COMMITTEE ON GOVERNMENT OPERATIONS JACK BROOKS, Texas, Chairman JOHN CONYERS, JR., Michigan FRANK HORTON, New York DARDISS' COLLINS, Illinois ROBERT S. WALKER, Pennsylvania GLENN ENGLISH, Oklahoma WILLIAM F. CLINGER, JR., Pennsylvania HENRY A. WAXMAN, California AL MCCANDLESS, California TED WEISS, New York LARRY E. CRAIG, Idaho MIKE SYNAR, Oklahoma HOWARD C. NIELSON, Utah STEPHEN L. NEAL, North Carolina JOSEPH J. DIOGUARDI, New York DOUG BARNARD, JR., Georgia JIM LIGHTFOOT, Iowa BARNEY FRANK, Massachusetts BEAU BOULTER, Texas TOM LANTOS, California DONALD E. “BUZ” LUKENS, Ohio ROBERT E. WISE, JR., West Virginia AMORY HOUGHTON, JR., New York MAJOR R. OWENS, New York J. DENNIS HASTERT, Illinois JON L. KYL, Arizona JAMES M. INHOFE, Oklahoma WILLIAM M. JONES, General Counsel HUMAN RESOURCES AND INTERGOVERNMENTAL RELATIONS SUBCOMMITTEE TED WEISS, NEW YORK, Chairman THOMAS C. SAWYER, Ohio JIM LIGHTFOOT, Iowa JOHN CONYI ERNEST L. KONNYU, California HENRY A. WAXMAN, California JAMES M. INHOFE, Oklahoma BARNEY FRANK, Massachusetts Ex OFFICIO JACK BROOKS, Texas FRANK HORTON, New York GWENDOLYN S. McFADDEN, Secretary CONTENTS Page Hearing held on March 16, 1987 ............ Dunne, Richard, executive director, Gay Men's Health Crisis... Fraser, David W., M.D., president, Swarthmore College, and member, Institute of Medicine, and Health Care and Public Health Panel of the National Academy of Sciences Committee on a National Strategy for Gebbie, Kristine M., R.N., M.N., administrator, health division, Oregon Department of Human Resources ...... Gerald, Gilberto, director of minority affairs, National AIDS Network ....... Joseph, Stephen C., M.D., M.P.H., commissioner of health, New York City Rosenberg, Michael J., M.D., M.P.H., executive director, American Social Stroud, Florence, R.N., M.P.H., deputy director_for community public health programs, San Francisco Department of Public Health .................. 127 Swales, George, M.A., director, Sunnye Sherman AIDS Education Project. 158 Weiss, Hon. Ted, a Representative in Congress from the State of New York, and chairman, Human Resources and Intergovernmental Rela- tions Subcommittee: Opening statement ..... Windom, Robert E., M.D., Assistant Secretary for Health, Department of Health and Human Services, accompanied by Dr. Lowell Harmison, Deputy Assistant Secretary for Health; Dr. Walter R. Dowdle, Deputy Director (AIDS), Center for Infectious Diseases, Centers for Disease Control; Dr. Juan Ramos, Deputy Director for Prevention and Special Projects, National Institute of Mental Health; Dr. Roy Pickens, Direc- tor of Clinical Research, National Institute of Drug Abuse; Dr. Gary Noble, AIDS Coordinator, Public Health Service; Dr. Samuel Matheny, Director, AIDS Office, Bureau of Resources and Development, Health Resources and Services Administration; Dr. James Hill, Assistant to the Director, NIAID; and Harell Little, Chief, Budget Branch, OASH ..... 21 Letters, statements, et cetera, submitted for the record by: Dowdle, Dr. Walter R., Deputy Director (AIDS), Center for Infectious Diseases, Centers for Disease Control, Department of Health and Breakdown for high incidence areas by project area ............. ........... Information concerning money spent for fiscal year 1987 ........... Dunne, Richard, executive director, Gay Men's Health Crisis: Prepared Fraser, David W., M.D., president, Swarthmore College, and member, Institute of Medicine, and Health Care and Public Health Panel of the National Academy of Sciences Committee on a National Strategy for AIDS: Prepared statement.......... Gebbie, Kristine M., R.N., M.N., administrator, health division, Oregon Department of Human Resources: Prepared statement ......... ....... 121-126 Gerald, Gilberto, director of minority affairs, National AIDS Network: Prepared statement ............ Joseph, Stephen C., M.D., M.P.H., commissioner of health, New York City 103-116 Little, Harell, Chief, Budget Branch, OASH: AIDS information dissemination/public affairs .............. Fiscal year 1986 amount awarded to high incidence areas ..................... 90 Rosenberg, Michael J., M.D., M.P.H., executive director, American Social Page Letters, statements, et cetera, submitted for the record by-Continued Stroud, Florence, R.N., M.P.H., deputy director for community public health programs, San Francisco Department of Public Health: Pre- .. 131-143 Swales, George, M.A., director, Sunnye Sherman AIDS Education Project: Prepared statement ...... ............. 162-172 Windom, Robert E., M.D., Assistant Secretary for Health, Department of Health and Human Services: Amount budgeted to aid community-based groups for fiscal year 1987. projects...... projects. ing projects. .... 27-46 Weiss, Hon. Ted, a Representative in Congress from the State of New York, and chairman, Human Resources and Intergovernmental Rela- May 15, 1986, memorandum concerning a draft initiative................... 78-85 .... 51-56 APPENDIXES Appendix 1.- Documents referred to in the record 193 Appendix 2.—Material submitted for the record... 312 |