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                                           DEPARTI\,IENT OF HEALTH, EDUCATION, AND WELFARE
   MEMORANDUM
                                                           PUBLIC HEALTH SERVICE

                                                        HEALTH RESOURCES ADMINISTRATION
     16                                             BUREAU OF HEALTH RESOURCES DEVELOPMENT
   TO      HRF Executive Staff                                   DATE:December 24, 1974





   FROM    R. L. Peterson


   SUBJECT: HRP Staff Meeting, December 16

           Mr. Rubel opened the meeting  by noting that the House  had passed
           H.R. 16204 on Friday.  Three substantive amendments had been,adopted:
           the so-called Moss amendment making public agencies eligible for HSA
           designation; the recertification provision was rephrased in terms of
           itappropriate" as opposed to "needed"services; and an amendment by
           Representative Alexander making explicit that the special needs and
           circumstances of rural areas should be taken into account. in designating
           health service areas.

           Mr. Croft addressed the transitional aspects of the BHRP Organization
           Proposal, which has been sent forward to  @ for action.  A mass
           transfer of all personnel in the  three program divisions into the new
           bureau was, he noted, envisaged immediately following its formal establish-
           ment. Interim assignments and appointments would be made, to  the  maximum
           extent possible, taking into consideration staff preferences.  New
           position descriptions for all staff would be targeted for completion by
           June 30, 1975.

           Time permitted only brief discussion.  Dr. Graning expressed certain general
           reservations as to the functions of the Office of Operations Monitoring and
           the apparent exclusion of any TA function in the Division of Facilities
           Development.  Mr. Gardell questioned how the cut-bac  on GS- 5 pos tions
           would be made.  Mr. Croft responded  that hopefully there would  be
           6-12 months to deal with and resolve the latter problem.

           Mr. Peterson reported that meetings have been scheduled on January 7  with
           constituent agency (e.g.,, CHP, RMP) and public interest (e.g., National
           Conference of Governors) representatives, and on January 9 with representatives
           of provider groups and interests (e.g., AMA, Blue Cross). The  purpose  of
           these meetings is to (1) brief-these individuals on our plans for  initial
           HRP implementation and (2) begin to identify the major issues and problems
           that the new HRP program must address over the longer haul.

           cc:  Dr. Wherritt
                Dr. Ellis






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