H 2344 The SPEAKER pro tempore. The Clerk will report the last amendment in disagreement. : The Clerk read as follows: Senate amendment No. 199: Page 41, strike out lines 9 to 19, Inclusive, and insert: ° Sec. 305. No bill or resolution providing new budget authority for fiscal year 1982 or providing new spending authority described in sectlon 401(c2)(C) of the Congressional Budget Act of 1974 In excess of the alloca- tion to or report by a committee or subcom- mittee pursuant to section 302 of the Budget Act shall be enrolled until Congress - has completed action on the Second Budget Resolution for that fiscal year as.required to be reported under section 310 of the Budget Act; and, if a reconciliation bill or reconciliation resolution, or both, are re- quired to be reported under section 310(c), until Congress has completed action on that bill or resolution or both. . Mr. JONES of Oklahoma (during the reading). Mr. Speaker, I ask unani- mous consent that the amendment be considered as read and printed in the RECORD. : The SPEAKER pro tempore. Is there objection to the request of the gentleman from Oklahoma? ~~ There was no objection. . MOTION OFFERED BY MR. JONES OF OKLAHOMA Mr. JONES of Oklahoma... Mr. Speaker, I offer a motion. . The Clerk read as follows: Mr. Jones of Oklahoma moves that the House recede from its disagreement to the amendment of the Senate, numbered 199, and agree to the same with amendments as follows: Strike out the matter proposed to be inserted by the Senate amendment, and restore the matter proposed to be stricken out by the Senate amendment. On page 41, line 9, of the House engrossed concurrent resolution, strike out “Sec. 306. (a)” and insert the following: “Sec, 305.”. Qn page 42 of the House engrossed con- current resolution, strike out lines i through 3. Mr. JONES of Oklahoma (during the reading). Mr. Speaker, I ask unani- mous consent that the motion be con- sidered as read and printed in the REcorRD. The SPEAKER pro tempore. Is there objection to the request of the gentleman from Oklahoma? There was no objection. The motion. was agreed to. MOTION TO INSTRUCT CONFER- EES TO AGREE TO SECTION 303 OF SENATE. AMENDMENT TO H.R. 31, THE CASH DISCOUNT ACT Mr. MADIGAN. Mr. Speaker, I offer a privileged motion. The SPEAKER pro tempore. The Clerk will report the motion. The Clerk read as follows: Mr. MapiIcan moves that the managers on the part of the House at the committee of conference on the bill H.R. 31 be instructed to agree to section 303 of the Senate amend- ment which removes the age restriction for appointment to the Surgeon Generalship. The SPEAKER pro tempore. The gentleman from INinois (Mr. Mapican) is recognized for 1 hour, _ will give.a brief recap: =. palin © pies Hpr Abela: CONGRESSIONAL RECORD — HOUSE Mr. MADIGAN. Mr. Speaker, I yield myself such time as I may consume. Mr, Speaker, I rise to urge my col- . . leagues to support my motion to in- struct House confcrees on nongermane . provisions found in H.R. 31, the (Cash Discount Act.- - : as. As some of my colleagues may not be aware of the situation on this bill, I H.R. 31, the Cash Discount Act, was reported by the House Banking Com- ttee and passed the’ House. It. was amended on the floor of the other body with the insertion of nonger- mane language relating to the Public Health Service Act. When returned to. this body, the speaker referred the. “nongermane portion of the amended . bill to the Subcommittee on: Health and the Environment of. the Energy | May 20,1981 address the age discrimination. ques- tion. I know his particular aversion to such discrimination, no matter where it is found, and would urge my col- leagues to associate themselves with our dislike of-such practices. 9 Recognizing the discriminatory ef- fects -of: the present Public Health Service Act language, the other body : sought to ease. the situation by ap- pending nongermane language to H.R. 31. Their amendmerit exempts an indi- | .. vidual 64 or-over from requirements™ which preclude appointment as: Sur- geon General. - These. discriminatory statutory re- quirements unduly restrict the ability of the President to appoint as Surgeon General individuals who have excep- tional qualifications in medicine and ‘guished chairman, . appointed conferees ort this bill. Three | ’ “ weeks ago, the other house did like-» ‘wise. Conferees have unsuccessfully © attempted to meet on two occasions. — ' worthwhile. piece of legislation has ° , health care administration merely be- “cause those individuals have attained *@ certain age. For instance,-the Presi- dent wants to appoint a very distin- . guished and able surgeon and medical ’ professor, an individual who has many years of volunteer public health serv- d4ce.in his background. This physician has been, surgeon-in-chief of a major children’s . hospital in ‘the United States, is a wor weknowmed pediatric surgeon, as well as an ovator o This then is the situation today: A new techniques in surgical procedures and Commerce Committee. Our distin- the ° gentleman. from California, called one day of hearings at which we discussed this and ancillary issues. The subcommit-. tee and full committee took no futher: action.:Some 6 weeks ago, the ‘House. . . relating to childhood cancer, In addi- guage: in sddition, unrelated concerns; tion, this distinguished physician in- have intruded upon the. central issue’, spired the creation of the first neona- - of the amending language ‘found in, ‘#1 surgical Intensive care unit in the the bill. : : 4, gues. » United States, a service which has con- As a result of this deadlock, I‘rise «. ttibuted significantly to the reduction . today to seek my colleagues’ approval ° of new-born mortality. rates. Due. to of a motion to instruct conferees to is activities in educating. medical pro- accept language which would resolve . fessionals, he has ‘raised the standard certain problems created by the other. Of surgical care for children and. discuss this specific language, howev- many other parts of the world. A great er, I would like to direct this body’s at- ‘number.of his former students are tention to what I consider a serious "OW well established as professors of flaw in the Public Health Service Act. Pediatric surgery, division chiefs in pe. — The Public Health Service Act as it diatric surgery, and surgeons in chief relates to the service of the Surgeon .°f children’s hospitals... ©...» General .unduly discriminates ‘on the.. This individual has been a professor basis of age. I find such discrimination . of pediatric surgery and pediatrics at a to be unwarranted. — mo major eastern university, a diplomat The Surgeon General of the Public of the American Board of Surgery, a ’ Health Service is one of the key posts . fellow of the American College of Sur- in the Department of Health and. geons and the American Academy of Human Services. The Surgeon. Gener- . Pediatrics, and is specially certified in al is also the highest ranking officer in pediatric: surgery. by--the American the commissioner corps of.the Public . Board of Surgery. His other profes- health Service, one of the seven uni-:: sional memberships include the Soci- formed services of the United States. .. ety for University Surgeons, the Phila- Under existing statute, an individual delphia. Academy of Surgery, the who is 64 years of age or, older may American Pediatric Surgical Associ- not receive an original appointment in ation, the British Association of Pedi- the commissioned corps because of. atric Surgeons, the International Soci-. prohibitions contained in the: retire-' ety of Surgery, the Deutsche Gesells-; ment authority. The law. mandates, chaft fur..Kinderchirurgie, the. Mar-3 that a commissioned officer be retired seille Surgical Society, and the College’ on the-first day of the month immedi-' of Surgeons of the Dominican’ Repub- ately following the month he or she’ lic. Further, he has received:: many attains the age of 64. I consider this honors, awards, and honorary degrees, age discrimination of the -worst sort and has engaged in public health ac- and would hope that, my: colleagues tivities in more than three dozen coun- would agree, 4 So _ tries around the world. And yet, due to. I would also like to point out the the mere fact. this individual is over support of my chairman, the gentle- the age-of 64,*he is statutorily pre- - man from California, in our efforts to cluded from nomination and confirma- May 20, 1981 tion as Surgeon General of the United States. I find such discrimination based on an individual’s age to be re- pugnant to the fundamental principles of our society. In addition, I would like to provide the President of the United States with greater flexibility in the administration and management of the Public Health Service and the Public Health Service Commission Corps. As a result, I urge my col- leagues to support this motion to in- struct conferees to accept language which eliminates these unnecessary restrictions. I urge you to do so be- cause it is only proper that we allow individuals who have achieved mature years to serve in responsible positions in this Government. Mr. BIAGGI. Mr. Speaker, will the gentleman yield? Mr. MADIGAN. I yield to the. gen- tleman from New York. Mr. BIAGGI. I thank the gentleman for yielding. I rise in support of the gentleman’s motion for two very specific reasons: One, I think the President should be given the flexibility necessary in order to flesh out his administration organi- zation. But even more significant is the question of discrimination. The gentle- man has expressed his opposition to that practice and clearly the Congress has spoken out on this issue many times, but more importantly, the Con- gress has enacted legislation which re- moved mandatory retirement in most quarters in our country. We are in the process of deliberating on the areas remaining. The Select Committee on Aging, of which the il- lustrious gentleman from Florida (Mr. PEPPER) serves as chairman, has been in the forefront in dealing with dis- crimination. I, as