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DOCUMENT NO.
AND TYPE
DATE
SUBJECTfi'ITLE
RESTRICTION
001. memo
Sally Katzen to Don Baer; RE: EPA's Children's Health Initiative (1
page)
01/28/1997
P5
002.letter
Farai Chideya to Mike McCurry; RE: Home telephone number
(partial) (1 page)
n.d.
P6/b(6)
COLLECTION:
Clinton Presidential Records
Communications
DonBaer
OA/Box Number: 10137
FOLDER TITLE:
Health Care
2006-0458-F
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�THE WHITE HOUSE
WASHINGTON
MEMORANDUM
February 5, 1997
TO:
Interested Parties
FROM:
Chris Jennings
RE:
Health Care Initiatives and the Budget
Attached is a summary of the health care reform initiatives included in the President's balanced
budget and a detailed description of the initiatives on Medicare, Medicaid, and other health
coverage issues. Background on the President's home health care policy is also included.
I hope that you find this information useful. Please DO NOT DISTRIBUTE this information
until after 8 p.m. Wednesday. Februaa 5.
�The President's FY 1998 Budget Health Care Reform Proposals
Preserving and Strengthening Medicare
•
Saves approximately $100 billion over 5 years ($138 billion over six years), modernizes the
program, and extends the life of the Trust Fund to 2007.
Restraining Growth in the Program
•
Constrains payments to health plans and providers, such as managed care, hospitals, nursing
homes, home health care.
Extends current law that sets Part B premium at 25 percent of program costs.
· Combats fraud and abuse by enacting new program integrity provisions and by repealing the
provisions Congress enacted last year that weaken fraud and abuse enforcement.
Improving Benefits
•
Invests in preventive health care such as diabetes management, colorectal screening, annual
mammograms without copayments, and increases reimbursement rates for certain immunizations
to protect seniors from pneumonia, influenza, and hepatitis.
•
Establishes a new respite care benefit to assist families of Medicare beneficiaries with
Alzheimer's and related diseases.
Phases down excessive outpatient copayments to the traditional 20 percent level.
•
Adds Medigap protections to increase the security of Medicare beneficiaries.
Modernizing Medicare
•
Provides more choices by establishing new private health plans options (such as preferred provider
organizations and provider sponsored organizations).
Establishes market-oriented purchasing for Medicare including: new prospective payment systems
for home health care, nursing home care, and outpatient services; competitive pricing authority;
and expanded "centers of excellence" to improve quality and reduce costs.
•
Addresses flaws in Medicare's current payment methodology for managed care, which combined
with a new national minimum floor, will reduce geographical variation in rates.
Protecting and Preserving Medicaid
•
Savings and Investments. The President's proposal saves, on net, about $9 billion over five
years. It would save about $22 billion over five years, but at the same time, it makes about $13
billion in investments in Medicaid, including proposals to expand coverage for eligible children,
and changes to last year's welfare reform law.
�•
Per Capita Cap. To stabilize Medicaid growth, the plan includes a "per capita cap," which would
constrain the rate of increase in Federal matching payments per beneficiary.
•
DSH. Under the President's plan, Federal payments for disproportionate share hospitals (DSH)
would be tightened and States would have the flexibility to target these payments to a range of
essential community providers.
•
Improved State Flexibility. The plan contains a number of reforms, including: repealing the
"Boren amendment" for hospitals and nursing homes; eliminating the Federal waiver process for
States opting for managed care; and eliminating a Federal waiver for States moving populations
needing long-term care from nursing homes to home- and community-based care.
Medicaid and Medicare for Workers with Disabilities. The plan enables SSI beneficiaries with
disabilities to keep their Medicaid when they return to work. It also includes a demonstration
program that allows certain SSDI beneficiaries receiving Medicare benefits to maintain their
coverage when they return to work.
Expanding Coverage for Workers Who Are In-Between Jobs
•
The President's plan includes an initiative to help provide health care coverage for workers who
are in-between jobs and their families. This initiative would help an estimated 3.2 million
Americans, including 700,000 children. This initiative invests $1.75 billion a year and $9.8 billion
over five years.
•
The plan helps working families continue health insurance coverage, building on KassebaumKennedy's protections against pre-existing conditions.
The plan gives States the flexibility to provide coverage in the way that best meets the needs of
.their populations.
Expanding Health Care Coverage for Children
•
Children Whose Parents are In-Between Jobs. This initiative will provide health care coverage
for 700,000 children whose parents are in-between jobs.
•
Grants to States to Expand Childrens' Coverage. The President's budget provides $750
million a year ($3.75 billion over five years) to States to develop innovative programs to provide
coverage to children.
•
Investments in Medicaid to Expand Coverage. The plan expands coverage for children by
investing in Medicaid. It:
Gives States the option to extend one year of continuous Medicaid coverage to all children
who are determined eligible for Medicaid.
Proposes to work with States and the private sector to reach out to the three million
children who are enrolled but not eligible for Medicaid.
�IDGHLIGHTS OF THE PRESIDENT'S MEDICARE REFORM PLAN
Medicare Savings
Approximately $100 billion over 5 years; $1~8 billion over 6
·years.
Medicare Trust Fund
Extends the solvency of the Trust Fund to 2007 through a
combination of scorable savings and programmatic and
structural changes.
Beneficiary Provisions
Extends current law that sets Part B premium at 25 percent of
program costs. This policy achieves $10 billion in savings
over 5 years. The Part B premium would go below this
percentage without this change after 1998; the expenditures
associated with the reallocation of some home· health
expenditures are excluded from this calculation.
Invests in preventive health care to improve seniors' health
status and reduce the incidence and costs of disease. The plan
covers colorectal screening, diabetics management, and
annual mammograms without copayments, and it increases
reimbursement rates for certain immunizations to ensure that
seniors are protected from pneumonia, influenza, and
hepatitis.
Establishes a new Alzheimer's respite benefit starting in 1998
to assist families of Medicare beneficiaries with Alzheimer's
and related diseases.
Buys down excessive outpatient copayments to the traditional
20 percent level. Because of a flaw in reimbursement
methodology, beneficiaries now in effect contribute a 46
percent copayment. Our policy will prevent further increases
in copayments and reduce the copayment to 20 percent by
2007.
�Adds Medigap protections (such as new open enrollment
requirements and prohibitions against the use of pre-existing
condition exclusions) to increase the security of Medicare
beneficiaries who wish to opt for managed care but fear they
will be unable to access the Medigap policy of their choice if
they decide to return to the fee-for-service plan. (This
provision is consistent with bipartisan legislation pendmg
before Congress.)
Provides new private plan choices (through new PPO and
Provider Service Organization choices) for beneficiaries.
Provider Impact
Hospitals
Through a series of traditional savings (reductions in hospital
updates, capital payments, etc.), achieves about $33 billion in
savings over 5 years.
Establishes new provider service organization (PSOs), which
will allow hospitals (and other providers) to establish their
own health care plans to compete with current Medicare
HMOs.
Establishes a new pool of funding, about $11 billion over 5
years for direct payment to academic health centers to ensure
that academic health centers are compensated for teaching
costs. This is funded by carving out medical education and
disproportionate share (DSH) payments from the current
Medicare HMO reimbursement formula.
�Managed Care
Through a series of policy changes, the plan will address the
flaws in Medicare's current payment methodology for ·
managed care. Specifically the reforms will create a national
floor to better assure that managed care products can be
offered in low payment areas, which are predominantly rural
communities. In addition, the proposal includes a blended
payment methodology, which combined with the national
minimum floor, will dramatically reduce geographical
variations in current payment rates. Medicare will reduce
reimbursement to managed care plans by approximately $34
billion over 5 years. Savings will come from three sources:
(1) Because HMO payments are updated based on projections
of national Medicare per-capita growth, when the traditional
fee-for-service side of the program is reduced, HMO
payments are reduced. The savings from this is $18 billion
over five years;
(2) The elimination of the medical education aJ;ld DSH
·payments from the HMO reimbursement formula (these funds
will be paid directly to academic health centers). Savings from
this proposal are $9 billion over five years; and
(3) A phased-in reduction in HMO payment rates from the
current 95 percent of fee-for-service payments to 90 percent.
A number of recent studies have validated earlier evidence
that Medicare significantly overcompensates HMOs. The
reduction does not start until 2000 and it accounts for a
relatively modest $6 billion in savings over 5 years.
Home Health Care
Saves about $14 billion over 5 years through the transition to
and establishment of a new prospective payment system.
�Home Health Expenditure
Reallocation
Home health care has become one of the fastest growing
components of the Medicare program, growing at double digit
rates. Oiiginally designed as a post-acute care service under
Part A for beneficiaries who had been hospitalized, home
health care has increasingly become a chronic care benefit not
linked to hospitalization. The President's proposal restores
the original split of home health care payments between Parts
A and B of Medicare. The first 100 home health visits
following a 3-day hospitalization would be reimbursed by Part
A. All other visits --including those not following a
hospitalization -- would be reimbursed by Part B.
The restoration of the original policy will not count toward
the $100 billion in savings in the President's plan. The policy
avoids the need for excessive reductions in payments to
hospitals, physicians, HMOs, and other health care providers
while helping to extend the solvency of the Part A Trust
Fund.
