1938: The fiscal year 1938 was the first year of the operation of the sanatorium as one unit, prior to that time it had been operated as two units, the adult hospital at Upshur Street and the children's sanatorium at Glenn Dale. The increase of seven employees in this fiscal year is the beginning of the expansion necessary to take care of the new sanatorium as it was opened up and began to be filled with patients.

1939: The addition of 28 employees in this year was necessary to more nearly complete the staff of the sanatorium to care for the increased number of patients. These increases were principally for increased ward care and the increased work in preparation of food.

1940: The addition of 54 employees was necessary so that the entire hospital could go from a 56-hour week to a 44-hour week and to allow for full-time vacations in compliance with the leave laws. These positions were principally lowgrade positions in the ward service and dietary service both of which have to function 24 hours a day 7 days a week. In addition this was the first year that

the sanatorium operated at approximately its capacity.

1941: There was an addition of 32 positions, which the experience of the year before indicated was necessary to provide proper care for the patients with the sanatorium in full operation at the reduced working hours.

1942: There was an increase of 10 positions in this fiscal year. Two were in the treatment service and the remainder were in the dietary service to provide further improvement in the preparation and serving of food to the patients. The increases in this year also begin to reflect increases in the cost of food and other maintenance items, which were very substantial and continue to the present time. Also in this year an attempt was begun to improve the quality of the food that was provided the dietary service to meet demands of the patients and the public.

1943: There was an increase of only one position in this fiscal year, however, there was a very large increase in the salary appropriation due to two acts of Congress in this year which materially affected the salaries of employees. The first was Public Law 694, effective August 1, 1942, by reason of which the C. U. classification was changed to the C. P. C. classification and the annual salaries of this group, which comprises more than 50 percent of the employees, were raised. There was also a large increase due to Public Law 821 effective December 1, 1942, paying a bonus to all employees in lieu of overtime.

1944: There was an increase of only one employee in this year; however, the increases in the cost of food and maintenance materials for a plant, which now is part of it 10 years old, is beginning to be felt. There is also an increase in salaries reffected since the two increases in salaries of the year before were in effect only part of the year.

1945: There was an increase in this fiscal year of 18 employees. Four were to collect garbage on the various floors, four to take care of increased demands on the laundry, three to provide a bus service for employees due to the isolation of the sanatorium from population centers of the Metropolitan area of Washington and the remainder scattered in the various services to improve their efficiency. In this fiscal year a considerable additional amount was necessary in repairs and improvements to buildings and grounds due to the deterioration of the entire plant for lack of preventive maintenance.

1946: In this fiscal year there was an increase of 44 in number of positions allowed. This amounted to a pretty thorough reorganization of the staff particularly those who come in direct contact with the patients. The ward service was relieved of all responsibility of cleaning the wards and supervising the diet kitchens. A completely separate housekeeping service was set up with complete and exclusive responsibility for cleaning the buildings including the patients rooms, accounting for 24 of the new positions. The dietary service was reorganized to allow the dietitians to give much more attention to the individuals needs of the patients accounting for 13 of the new positions. The remainder of the positions were created to improve all services on the same scale. The appropriation this year also reflects partially the increases due to the Federal Pay Act effective July 1, 1945; however, it is not all reflected due to the fact that more than half of these increases were paid out of lapses of positions which could not be filled during the year.. In addition there were 36 positions which lay dormant during the year and for which no money was appropriated.

Gallinger Municipal and Tuberculosis Hospitals-Number of employees and amount of appropriations, 1937-46

1 $13.000 deducted from Gallinger and added to Health Department for out-patient relief of the poor. 2 $26.760 deducted from Gallinger and added to Health Department out-patient relief of the poor.

1938: The trend toward steady increase in patients called for additional personnel to care for them. The daily average for 1938 was 833.6.

1939: The daily average patient load increased from 833.6 in 1938 to 879.2 in 1939. Six physicians and five nurses were provided to aid in caring for this additional load.