a member of that committee, and chairman of one of its subcommit- tees, have attempted to consistently eliminate any form of discrimination in relation to the elderly in every pro- gram in our Nation. To have it applied here because it deals with one individual, I believe, is certainly outrageous. I would certainly hope that if the motion is carried—and I hope it will be—that we address ourselves to the broader area, to all individuals who might be considered for appointment by the President, that appointment not to be inhibited by virtue of his age, e congratulate the gentleman for his motion. Mr. MADIGAN. I thank the gentle- - man for his support. Mr. KEMP. Mr. Speaker, will the gentleman yield? Mr. MADIGAN. I yield to the distin- guished chairman of the Republican Conference, the gentleman from New York (Mr. Kemp). Mr. KEMP. I thank the gentleman for yielding. I want to thank the gentleman for his leadership on this issue. CONGRESSIONAL RECORD — HOUSE ‘with their Jacob D. Ehrenveller Award [rise, Mr. Speaker, in support of the Madigan motion. I want to congratu- late the gentleman from New York I. Koop for his achievements as well. He think needs to be raised, that it is dis- has been «Mr. Braco) for raising an issue that I criminatory to suggest that Dr. Koop ‘should not be allowed to serve as Sur- geon General because he has passed, I think by less than 100 days, the so-. called mandatory age limit. | There is no doubt in my mind that there is discrimination at work in this. The campaign that has been waged against Dr. Koop is unfortunate. He is one of the most distinguished Ameri- cans, one of the most distinguished physicians, one of the most distin. guished humanitarians in the country. 'Dr. Koop, the President’s choice for - Surgeon General, has been the chief. of pediatric surgery at the Children’s Hospital in Philadelphia for the past. 35 years. His work there has been | dedicated to saving and improving the ‘lives of our most precious. resource, our children, dren’s Hospital in 1946, the surgical services there were understaffed and underdeveloped. The: surgical roster ‘included only three patients. Under Dr. Koop’s leadership, ‘the surgical. program has become one of the finest. in the Nation. It is a training ground for highly skilled pediatric surgeons: from arourid the world..Today the hospital serves over 5,000 patients per year in need of every type of surgical | care, One of the reasons for the program’ 3° success is Dr. Kéop’s medical philos-. ophy. He has been a leader of the movement to base the practice of pedi- atric surgery on physiologic principles. Prior to this, children were. ,treated as if they were small adults, ‘and their special needs were ignored. - Dr. Koop has. been a pioneer in the development of surgery. on the new- born, His successful separation of Si- amese twins in 1974 brought him na- tional reccgnition. He has played a major role in the creation of the first newborn surgical intensive care unit, which in turn has helped’ to signifi- cantly reduce the mortality rates for infants in the United States. In addition to his work as a surgeon, Dr. Koop has shared his experience and knowledge through his career as a teacher, Since 1942 he has been on the faculty of the University of Pennsylva- nia School of Medicine. He has lec- tured as a visiting professor in univer- sities worldwide. He was instrumental in setting up a modern medical school Ghana, and he has personally - tratned pediatric surgeons for hospi- tals from Korea to Krakow. « : Dr. Koop has been accorded the highest honors possible by his col- leagues in the me:lical profession. he is a past recipient of both the Ladd Gold Medal of the American Academy of Pediatrics and the Denis Brown Gold Medal of the British Association of Pe-. diatric Surgeons. The Ex-Residents of Pennsylvania Hospital presented him. , the. .; “H 2345 in 1974. Citizen groups have recognized Dr. named man of the year by both the Jewish Community Chaplain- ‘cy Service and the Presbyterian Social Union of Philadelphia. He has also been. honored by the Philadelphia ‘Chapter of the Juvenile Diabetes ‘ Foundation, the Golden Slipper Club and Wheels; Inc. Internationally, Dr. . Koop has been awarded the Order Duarte, Sanchez and Mella, the Dom!i- nican Republic’s highest honor, and is @ member of: ‘the. French Legion of - Honor. ptt - Through the more than ‘170 articles and books he has written, Dr. Koop has ‘contributed to the rise in the standard .of hospital. care available throughout the Nation and the world. He sits on the editorial boards of pedi- atric journals in Japan and Germany, as well as in the United States. He has When Dr. Koop arrived at Chil. Gemonstrated his commitment to human life. by producing, along. with ‘eminent. . theologian .. Francis Schaeffer, the multimedia presenta- tion.. “Whatever | ‘Happened to the Human Race?” We : cannot. deny “the American ‘people the. benefits of Dr. Koop’s ex- traordinary. talent and experience be- cause of an arbitrary age restrittion. Therefore I urge my colleagues to vote in favor of Mr. Manican’s motion to in- struct. the..conferees : to ‘accept the Helms amendment. : I certainly want to commend. ‘the gentleman from Illinois. not only for his effort to bring these facts to the attention of the Congress, but for the effort that the gentleman has made tn making sure that the.President does . have the right to pick: his own Surgeon General. | : oO 1245 - I think, Dr. Koop is going to sérve this country with great distinction. (Mr. KEMP asked and was given permission to. revise and extend his re-_ ‘marks.) Mr. MADIGAN. I want to thank the’ -. gentleman from New York for his con- tribution. Mr. LUKEN. Mr. Speaker, will the gentleman yield? ‘ Mr. MADIGAN. 