See additional provisions under Fraud and Abuse which save
$1.3 billion over five years.
~hysicians
Saves about $7 billion over 5 years through a modification of
physician updates. This reduction is relatively small because
Medicare has been relatively effective in constraining growth
in reimbursement to physicians.
Skilled Nursing Facilities
Saves about $7 billion over 5 years through the establishment
of a prospective payment system.
Fraud and Abuse
Saves about $9 billion over 5 years through a series of
provisions to combat fraud and abuse in areas such as home
health care, by requiring insurers to provide information
about insurance coverage of beneficiaries, and by repealing
the provisions Congress enacted last year that weaken fraud
and abuse enforcement.
�---------------------------
-
Distribution of Medicare Savings
FY 1998 Pre5~ident's Budget
FY 1998 - FY 2002
34
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THE PRESIDENT'S LATEST MEDICARE PROPOSAL
DEMONSTRA1'ES HIS COMMITMENT TO REAL REFORM. AND
MEETS THE REPTJBLICANS HALFWAY.
6-YEAR
Republican
1996
Proposal1
President's
Current
Proposaf
President's
1996
Proposal3
$158 Billion
$138 Billion
$116 Billion
1
1996 Proposal (April1996 baseline). Six-year period is FY 1997-FY 2002. (Medicare savings stream as reported in the Senate Budget Resolution
Report, 5/13/96).
2
3
The additional savings come from a range of policy changes, but
the most notable increase in savings comes from managed care and home health care.
HCFA Actuaries.' Estimates. Six-year period is FY 1998-FY 2003.
1996 Proposal (April1996 baseline). Six-year period is FY 1997-FY2002. ("CBO's Estimates of the President's Budgetary Proposals" in "The
Economic & Budget Outlook: FY 1997-2002").
\
�HIGHLIGHTS OF THE PRESIDENT'S MEDICAID REFORM PLAN
Medicaid Savings and
Investments
The President's plan saves approximately $9 billion net of
new investments over 5 years.
Through a combination of policies to reduce and target
spending on disproportionate share hospitals (DSH) more
effectively and establish a per-beneficiary limit on future
Medicaid growth, the plan would save $22 billion over five
years.
Roughly two-thirds of the savings comes from a reduction in
Disproportionate Share Hospital (DSH) payments and
roughly one-third from the per capita cap.
In addition, the President's plan invests $13 billion in
improvements to Medicaid, including health initiatives to
expand coverage for children, changes to last year's welfare
reform law, and new policies to help people with disabilities
return to work.
Guarantee of Coverage
The 37 million children, pregnant women, people with
disabilities, and older Americans who are currently covered
by Medicaid would retain their Federal guarantee of health
care coverage for a meaningful set of benefits.
Per Capita Cap
Even though the overall Medicaid baseline has fallen over the
past few years, Medicaid spending growth is still expected to
increase by over 8 percent annually after the year 2000. To
stabilize Medicaid growth, the President's budget would set a
per capita cap on Medicaid spending. The cap would
constrain the rate of increase in Federal matching payments
·per beneficiary.
The per capita cap protects States facing population growth or
economic downturns because it ensures that Federal dollars
are linked with beneficiaries.
�DSH Payments
Federal DSH payments would be tightened without
undermining the important role these funds play for providers
that serve a disproportionate number of low-income and
Medicaid beneficiaries.
Improved State Flexibility
The President's plan incorporates the highest-priority State
flexibility requests advocated by the National Governors'
Association. It:
•
Repeals the "Boren amendment" for hospitals and
nursing homes, to allow States more flexibility to
negotiate provider payment rates;
•
Eliminates Federal waiver process for States .opting
for managed care; and
•
Allows States to serve people needing long-term care
in home- and community-based settings without
Federal waivers, and a number of other initiatives.
Improves Quality
Standards
The President's plan maintains existing Federal standards and
enforcement for nursing homes and institutions for people
with mental retardation and developmental disabilities.
Quality standards for managed care systems would be
updated and enhanced.
Expanded Coverage for
Children
The President's plan includes measures to enhance coverage
for Medicaid-eligible children. It:
•
Provides continuous coverage for children: The
President's budget provides States with the option to
extend 12 months of continuous Medicaid coverage,
guaranteeing more stable coverage for children and
reducing the administrative burden on Medicaid
officials, providers, and families.
•
Encourages outreach to help more children receive
Medicaid: The Administration will work with States
to develop innovative ways to reach and sign up for
Medicaid some of the 3 million children who are
eligible for Medicaid but are not currently enrolled.
�Modifications to Welfare
Reform Law
Provision to Help Workers
with Disabilities
The President's plan includes provisions to ameliorate some
of the effects of the welfare reform law, including:
•
Exempting disabled immigrants from the ban on SSI
benefits to ensure they retain their Medicaid benefits.
•
Exempting immigrant children and disabled
immigrants from the bans on Medicaid benefits for
immigrants, and from the new "deeming"
requirements that mandated that the income and
· resources of an immigrant's sponsor be counted when
determining program eligibility.
•
Extending from 5 to 7 years the exemption from the
Medicaid bans and deeming requirements for refugees
and asylees.
•
Retaining Medicaid coverage for disabled children
currently receiving Medicaid who lose their
Supplemental Security Income (SSI) benefit because
of changes in the definition of childhood disability.
The President's plan recognizes that many people with
disabilities want to work but they face significant barriers.
The plan would help people with disabilities return to work
risking their health care coverage. As a State option, SSI
beneficiaries with disabilities who earn more than certain
amounts could keep Medicaid. They would contribute to the
cost of coverage on their income rises.
---
----------------'
�HIGHLIGHTS OF THE PRESIDENT'S INITIATIVES TO MAINTAIN AND EXPAND
WORKERS' COVERAGE
Because most Americans have employment-based health insurance, health care coverage is often
jeopardized for workers who change jobs. In fact, over 50 percent of the uninsured lost their health
insurance due to a job change. Many of these uninsured Americans are the spouses and children of
workers. The President's initiative will provide temporary premium assistance to families with workers
who are in-between jobs. For millions of these workers and their families this assistance could make it
possible for them to maintain their health care coverage while looking for another job. This initiative is
fully paid for within the President's FY 1998 balanced budget plan. In addition, to assist small businesses- which often have more difficulty providing and maintaining health care coverage for their workers -- the
President has proposed to help States create voluntary purchasing cooperatives.
Funding
Invests $1.75 billion a year and $9.8 billion over the budget
window and is paid for in the President's FY1998 balanced
budget.
Eligibility
Helps an estimated 3.3 million Americans in 1998, including
about 700,000 children.
A full subsidy would be provided up to 100% of the
poverty level for and would be phased out at 240% of the
poverty level.
To assure that limited federal dollars are cost-effectively
targeted, individuals who are eligible for Medicare,
Medicaid or who have an employed spouse with coverage,
are not eligible for this program.
While low-income workers would certainly be helped by
this benefit, over half of participants would come from
families who previously had incomes over $30,000, for a
family of four.
Coverage for Families of
Workers Who Are
In-Between Jobs
Helps to assure that Kassebaum-Kennedy protections against preexisting conditions are not placed at risk because of breaks in
insurance coverage. It achieves this goal by helping working
families retain their health coverage through premium assistance
during a time in which they lose much of their income.
�Gives States the flexibility to provide coverage in ways that best
meets the needs of their populations. States would have
flexibility to administer their own programs, (e.g., COBRA, a
private insurance product, Medicaid, or an alternative means of
coverage).
Voluntary Purchasing
Cooperatives
Small businesses have more difficulty providing health care
coverage for their workers because they have higher per capita
costs due to increased risk and because of extraordinarily high
administrative costs.
The President's budget will make it easier for small businesses to
provide health care coverage for their employees, by allowing
them to band together to reduce their risks, lower administrative
costs, and improve their purchasing power with insurance
compames.
His budget proposes to empower small businesses to access and
purchase more affordable health insurance through the use of
voluntary health purchasing cooperatives. This will be
accomplished by providing $25 million a year in grants that States
can use for technical assistance, by setting up voluntary
purchasing cooperatives, and by allowing these purchasing
cooperatives to access to Federal Employees Health Benefit Plans.
�IDGHLIGHTS OF THE PRESIDENT'S CIDLDREN'S HEALTH INITIATIVES
In 1995, more than 10 million American children had no health insurance. Eighty percent
(8 million) of the ten million uninsured children have a parent who is a worker. Many uninsured
children have parents who earn too much for Medicaid but too little to afford private coverage,
and an estimated three million children are eligible, but not enrolled in Medicaid. The President's
plan helps these groups of uninsured children by working with States, communities, advocacy
groups, providers, and businesses to expand coverage. Combined with the scheduled Medicaid
phase-in of older children, HHS estimates that the President's plan would provide coverage for
as many as five million children by the year 2000.
Assistance for Children Whose
Parents Are In-Between Jobs
The President's plan includes an initiative to assist workers
who are in-between jobs and their families maintain health
coverage. The program will cost $1.75 billion per year and
$9.8 billion over five years, and will help an estimated 3.2
million Americans, including 700,000 children.
This initiative provides funding to States to cover the
children of workers who are temporarily in-between jobs.
The program would help those families who had employerbased coverage in their prior jobs.
The plan would give States flexibility to administer their
own programs (e.g., through Medicaid, COBRA, or an
independent program).
