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MEMBERSHIP ON THE UNITED STATES YORKTOWN SESQUICENTENNIAL COMMISSION

FEBRUARY 12, 1931.-Referred to the House Calendar and ordered to be printed

Mr. LUCE, from the Committee on the Library, submitted the following

REPORT

[To accompany H. R. 16520]

The celebration of the one hundred and fiftieth anniversary of the seige of Yorktown, Va., and the surrender of Lord Cornwallis, authorized by Public Resolution No. 89, approved June 17, 1930, is to take place in October of the present year. The amendment of section 1 is to provide for continuance of membership on the commission of Representatives who have not been elected to the Seventy-second Congress and also to provide for the filling of vacancies that may exist in the interim between the expiration of the Seventy-first Congress and the organization of the House of Representatives of the Seventy-second Congress.

Your committee recommends the passage of H. R. 16520, without amendment.

The changes in the present law are shown in the following by italics:

The membership on the commission of Senators and Members of the House of Representatives shall continue irrespective of their terms as Members of Congress. Any vacancy arising in the personnel of the said commission shall be filled as follows: Any vacancies occurring among Senators shall be filled by the President of the Senate, and any vacancies occurring among Members of the House of Representatives before the organization of the Seventy-second Congress shall be filled by appointment by the present Speaker of the House of Representatives.

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PATIENT DISPENSARY FACILITIES

ADDITIONAL HOSPITAL, DORMITORY, AND OUT

FEBRUARY 13, 1931.-Committed to the Committee of the Whole House on the state of the Union and ordered to be printed

Mrs. ROGERS, from the Committee on World War Veterans' Legislation, submitted the following

REPORT

[To accompany H. R. 16982]

The Committee on World War Veterans' Legislation, to whom was referred the bill (H. R. 16982) to authorize an appropriation to provide additional hospital, domiciliary, and out-patient dispensary facilities for persons entitled to hospitalization under the World War veterans' act, 1924, as amended, and for other purposes, having considered the same, report favorably thereon with the recommendation that the bill do pass without amendment:

The Committee on World War Veterans' Legislation conducted hearings three days a week from January 6, 1931, to February 7, 1931, for the purpose of determining the need, if any, for new construction to meet the demand for hospitalization under the World War veterans' act of June 7, 1924, as amended. At these hearings all those interested were given an opportunity to appear and present their views in the matter. After a careful review and study of the evidence submitted, the committee is of the opinion that a need exists for hospital accommodations over and above those already authorized and accordingly recommends the passage of H. R. 16982, a bill to authorize an appropriation of $12,500,000 to provide additional hospital, domiciliary, and out-patient dispensary facilities for persons entitled to hospitalization under the World War veterans' act of 1924, as amended, and for other purposes.

It develops that on January 1, 1931, the beds in Government hospitals controlled by or available to the Veterans' Administration totaled 32,993 of which 23,990 were in veterans' hospitals, 2,135 in soldiers' homes, and 6,868 in hospitals under the jurisdiction of the Army, Navy, Public Health Service, and Interior Department. It is understood that authorized additions to Government hospitals

will within the next two years increase the total beds available to the Veterans' Administration to approximately 40,000 of which about 31,000 will be in veterans' hospitals. On the same date the authorized patient load in all hospitals totaled 31,905, of which 21,797 were in veterans' hospitals, 1,824 in soldiers' homes hospitals, 6,057 in hospitals operated by other governmental agencies, and 2,227 in civil and State institutions. It will be observed from the foregoing that the beds available in Government hospitals at this time are approximately 1,000 in excess of the total authorized patient load. However, an investigation disclosed that most of these reported unoccupied beds were not what might be termed generally available for patients due to the fact that they were being reserved for patients en route, were temporarily unavailable due to repairs, or else were in specialized facilities considerably removed from populous areas.

The present load of approximately 32,000 cases is the highest in the history of the Veterans' Bureau and represents an increase of approximately 4,000 cases within the past three years. Similarly, the number of patients awaiting admission to Government hospitals has increased over 5,000 within the past year. In other words, on December 1, 1929, the waiting list for Government hospitals totaled 2,461 cases as compared with 7,669 cases on January 1, 1931. It should be mentioned that approximately 95 per cent of the patients now awaiting hospitalization in Government facilities require treatment. for disabilities not determined to be of service origin and that 65 per cent of the total is of the general medical and surgical type. The effect of section 202 (10) of the World War veterans' act which authorizes the treatment of all veterans in Government hospitals without regard to the origin of their disabilities upon the hospital load is shown by the increase of 10,253 cases of this class within the past five years or approximately 2,000 per annum. The trend upward of the nonservice-connected load is further reflected in an analysis of the admissions to all hospitals during the fiscal year 1930 which discloses that 71 per cent of the total were of this class.

The Administrator of Veterans' Affairs appeared before the committee and stated that no additional hospital construction could be justified at this time on the basis of the needs of veterans with disabilities attributable to military service. He further stated, however, that if the Congress were to provide Government hospital facilities for the veterans of all wars without regard to the origin of their disabilities, additional construction to accomplish such purpose would be necessary and listed the requirements in such program as 3,000 additional beds in 1933 and 6,000 additional beds in 1935. Upon considering the locations of existing Government hospital facilities from the standpoint of accessibility to the populous centers of the general areas they are required to serve, the possibility of providing additional patient accommodations at a minimum cost and the equalization of traveling distances throughout the country, the administrator submitted the following program as representing one which would best meet the needs of the Federal Government.

Hospital construction program submitted by the Veterans' Administration at the third session of the Seventy-first Congress (based upon estimated load in 1933)

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Under the above program the Government would acquire approximately 2,800 beds, of which 1,475 would be of the neuropsychiatric type and 1,325 of the general medical and surgical class. The above program, in so far as it relates to neuropsychiatric facilities, provides exclusively for additions to existing hospitals and is designed for the most part to effect the proper proportion of facilities for the different classes of patients of this type. The facilities recommended for the general medical and surgical type would serve areas not now within reasonable distance of existing Government hospitals and at the same time would permit of the consolidation of regional office and hospital activities. The program further contemplates new construction to replace existing frame and semifireproof patient buildings at Rutland, Mass.; Boise, Idaho; and Helena, Mont., while the special fund mentioned would permit the erection' of adequate personnel quarters, recreational facilities, and so forth, at certain existing hospitals at present without such accommodations.

The committee upon considering the program submitted by the administrator of veterans' affairs in the light of evidence introduced by Members of Congress, representatives of ex-service organizations, and others interested, is convinced that said program has been intelligently prepared and represents a sincere attempt to so distribute facilities geographically as to relieve those sections of the country experiencing the greatest pressure for hospital beds. The committee feels, however, that the program of the administrator does not go quite far enough and has recommended a number of changes which it believes are indicated. The only project completely eliminated from the administrator's program is Canandaigua, N. Y. Other changes made by the committee include new hospitals for Vermont, South Dakota, Cincinnati, Ohio, and Arkansas; additional beds at Tuscaloosa, Ala., and Gulfport, Miss.; the substitution of Chautauqua

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