'I yield to the gen- tleman from Ohio. Mr. LUKEN. Mr. Speaker, I thank the gentleman. Much as I am reluc- | tant to take even the slightest issue with my c I think the issue here is a véry important one. — I would like to ask the gentleman: There are two obstacles that have to be overcome from the appointment of ‘Dr. Koop. The elimination of the age question, and also the elimination of a rather archaic requirement that the Surgeon General be appointed from ih us Public Health Service. Is that Mr, ‘MADIGAN. The. gentleman is ‘correct. = H 2346 Mr. LUKEN. Therefore, In confer- ence or at some point, if Dr. Koop is to be appointed, there would have to be a further amendment offered other than the elimination ofthe age ques- tion. Mr. MADIGAN, Yes, at some point in the legislative process the second problem must be addressed. It {s our judgment that it cannot be addressed here because to add that language would go beyond the scope of the Senate amendment and make our motion subject to a point of order. Mr. LUKEN. I thank the gentleman. I am really not going to testify as to . Dr. Koop's qualifications, but I think | it is clear that this body would want to eliminate the age disqualification, which is what is incorporated within these particular instructions. I also, as I stated when the matter came up in the subcommittee, I think it is also pretty clear that the provi- sion that the Surgeon General of the United States must be appointed from the U.S. Public Health Service is obvi- ously an extreme Himitation. It has. been honored more tn the breach than the observance, nominee and appointee having served a very fleeting time in the U.S. Public . Health Service, just in transition.” - 1 think that these two obstacles should be eliminated, and then the consideration of Dr. Koop should be. considered on its merits, which I do ~ fot belleve are before this body. (Mr. LUKEN asked and was given permiasion to revise and extend his re- marks.) Mr. LUKEN., Mr. Speaker, I rise in support of Mr. Mfanican’s motion. As a member of the Health and Environ- ment Subcommittee to which the sur- gcon general amendment was referred, and as a member of the majority party, Ido not belleve that this should be a partisan issue. Rather {t Is an issue of age discrimination. If the President of the United States wishes to appoint Dr. C. Everrett Koop, a distinguished physician, to a position of responsibility, he should have his choice, if Dr. Koop is quali- fied. We should welcome all questions in regard to Dr. Koop, and the proper forum for investigating his qualifica- tions is the U.S. Senate. If evidence shows that the doctor is not qualified to be surgeon general, fine, but let us not disqualify the man on the basis of an arbitrary age limitation. It is not within our powers as Mem- bers of the House of Representatives to judge the qualifications of Dr. Koop, but if it is within our power to remove any barrier based on race, creed, sex, or age, we must act. Here we are dealing with an archaic provision in the Public Health Service Act which allows the kind of discrimi- nation that the distinguished chair- man of the Select Committee on Aging has fought so long and so successfully to eradicate. Age barriers have fallen in the civil service, private employ- ment, and other sectors of American the recent Carter .. ak Mrs CONGRESSIONAL RECORD — HOUSE society. We can now. progress a step further toward ending age discrimina- tion by eliminating this restriction on -the position of Surgeon General. - . The. President. of the. United States 4s 70 years old. Is‘ not a” provision which prevents him from appointing a. man 6 years his junior a bit absurd? And there is no age limit for service in| this body. Some of our most distin- guished Members are over the. age limit set for, Surgeon.:General.: We should not want to be: deprived: of their experience: and..wisdom. gained. over the years because. of @ limitation . ing aside.the other. issues. involved—‘: Dr. Koop’s controversial views and the maneuvering which has brought us to ' this point today. I urge that we in- struct the House conferees to accept the Senate amendment, change this discriminatory feature in the law, and let the merits of the nomination be considered in the body authorized by the