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ED268401.Pdf DOCUMENT RESUME ED 268 401 CG 018 960 TITLE Aging Veterans and Health Care Issues. Hearing before the Subcommittee on Retirement Income and Employment of the Select Committee on Aging. House of Representatives, Ninety-Ninth Congress, First Session (Toms River, NJ). INSTITUTION Congress of the U.S., Washington, D.C. House Select Committee on Aging. REPORT NO House-Comm-Pub-99-535 PUB DATE 24 Jun 85 NOTE 135p.; Portions of document contain small print. PUB TYPE Legal/Legislative/Regulatory Materials (090) EDRS PRICE MF01/PC06 Plus Postage. DESCRIPTORS *Aging (Individuals); *Delivery Systems; Health Needs; *Health Services; Hearings; *Veterans IDENTIFIERS Congress 99th; *Health Care Costs; New Jersey ABSTRACT This document contains the text of a Congressional hearing called to examine the status of aging veterans and health care issues. Opening statements are given by Congressmen Jim Saxton, Thomas J. Tauke, and Christopher H. Smith, and testimonies are presented from 20 witnesses. Members of veterans' associations testifying include representatives from a Veterans' Administration medical center, the New Jersey Veterans' Memorial Home, Disabled American Veterans, and the Veterans' Administration Clinic Task Force. Witnesses from New Jersey include the director of the Home Health Agency Assembly of New Jersey, a representative of the mayor of Hamilton Township, the deputy commissioner of the New Jersey State Department of Health, an administrator with the Garden State Rehabilitation. Hospital, the public health coordinator and a public health nurse with the Ocean County Health Department, and a member of the Ocean County Board of Social Services. Other witnesses include a representative of the Health Care Financing Administration, the president of Community Memorial Hospital, a counsel for the American Association of Retired Persons, an aide tc Congressman James J. Howard, a senior citizen, and two veterans. Issues examined and discussed include limits on veterans health care benefits, alternatives to institutionalization, reimbursement rates, and health care costs. (NRB) *********************************************************************** Reproductions supplied by EDRS are the best that can be made from the original document. *********************************************************************** AGING VETERANS AND HEALTH CARE ISSUES -4- co HEARING BEFORE THE SUBCOMMITTEE ON RETIREMENT INCOME AND EMPLOYMENT OF THE SELECT COMMITTEE ON AGING HOUSE OF REPRESENTATIVES NINETY-NINTH CONGRESS FIRST SESSION JI. .NE TOMS RIVER NJ Printed tun the u,,e of the Select Committee on Aging Comm. Pub. No. 99-535 0 DEPA/II7AENT OF EDUCATION 03 NATIONAL INSTITUTE OF EDUCATION EDUCATIONAL RESOURCES INFORMATION O CENTER !ERIC) IThe document has been reproduced as received from the person or organization C.) orignating it Minor changes have been made to improve reproduction quality Points of view or opinions s- tated in this docu merit do not necessarily represent official NiE position or policy V S GOVERNMENT PRINTING OF FIC 21 ft WA'411INGTON 2 SELECT COMMITTEE ON AGING EDWARD R ROYBAL, California, Chairman CLAUDE PEPPER, Florida MATTHEW J RINALDO. New Jersey. MARIO BIAGGI, New York Ranking Minority Member DON HONKER, Washington JOHN PAUL HAMMERSCHMIDT, Arkansas THOMAS J DOWNEY. New York RALPH REGULA, Ohio JAMES J FLORIO, New Jersey NORMAN D SHUMWAY, California HAROLD E FORD. Tennessee OLYMPIA J SNOWE, Maine WILLIAM J HUGHES, Nev. Jersey JAMES M JEFFORDS, Vermont MARILYN LLOYD, Tennessee THOMAS J TAUKE, Iowa STAN LUNDINE, New York GEORGE C WORTLEY, New York MARY F.OSE OAKAR, Ohio JIM COURTER, New Jersey THOMAS A LUKEN, Ohio CLAUDINE SCHNEIDER, Rhode Island BEVERLY 'R BYRON, Maryland THOMAS J RIDGE, Pennsylvania DAN MICA, Florida JOHN McCAIN, Arizona HENRY A WAXMAN, California GEORGE W GEKAS, Pennsylvania MIKE SYNAR, Oklahoma MARK D SILJANDER, Michigan BUTLER DERRICK, South Carolina CHRISTOPHER H. SMITH, New Jersey BRUCE F VENTO, Minnesota SHERWOOD L BOEHLERT, New York BARNEY FRANK, Massachusetts JIM SAXTON, New Jersey TOM LANTOS, California HELEN DELICH BENTLEY, Maryland RON WYDEN, Oregon JIM LIGHTFOOT, Iowa GEO. W CROCKETT,JR, Michigan HARRIS W FAWELL, Illinois WILLIAM HILL BONER, Tennessee JAN MEYERS, Kansas IKE SKELTON, Missouri BEN BLAZ, Guam DENNIS M HERTEL, Mv:higan PATRICK L SWINDALL, Georgia ROBERT A BORSKI, Pennsylvania PAUL B HENRY, Michigan FREDERICK C BOUCHER, Virginia JIM KOLBE, Arizona BEN ERDREICH, Alabama BILL SCHUETTE, Michigan BUDDY MACKAY, Florida HARRY r REID, Nevada NORMAN SISISKY, Virginia ROBERT E WISE,JR,West Virginia BILL RICHARDSON, New Mexico HAROLD L VOLKMER, Missouri BART GORDON, Tennessee THOMAS J MANTON, New York TOMMY F ROBINSON, Arkansas RICHARD H STALLINGS, Idaho JORGE J LAMBFLINOSStaff