The meetingG7as called to orderat 8:30a.m.on Jux~@ 5, 1972~ byDr. E1aroldFk%rgulies.M. llarguliescalledatteYItioIIto the “Conflictof InteresE1tand “COnfidelttfalityof l“!eetingst’statenentin the COUncilBooks. He thencalleduponFir.Baum to ~mke someroutineannouncementsconcerningtheconductof then~eeting~ di~lllerarrangemen~sand Councilmterials.

~roceedingsof meetin&sare restrictedunle~~clearedby theOfficeofthe Administrator,ES14M. The restrictionrelatesto all materfalasub-mitted for discussionat,the wetin$ts~t:hesupplemclatalmterial, andall otherofficialdocumen~sincludingthe agenda.

For the record,it is notedthatmembersabsentthemselvesfromthemeetingwhen tl?eCouncilis di~cussixlgapplications:(a)fromkheirrespectiveinstitutionsor (b)in whicha conflictof interestmightoccur. This proceduredoe%not9ofcol~rseg~PPIYto gEb~O~ actions--o.lllywhen the applicationis uaderilxdivj.dualdiscussiotl.

R&presenti~.~gDr. Mrc J. I+usserfor theVeteransadministration.

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A.

B.

c.

pulmonaryPediatriccenters

The Congresshas requiredthroughexpresslan~~~agein the FY 72Appropriate.ofiAct tltatpuln~onarypediatricce~tersbe fundedat thelevelof the preceding FisczlYear. ~PS wil~~therefOr@,bereceivinga n~~mherof pulmonarypediatricactivitiesin ordertomintain a $1.7tilliontotalfor suchcencers.

D.

E.

.

Dr. DeBzkeyand othersexpressedthe opinionthatcertainlanguageappearedto rigidIY set ran~:edpriOri~fe$forc@rtaintypes‘f ,,activitieswhichD%..Marguliesand Dr.Pahl indicatedwas not theintent. Gtherobjectionswereraisedto the use of the te- “care;’withoutan adequatedefinition.

The Co[]ncilwas advi~edth:~tFM2Swot~ldrevisethemterial alongthelinesktlggested,and resubmittilereviseddraftat a laterdate forfurtl~erCouncilconsideration.

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I.fm.Chamblisn also discu~s-eda GeneralCounsel:G opinicnrelatingto rightsto ar~dinconle f}:omumterials developedwith graTktfunds(video-tapesbeingthe case in poimt). The granteecan ‘ell ‘rotherwisedisposeof the rightsto suchmateri~~swithoutpriorIIEIJapproval. The Departmentrecains the rightto reproducesuchmaterialsirrespec~i+eof copyrightsby the g~a~~teeor ot~ers)andany inco~ up to the cost of productionis treatedas grantrelatedincome. SUCIIincome mkzybe recoveredby RWS or waivedto thegr:~nteefor grantrelatedpurposes.

1. GoverningPrinclp~esfor Di8cretiojl:*rYFunding

Cot~t~cil’Sattentionwas calledfor informationpro?osedpolicystatementenfitled~‘fGoverning

purposesto a

Principlesand

It was ~aved,secondedandcarriedthattilestateme~ltbe approved.(Trans{:riI}QVol. 1, page’%12). The statementis ~-eproducedasAppendixC of theseBfinutes.

Dr. 1lin.manreviewedthenew~cidneydisease‘tGuidelinesand ReviewProceduresStatement.11 The Suidej.illcsrequirethateachItidneyprol~esalbe reviewedat tilelocallevelby at leastthreekidneyexpertswho do not resideor worlcwithintheRegionsubmittingtheapplication* me writte~lcon~:,~entsof thtisereviewerswouldbe pre-sentedto the Regio~lalAdvi’sory Gro~lp.The RAG wouldapproveordisapprovethe projectand se~~di.tin to PMS whereit wouldbe ‘presel~tedto the ReviewCommitteeforprioritiesconcerningfunding,but not for furthertechnicalevaluation.

e %ere was extensivediscussionof cwopointaconcerningthe policy ‘as a resultof whichit was decidedtklatR14PSwouldissueaclarificationof the eerm“full.-tiIlletransplantat~.onSurgeOnS, aS

.,

VII. E]fiPROJECTS

me Comittee reviewed35 proposalsr<~questi.nga grand.totalof $33 millionfor threeyears. Of these,5 weredis+z.]lproved,and the remainderrecom-=nded for fundingin the totalof $11,663,05~ forthe threeyearperiod.