Constitution to advise and consent to Presidential appointees. =: Mrs. .SCHROEDER. Mr. * Speaker, ‘will the gentleman yleid? |. purpose of debate. is asad ii rh. oge :. Mrs. SCHROEDER, Mr: Speaker, ; ‘Just basically wanted. to ask the gentle- man from Illinois a question about his motion. It is.my understanding that © everyone in public service, or: in the public health area, Is spbject to the same retirement laws; is that. correct? Mr. MADIGAN. That is my -under- standing, yes. Mrs. SCHROEDER. And the gentle- man {s only asking for one person to be exempt from that? Mr. MADIGAN. As a matter of fact, T have indicated, and I would say to the gentlewoman, that I belleve the restriction should be removed entirely. But, if I were to offer a motion to in- struct the conferees to do that, such a motion would be subject to a point of order on the floor since .the .Senate amendment contained only .the provi- sion relating to one individual]. But, it is my position that it should be re- moved entirely, and I would be willing to cosponsor with the ‘gentlewoman a bill to that effect. Mrs, SCHROEDER. : What the gen-. tleman is saying is that basically.all he can do is for this one person at this time. Has he introduced a. bill?.: ao Mr. MADIGAN. No, but. I have indi- cated to the chairman of the subcom- mittee that I am supportive of a. bill that wovld do what the gentlewoman apparently wishes to have done, .:. Mrs. SCEROEDER.. I. suppose my bigeest problem with this is, I chair the Ciyil Service Subcomnittee, and I would find it a very, very bad prece- dent in this House if-we start a single shot of people and exempt. them from the laws. I think a much better way to go would be with a bill letting the gniire Public: Health Service out. I nd that when we. get into. nonger- May 20, 1981 ‘mane amendments and. Christmas trees and hanging, things on a cash bill, I really think: that could destroy morale in the agency when we do not “have a bill including everyone else, I _ think that is the right way to go, and I certainly hope the gentleman will {n- . ‘troduce his bill.and do. that. rather than this single-shot thing. - : -. Mr. MADIGAN, As I have indicated, I am supportive of. such. an. effort. :I think the House on previous: occasions, “has. adopted Jegislation:that would in- dicate. that. all:of us do not support this arbitrary: age discrimination, but we: «have a: situation where the Presi- -dent.-of the Unitea States, clearly “elected by a majority of the people in the country, has not been able to ap- point the gentleman of his choosing as Surgeon General of the United States. I think that to delay that any further while we consider from its very incep- tion a broader piece of legislation Is to impact upon the morale of the whole country. I think that people in the country clearly want this administra- . tion to be able to appoint its people and to be able to get the Government . MADIGAN. I, woul a ‘yiel a ‘to the’ functioning. -The quickest way to do gentlewoman. from: Colorado , for. the that “is to ‘agree with the Senate amendment and then consider the bill - the gentlewoman Nahant have, US con: ‘Mrs.’ SCHROEDER. I guess’ I would dispute ‘that.’ I feel-that one of the great strengths of.a democracy is citi- ‘gens feeling that they are going to have equal treatment. I think -we should continue down that path of. treating people equally rather than just doing special things and nonger- mane amendments, to bills. for one person. Mr. MADIGAN. I would say to. the gentlewoman that there is only one Surgeon General and only one candi- date... . Mrs. SCHROEDER. If the. gentle- man. would: yield further, :I would remind him that the discrimination we are talking about applies to an entire class of people, everyone working at the Public: Health Service. I think age discrimination is, just -as shocking against: people at lower levels as it is against the one person at the very top. « Mr. MADIGAN. I thank the gentle- woman for her contribution. | Mr.’ WAXMAN. Mr. Speaker, will, . the gentleman yield? - Mr, MADIGAN. I would be happy to yield 10 minutes to the gentleman | from ‘California: for the purpose of debate. .. . Mr. WAXMAN. I thank’ the ‘gentle- ‘man for yielding. hy Mr. Speaker, as one of the original coauthors of the bill to end mandatory retirement, I am delighted to hear the expressions of support, to end that dis- crimination in other areas in a:-much broader way. than the Congress. was able to do when we ended age discrimi- nation in the: civilian sector of ‘public employment.. . May 20, 1981 What we have in the law today ts a | mandatory retirement age for the seven uniformed services. The Surgeon :: General is the Surgeon General of the Public Health Service Commissioned | Corps, which is part of the military, He is, therefore, subject to mandatory retirement. , I think we ought to eliminate that - mandatory retirement in a very broad way. Our remedial action ought not to be for one individual alone. It ought to be for the Deputy Surgeon General, for the Assistant Surgeon General, and for the other people serving in the uniformed services. But, I guess the point really at issue today, and the reason I would urge my.