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Health planning--a new phase.

THE HEALTH PLANNING AND RESOURCES Development Amendments of 1979, signed by President Jimmy Carter on October 4, revise and extend the nationwide program begun in 1975 under Public Law 93-641. Passage of the 3-year extension, Public Lawv 96-79, affords an appropriate opportunity to examine the program's accomplishments thus far and to reflect on the possibilities for its future course. The next few years will be crucial in revealing whether the health planning program can succeed in its goals of moderating the currently unacceptable rise in health care costs and improving access to health care. Under Public Law 93-641, the National Health Planning and Resources Development Act of 1974, health planning was initiated in a nationwide network of local health systems agencies, State health planning and development agencies, and statewide health coordinating councils. The two-tiered structure receives Federal financial support, guidance, and direction from the Bureau of Health Planning in the Health Resources Administration (Hyattsville, Md.) and personnel in 10 Regional Offices of the Department of Health, Education, and Welfare. Certain facility component aspects of the program are administered by the Bureau of Health Facilities, also in the Health Resources Administration. The health planning agencies begin their operation under the 1979 amendments with an impressive record of progress toward implementation as mandated in Public Law 93-641. The organizational structure is in place,