, I i

                                                                                  i                           I i
                                                                                  ?ill             -@i
                                                                              1 E                             i
                                                                              1 jIi i                       i
                                                                              I i                 I
                                                                                                  I. i
                                                                                                  1         1 i I I
                                                                                                            .11 :111 1111
                                                                                      *     - 1        11   1
                                                                                            i
                                                                                          I '
                                                                                      ' 'Ili @l
                                                                                    - I
                                                                                  11@     161111111   1 'J '!







                                               RESOLUTION



            SUBJECT:  UNAVAILABILITY  OF  THOSE  PROGRAM  MONIES   WHICH   WERE   APPROPRIATED
                        BY THE CONGRESS  FOR  FISCAL  YEAR  1971  AND  WHICH  SUBSEQUENTLY
                        HAVE BEEN PLACED IN RESERVE      REQUESTS RECONSIDERATION.




            WHEREAS:    The Regional  Medical  Programs  Service  was  created  and  exists
                        for the purposes of  (1)  improving  for  all  citizens  access  to
                        and utilization of  their  local  health  care  systems,  and  (2)
                        improving  the  quality  and  effectiveness  of  the  health  services
                        provided  within  regions,  particularly  with'regard  to   cancer,
                        stroke and diseases of the heart and kidney, and

            -WHEREAS:   The Regional Medical Programs Service during      -the five  years   of
                        its  existence  has  established  viable,  local   organizational
                        networks among  the  major  health  care  providers,  and  improved
                        the number  and  quality  of  the  linkages  which  now  exist  etween
                        these providers  and  the  consumers  who  comprise  the  several
                        regions; and

            WHEREAS:    For  these  disease  categories  the  Regional  Medical  Programs
                        Service was  established  to  be  a  primary  functional  arm  of
                        the Department  of  Health,  Education,  and  Welfare  whereby  the
                        potential benefits  which  result  from  the  nation's  support  of
                        t@ biomedical research enterprise at the National Institutes
                        of Health  can  be  realized  from  practical  applications  within
                        communities; therefore be it

             RESOLVED:  That the National Advisory Council for      egional Medical Programs
                        wishes to express to the Administrator    , Health  Services   and
                        Mental  Health  Administration,  and  to  the  Assistant  Secretary
                        for'Health  and  Scientific  Affairs  its  deep  concern'that  the   -
                        unavailability  of-those  program  roonies  which  were   appropriated
                        by the Congress for fiscal year 1971 and which subsequently have
                        been placed in reserve will result in serious curtailment in-
                        the momentum of the overall program in meeting its objectives
                        and,  therefore,  requests  reconsideration  of  this  matter  in
                        terms  of  the  Administrator's  expressed  national  priorities   for
                        improving the health services and delivery system of t e country;
                        And be it further

             RESOLVED:  That as new systems  for  the  delivery  of  health  services  to
                        communities are devised and instituted, the Council respectfully
                        submits that  the  Regional  Medical  Programs  Service  is  the  most
                        expedient instrument to access improvements in the quality of
                        care provided by these systems by virtue of its specific charge
                        to be the principal program which interrelates all of the
                        providers of  health  care  within  communities;  and  be  it  further











                                                    2


           RESOLVED:  That in support of this request the Council assures the
                      Administrator and the Assistant Secretary that specific effort
                      will be made immediately and on a continuing basis to reinforce
                      the liaison and collaborative efforts between the Regional
                      Medical Programs Service and other Health Service and Mental
                      Health Administration programs a s well as all relevant Institutes
                      and program elements of the National Institutes of Health in
                      order that no opportunity be overlooked for bringing to the
                      regions with the greatest possible speed those medical research
                      advances which can form the basis for improving access to and
                      the overall quality of the health care available to the peop e
                      of these regions.

                      In so doing the Council announces its intent to establish
                      immediately for the Regional Medical Programs Service a set
                      of sharpened program priorities as determined in consultation
                      with Health Services and Mental Health Administration, the
                      National Institutes of Health and other leaders in the field
                      of health.