1940: A total of 97 new employees distributed throughout the hospital was provided for this year. The patient load increased from 879.2 in the preceding year to 910.7.

1941: A total of 72 new employees was provided for this year. The patient load, still on the rise, had now increased to 1,052.7. Effective October 1, 1941, the Meade-Ramspeck bill provided for periodical within-grade salary increases for all hospital personnel. This not only caused an increase this year but was reflected in subsequent years.

1942: This year, two new buildings were put into service. The medical building with a bed capacity of 226 and the tuberculosis building with a bed capacity of 225. A total of 135 new employees, largely to staff these new buildings were provided. In addition, effective August 1, 1942, all employees in the civil-service classification, "Crafts, protective and custodial" under grade 9, received an approximate 10 percent salary increase. Employees in this classification comprise 29 percent of the total hospital personnel.

1943: The old hospital at Fourteenth and Upshur Streets NW, was reopened this year under the administration of Gallinger Municipal Hospital. As the buildings were ready for occupancy late in the fiscal year, only a part of the full number of employees required to staff it were provided. An additional 55.8 employees were provided for this hospital. An additional 12.2 employees were provided for Gallinger proper. Effective July 1, 1943, legislation provided for a flat $300 annual increase in lieu of overtime over 39 hours a week.

1944: With the Upshur Street Hospital operating the full year, an additional number of employees were provided for a full-year staff. Costs of supplies and materials has now begun to increase operating costs because of wartime higher prices.

1945: With the patient load remaining about where it was in the preceding year, only 17 new employees were added to the staff this year. Effective July 1, 1945, the civil service salary reallocations provided a grade increase for all professional nursing personnel. Public Law 106 also became effective July 1, 1945, providing an approximate 11 percent increase to all personnel. Legislation, again effective this same date, provided a differential salary increase of 10 percent to all employees working between the hours of 6 p. m. and 6 a. m. This effected about one-fourth of the total hospital personnel.

1946: No increase in personnel was granted for this year. Daily patient average decreased from 1112.5 in 1945 to 1037.1 in 1946. The drop in patient load, however, was due to the closing of floors because of inability to secure nursing personnel to care for them. July 1, 1946, Public Law 390 provided the salary increase to all hospital personnel of 14 percent.

STATEMENT OF RAY L. HUFF, BOARD OF PUBLIC WELFARE, DISTRICT OF COLUMBIA, WASHINGTON, D. C.

Mr. HUFF. I believe we can answer that any person who is so qualified would have been referred to Gallinger as well as any other source of employment that would be available. That would be done through the case-work service supplied by our agency, and would also include referral through the United States Employment Service.

Mr. BATES. So, what you are actually saying is that there is no one receiving relief from the District of Columbia who is qualified to assume any of the positions that Dr. Ruhland is so greatly in need of.

Mr. HUFF. That is my belief, yes, sir; unless they are at the moment so employed. We do have some persons who have partial employment. Whether any such persons are now employed at Gallinger, I do not know, but with that qualification, I believe that any would have been referred to vacancies where the vacancy is known and the person is available.

Mr. BATES. I guess then that answers the question, and we will examine the rolls of the Welfare Department a little later to satisfy ourselves that that is true.

Go ahead, Mr. Huff, in your own way and give us the same basic facts, the cost of the Welfare Department, say, in 1937 and what it is in the estimate of '48.

Mr. HUFF. May I approach it from my outline? I will hit that same point in a second or third step. I would like to refer, first, Mr. Chairman, to the basic statutes under which the Board of Public Welfare operates, and I have prepared for your convenience excerpts which will identify such statutes, and which I think indicate the broad field in which the welfare operations do occur.

Mr. BATES. For instance, you summarize the activities such as general welfare, mother's aid, dependent children, old-age assistance, and several items, not more than seven or eight in number that that field embraces, set up by your procurement and justification sheet. What are those activities?'