Director PAUL SCHLEC.EL, Minority Staff Director SUBCOMMITTEE ON RETIREMENT INCOME AND EMPLOYMENT EDWARD R ROYBAL, California, Chairman THOMAS J DOWNEY, New York THOMAS J TAUKE, Iowa, GEO W CROCKETT, JR Michigan Ranking Minority Member FREDERICK C BOUCHER, Virginia NORMAN D SHUMWAY, California HARRY M REID, Nevada JAMES M JEFFORDS, Vermont ROBERT E WISE,JR,West Virginia MARK D SILJANDER, Michigan HAROLD L VOLKMER, Missouri JIM SAXTON, New Jersey 'XMAS J MANTON, New York HELEN DELICH BENTLEY, Maryland RICHARD H STALLINGS, Idaho HARRIS W FAWEI,L, Illinois MARY ROSE OAKAR, Ohio BILL SCHUETTE, Michigan GEO ALLEN JOHNSTON, Majority Staff Director NANCY E Howls, Mim,ritv Staff Director CONTENTS MEMBERS OPENING STATEMENTS Page Chairman Jim Saxton 1 Thomas J Tauke 3 Christopher H Smith 6 CHRONOLOGICAL LIST OF WITNESSES R Tom Williams, medical center director, Veterans Administration Medical Center, Philadephia, PA 8 Dr Melvin Friedman, chief executive officer, New Jersey Veterans Memorial Home, Menlo Park, NJ 14 Robert JMussari,assistantsupervisor,Disabled American Veterans, Newark, NJ 19 Dr Thaddeus Leoniak, member, Veterans' Administration Clinic Task Force, Brick Township, NJ 21 Steven Leone, chairman, Veterans' Administration Clinic Task Force, Brick Township, NJ . 28 Hon Bartlett S Fleming, Associa e Administrator for Managen.ent and Sup- port Services, Health Care Financing Administration, accompanied by Tom Burke, Special Assistant to the HCFA Administrator 50 Dr Alfred Alessi, past president, New Jersey Medical Society, Hackensack, NJ 58 John Paul Marosy, executive director, Home Health Agency Assembly of New Jersey. Inc , Princeton, NJ 62 Charles IKauffman, Jr ,public health coordinator, Ocean County Health Department, Toms River, NJ 71 Patricia Hines, deputy director, Ocean County Board of Social Services, Toms River, NJ 75 Sister Teresa Confroy, R N , public health nurse, Ocean County Health De- partment, Toms River, NJ 78 Charles F Pierce, deputy commissioner, New Jersey State Department of Health. Trenton, NJ 88 James Schuessler, president and chief executive officer, Community Memorial Hospital, Toms River, NJ 92 Russel Heeran, national legislative counsel, American Association of Retired Persons, Berkeley Township, NJ . 97 Glenn Ruskin, district representative; on behalf of Hon James J Howaid, a Representative in Congress from the State of New Jersey 103 Tom Colitsas, on behalf of Mayor Jack Rafferty. Hamilton Township, NJ 111 Ms Squineri, senior citizen 114 Mr Giubardo veteran 116 Mary Louise Hymen, associate administrator. Garden State Rehabilitation Hospital 117 William Greenberg, veteran 119 APPENDIX Additional material received for the record Ernest B Armstrong. Buckelew & Associates, Tonis River, N.J. letter 121 Craig A Becker, vice president. New Jersey Hospital Association, Prince- ton, NJ, prepared statement 121 Robert K Blom, physical therapist, president, Monmouth Rehabilitation, Inc , prepared statement 122 Inn I V Page Additional material received for the recordContinued Mar} Louise Hymen, Garden State Rehabilitation Hospital, Toms River, NJ, letter and prepared statement 124 Paul J Tuhano. Pemberton, NJ, letter and prepared statement 128 Robert W Zehntner, director. Ocean County Veterans Service Bureau, Toms Riser, NJ, letter 130 AGING VETERANS AND HEALTH CARE ISSUES MONDAY. JUNE 24. 1985 HOUSE OF REPRESENTATIVES, SELECT COMMITTEE ON AGING, SUBCOMMITTEE ON RETIREMENT INCOME AND EMPLOYMENT. Toms River, NJ. The subcommittee met, pursuant to notice, at 9:20 a.m, in Holi- day City, Berkeley Township, Toms Rive. NJ, Hon. Jim Saxton (acting chairman of the subcommittee) preAing. Members present. Representatives Saxton, Tauke, and Smith of New Jersey. OPENING STATEMENT OF CHAIRMAN JIM SAXTON Mr. SAXTON. 1 would officially call this hearing of the Subcom- mittee on Retirement Income and Employment of the Select Com- mittee on Aging to order. I am the chairman for the day, Jim Saxton. On my right is the ranking member of the subcommittee, Congressman Tom Tauke, as was mentioned, of Iowa, and, on my left, is our neighbor, Co; ,,,ress- m:In Chris Smith of New Jersey. I want to welcome these two dis- tinguished members of the committee to Berkeley Township. It is a very, very nice place to be, particularly on a nice day like this. Field hearings provide the committee with an excellent opportu- nity to assess first hand the needs and concerns of senior veterans, seniors and particularly our veteran population. We will share your views with the entire Aging Committee as well as the stand- ing committees, where we have legislative jurisdiction, on issues that have to do with health and, of course, veterans issues as well. For example, Congressman Tauke serves on the Health Subcom- mittee of the Committee on Energy
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