‘ colleagues to defeat this motion to in- struct conferees, is that the legislative process should handle the decision. making in these kinds of questions in a rational way. My colleague from TIIli- nois expresses his desire to join with us in eliminating mandatory retire- ment. We can do that. Others have ex- pressed the desire to eliminate that ar- chaic provision which requires the. Surgeon General to be a member of the Public Health Service Corps. We | may want to do that. We have heard from some citizens who would like to have us write into the law the quallft- cation for a Surgeon General the as- sumption that we had always made— that the chief public health officer of this country must have public health experience and background. We may well want to do that. , The appropriate legislative commit- tee ought to make a decision as to the qualifications of the Surgeon General. But the appropriate committee of the House and the appropriate committee of the Senate did not have that oppor- tunity. What we had was a bill dealing with credit cards that came out of the House Banking Committee, and which passed this House. overwhelmingly. That bill was amended by a nonger- mane amendment to provide that the Surgeon General—and that person alone—not be faced with mandatory retirement. Now, we have before us this question of whether we ought to agree in a con- ference on the policy to regulate the appointment and retirement of the Surgeon General. I think what we ought to do is to have this bill go di- rectly to the appropriate committee, not to legislate by nongermane amend- ments which are not thought out and which are tacked onto House bills that have nothing to do with the subject of the amendments. , . Our subcommittee has had hearings on the subject. We are ready to move after a short additional hearing. We would like to hear from some other witnesses that have important, rele- vant things to say, and then we will produce a bill for the House. We will produce a bill for the House that does what everybody says they want done. Now, this amendment that the con- ferees would be instructed to agree to is a failed amendment. I doubt wheth- ‘ volved with mandatory retirement te a ve ‘not done that here. And if we : deal with the qualifications of the Sur- : ‘geon General, we ought to have hear- legislation... _CONGRESSIONAL RECORD — HOUSE er the President would really want us” H 2347 to agree to something‘ that is Mawed, to agree to that amendment. What. and | flawed - because the legislative that amendment does is-say that the only person that ts exempt from man- datory’ retirement would be the Sur- : geon General. It does not say that. someone over the age of 64 may be ap- . pointed to the Public Health Service : Corps. It does-not remove mandatory - retirement from the PHS law. I think we ought to be broader than that. We ought to deal with the: principle in- more comprehensive way. But we want to ings and legislation dealing with that cumvention of the. legislative, process as we know it and as it has best suited this country for the. entire history. of the time the Congress has considered This amendment has significant im committees and for the rules of the House, as well as the public health and the Commissioned Corps of the PE ‘process was not followed. Legislation ‘was dtafted on the Senate floor. with- out consideration by the. committee ‘that could have drafted a much more /reasonable and workable proposal. : i. Mr, Speaker, I would like to yield to the gentlewoman from Maryland (Ms. * )}' & Very. distinguished “member of our subcommittee, who has _ been involved in the hearings we held on the question of the Surgeon Gener- ‘ al’s qualifications. ~ - ‘ . Ms.: MIKULSKI. ‘Mr: ‘Speaker, I thank the gentleman. I would lke to e ade “rise in‘support of-and to amplify the ‘comments of the gentleman from Cali- “subject. What is at stake now.is a cir- ‘fornia. °° ¢ : First of all, I would like to support _ “the principle he is advocating, that we ‘are circumventing the committee proc- ‘ess by advocating a nongermane issue .;4in the conference report. But, the "plications for the jurisdiction of House ‘Other point I wanted to bring out is the fact. that one of the principles — under discussion is the whole issue of © Tpublic health experience. |. Public Health Service. The committee ,,, One. of the factors to be considered ° Jurisdictions were ignored: ‘they | were circumvented. We did not have an op- portunity to consider the legislation in : our committee, which is the appropri- . ‘ate committee; nor did the committee in the other body have such an oppore . tunity. en : Now, instead, we are .in conference. We may well agree in conference to is the issue of public health experi- ,ence, There is no question that the , nominee from Pennsylvania has distin- ; guished and outstanding clinical