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~fex~.it was ).x>ved,secondedand carrf.~dthat the specialILevic?wCom=ittee~s recow.mrtd.ationsbe adoptedi~kcludiriga Iist of prioritiesforfundingincludedin the group:sreport. (Transcript, Vol. 1, page 215) ,A Iist of individua1 sctionsand prioritiesirlcI.udcdin the ~ct~oniSattachedas AppendixF of theseFfinutea.

s>:. SPECIALA.CT1014FOR INCREASESIN NAC-APP20VED1.’EVELSFOR CERTAINREGIO?JS

The Councilwas requestedto increasethe approvedlevelfor sixRegionalMedicalPrograw. These increaseswould permitthe fundingof pediatricpul?~onarycentersin accordancewith Congressiona1 action,and would provideR>FSwith flexibilityin dealin~:with.req~lests fromcertainRegionswhere actualfunding..eitherWaS ac, or approachingthe Council-approvedleve1~ and where pro~ressindicateda F6Ssibleneed for additionalfundsduringthe extendedperiodestablishedtophase all regionsinto the new reviewcycle. It was emphasizedthatfundswould actuallybe awardedonly afterconsiderationof specificrequestsfrom the affectedRegions..

It was moved,secondedand carriedthat the levelsbe adjustedasproposed. (Transcript,Vol. 1, page 222) A listof the individualRegionsand the specificamountsincludedin the Councillsactionisattachedas AppendixG.

x. H~+Q4~~~}fiIImET?i$.rJc~ORCANIZATIO??~

The use of ~PS fundsto supportll}f~feasibilityand planningstudieswas debatedvigorouslyand at lengthby the Cauncil. Mtended

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2.

3.

4.

Dr.

, 1.

2.

3.

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C. LiasaauS?~ffolk.—

Moved: Dr.I<omaroff ‘‘Seconded: Dr. McPhedran

Approve‘ItheRev~.ewComittee1s recomwndation on

Nassau-St~ffolkfor $1,099~000,and approvethe plan ofjoint fundingof the Rl~ and CHP providadthatbothadvisorygrol~psvote in favorof thatand defera recom-n~endation on theregional.project.‘t The vote includedfundsfor a kid~leyprojectfor a regiorialowner-donorprogrs.min theaaountof $27g~~0for ~~~efir~~Y~aroAsecondkidneyrequest’fora honwdialysistrainingpro-gramwas d~.sapproved, (Transcript Vol. 11, pg. 38 and 3g;vote pg. 1+1,lille15.)

‘~ii.ltill~~senabsentedt~imelfdur~’~=tl~econsiderationof tk~isapplication.

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G.

Hoved: lir.ElillikenSeconded:Mr5.Wykoff

Approvea fundj.nzlevelof $725s000for the 02 yearand a tentativerec:i?miendedlevelof $700,000forthe 03 year. Advi$;c!theRegionto util.izcthe$25,000abovetl;erec~uestedprogramstaffbudgetfor i~~itiatil~gsny:~lipl:~ni~i~~gand fe~.aibilitystudieswhichresultin sl:ort-termpmy-offs. Disapprove ~the twokidney~]i~ea:leactivitiesand adviSethe ‘Regionto developa statewidekidneyplan. (Transcript,vol. IT, Pg. 80, lines~-200)

Moved: Dr. KomarcffSeconded:l=!rs”.I+lar3

Accepttherecon~?:lend:~tiollof the ReviewComitteethat.the ReKiontsctlrrentlevelof $739,000be

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the Directorwere called

SouthCarolinaWesternPennsylvania

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ArJpendilcI -

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2,

., 3.

