TELEGRAPHIC         MESSAGE
        NAME   OF   AGENCY                                                    PRECEDENCE                        SECURITY CLASSIFICATION

                                                                                KCTIOI4:
          D-iiEW, PHS, liStNfRA,         P-xT S

                                                                                 INFO:

                                                                              DATE PREPARED                      TYPE OF
          3-3971015  753,)321 23.6J                                             4/4/73
        ACCOUNTING CLASSIFICATION                                                                                        MESSAGE
                                              FOR INFORMATION CALL                                                    SINGLE
        NAME                                                              @ I PHONE NUMBER                            BOOK
          '3arah J. Silsbee                                                                                           MULTIPLE-ADDRESS
        THIS SPACE FOR USE OF COAIMUNICATION UNIT

                                              MESSAGE TO BE TRANSMITTED (Use dotibk spacing avd all capikil letters)
        TO:       JESSE B. LIIONSO!i, 'I.D.                              TO:      J.   ROBERT BUCHANAN, M.D.
                                                                                  PRE41DENT@ ASSOCIA= MEDICAL'
                  blacTol.,
               .14EW YO!TK METROPOLITALQ             RMP                            sCuW@ OF @V YOIV% AND
                  2 @T 103 STREEC                                                   JERSEY
                  liEW YORK, IQL-W YORY,
                                                                                      MU YORIT         N.Y.- 10029
        TO:       @rA. ROBERT SHK@?
                  PROG@'@.,! DIPf-C@Oil,
                  OFFICE OF THE '.1-r,?GIO@NAL IIEALTH DIRECTOR
                  DA':IEW            !I
                  26 FEDEIU-L PLAZA, -KOOM 3300
                  NEW YOP.K, NEW YORK
        n'LIIS IS TO Z@V-LSE YOU OF 1eiR                 DECISIONS P@SULTING FROiNt REVIE'O BY IC2S OF

        Ti!E PHASE-OUT P@,iS SUi5@j'ITJ'!',D Oil 1-@%PCli 15 fsY Tlii-!. -@IEtl Yopi',

        .REG10iiAL NEDICAL PqOGIIAll.  T,:IE Dr@k-IISIONS ARE AS FOILOWS:

                  1.     Tilr, T",%iINACIOki DATL,' FCR TTir@ NY@,l YOP,,@ @1F.3'itOPOLITAt4 RI@GIO@AL

                         kiEDICAL PROG-OAY@ IS OCTOBER 31, 1973.  TiiIS IS THE DATE BEY014D

                         @TIHICH NO WLP-S GRANT FLriDS N@A7f BE E)G?!.'.NDED.

                  2.     TiL @PP-,L-,OVE'j) DlrECT C,).3T IS           iqg.4 $2,771,3,)S         PL,.US @-PP!-IO.PRIA-TE

                         Il.,iDIRECT COST-D.         &'q t@@A)ED       KW.WX @IILL LE ISSUEI) F@)P, TifE NEW
                         APP-.Z@r,,.D B'JL'GET P@t.,IOD JKiU&Tf 1, 1972 THROUC,'I                       OCTOBZR 31, 1,@."73.:

                  3.     F'u-@%'DS i4AY BE @@XPEIDED AFf!-r.R 6/30/73 FOR ONLY THOSE PROGRAIRLIATIC

                         A@@TI'@IIIES LISTED Br"%Yh;

                         NU',-!3zl@               TTFLE
                                                                                                                  SECURITY CLASSIFICATION

                                               A.7
                         ii'17
                                                                                        PAGE NO.    NO. OF PGS.