expe- .Flence,, but. the American . Public _Health Association came before our. , committee to testify against this proc- ess in selecting him—an unprecedent- ed action in their over 60 years of his- something along the lines that the ..tory, to. question the issue of appoint- gentleman from Illinois would like to have us agree to, but we have not yet had a chance to meet in conference. The House conferees were there at the call of the meeting, ready for the con- ference to take place. but the Senate conferees, who are to defend this non- germane amendment. to the banking ‘bill, did not attend. We have now scheduled another attempt at a con- ference meeting later this week. “~: I urge that we let the conferees meet and discuss the issue. IY will urge the conferees not to agree to a provision that does not do the job. I would want us, if we are going to agree to some- thing in conference, to agree to-some- thing that rationally deals with the qualifications and requirements of the Surgeon General. I would like to see us end mandatory retirement. I would like to see us require public health cre- dentials of. a candidate for Surgeon General. But do the Members know ‘what we would have as a,problem at that point? Because we are legislating on a nongermane ‘amendment to a House bill, we would have a scope of ‘conference problem..I suppose the ap- - propriate way to handle this is to have & committee in the House and a com- mittee in the Senate act forthwith, im- mediately, to consider the legislation; we should-‘have our hearings and report bills. SE We are not trying to hold up the leg- islation,: We are willing to act. We should not be instructed as conferees ,ing.a Surgeon. General who had no : pubilc health experience, not negating his clinical experience. They were ad- /vocating that we have a nominee who.. ‘either is from the Public Health Serv- ice Corps, that we so not waive that: or that we establish criteria for public health background... - OEE ey 139007 ™ Public health is a separate area and - specialty. of medical practice.. There are even residencies in public health ‘practice..To equate the fact that we ammeed an expert. clinician to be. the ‘Public Health Surgeon General is to ‘say that in order to be a member of the Joint Chiefs of Staff, military ex- perience and management experience ,do not count, but what counts is being ‘a sharpshooter, . | oO, :. There is no doubt that what we need fs *someone who understands the public health issues of this country. Most. people - die. because of those things related to public health issues, ‘and I think to proceed in this way ‘makes faulty public policy, - o) ‘'Mr. WAXMAN. Mr. Speaker, © I “thank the gentlewoman ‘from Mary- Jand (Ms, MIKULSEI), 9+} | ’ Mr. Speaker, I say to my colleagues that the Senate had before it a bill dealing with credit cards, and at that time the sponsor‘ of the amendment that we are asked to have our confer- ees support said that the language was. not controversial: or technical, and’ H 2348 that the House had agreed to it. That was not true. The House had not agreed to the language, it was not non- technical, it was not noncontroversial. It was not heard by the appropriate Senate committee, and it had not been heard by the appropriate House com- mittee. It does not deal with what the sponsors of the amendment would like to deal with and does not allow the ap- - pointment of a Surgeon General over the age of 64 from outside the Corps. Mr. Speaker, I say to the Members, do not force us or instruct us to go along with such a flawed amendment. The SPEAKER pro tempore. The time of the gentleman from California (Mr. WAXMAN) has expired. Mr. MADIGAN. Mr. Speaker, I yield myself such time as I may consume. Mr. SWIFT. Mr. Speaker, will the gentleman yleld? Mr. MADIGAN. I yield to the gen- tleman from Washington. Mr. SWIFT. Mr. Speaker, I would like to ask the gentleman a question, if I might. Is it the gentleman’s understanding that section 303 of the Cash Discount Act would allow the appointment as a Surgeon General of someone over the age of 64 and someone who is not a member of the Public Health Corps? In other words, does he have to be a member of the Public Health Corps? Mr, MADIGAN. Mr. Speaker, in re- + sponding to the gentleman from Washineton (Mr. Swirr), I would say that the present candidate has two disabilities: His nonmembership in the Public Health Service Corps and the fact that he is beyond the specified ace for retirement. The language of the Senate amend- ment to the Cash Discount Act dealt only with the age question. I am deal- . ing only with the age question here, because to do otherwise would make my motion subject to a point of order. Mr. SWIFT. Mr. Speaker, will the gentleman yield further? Mr. MADIGAN. I am happy to yield to the ecntleman from Washington. Mr. SWIFT. Because there was a nongermane amendment in the Senate, because it is flawed in at least two respects, because subsequent action will still have to be taken by Congress before the specific