Grants to States to Expand
Children's Coverage
The President's plan provides $750 million a year in grants
to States ($3.8 billion over FY 1998-2002) that will build
on successful State children's programs like those in
Pennsylvania, Washington, Minnesota, and Florida, to
identify and provide coverage for uninsured children.
Under the President's plan, States could work with insurers,
providers, employers, schools, and others to develop
innovative programs to provide coverage to children.
In addition to covering children who fall through the gaps,
these new State grants may help identify and enroll children
eligible for Medicaid.
�Investments to Expand
Medicaid Coverage
The President's plan invests in Medicaid to provide better
coverage for eligible children. It:
Provides one year of continuous Medicaid coverage to
children. The President's budget give States the option to
extend 12 months of continuous Medicaid coverage to all
children who are determined eligible for Medicaid.
Currently, many children receive Medicaid protection for
only part of the year. This is because Federal law requires
that a family that has a change in income or some other
factor affecting eligibility report it immediately, possibly
making them ineligible for Medicaid.
This provision will benefit families who will have the
security of knowing that their children will be covered by
Medicaid for a full year. It will also help States by reducing
administrative costs, and managed care plans, by enabling
them to better coordinate care.
Encourages outreach. The President's plan proposes to
work with the States, communities, advocacy groups,
providers, and businesses to extend Medicaid coverage to
the three million children who are eligible for Medicaid but
are not currently enrolled.
�.-
-
THE PRESIDENT'S FY 1998 BUDGET: HOME HEALTH CARE REFORM
The President's budget proposes a number of initiatives to control spending in home health
expenditures. It implements a prospective payment system and also takes steps to reduce fraud
and abuse on home health services. Both of these proposals achieve significant savings. Finally,
the budget proposes to reallocate all home health expenditures to the Part B side of program,
with the exception of the post-acute portion of the benefit.
.,.
Expenditures for Home Health Services are Increasing Faster than for Any Other
Medicare Service.
..
Home health care utilization has risen. The average number of home health
visits per user has grown from 26 visits in 1984 to 69 visits in 1994.
..
Highest growth in home health services in excess of 100 visits. The 10 percent
of beneficiaries who use more than 200 home health visits per year account for
over 40 percent of home health spending.
.,.
Implements a Prospective Payment System. The President's budget implements
payment reforms, which would modify costs and lead to separate prospective payment
system for home health services. Prospective payments would reduce incentives for
overuitlization, save billions of dollars, and begin to bring the current double-digit rise in
spending on these services under control. This proposal would save $14 billion over
five years .
.,.
Combats Fraud and Abuse in Home Health Services. A March, 1996 GAO report on
Medicare home health growth recommended that the Congress provide additional
resources to HCF A to enhance enforcement controls against fraud and abuse. The
President's Fraud and Abuse initiatives would achieve approximately $1.4 billion
over five years .
.,.
Home Health Payments on Location of Service. This proposal would require
that payment be determined by the location of the service, rather then the location
of the billing office. (Billing offices tend to be in urban areas where rates are
higher).
..
Eliminate Periodic Interim Payments (PIP) for Home Health. This proposal
would eliminate PIP and simultaneously phase-in a prospective payment system.
PIP was initially established to help simplify cash flow for new home health
providers by paying them a set amount, and reconciling PIP with actual
expenditures at the end of the year.
�...
o
However, with 100 new HHAs joining Medicare each month, access to
home health is no longer a problem.
o
Further, the Office of Inspector General has found that Medicare
continually overpays PIP and has a hard time recovering the money. This
proposal achieves $1 billion over five years.
Home Health Expenditure Reallocation. Under the President's budget, the post-acute
part of the budget would remain in Medicare Part A and all other home care services
would be transferred from Medicare Part A to Medicare Part B. This proposal would
protect Medicare beneficiaries from additional out-of-pocket costs because Part B home
care services would not be subject to the 20 percent Part B coinsurance and would not be
included in the Part B premium. This shift does not count towards any of the $100 billion
savings in the President's Medicare proposal.
...
Restores original intent of the policy. Prior to 1980, the home health benefit
was originally designed as a post-acute care service under Part A for beneficiaries
who had been hospitalized. Home health care benefits were limited to 100 visits
per year and could only be provided after a hospital stay of three or more days.
In 1980, Congress altered the home care benefit by eliminating the 100-visit and
the 3-day hospital stay requirement. As a result of these changes, home health
care has increasing become a chronic care not linked to hospitalization. Part A
now absorbs about 99 percent of the rapidly growing home health costs.
The President's proposal restores the original intent of the policy so that payments
for more than 100 visits are not be in Part A of the program, the part of Medicare
that pays for acute -- not long-term care services. Under the proposal, the postacute care portion of the home health benefit would remain in Part A and all other
home care services would be transferred from Part A to Part B .
... ·
Protects Medicare, Without Excessive Program Cuts
...
This policy avoids the need for excessive reductions in Medicare payments
to hospitals, physicians, and other health care providers, and protects
beneficiaries from unjustifiable increases in premiums and other out-ofpockets expenses.
...
Without this policy, Medicare's total growth for Part A would have to be
constrained to 3.4 percent per year (2.2 percent per capita), according to
CBO -- below the rate of inflation.
...
This proposal is an integral part of the President's Medicare plan which
extends the life of the Medicare Trust Fund to 2007 without imposing any
new costs on beneficiaries or undermining the high quality services.
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
001. memo
DATE
SUBJECTfi'ITLE
Sally Katzen to Don Baer; RE: EPA's Children's Health Initiative (1
page)
01/28/1997
RESTRICTION
P5
COLLECTION:
Clinton Presidential Records
Communications
DonBaer
ONBox Number: 10137
FOLDER TITLE:
Health Care
2006-0458-F
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b(2) Release would dlselose internal personnel rules and practices of
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purposes [(b)(7) ofthe FOIA)
b(8) Release would disclose Information concerning the regulation of
financial institutions [(b)(8) of the FOIA)
b(9) Release would dlselose geological or geophysical information
concerning wells [(b)(9) of the FOIA)
P2 Relating to the appointment to Federal office [(a)(2) of the PRA)
P3 Release would violate a Federal statute [(a)(3) of the PRA)
P4 Release would disclose trade secrets or confidential commercial or
finanelallnformatlon [(a)(4) of the PRA)
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRA)
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRA)
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal rec:ord misfile defined In accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�January 21, 1997
MEMORANDUM FOR DON BAER AND MIKE McCURRY, THE WHITE BOUSE
FROM:
LORETfA UCELLI, EPA
SUBJ'ECT:
OPPORTIJNITIES TO MAKE NEWS ON THE ENVIRONMENT
There are several EPA announcements slated for the coming months that could be good
opportunities to showcase Clinton Administration action to protect public health and the
environment. The actions that will be announced underscore the Clinton Administration's
commitment to preserving American values like protecting public health and the environment and
may be suitable for Presidential or Vice Presidential involvement. You may wish to include these
in your planning process.
Protecting Children from Environmental Health Threats
Last August, in Kalamazoo, :MI, President Clinton committed to protect the health of
children from increasingly pervasive environmental health threats. Administrator Browner
believes that the most effective way to deliver on the President, s commitment is to issue an
Executive Order on environmental health threats to children. The Executive Order would:
•
•
•
Require health and safety regulations and standards to take into account the unique risks
faced by children ftom enviromnental threats.
Coordinate research aaoss the government concerning children's health.
Develop a pamphlet to provide families with information on practical steps they can take
to protect themselves from environmental threats.
This initiative is being discussed on a policy level between EPA and NEC staff.
Expanding Community Right-to-Know
To deliver on President Clinton,s commitment to expand every citizens,s right-to-know
about local pollution, there are several announcements that could be made in the next year.
E/l:
1)
Challenge Congress to pass legislation - embodied in a set of principles issued with that
challenge - that would provide consumer information labels to families warning of any
unique health risks to children from products containing toxic chemicals.
2)
Last June, the Vice President committed to expand the number of industrial facilities
required to make pub~c the levels of toxic chemicals they release into the air, water
land in comrm.mities across America.· Next month, EPA will make good on that
commitment and finalize the regulatory proposal that the Vice President announced.
a:mtd
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3)
Next fall, we will be ready to announce a proposal for a plan to give the public information
about exactly how industrial facilities are using toxic chemicals in their neighborhoods.
Administrator Browner announced the Administration's intention to make this infonnation
public last summer. This proposal would make good on that commitment.
Revitalizing Communities
To build on the success of the Administration's program to clean up and redevelop
abandoned, contaminated property in cities across the country, Administrator Browner wants to
expand the Brownfields Initiative ftom an EPA focused program to a government wide program
that could draw on the expertise of other departments including HUD, Labor, Commerce and
HHS. An announcement of an expansion of the program could include the release of a report
that demonstrates gains made by cities as a result of the program and plans for the future.
Administrator Browner has discussed this proposal with Bruce Reed at the DPC. An
announcement could be ready as early as this spring.
Clean Water
1)
EPA plans to announce a new national program specifically designed to better protect the
health of Americans who vacation at the beach. This new.program will:
•
•
•
Enhance the public's right-to-know about the safety of local beaches by assisting local
authorities in developing water testing and health advisory programs.