1. p~;p::~:)~~ O’j (,dfcII- a trie nni.a1 r)criod must obtain prior approva1 for-.-..—-————-—————-— --—-—-.—-----------a~-LY~~ro[?~sea pz-0~~-a.~ or o?e rati.c;;~~].a~ti%’it.>”i.nvoIVirL~:

a.

b.

c.

d.

e.

.Alter2 ti.ons and renovations in excess o f $25, 000 or Zn>’n~~construetion. (Presentpoli~j’ECnera1ly precIuC?es tlielatter.)

lIum2nsubjects. (T’hi.sreprescnt:sprogra:l?matic approvalasdj.fferent:iared frc:)l2F?ro\a 1 of Ekle gr211tce s S;JStcfilfor safe -

guardi.ng Lhe Tights znd 1.,7e1fsre of human subjccts.)

~Incl-sta~e t~-eatnletlt of kid :-t,?}7 d i..seas e (e .g. , d j.a 1YS is j transp1antatic~n.and supporti:oefaci.1i.ti.es2nd services.

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the projects comprisi.ngthe ?l.an,ox jLIdi.cio~~sex}>ansioriof existing ~progralr]s.

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.,.,... .,.— --——-”-—-----——. ---, -.—-. .---.— ————.—- ..-.... ---- ————— —--- —..——————..

lia.TIec)fIiezi [Jn I>riority FLII”IdS(DirectCosts}(4;of 1>l-c>jC:cts) ~~t <nCJ Rc:cluestecl P\(?comlneI:de<— —-.—-..,.,-..,ti.-—.-,ti..,.,...--—--—-————1;L—-— ..—.--——-...-,.——--—-..-..-——— —— _..,-,-.-.—-.—-—

k~l.b2n;’ 0 .-,, $1.,1.9S,726 0--...---—--.--——-- .-— —.-.—-— -_.--———.—————1“1.clrida 0’ 1.,548,445 0 ‘–.--,-——.-—.—-..-..-,—----————— -—--- .-———-— ,.-————I’1‘E ,Ohio o 815,1.50 0---...—.—--—————— ,--—_——-————--——-- ..-..--—-.-—-.-,----------ok~.al’lor:la 0 1.40 690--—..--.-—-—-—2—.--—-——-——— o.“-...—.-- —.--.—-——— ——_—..-— .—.-—--—.pr(:~oil 0 532 L950 0:.————-.——— .—-.—-——- —.-—-----~.—— —.—

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A3.ab:iIi!a(2L 4 52268 ~559 450,000.-.—-.—.——----- -------— —— ———- ——.—..-——- .—!Lri ZOT12 3 116 386 65,000—-_——.-—”-_--———— ——. ——--— —_-—’--. -.,-..—p>rl,qn~:~ ((,) - ~

—.1,103 ,t,~28 102, l~~t

-—-_.—._..—.—.. -——-.-—--— -..-..—.——-..--.—Bi-s ta te

.-—7 1,31.6, 54~-—-- Zoo , [)0rr—

-...————. ---— —.- ———— .—,--— ——--—-. , f ~. , ,. -.--—-Lall.l:ornJ..2 (1) 23 517,773 1.00,000—..-—-—..——--——-Cerl.tral.l;?.rfj~~’orl< 2

---.——-._.-...__–-–261,~o~ 261A7@.j‘---——. .....—-—.——.-——.-——-- —-———-

ccJnnecticut 3 32&C~~ ‘m, 000 –—..---—--—,... .-— .—.----.-—-—.—.—---Georria 3 93&313___----—-.-— &oo’o,———--. .———.——-—— —.—- ,— ...--— —.}ial,jf.aj.j. —“ti 2. :143 -?7(~ 3.?75? , 5!:rzL--——— ------ ..._.-,.-J—...-.-——--J.i.-=—#,...-,-----