Mr. HUFF. Those are generalized, and I show them in general terms on an over-all table of organization which I will submit also for the record.

Mr. BATES. Fine.

Mr. HUFF. To supplement the detail that goes with the excerpts of the statutes.

Mr. BATES. Let me see that table.

These excerpts and table will go into the record at this point. (The documents referred to are as follows:)

I. OFFICE OF THE DIRECTOR

GENERAL ADMINISTRATIVE RESPONSIBILITIES

DECEMBER 16, 1944.

1. Shall have general administration of public welfare (sec. 3-102, Code 1940; and Public Law 371, 78th Cong.).1

2. Shall elect a chairman, vice chairman, and secretary and shall hold not less than nine regular monthly meetings each year and shall make rules and administration of its governing its work and discharge of its duties (sec. 3-104, Code 1940).

1 Appropriation Act for 1945.

3. "No person shall be eligible for membership on the Board who has not been a legal resident of the District of Columbia for the last 3 years" and members shall serve without compensation (sec. 3-103, Code 1940).

4. "No member or employee of said Board shall be either directly or indirectly interested in any contract for building, repairs, or furnishing any institution which the Board is authorized to investigate and supervise (sec. 3-113, Code 1940).

PERSONNEL

5. Shall nominate all personnel for appointment by the Commissioners (sec. 3-105, Code 1940).

6. Shall recommend discharge of personnel by Commissioners (sec. 3-105, Code 1940).

7. Shall comply with Civil Service procedure in 5 and 6, above (Public Law 363, 78th Cong.).

SUPERVISION AND CONTROL

8. Shall have control and management of institutions (sec. 3-106, Code 1940). 9. Shall have supervision of all superintendents (sec. 3-107, Code 1940).

10. Shall make policies establishing rules and regulations for good conduct of inmates and employees (sec. 3-108, Code 1940).

11. Shall make rules and regulations for efficient and economical operation (sec. 3-108, Code 1940).

12. Shall make rules relating to admissions (sec. 3-108, Code 1940).

RECORDS, REPORTS, AND STUDIES

13. Shall prescribe forms for record keeping and accurate registration of persons and services (sec. 3–109, Code 1940).

14. May recommend to Comptroller General uniform systems of accounts and comparative costs (sec. 3-109, Code 1940).

15. Shall study social conditions and incorporate in its reports the results thereof with recommendations designed to safeguard the well-being of children and to ameliorate conditions of poverty, disease, and lessen crime (sec. 3–123, Code 1940).

16. Shall submit to the Commissioners an annual budget of appropriations necessary to discharge the duties imposed by law (sec. 3-123, Code 1940).

17. Shall submit annual report to the Commissioners.

18. Shall make recommendations for more efficient and humane care of persons in need of public assistance (sec. 3-123, Code 1940).

19. Shall register its cases with the Social Service Exchange ("contract investigational service") (Public Law 371, 78th Cong.).1

20. "Shall visit, inspect and maintain a general supervision over all institutions, societies, or associations of a charitable, eleemosynary, correctional, or reformatory character which are supported in whole or in part by appropriations of Congress made for the care or treatment of residents in the District of Columbia" (sec. 3-111, Code 1940).

21. Shall establish rules for the admission of all persons except those committed by the court, by whom payment for care is to be made (sec. 3-111, Code 1940).

22. Shall receive and transmit to Congress, through the Commissioners, reports showing the condition of all institutions, the supervision, the character and economy of administration and the amount and sources of the public and private income (31 Stat. 664, June 6, 1900).

23. Shall approve plans for all new institution buildings (sec. 3-112, Code 1940). (See also Act of June 6, 1931, Stat. 664, ch. 807.)

24. Shall on order of Commissioners make investigation of the management of any penal, charitable or reformatory institution in the District of Columbia and shall have power in such investigation to send for persons and papers and administer oaths and affirmations and shall make report of such investigation to the Commissioners (sec. 3-112, Code 1940).