                         Pr3O       E-,$.S                             ETI.STr@l,i)      1               3


        -"tC4MOADWIoC MCSSACE
        ,4AME OF AGENCY                                           PRECEDENCE                     URITY CLASSIFICATION

                                                                    ACTION:

                                                                    INFO:
        ACCOUNTING CLASSIFICATION                                     PREPARED                 TYPE OF MESSAGE

                                       FOR INFORMATION CALL                                        SINGLE
        NAME                                                            NUMBER                     BOOK

                                                                                                  MULTIPLE-ADDRESS
        THIS SPACE FOR USE OF COAIMUNICATION UNIT

                                       MESSAGE TO BE TRANSMITTED (Uje do"ble s@ing and all capital letters)
        TO:
                   ALL OTI-IER ACTIVITIES NOW ONGOING, INCLUDING THOSE PIUVIOUSLY
                   CO'@4TRACTED, lfUST BE TERMINATED BET-WEE@N i@01,4 AND JU.4E 30.
             4. FU,,TDS MAY NOT       BE PMUDGF.TED INTO PROGRA14           ST.IFF PERSOt,i,iEL.
                   @ETIDITU,US FOR EQUIP-.'-U,'IIT, CO';qSLTLTAiNTS,        T,-,AV.-tL, t-,:iD ,4EETINGS

                   SHOULD BE KEPT AT A
             5. IN SUIM@RY, THE ABOV@- FLFiqLiIiIG LEVEL WAS DERIVED TO PROVIDE
                   SUPPORT BEYOND JU.NE 30 FOR THE PROJECTS AND ACTIVITIES LISTED

                                                                                                       Ty
                   ABOVE AND FOR PROGRAM STAFF.NEEDED TO 1-10,@IITOR PP,()J'"CT ACTIVI
                   AND TO ASSUU@' CO@LI)UICE WITH (,'LOSE-Olyr REQUIU-IFENTS BY
                   OCTOBER 31, 1973.
        THE ABOVE I,-4FORK&TIO14 IS       NOT INTENDED      TO BE AN ALL-INCLUSIVE RESPONSE
        TO YOUR PQOPOSED P@iS FOR EQUIP@f-Mi-T DISPOSAL, RECORDS RL7TENTIO.4, USE
        OF GRA,IT-PELATED Iiq%"'Oj%M, ETC.        PATZ'IER, IT REPRESEilTS       OUR JUDGI@aiT
        ABOUT TIIE BASIC DECISIONS NEEDED TO ENABLE YOU                                     TO INITIATE:
        PilASE-OUT OPERATIONS AND NEGOTIATIONS.

        WE EYPECT THAT YOU WILL HAVE QUESTIO,-IS             AND 14E URGE YOU      TO CALL TilE
        GRANTS iNtkNAGE,'!iENT BRANCH (301/443-1800)          FOR ASSISTANCE       AS NEEDED.

                                                                                            SECURITY CLASSIFICATION

                                                                      PAGE NO.  NO. OF PGS.

   STANDARD FORM  14                                                                                                     t4-306
   REVISED AUGUST 1967                                       PRI.@C OFFICE, l@72 o
   GSA FPMR (41 CFR) 101-35.306


          'LECYRAPHIC ME$SAUT
          NAME OF AGENCY                                                     PRECEDENCE                       SECURITY CLASSIFICATION

                                                                               ACTION;

                                                                               INFO:

          ACCOUNTING CLASSIFICATION                                                                            TYPE OF MESSAGE

                                                                                                                    SINGLE
                                               FOR INFORMATION CALL
          NAME                                                                PHONE NUMBER                          BOOK
                                                                                                                    MULTIPLE-ADDRESS

          THIS SPACE FOR USE OF CO.AIMU,41CATION UNII-

                                               MESSAGE TO BE TRANSMITTED (Use dotible spacing and all cap,@tal letters)
          TO:

           THE   GRA14TS                       STAFF TGILL ALSO BE CONTACTING YOU REGARDING

           SPECIFIC DET.&ILS ON THE PHASE-OUT OF YOUR PROGP-A-'4 tuND THE FOI;,UIS TO BE

           PP,EPAP,ED TO SUPPORT THE @4DED AIIA@RD NOTICE.

                                                     IIAROLD     M&',IGULIES, M.D.
                                                     DTP@CTOR
                                                     RE GI O'@'IAL  MEDICAL PPOC.R--V.S SER@RICE

                                                                                                                SECURITY CLASSIFICATION

                                                                                       PAGE NO.   NO. OF PGS.

                                                                                                    3
          STANDARD FORM 14                                                                                                                         1 306
          REVISED AUGUST I,?67
          GSA FPMR (41 CFR) 101-35.306