant mortality

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