II. FAMILY WELFARE SERVICES

CHILD CARE

25. Shall investigate circumstances affecting children handicapped by mental defect (Public Law 397).

1 Appropriation Act for 1945.

26. Shall receive for custody and care persons not more than 45 years of age who are committeed by the United States Court for the District of Columbia as feebleminded (sec. 32-624, Code 1940).

27. Shall permit the Superintendent of the National Training School for Boys to certify to the court whenever in his or her opinion any inmate of his institution is feebleminded (sec. 32-624, Code 1940).

28. Shall see that any citation, order or process required by laws to be served on any inmate of the District Training School shall be served by the superintendent or by someone designated in writing by him (sec. 32-627, Code 1940). 29. Shall make thorough investigations and keep permanent records to be held confidential but made available in its discretion (Public Law 397, 77th Cong., sec. 4).

30. Shall make provision for study of physical and mental conditions of children received for care, that care for each child may be planned to meet his particular physical and mental needs (Public Law 297, 77th Cong.. sec. 4).

31. Shall make investigations for the District Court of the United States for the District of Columbia, in adoption proceedings, to report the findings within 90 days; and to visit the adoptee during the period of the interlocutory decree and upon entry of final decree, to seal all papers in the proceedings (Public Law 370, 75th Cong.; and Public Law 140, 76th Cong.; sec. 16–201, 203, 206, Code 1940). 32. Shall provide for services for protection and care of children and to conserve home life (Public Law 397, 77th Cong., sec. 1).

33. Shall safeguard children born out of wedlock, providing services for their mothers for care and support of such children (Public Law 397, 77th Cong, sec. 1).

34. Shall accept for care, custody, and guardianship, dependent or neglected children whose custody or parental control has been transferred to the Board of Public Welfare (Public Law 397, 77th Cong., and sec. 3-114, 116, Code 1940). 35. Shall provide care and support for all children committed to the guardianship of the Board by the courts, including white girls committed to the National Training School for Girls and all children accepted by the Board for care as authorized by the "act to give additional powers to the Board of Public Welfare" (Public Law 397, 77th Cong., and Public Law 371, 78th Cong.).'

36. Shall assume responsibility for care and support of dependent and neglected children under the age of 18 years needing public care away from their own homes when such need has been determined by investigation and is requested by the parent or parents, or any person or agency responsible for the care of such children (Public Law 397, sec. 1, par. 3).

37. Shall have full power with respect to all children accepted by it for care, to place them with private families, either without expense or at a fixed rate of board, or to place them in institutions willing to receive them either without expense or at fixed rate of board (Public Law 397, sec. 3: and Public Law 371, 78th Cong., and sec. 3-115, Code 1940) ("not to exceed $2,500 each to institutions under sectarian control").

38. Shall place in boarding homes all white girls committed to the National Training School for Girls (Public Law 371, 78th Cong.).1

39. Shall place children under its care, when practicable, in institutions or homes of the same religious faith as the parents and when this is not done to set forth the reasons for its action in the record of the case (sec. 3-123, Code 1940).

40. Shall provide that a ward placed outside the District and the States of Virginia and Maryland shall be visited not less than once a year by a voluntary agent or correspondent of the said Board (Public Law 371, 78th Cong.1 and sec. 3-124, Code 1940).

41. Shall maintain continuously not more than three foster homes (at a cost not to exceed $1,680) for temporary or emergency care of nondelinquent children (Public Law 371, 78th Cong.).1

42. Shall incur expense in placing and visiting children (but not for visiting outside the District of Columbia and the States of Maryland and Virginia) and for office and sundry expenses (Public Law 371, 78th Cong.).1

43. Shall provide for burials for children dying while under charge of the Board not to exceed $400 (Public Law 371, 78th Cong.).1

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