Develop an Internet database on beach advisories and closures.
Provide local officials with better scientific methods to detect dangerous water pollution at
beaches more quickly.
Our plan is to launch the program right before Memorial Day- as millions of Americans
head to the beach for summer vacations. Using the Memorial Day weekend as a news
peg. we can communicate the message that Clinton Administration clean water policies are
helping American families ensure that their beach vacations are safe and healthy. This
announcement could be the focus of the President's radio address or could take place at
any beach on the east or west coast.
2)
Next October is the 25th Anniversary of the Clean Water Act. The Clean Water Act protects
our nation,s rivers, lakes, streams and oceans ftom pollution. The Congressional leadership may
introduce legislation this session that would weaken health protections in the Clean Water Act.
As you may remember. last Congress, the leadership introduced an extreme re-write of the
Clean Water Act that received extensive media attention. The anniversary could be a good
opportunity for the President to make a strong statement or speech on the importance of clean,
safe water and priorities for achieving that goal.
I hope you find these suggestions helpful. Please call me or Melissa Boimey at 202/260-9828 if
you have questions or would like us to further develop some of these ideas.
CC:
E:/E:
El:l'dd
Kris Balderston, Ron Klain, Sylvia Matthews, Katie McGinty, Bruce Reed. Gene Sperling,
178BE: I!IBli lil!lli•ai
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February 3, 1997
DonaldBaer
Assistant to the President and
Director of Communications
The White House
Washington, D.C. 20504
Dear Don:
I wanted to update you and others on the status of the Space Day idea.
You may recall that upon arrival here I discovered an initiative that I thought you might fmd
useful- the first annual national Space Pay. May 22. Space Day is designed to focus
attention on math and science education and to build enthusiasm for space and technology
by reaching out to 21 million boys and girls 7-14 years old; their parents, teachers, and
conununities.
Since my Jast note, we have met with and received positive response from most of the
space advocacy and education organizations including the ChaJlenger Center. U.S. Space
Foundation, The Planetary Society, National Science Teachers Association, Association of
American Universities, George Washington University, and the American Astronautical
Society.
Planning for the Feb. 20 rollout is maturing. So far it looks like this:
• Feb. 20 is the 35th anniversary of John Glenn's space flight. Sen. Glenn will be
there. We have approached NASA Administrator Dan Goldin who has previously
expressed positive interest.
• Venue: Jefferson Jr. High School, 7th and G St. SE, Washington, D.C. This
a District math and science magnet school which has been visited by the President in the
past. The Challenger Center is located there and will host the event.
h~
• Using the school's internet capabilities, we will debut SPACEDAY.COM. a web
page featuring age-appropriate material. and a very powerl'ul search engine that will permit
users to research space-related topics. It includes downloadable tea~hing materials and
links to NASA's home page. Sen. Glenn and the other VIPs will, with the Jefferson
students, be the very Il!St to usc SPACEDAY.COM oo the web.
• We will preview a nationwide electronic fie)d trip that will be conducted by the
Challenger Center on Space Day_
• There are the other normal trappings for such an event -- T -shirts, etc.
�'t!d .., ..,
2
Don, I wrote you the first time because saw good potential in Space Day for the President's
initiatives on education in general and specifically in regards to the use of technology in the
dassroom. We also hope it will help maintain enthusiasm for our nation's space program.
We chose the venue because it will project a positive image for the District £chools at a. time
when such a boost is needed.
If you have 8.1\ interest in being a part of the rollout or Space Day itself, please contact me
at: 301/897·6352.
Regards,
cc:
Jack Gibbons, OSTP
Mike McCurry
Mike Hamel, OVP
Jim Seaton. NSC
Lorraine Voles, OVP
�Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
AND TYPE
002.letter
SUBJECTffiTLE
DATE
Farai Chideya to Mike McCurry; RE: Home telephone number
(partial) (I page)
n.d.
RESTRICTION
P6/b(6)
COLLECTION:
Clinton Presidential Records
Communications
DonBaer
OA/Box Number: 10137
FOLDER TITLE:
Health Care
2006-0458-F
dbl226
RESTRICTION CODES
Presidential Records Act- [44 U.S.C. 2204(a)J
Freedom of Information Act- [5 U.S.C. 552(b)J
PI National Security Classified Information [(a)(l) of the PRAJ
P2 Relating to the appointment to Federal office [(a)(2) of the PRAJ
P3 Release would violate a Federal statute [(a)(3) of the PRAJ
P4 Release would disclose trade secrets or confidential commercial or
financial information [(a)(4) of the PRAJ
PS Release would disclose confidential advice between the President
and his advisors, or between such advisors [a)(S) of the PRAJ
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(a)(6) of the PRAJ
b(l) National security classified information [(b)(l) of the FOIAJ
b(2) Release would disclose internal personnel rules and practices of
an agency [(b)(2) ofthe FOIAJ
b(3) Release would violate a Federal statute [(b)(3) of the FOIAJ
b(4) Release would disclose trade secrets or confidential or financial
Information [(b)(4) of the FOIA)
b(6) Release would constitute a dearly unwarranted Invasion of
personal privacy [(b)(6) of the FOIAJ
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIAI
b(B) Release would disclose information concerning the regulation of
financial institutions J(b)(8) of the FOIAJ
b(9) Release would disclose geological or geophysical information
concerning wells [(b)(9) of the FOIAJ
C. Closed in accordance with restrictions contained in donor's deed
of gift.
PRM. Personal record misfile defined In accordance with 44 U.S.C.
2201(3).
RR. Document will be reviewed upon request.
�205 Lexington Avenue
New York, New York 10016
212.522.7092 fax 212.522.4578
'\ fYll-/-1~..,h
Mv\1\~-~{
~Vi!L,
~i(
Farai Chideya, National Affairs Editor
Home Phone!
(b)is> I E-mail zimby@well.com
Work 212-539-3698
Mr. Mike McCurry
Whlte House Press Secretary
via fax: 202-456-6423
ph: 202-456-2673
Dear Mr. McCurry
I am writing to request an interview with President Clinton for Vibe magazine, a monthly owned by
Quincy Jones which has a clrcu.lalion of 2 million~
I realize you must get stacks of interview requests each day, but I'd like to make a special case for the
Vibe readers. Our publication, which Was nominated for a National Magazine Award in the General
Excellence categol)', is targeted towards urban youth. I'd like to do the interview in March, because we
can then target the publication to the June launch ofVibe's syndicated television show. To date, Vibe's
show has been picked up by 7S percent of the available markets and will be the biggest syndication launch
of its kind since Arsenio. Given the attendant publicity, our circulation that month may reach upwards of
15 million.
I'd only need a brief span of lime with President Clinton-say, 20 minutes-to ask him what he sees as
some of the primary issues facing America's youth (particularly wban youth) and what solutions he's
been implementing through our government. I'd also like to ask what young Americans can do help
support the administration's initiatives. Our readership, which is multi-racial, is extremely interested in
practical ways to close our nation's racial divide.
I am a former Newsweek political reporter and a current CNN political analyst. (Fax ofbio follows.) I
would like to schedule the interview for sometime after March 1, as I will be in southern Africa and
Zimbabwe for the month of February.
I will have my assistant, Dalton Jones, call you on Wednesday, Februal)' 12 to follow up on this letter. I
may be reached via phone at 212-539-3698 or via fax at 212-228-8233. My deepest thanks for your time
and consideration.
Sincerely,
~Jr
Clinton Library Photocopy
�•
'
Bio: Farai Chideya, CNN Political Analyst and author:
Don't Believe the Hype: Fighting Cultural Misinformation About African-Americans
Farai Chideya is a 27 year-old journalist and author whose scope goes from television
to print, and from African-American issues to punk music.
Chideya is a CNN Political Analyst offering commentary on the 1996 Presidential
election. Named to the (New York) Daily News' "Dream Team" of political reporters
and commentators, she has also appeared on other networks including ABC's
"Nightline." Chideya is also a fall1996 Research Fellow at the Freedom Forum Media
Studies Center, examining why young Americans are tuning out the news.
Chideya embarked on a mission to destroy racial stereotypes with her 1995 book, Don't
Believe the Hype: Fighting Cultural Misinformation About African-Americans. Using
statistics largely from government sources, she systematically undercuts the argument
that African-Americans are at the root of problems like crime, welfare and drugs. Don't
Believe the Hype, a Plume/Penguin publication, is now in its seventh printing. She is
currently working on a new book for Scribner titled The Color of America: How The
Nation's Most Diverse Generation is Reshaping American Culture.
In addition to her television and research work, Chideya is a contributing writer at Time
magazine and the National Affairs Editor ofVibe magazine. She is also the editor of her
own web 'zine, Pop & Politics (http://www.popandpolitics.com).
Before joining CNN, Chideya was a political and music news writer at MTV News,
which tailors its reports to inform America's youth. From 1990 to 1994, she was a
reporter for Newsweek magazine in New York, Chicago and Washington. In the
Washington bureau she covered national politics ranging from skewering Congressional
pork to following the President as a pool reporter on Air Force One.
As a freelance journalist, she has written extensively about music, books and trends for
The Village Voice and Spin, among others. On the serious side, she's profiled white
supremacists for Mademoiselle, examined child sexual abuse allegations for the Los
Angeles Times, and written on affirmative action for The New York Times. She has
won awards including a National Education Reporting Award, a Unity Award in Media
and a GLAAD Award.