]. 525,327 1..C!.3U2 7JJJ;_~Q~:j--,,,---—– -–3.,.5.-..-—-—–.—-__-—–—’—––——— —..—- —-—.l“nter~.ol.lnt:zj.n 667 895~ L--——.–.--. —.J–::--- 667 825-.-.....-——-.-”....—-..-——.-—. -——..- —-_ —~. --.—Lakes; )!ze~l J 824>81.9 ~5~ Gc}~—.—-———-—.- ———--——.- ——— --—-Lc)ui.qiana (t!) 4 363, 0;$9 325, 94x2—L-—>_.—.-..—-—-.-__ —.-———---—--—. —.Ffaine 4 209, 2s0 2.09~2s (?-.-.————-—-———— .-———.—-——-.—. - —-.fite~ll>hi.s -,.3 1.,1.17,781 67,038-.,--,,..2—.—-—--.—.---——.--——-—-- —-..}fc:troD.c 2 79,4~~ 722~-~~=-a.--—-— —,._....—_. —_.-—Iij.ssouri.(2) 2 4A?69~~~~. 77,~~f:~-—.————...—.-———— ——--— —.— — ..-— ,—.Ift;.St”ates (3) .2 6~/2~76 i50,000---——~e~~Jcrs;eT~(2)

,—.- --——2.5 z23 ~250 ~g]GG—— —-....,—-.—- ——-- —.

lie~.~}lexicfJ 1} 712~~0 712, li.G-_———-—---- —..— .—.-— -—~ -y. ~fe{:ro 3 lj~/9S 50, Oclo-———— —. ----~~~}.?; . ~IlZ~2.Ild 4 72 060 72 o6~ -——.—..—.—Nor thl ands+ 4 310, 050~

——~hio Vall~ 2 62,97~ 20,Oo[i

—.. .—-——Roches tcr 3’ 5~~946 ].86 , 25~---—— .--- —————So~~thDa~:ota 2 4704468 50, 000—-—.—— ——~ri-Stzte i 2,54&2x7——Virginia 3- 30,250 30 ~~~

— -—W,Virgi.nia(3) —2 197,742 63~jVisconsin 5 1,-9>~,,,j,256 I.~959,2jr.——--—

Total - 01 y~. - $1.4,071,987 $ 5,7=, i2~02 Yr. - 10;875 ,“664’03 Yr . --’ 8,392,746

Grand Tc~tal -$33,250,397

3,302,4642,572,473

$1,1,663, 03T

—...-...,...................

$170,000

Ii

=-k I $714,612

2 Yrs .

$180,000

thout funds.

$180,000

$ 335,286

1,159,418

572,870

455,493*

3.21-,3.22.....---283 979+-—~..-—. ~’

.—

$5,098,324

Gral~dTotal - $6,874,996

o—..-- e

Ilam.e of P.egion Project Bunber Amount Recommended

i $ 335,286 (3 Yrs. )

2. California I It 1,159,418 (3 Yrs. )

.——.—.—.—.-... .-- ..---.--.——---- -+ —---- —---. ... ... ...— —— -... . ------. .. .-.....——i~lo7 455,493 (3 Yrs . )

249,242 (3 Yrs. )

3. Lakes Area ~:29A-G, {/29J-N 325,000 (1Yr.)

4. l%ine //27-i~37 1,500,545 (3 Yrs: )

—-—----”——~,j;;––-.. .... ..... .-..-..,--_.——.—- .—-

5. I:ew Jersey 200,000 (1 Yr. )I...——. ....—----- —.... .. .

IL

—...—......-—-———--——. .———-———---,.. .. .... .. —...--..-.—-.-.--——6. I{ortheast Ohio {!15 180,000 (2 Yrs. )

— ——- —.——— ...— ,—— —.———7. l~orth].ands i

~1~~-Ii7~

I +

1.00,000(2 Yrs.)-— ——-—— .- —— -—_— —— .—

8. South Dalcota i~2 115,000 (1 Yr. )

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DISAPPROT’AJ.S

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Funds Requested by EIIe P~YP

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3.

4.

5.

6.

:,102,346 :go,GOo (40,000 Ted. Pu1.) 1,292,346

J,?27,70~ 321,000 2,248,796

I,oog,ooo 105,414(?ed.Ful.) 1,114,414

1,036,719 ;;,000 (?ed.rul.j ,1,058,719

1,550,000 98,18G (Peal.Pu1.) 1,64S,186’..

2,166,139 216,613

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i2,332,752

.,

.

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20,000

50,00:)

90,000

115,000

-o-

70,000

188,255

122,342

224$600

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