6@l


                                               SuZZestcd    oucsti.ons   for    Budzet    Briefings

                      7@@  Operatioir@l   Grnnts

                      1.    How does RYP f it     into the hla%lioial c--rfo.-t to    tmtDrova  the delivery of
                            health core

                      20    Fo@,i does RZIP  relate to Cl',!,, licalt'.i ServicaG P,&D, and     new proposals     I i,i a
                            lDi'O'o and KIP?

                      30    What will be     the effect of ar@,t7ide               Planning a,-,,-cncy (314,b) review
                            of PIlp proposals?

                      4.    After 5   years of operation, to w,iat spcci'Lic                              can you point
                            to,indicate   that   your   goals   cr@   objectives   are   being    met?

                                  '1970 -rnnt                             $78.2 rn4llion has been reduced         to
                     ..5.   Your                      --'-ion leve' 6@             -
                            $70 million for 1971 -and $75 Liil"@ion for 1972.                          t@,c  l@71  -iid
                            1972 reductions Y,>IcaGo c.@?lain t-,a iyipact on the operations of t.@.c 5z@)
                            Regional Yiedical

                            Your new authorization ('@O.L.       9,.-51@5) for               'Vertical           Sr,-,r@s
                            was expanded to include support -@-o.- 1.@ik4.i7,oy                      do you         to  use
                            the authority?  Do you I.,ava a policy on processing                  fundir,,-   grant   appli-
                            cations for kidney disease activities?

                      7.  Your  1972  bud-et  includes   @5   ir,-411iol'i   in   obligations   for      co@irL-ruci--io,-l of
                            a Cancer Treatment Center in t'i,e                     p-,rt oi' the Unitc;d              Coul.cl
                            you be more speciZic?  Do you ',.iava any other conc;truction.^,pla,-is in 1971 o,,, '/2'

                            How' are you respo.-.din,-, to t,,ic              in the 1971 conference report?
                                 (a)   @lobile   coror,,ar
                                                         ,y care.
                                 (b)    Kidney    disease'

                      9.    In view of,the new-g.-ant aut,@ority         to            kidney disease activities, in
                                                                                             0,@
                                                                                                  ITL-L,,Od i-,a lyS 4
                            1971 and the phaseout of Fed--ral support 4@o@-- t',Ic                                 Train4.,-.3
                            Centers in 1972, will it be pi.,ared out:?                 are  your  loi-,-  ran-c   plans
                                                                                                      <2    0
                            the Kidney Disease Control Con@6r'-,ct Pro-ram (approximately $3.4 millior.)?
                            Will   new   initiatives    be

                      Kidney Disease - Direct o2crat.-..ons
                     10.    Your budget states      that you I-,--ve supported l@- 17.c-.no rerrodialysis
                            Centers since 1967.  We understand that federal support OAr- tiesc Cb,-,tera wi'-
                            be' pl-tased-out -*"@ter 1972.  I-!.ci-i -iuch r.-,o-,icy have we invested i,.ito- tl-icso Certh.@r,
                            and hoi-i many people have we'                for          he-,,iodialysis          1972.  Wili.
                            these Canters becaxe sel@f@su2'6icicrt in 1973?

                     SmokinZ and health
                     11.    Ilhat  affect  will  the  J-,ruqry   2,   1971.1   termination   of   cigarette   TV@'advertise-
                                                                                                  u
                            ments hava on the-offor&-. oA, the S-,iioicin3 and Health Progr@n?


                                          Congressman Michel

                          is asking questions on Object Class increases and
                          decreases.  The budget sche&ule is at E(2).

          Permanent positions           +$254,000          Increased pay cost   $159,000.
                                                           Mandatory within-grade pay
                                                           increases - $157,000.

          Positions-other than          +$  44,000         Public Law 91-515 allows  increase
            permanent                                      in rate of compensation for
                                                           consultants to be more  consistent
                                                -        @ith rates for full time employees.
                                                           Sec. set rate at GS-15 equivalent.

          Personnel benefits            +$  22$000         Annualization of health  insurance
                                                           benefits - $4,000.  Increased  pay
                                                           costs -  18,000-

          Project contracts             -$157,000          To cover cost of mandatory with-in
                                                           grade pay increases.

          Grants, subsidies and
            contributions              +$4,70@$000         To cover most of $5,000,000 eamarke(
                                                           for cancer institute in Northwestern
                                                           part of the United States.