�"
.•
January 31, 1997
MEMORANDUM TO DON BAER AND ANN LEWIS
FROM
SUBJECT
:LAURASCHWART~
: WHAT IS THE AD COUNCIL PSA AND WHY WE SHOULD UNVEIL
IT AT THE WHITE HOUSE
On January 8, the President and First Lady filmed an Ad Council PSA in conjunction with the
Coalition for America's Children, focusing on their commitment to improving the lives of
America's children. Issues included literacy, after school programs, and violence.
At the end of each PSA an e-mail address and 800 number appear over the visual. The
e-mail address will take the viewer to the Coalition's home page entitled "Kids Campaigns." At
this address and phone number "www.kidscampaign.org and 888-544-KIDS," the user can find
information on how to get involved with organizations nearest them that are part of the coalition.
You will recall that in 1994 the President participated in the AdCoucil's "Take a Bite Out Of
Crime" PSA with local teen Alicia Brown. The PSA was extremely successful, in large part due
to the open press event in room 450 with prominent AdCouncil supporters and media executives
in the audience. The event offered a screening for the media of the final product and a chance to
hear from Alicia Brown and her real life battles with crime. This also provided the opportunity
for the President to repledge his support for protecting America's youth.
WHY THE PRESIDENT AND MRS. CLINTON SHOULD UNVEIL THE
CIDLDREN'S PSA AT THE WHITE HOUSE
The folloWing information was compiled by the AdCouncil based on the achievement of the
President's 1994 Crime PSA. As you recall, the President's unveiling event in the OEOB 450
was the springboard that lead to the PSA's success. I have extrapolated what I feel are the most
impressive points from their report to demonstrate the importance of duplicating this success
with a White House unveiling for the President and Mrs. Clinton's PSA for children. I am
requesting an event sometime between Feb 6 - Feb 13 in order to gain momentum from the
President's State of the Union address.
For easy reference I have chosen to highlight the Placement, Media dollars and effect on call
volume the President's Crime PSA had in 1994.
�PLACEMENT
•
59,000 PSAs were placed by the AdCouncil in 1994, POTUS Crime PSA accounted for
41% of total placements.
•
After the release of the POTUS PSA, network participation increased from 66 placements
per month to 115, an increase of30%.
•
Cable activity increased from 48 placements a month to 492, an increase of 1,000%.
•
An increase in the number of spot markets (from 80- almost 100)
•
Daypart dispersion of the POTUS PSAs had a slight edge over the average Ad Council
daypart dispersion, especially in the high rated daypart of primetime. The POTUS PSA
also had an increase in the number of prime time spots (10% versus 3% on average for
Ad Council campaigns)
Daypart
POTUSPSA
AdCouncil Average
%Difference
Early Morning
Daytime
Early Fringe
Prime
Late Fringe
Late Night.
6%
17%
7%
10%
8%
52%
8%
17%
5%
3%
6%
61%
-25%
+40%
+230%
33%
15%
MEDIA DOLLARS
•
Campaign at $91.9 Million ranked #1 of all AdCouncil campaigns in donated media
support.
•
Campaign ranked #1 in TV support alone with $18.4M in Network/spot and $28.9M in
Cable.
•
POTUS PSA showed an increase in donated media dollar values from $0.5 million to
$1 million per month.
•
CY campaign increased +$42M versus CY 93 (at $49.9M total); the year after the
POTUS PSA, media support dropped to $54.0M in CY 95 demonstrating the impact of
the POTUS PSA during CY 94.
�CALL VOLUME TO "800 WE PREVENT"
•
Call volume surpassed all previous efforts. Before the POTUS PSA aired, 800 WE
PREVENT received under 1,000 calls per week; after the POTUS PSA unveiling, the
calls were increased to an average of 2,500 per week. 1994 call volume totaled 66,611.
•
In the first three months, calls to the 800# increased as follows: March 8,356; April
11,599; May 12,362. A chart highlighting this is attached.
ATTACHMENTS
•
•
•
•
Chart 1: Weekly 800 Calls to WE PREVENT
Chart 2: # of calls referenced with# of spots
Background and goals of the coalition.
The 350 organizations which make up the coalition.
Note: All organizations that make up the coalition have been vetted by the White House.
-~~
-~---------------------------'
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30 May 1994
23 May 1994
16 May 1994
9 May 1994
2 May 1994
25 April1994
18 April1994
11 April 1994
4 Arpil1994.
28 March 1994
21March 1994
14 March 1994
7 March 1994
Z8 Feb 1994
21 Feb 1994
Calls transmitted
AD COUNCIL INC_
1 202 331 9790
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Crime Prevention
- - - ---·----·--n Presidential Til_Campaign
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�http://www. usakids.orglhtmVaboutcoalition.html
About the
Coalition for
America•s Children
Goals
The Coalition's goals include increasing the legitimacy of children's needs as a public issue, facilitating
the public's identification of children's well-being as one of the most important problems facing the
nation, and motivating elected officials and candidates for public office to develop children's platforms.
Through nonpartisan research and public education campaigns -- such as its
Who's for Kids and Who's Just Kidding campaign and its Children First
collaboration with ABC-TV -- the Coalition educates the public on children's
issues and urges policymakers of all persuasions and parties to take positions
responsive to children's needs.
It also works to equip children's advocates to foster public debate about issues
and options affecting children and to hold public officials accountable to
children.
Membership
Unique to the Coalition is the membership agreement that commits its members
to overcoming parochial self-interest in the larger interest of children, to
promoting materials developed by other organizational members, to
coordinating timetables and products, and to internal monitoring designed to
eliminate competition in favor of collaboration.
The Coalition's membership includes 350 separate nonprofit groups and public
agencies -- many with their own extensive individual and affiliate memberships -- organized as a project
of the M.B. Fund, a 501(c)3 charity founded and chaired by Marjorie Benton. A Steering Committee of
19 organizational members and an Executive Committee of nine organizations meet in alternate months.
Since the Coalition's inception, the Benton Foundation has served as its secretariat, contributing
significant staff time and other resources to support the development, management, and dissemination of
numerous Coalition plans and products. The Coalition's national spokesperson is Robert Keeshan (a.k.a.
Captain Kangaroo).
Areas of work
Today, the Coalition has four ongoing areas of work:
1. Developing and mounting comprehensive, coordinated national public education campaigns.
These campaigns combine the talents of numerous local, state, and national groups and allow all groups
to develop, share, and adapt products to local use, from brochures to public service announcements.
2. Furthering its members' commitment to a shared children's agenda. The Coalition uses task
forces on specific issues, from health care reform to violence. It also develops materials that facilitate all
groups' abilities to speak out to the media and the public on the causes and consequences of children's
lack of access to adequate health, education, safety, and security in this country.
3. Conducting and disseminating research. The Coalition helps all children's advocates to better
l of2
Ol/31/97 10:14:35
�http://www. usakids.org/htmVaboutcoalition.html
understand public perceptions of children's needs and to evaluate their own materials from a more
informed perspective.
4. Expanding the tool kit for nonprofits. The Coalition helps them to use the media creatively to ,
promote public understanding of children's issues and engage citizens in solving these problems by
taking advantage of opportunities from editorial boards to talk radio.
For a more complete look at the Coalition for America's
Children, click here for the text of Who's For Kids and Who's
Just Kidding: The First Five Years.
IUMIIUIUP
2 of2
COMmON
MIM81U
CAMPAIGN '96
eo
PUIUC
MINION
01/31/97 10:14:38
�MEMORANDUM
TO:
Laura Schwartz
FROM: Susan Bales. Benton Foundation.
202/638-5770
Coalition for
America's Children
163.4 Eye Street, NW
12th Floor
Washington, DC 20006
Tel (202) 638·5770
Fax (202) 638·5771
A Project of the M. 8. Fund
Steering Committee
DATE:
December 18, 1996
RE:
Coalition for America's Children Members
Please find attached a current list of the Coalition's members. There are a
few duplications of organizations, since we derived this from our current
database where some groups have more than one contact. We can also
messenger you the Coalition's five year history. if this helps put things in
context. Please call if you need more infonnation.
American Academy
of Pediatrics
American Association
o~ Retired Persons
American Auociation
of School Administrators
American Federation
ofTeoc:hers
American Public Welfore
Association
Association of Junior Leagues
International
Benton Foundation
Child Welfare league
of America
Children Now
Florida Center for
Children and Youth
Food Research
and Action Center
For the Children
National Association
of Child Advocates
National Assodatiof.l
of Children's Hospitals
and Related Institutions
National Association of
Elementory School Principals
Notional Association of
Secondary School Principals
National Black Child
Development Institute
Nalionol Education Association
Save tho Children
Notional Portner in the CopitC!I Cities/ ABC Children First Campaign
-~··
G}
·------------·--------------
�Coalition tor America's Children Memoer ,.,..-~-· .. -------.
Action for ;L\Iaslca's Children
IAKI
(CAl
Alabama Association for the Care of Children's
Health Affiliate
lucile Salter Packard Children's Hospital at Stanford
University
(All
Merrie Way Community for Arts and Humanity
(CAl
Children's Hospital of Alabama
(All
Parents Anonymous. Inc.
ICA)
Kiwanis International - Alabama District
CALl
The Children's Partnership
(CAl
VOICES for Alabama's Children
(All
University of California, San Diego
(CAl
Arkansas Children's Hospital
(ARI
Valley Children's Hospital
(CAl
Campaign for Kids
IARI
Alliance for National Renewal
(COl
Southam Early Childhood Association
IARI
American Humane Association
(COl
Awareness to Access, Inc.
IAZI
Children's Hospital of Denver
(COl
Children's Action Alliance
(AZI
Colorado Children's Campaign
(CO)
Phoenix Children's Hospital
IAZI
Denver Kids, Inc.
Friends of the Children's Hospital at Yale-New Haven
(COl
CT)
1
(CAl
KIDS 2000
(CT!
(CAl
Mothers Protecting Children, tric.
ICTl
(CA)
National Task Force for Children's Constitutional
Rights
I CTl
Save the Children
ICTI
Save. tha Children
(CT)
Portable Practical Educational Preparation
California Children's Hospital Association
IAZI
California Food Policy Advocates
(CAl
California Mental Health Advocates for Children and CA
1 1
Youth
Center on Alcohol Advertising
(CAl
(DC I
Child Support Reform Initiative
(CA}
(DC)
Child Welfare League of America
I CAl
lOCI
Children Now
(CAl
(DC)
Children's Advocacy Institute
(CAl
Advocatas for Youth
(DC)
Children's Environmental Health Network
I CAl
Alliance to End Childhood Lead Poisoning
I DC!
Children's Health Environment Coalition
(CA)
Alliance To End Childhood Lead Poisoning
lOCI
Children's Health Environmental Coalition
(CAl
American Academy of Child & Adolescent
Psychiatry
(DC!
Children's Hospital and Health Center
(CA)
American Academy of Pediatrics
Children's Hospital Los Angeles
I DC)
I CAl
American Academy of Pediatrics
Children's Hospital Los Angeles
lOCI
(CAl
Children's Hospital Oakland
American Association of Retired Persons
IAARPNOTE)
!DC)
(CAl
Coalition for America's Children
(CA)
American Association of Retired Persons
(AARPNOTEl
lOCI
Coleman Advocates for Children and Youth
(CA)
American Federation of Teachers
Emergency Medical Services for Children National
Resource Alliance
lOCI
!CAl
American Psychiatric Association
(DC I
Foundation of America
(CAl
American Public Welfare Association
lOCI
Junior League of San Francisco
(CAl
Association of Junior Leagues International
I DC)
Kern Child Abuse Prevention Council
(CAl
Association of Junior Leagues International
lOCI
Kinship Center
(CAl
Association of Maternal and Child Health Programs
(DC!
Klaas Foundation for Children
I CAl
Benton Foundation
(DC I
LA'5 Bast
(CAl
Benton Foundation
(DC)
-----------------------------
�Coalition for Amarlca·a cnu11•-v.. ·-·----- _
Bento·n Foundation
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National Network for Youth
\U\...1
Campai~n tor Tubacco-Free Kids
{DC)
National Parent Teacher Association
(DC)
Center for Media Education
lOCI
One to One Partnership, Inc.
lOCI
Child Welfare League of America
(DC)
Points of Light Foundation
(DC)
Child Welfare league of America
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Points of Ught Foundation
lOCI
Child Welfare league of America
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RESULTS
CDC I
Children's Defense Fund
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RESULTS
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Children's Express
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Sasha Bruce Youth Work, Inc ..
(DC!
Children's National Medical Center
(DC)
Save the Children
(DC)
Children's National Medical Center
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Service Employees International Union
I DC!
Children's National Medical Center
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The Children's Partnership
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Children's Rights Council
(OCJ
The Children's Partnership
lOCI
Coalition for America's Children
(DC)
The Tides Center
CDC)
Council of the Great City Schools
(DC)
Travelers Aid International
(DC)
DC Public library
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Unitarian Universalist Service Committee
CDC)
Emergency Medical Services for Children National
Resource Center
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WAVE, Inc.
CDC)
Emergency Medical Services for Children National
Resource Center
Youth Service America
(DC)
(DC)
(DC I
Espiscopal Center for Children
Zero to Three/National Center for Infants, Toddlers
and Families
!DC I
First Book
(DC I
Zero to Three/National Center for Infants, Toddlers
and Families
(DC)
First Book
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Children's Consortium, Inc.
I Fll
Food Research and Action Center
lOCI
Dade County Children's Services Council
{ Fl)
Food Research and Action Center (FRACI
(DC)
Florida Center for Children and. Youth
I FLI
For Love of Children
(DC)
Florida Center for Children and Youth
( Fll
General Federation of Women's Clubs
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Jacksonville Children's Commission
I FL I
George Washington Univ. Graduate School of
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Memorial Hospital
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Girls, Inc.
National Perinatal Association
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Healthy Mothers, Healthy Babies
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Kiwanis lntemational
CDC I
NACCRRA
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Tampa Children's Hospital at St. Joseph's
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American Juvenile Arthritis Organization
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Egleston Children's Hospital at Emory University
(GAl
Egleston Children's Hospital at Emory University
(GAl
Family Counseling Center of Central Georgia, Inc.
(GAl
Georgians for Children
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National Assembly
(DC)
National Association for the Education of Young
Children
lOCI
National Association of Child Advocates
I DCI
Missing Links, Inc.
I GAl
National Association of Pediatric Nurse Associates
and Practitioners (NAPNAPl
(DC)
Hawaii Advocates for Children & Youth
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National Association of WIG Directors
Parents and Children Together
lOCI
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National Black Child Development Institute
United Action for Youth
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National Black Child Development Institute
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National Education Association
National Institute for Dispute Resolution
Lewis-Clark Early Childhood
Pr~gram
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(DC)
American Academy for Cerebral Palsy and
Developmental Medicine
I ILl
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American Academy of Pediatric Dentistry
I IL I
-----------------
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merican Academy of Pediatrics
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merican Ubrary Association
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Alliance for Child Survival
Association for the Cars of Children's Health
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Association for the Care of Children's Health
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Black Child Development Institute
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Bread for the World
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Friends of the Family
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Global Exchange, Inc.
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Good Knight Campaign for Protection
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National Committee to Prevent Child Abuse
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Maryland Committee for Children, Inc.
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Urban Ubraries Council
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Parent Action
Voices for Illinois Children
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Parents Anonymous of Maryland, Inc.
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Indiana Youth Institute
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The Foundation for the Future of Youth
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James Whitcomb Riley Hospital for Children
I IN I
Maine Children's Alliance
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Junior League of Evansville, Inc.
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Catalyst for Action
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Children's Hospital of Michigan
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Children's Rights Council of Kansas and Missouri
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Huron Services for Youth, Inc ..
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Greater Wichita Pediatric Society
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Junior Leag~~s of Grand Rapids
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Kansas Action for Children
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Michigan Association of Children's Alliances
I Mil
Kansas Children's Service League
IKSI
Michigan Citizens for America's Children
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University of Michigan Medical Center
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Children's Defense Fund-- Minnesota
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Children's Health Care
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ssociation for Ubrary Services to Children/American 1 IL 1
'brary Association
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ommunications for Youth
rikson Institute
eague of Women Voters of Illinois
Kiwanis International
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Kansas Children's Service League
Department of Social Services Fayette Urban County ( KYI
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Eastern Kentucky Child Care Coalition
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Eastern Kentucky University Training Resource
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Minnesota State PTA
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Cardinal Glennon Children's Hospital
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Kentucky United for Children and Families
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Citizens for Missouri's Children
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Kentucky Youth Advocates, Inc.
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Edgewood Children's Center
(MOl
Edgewood Children's Center
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Save the Children
Agenda for Children
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Family Support Network
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Agenda for Children
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Partnership for Children
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New Orleans Bread for the World
I LAI
St. Louis Children's Hospital
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Baystate Medical Center Children's Hospital
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Coalition tor Mississippi's Children
IMSI
Children's League of Massachusetts
IMAl
Mississippi Forum on Children and Families, Inc.
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Join Together
Join Together
Massachusetts Child Welfare League of America
Executives Group
Massachusetts Committee tor Children and Youth
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New England Home for Little Wanderers
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STOP IT NOW!
Phi Theta Kappa
Phi Theta Kappa
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Junior League of Asheville, Inc.
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North Carolina Child Advocacy Institute
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University of North Carolina at Chapel Hill
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Western North Carolina Regional Child Abuse Center 1NC)
IMA\
Children's Hospital Meritcare
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Unitarian Universalist Service Committee
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Voices for Children in Nebraska
{NEl
Advocates for Children and Youth, Inc.
.:-::::--:.
-~=--=--:-----------
---------------
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ew Hampshire Alliance for Children and Youth
pper Valley
Yo~..a..:h
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assaic Beth Israel Hospital
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Children's Hospital Medical Center or '"'"''u"
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Children's Hospital Medical Center of Akron
(NJI
Children's Medical Center
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Community Mediation Services of Central Ohio
(NJ)
I NJI
INMI
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Baker Hall and the Preventive Services Coalition of
Erie County
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Child and Family Services
Child Care Action Campaign
Child Care Action Campaign
Children Now
Children Now
Children's Health Fund
Children's Hospital of Buffalo
Children's House, Inc.
Citizens Committee for Children
Committee for the· Silent March
Covenant House
Girls, Inc.
Hasbro Children's Foundation
Health & Welfare Council of Nassau County, Inc.
Institute for Families and Children
Juvenile Justice Trainers Association
Lakeside Family and Children's Services
National Parenting Association
National Urban League
St. Mary's Hospital for Children
State Communities Aid Association
Statewide Youth Advocacy, Inc.
Westchester Children's Association
Association of Ohio Children's Hospitals
Athens County Children Services
Beech Brook
Ballefaire/Jewish Children's Bureau
Children'9 Hospital Columbus
Children's Hospital Medical Center
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Coshocton County Children Services
American Association of Psychiatric Services for
Children
Blythedale Children's Hospital
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For the Children of America
Mental Health Association of Ohio
Neighborhood Services, Inc.
Ohio Association of Child Caring Agencies
Ohio Hunger Task Force
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Richland County Children Services
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University tiospital, Cleveland
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Voices for Children and Far,nilies
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Wayne County Interagency Children's Cluster
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Children's Consortium, Inc.
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c·ommunity Service Council of Greater Tulsa
Oklahoma Institute for Child Advocacy
Project Get Together
lOKI
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Children First for Oregon
(OR)
Oregon Alliance of Children's Programs
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Youth Resources
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Big Brothers/Big Sisters of America
Children's Hospital of Pittsburgh
I PAl
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Community Prevention Partnership of Berks County
(PA)
Juvenile Law Center
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Lehigh County/Allentown Family Centers
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Public Citizen Services Association of Ohio
Voices for Children and Families
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Fight Back; Community Partnership
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Family Preservation Council of Greater Youngstown
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Lutheran Children & Family Service
I PAl
National Perinatal Association
I PAl
Penn State Allentown Campus
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Pennsylvania Partnerships for Children
I PAl
Pennsylvania Partnerships for Children
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Philadelphia Citizens for Children and Youth
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St. Christopher's Hospital for Children
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Support Center for Child Advocates
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Alliance for South Carolina's Children
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American Association of School Administrators
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Wings for Children
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Center for Multicultural Human Services
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Bristol Children's Center
(TN)
Child Development Resources
(VAl
Children's Hospital of Vanderbilt University
(TN I
Children's Hospital
IVAI
Child Advocates, Inc.
(TX)
Laurel Learning Center
IVAI
CHILDREN AT RISK
(TX)
NACHRI
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Children's Hospital Association of Texas
ITXI
National Association of Children's Hospitals and
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IVAI
Children's Trust Fund of Texas
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National Association of Elementary School Principals
Coalition for North Texas Children/Children's Medical ( TXI
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National Association of Secondary School Principals
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Cook-Fort Worth Children's Medical Center
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National School Public Relations Association
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Corpus Christi American Federation of Teachers
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Orphan Foundation of America
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Houston-Galveston Psychoanalytic Institute
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Mental Health Association in Texas
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Church Council of Greater Seattle
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Nacogdoches Community Coalition
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Family Support Network
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Human Services Policy Center
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Rainbow Days, Inc.
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Washington Food Policy Action Center
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Texans Care for Children
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Texas Children's Hospital
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Texas Committee for the Prevention of Child Abuse
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Children's Hospital of Wisconsin
American Federation of Teachers Utah
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Wisconsin Council on Children and Families
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Primary Children's Medical Center
West Virginia Task Force on Children. Youth and
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RESULTS • Salt Lake City
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Wyoming P.A.R.E.N.T.
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Utah Chapter of the National Commission for the
Prevention of Child Abuse
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Utah Children
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Utah Education Association
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Utah Public Health Association
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MEMORANDUM
TO:
Don, Ann, Rahm
FROM:
Eli
RE:
Possible Presidential Involvement/Action on "Tuskegee Study"
DATE:
Thursday, January 30, 1997
A quick report on a meeting this afternoon with Kitty Higgins, Elena Kagan, HHS Chief
of Staff Bill Carr, and Assistant Secretary for Health Philip Lee.
Background
As you know, between 1932 and 1972 the Public Health Service (now part ofHHS),
together with the Tuskegee Institute, conducted a long-term study of untreated syphilis known as
the "Tuskegee Study." For the purposes of the study, federal, state and local officials allowed
about 400 African-American men to go untreated for syphilis, even though treatment was
available. (11 of these men are still alive.) The study was stopped only after it became public in
1972. The government then agreed to provide medical care to the victims and their families for
the rest of their lives.
The Government's Studv
In 1996, CDC and HHS sponsored a Tuskegee Syphilis Study Committee (technically the
President's committee, although I do not believe he has ever publicly commented on the·issue).
In May, 1996, the Committee issued a report which recommended that the President apologize on
behalf of the government. The report also suggested initiatives in minority health, training for
health care workers serving in minority communities, and a clearinghouse to help investigators
conduct ethically responsible research. The study has gotten a great deal of media attention,
much of it focussed on the fact that the incident has fueled African-American distrust of
government and public health authorities.
HHS's Request (or a Presidential Event or Message
HHS is now requesting some kind of Presidential involvement-- ranging from a
proclamation or press statement, to an actual Presidential event. They initially asked that this
happen before February lOth (which is clearly impossible), because that is when an HBO movie
about the Tuskegee Study will premiere; at the very least, they would like to do this by the end of
February, which is African-American History Month.
HHS was arguing that the President should simply issue an apology, since that was the
�Committee's main recommendation. Apparently, HHS was not prepared to act on any of the
Committee's other recommendations. Kitty, Elena and I agreed that it is almost certainly not
worth Presidential involvement unless we can show real action. HHS promised to report back
ASAP with possible steps that could be taken.
The key questions are:
Is this issue worth the President's involvement, even if we can show action?
If so, is it better to quietly issue a proclamation or statement or to design an actual event?
If not, should HHS do something on their own?
Please advise; once we receive more options from HHS, we plan to hold another meeting
on this issue.
�:· ~I
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SCHEDULE PROPOSAL
TODAY'S DATE 1115/97
_ _ _A.CCEPT
REGRET
_ _PENDING
TO:
Stephanie Streett and Anne Hawley
Directors of Scheduling and Advance
FROM:
Mike McCurry
Press Secretary
REQUEST:
POTUS discussion with religion reporters.
PURPOSE:
To give the President the opportunity to elaborate on how his faith informs
his major policy decisions, including his emphasis on personal, civic and
corporate responsibility.
BACKGROUND:
The President's consistent role in preserving religious freedom and his
comfort in speaking about religion make this a good venue in which to
communicate to an important audience. (Although the President held a
successful Catholic writers roundtable in the fall of 1995, this would be his
first talk with ecumenical reporters.)
DATE AND TIME:
February 6, 1997, following the National Prayer Breakfast
BRIEFING TIME:
45 minutes
DURATION:
45 minutes
LOCATION:
Cabinet Room
PARTICIPANTS:
The President and representatives from: Religion
News Service, Catholic News Service, Associated
Baptist Press, Baptist Press, Jewish Telegraphic Agency, National
Catholic Reporter and Christianity Today. Also, Laurie Goodstein,
national religion writer for The Washington Post and Gustav Neibuhr,
national religion writer for The New York Times.
OUTLINE OF EVENTS:
The President makes brief opening remarks and
then takes one question from each
participant.
�REMARKS REQUIRED:
Brief opening remarks
RECOMMENDED BY:
Mike McCurry
CONTACT:
Lorrie McHugh 6-2987, Pat Lewis 6-7284
�\-\0-<( :t
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THE WHITE..l:IOUSE
rt r~·,
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WASHINGTON
SCHEDULING ADVICE MEMORANDUM FOR: Mike Cohen, Don Baer
.. ·...
I'ROM:
SDPBANIE STREETT AND ANNE HAWLEY
DA'1'B:
StJBJBCT:
November 25, 1996
SD BBLOW
Invites the President to speak at the Community College National.
Legislative Seminar banquet in Washington, D.C. on February 24,
1997.
PLEASE MARK ONE OF THE FOLLOWD1G AND WRID ANY ADDITIONAL
COMMENTS BELOW:
The President does not need to accept.
a)The President does not need to accept but should send
a representative. (This needs to be done by your
office, Scheduling does not perform this function.)
b)The President does not need to accept but a
representative should be arranged through Cabinet
Affairs.
THE PRESIDENT SHQQLP ACCEPT -- PLEASE S~T A
SCHEDULING PROPOSAL ~TH THE INVITATION ATTACHED TO THE
WEST WING SCHEDULING OFFICE ASAP!
COMMENTS:
0-~·
p
PLEASE RETURN THIS MEMO TO PETE SELFRIDGE IN ROOM 184 BY:12-13-96
�Allociadon of Community CoUeae
Trust~~~ ~-,
~\\ ..
..
1740 "N• Stre«. NW
Walhinpn. DC 200l6
201775.4667
I~
I ~
..
........
FAX TRANSMilTAL COVER SHEET
TO:
COMPANY/COLLEGE:
FAX#:
T~
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'1S6- 2 L(~ I
.
1\lcJA H f>Rb~H ~ FcJ..,~J._ ~(AJ(.-;o~ .
FROM:
Association of Community CcfUege Trustees
FAX#: 202-223·1297
PHONE#: 202-775·4667
TOTAL PAGES:
MESSAGE:
1-
(Including cover)
�~·-
~AAcc
AWEBI~AN
OF COMMUNITY
COLLEGES
... "'·.. . ASSOCIATION
..:..
.
·.
ASSOCIATION OF COIUfllNITY CQLLIGE TRUSTEES
November 15, 1996
.1'~
-·-·
.I9
The Honorable William J. Clinton
President
The White House
1800 Pennsylvania Avenue
Wuhtngton, D.C. 20500
Dear Mr. President:
On behalf of the nation's 1,200 community, junior, and technical colleges, we extend
our congratulations to you, VIce President Gore, and your family on your reelection as
President of the United States. As you prepare for your second term, we are pleased
to extend an Invitation to you to speak during the Community College National
Legislative Seminar banquet on Monday, February 24, 1997, at the Sheraton
Washington Hotel, Washington, D.C.
• No President In recent history understands better than you how important
postsecondary education and lifelong learning are to America's economic and social
well~ing. Your proposal to make the first two years of college universal for all
Americans enjoys wide support among community colleges. This proposal will
significantly strengthen our nation, while helping to ensure that the American people
remain the most productive and competitive of any in the world. The seminar is an
excellent opportunity to enhance support for your education proposals among the
principal advocates of two-year Institutions, who will carry the message directly to
Congress.
The seminar attracts over BOO community college trustees and presidents, and gives
college leaders the chance to hear firsthand from congressional and administration
officials about Issues important to their institutions and students.
We hope that you will be able to join us February 24, or for any part of the three-day
Community College National Legislative Seminar.
Sincerely,
·;::,_~~~
~
Ray Ta1ar
ACCT Presid~ and CEO
~~
David Pierce
AACC President and CEO
AACC. One Oupont Circle. NW. Su.ittt 410. Waehia~gtun, [)C 200S6. (202) 728-0200 • .lo".o\X (202) 833.2467
ACCT. 1740 "N" Strt~l'!l, NW, Wa•hin~ton, DC 20036, (202) 775·4667. F.4X (202) 223·1297
1995
�--------------------~
-
�SCHEDULING PROPOSAL
January 27, 1997
REGRET
ACCEPT
PENDING
TO:
Stephanie Street
Ann Walley Haley
Deputy Assistants to the President and Directors
of Presidential Scheduling
FROM:
Bruce Reed
Assistant to the President for Domestic Policy
Melanne Verveer
Deputy Assistant to the President and Deputy Chief
of Staff to the First Lady
PURPOSE:
For the President and Mrs. Clinton to host a White
House Conference on early childhood development,
early learning and brain development.
BACKGROUND:
The President and Mrs. Clinton would convene a
group of leading experts, child care providers, ;
pediatricians, and leaders in the scientific,
religious and business communities to focus on the
importance of children's first years of life and
on what families and communities can do to promote
young children's healthy development and school
readiness.
See attached for description of the event.
PREVIOUS
PARTICIPATION: None.
DATE & TIME:
Early March - Early April.
DURATION:
Approximately 2 hours.
LOCATION:
The East Room
PARTICIPANTS:
The President
The First Lady
REMARKS:
10-15 minutes of remarks.
SEQUENCE OF
EVENTS:
The President and Mrs. Clinton
PRESS
PARTICIPATION: Open Press.
�••
STAFF CONTACT: Melanne Verveer, OFL, ext. 66266.
Bruce Reed, DPC, ext. 66515.
Nicole Rabner, OFL, ext. 66215.
�WHITE HOUSE CONVENING ON EARLY LEARNING AND THE BRAIN
Theme:
The critical importance of the earliest years of children's lives, in particular ages
0-3, to their cognitive, emotional, and social development.
Pw:pose:
To tell the story of the earliest years of a child's life -- through an animated
description of the latest scientific brain development research, an examination of
practical and policy applications of that research, and ending with a discussion of
what more can be done on practical and policy levels by various sectors of society.
Method:
An East Room interactive panel discussion moderated by the First Lady that will:
Panelists:
•
showcase current scientific research on early brain development;
•
examine the practical applications of the research for parents and
child care-takers, pediatricians, grassroots child development
practitioners, policy makers, and various sectors of society,
including the medical, faith, education and business communities;
•
highlight various commitments for further work (e.g. by children's
booksellers and publishers) and challenge every sector of society to
do its part; and
•
help to unveil a public/private partnership public awareness
campaign.
Leaders of the child development scientific community, pediatricians, grassroots
practitioners (including literacy programs, child care providers, Headstart and
family resource workers), religious and business leaders, as well as "success
stories" that exemplify the need to reach children in their earliest years.
Particjpatozy
Audience:
Leaders of the sectors of society above-mentioned, as well as foundation and
association leaders, advocates and a bi-partisan representation of Members of
Congress and key state and local leaders. The audience could also include families
that have benefited from comprehensive child development centers in rural and
urban areas, demonstrating long-term effects of attention to earliest years on
school-readiness and lifespan approach to child development.
�·January 27, 1997
SCHEDULING PROPOSAL
ACCEPT
REGRET
PENDING
TO:
Stephanie Street
Ann Walley Haley
Deputy Assistants to the President and Directors
of Presidential Scheduling
FROM:
Bruce Reed
Assistant to the President for Domestic Policy
Melanne Verveer
Deputy Assistant to the President and Deputy Chief
of Staff to the First Lady
PURPOSE:
To tape a segment of the ABC Prime Time Special,
"I Am Your Child" which is scheduled to be aired
during the week of April 21, 1997.
BACKGROUND:
An hour-long ABC prime time special on early
childhood development is being produced by Rob
Reiner and a team of artists. It will feature
music, comedy and several mini-documentaries.
Performers will include Tom Hanks, Whitney
Houston, Robin Williams, and other stars who are
donating their time. The documentaries, created
by New Screen Concepts, will address early brain
development, quality child care and how
communities can mobilize in support of families.
The President and Mrs. Clinton would tape the
final segment of the show, which will be a "call
to action" for all members of society to help
enhance development during children's earliest
years of life.
The TV special is part of an early childhood
public engagement campaign, whose goal is to bring
focus on the importance of the first three years
of life and on what families and communities can
do to promote young children's healthy development
and school readiness. The campaign, which builds
on the Carnegie Corporation's 1994 report Starting
Points, is designed to help and inform families,
to build the capacity of the fields that serve
young children and their families, and to bring
about change through public education and
community mobilization. The core of the campaign
is supported by the AT&T Foundation, the Carnegie
�..
....
.
Corporation, and the Teresa and H. John Heinz
Foundation.
PREVIOUS
PARTICIPATION: None.
DATE & TIME:
TBD
DURATION:
TBD
LOCATION:
TBD
PARTICIPANTS:
The President
The First Lady
REMARKS:
Script to be provided.
SEQUENCE OF
EVENTS:
The President and
the TV special.
Mrs~
Clinton tape a segment of
PRESS
PARTICIPATION: Closed press for taping
STAFF CONTACT: Melanne Verveer, OFL, ext. 66266.
Bruce Reed, DPC, ext. 66515.
Nicole Rabner, OFL, ext. 66215.
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Don Baer
Creator
An entity primarily responsible for making the resource
Office of Communications
Don Baer
Date
A point or period of time associated with an event in the lifecycle of the resource
1994-1997
Is Part Of
A related resource in which the described resource is physically or logically included.
<a href="http://clinton.presidentiallibraries.us/items/show/36008" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/7431981" target="_blank">National Archives Catalog Description</a>
Identifier
An unambiguous reference to the resource within a given context
2006-0458-F
Description
An account of the resource
Donald Baer was Assistant to the President and Director of Communications in the White House Communications Office. The records in this collection contain copies of speeches, speech drafts, talking points, letters, notes, memoranda, background material, correspondence, reports, excerpts from manuscripts and books, news articles, presidential schedules, telephone message forms, and telephone call lists.
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Extent
The size or duration of the resource.
537 folders in 34 boxes
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Original Format
The type of object, such as painting, sculpture, paper, photo, and additional data
Paper
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Health Care
Creator
An entity primarily responsible for making the resource
Office of Communications
Don Baer
Identifier
An unambiguous reference to the resource within a given context
2006-0458-F
Is Part Of
A related resource in which the described resource is physically or logically included.
Box 21
<a href="http://www.clintonlibrary.gov/assets/Documents/Finding-Aids/2006/2006-0458-F.pdf" target="_blank">Collection Finding Aid</a>
<a href="https://catalog.archives.gov/id/7431981" target="_blank">National Archives Catalog Description</a>
Provenance
A statement of any changes in ownership and custody of the resource since its creation that are significant for its authenticity, integrity, and interpretation. The statement may include a description of any changes successive custodians made to the resource.
Clinton Presidential Records: White House Staff and Office Files
Publisher
An entity responsible for making the resource available
William J. Clinton Presidential Library & Museum
Format
The file format, physical medium, or dimensions of the resource
Adobe Acrobat Document
Medium
The material or physical carrier of the resource.
Reproduction-Reference
Date Created
Date of creation of the resource.
1/12/2015
Source
A related resource from which the described resource is derived
42-t-7431981-20060458F-021-006-2014
7431981