appointee can be appointed to this specific office, before Dr. Koop can be appointed, it — would seem to me it would be better to start with a piece of legislation that addresses the whole issue. We are going to have to take up an- other piece of legislation anyway. Why could this not be done in a much more orderly approach in one bill that would deal with the question rather than getting into this problem of having tc accept nongermane amend- ments on the part of the Senate that will not even do the job anyway? Mr. MADIGAN. Mr. Speaker, if the gentleman will allow me to respond, we would do half of the job in this manner, and we would have to find an- other way to do the other half, I sus- CONGRESSIONAL RECORD — HOUSE. pect that the opportunity to do‘that © «’ might present Itself. This is the end of May, We are near“ > the end of the fifth month of the year. - Surgeon General: We do not have the yet appointed. There is no indication of any willingness on the part of any- body in. charge of the scheduling of ‘legislation before the subcommittees and the committees of the House to move expeditiously on a bill of this kind. As a matter of fact, the proce- . dure that has been followed here is one that was recommended - to. the people who were interested in this issue by the highest authorities in the Congress, and we have accepted their recommendations and have proceeded to move in the manner in which, they | suggested we move. ~~ Mr. SWIFT. Mr. Speaker, if the gen: _tleman. will yield further, the Presi- dent’s party is in control.of the other © body. It {s certainly not the fault of | anyone in the House that a member of that party, No. 1, stuck a nongermane amendment on this bill, No. 2, did not | cover the right things, and, No. 3, made it so it was dysfunctional... Why. should. the House chave ’ ‘to. assume the responsibility. for ‘sloppy | legisiative work ercete was done: in the other body?. : Mr. MADIGAN, Mr. Speaker, I would say to the gentleman what I, have said before. The procedure that | has been followed here is one that was recommended to us, and we have fol- lowed that recommendation and will continue to follow it. We acknowledge that there is a second disability, and we will have to find some way to ad- dress that. But we think that, this being nearly the end of May, it is time to address this question and to allow a Surgeon General of the United States to be appointed. fos There is pending an appointment of an outstanding candidate, perhaps the most outstanding surgeon in. the United States. It is absolutely. ridicu- lous to hold up the appointment of such an outstanding individual while we talk about the niceties of: parlia- mentary procedure. Mr. will the gentleman yield? - Mr. MADIGAN, I yield to ‘the gen- tleman from Pennsylvania. : ot (Mr. DOUGHERTY asked and was given permission to revise: and extend his remarks, and to include extraneous ‘ matter.) Mr. DOUGHERTY. “Mr. Speaker, I rise in strong support of the position of the gentleman from Nllinois Mr. MADIGAN). Mr. Speaker, I “would like to share with my colleagues an: op-ed piece written by the chairman of the board of the Children’s Hospital in Philadel- phia in response to the attack made on Dr. C. Everett Koop in a Washington Post editorial. The author just recent- ly received a form letter from the Post indicating that they were not interest- ed in publishing his response. DOUGHERTY. Mr.. ‘Speaker, , May 20,1981 . Tre Quatrrications or Da. C, Evenstt . - rat’ Seo.) 6 Koop... 4 “\: (By Richard D. Wood)! | I have become increasingly concerned, and ‘even appalled. by the ill-informed attacks on . Dr. C. Everett Koop in connection with the President's request. to the Congress that, he be designated Surgeon General. This oppo- sition seems to stem from two sources: yan the pro-abortion forces in this country and, | second, some members of the public health, establishment. . ae, With regard to the first, let me say that ig ® Board member of the Children’s Hospital ‘of Philadelphia I have been associated with Dr. Koop for the past thirty years; and de- spite my membership in,-and support of, Planned Parenthood, Dr. Koop has. never pressed his point of view on me or any other of his associates. : - With regard to the second, it would be a . breath of fresh air to have someone in this - position ..whose. experience .and.. achleve- ‘ments in the field of public health and yore health haaal been as far reaching as Dr. Koop’s knowledge of these matters is, . indeed, world-wide and far surpasses that of © most of those who have criticized him. — . - What follows ia representative, but no ‘more than a sampling of his experience and contributions. My purpose in bringing it to ‘your attention, and thereby to the attention of your readers, is to begin to spell out and illuminate his record of. accomplishments, most of which has been largely ignored in the public press. In so doing, I am not pollti- cally motivated, but simply hope to provide & more accurate and better balanced con- ‘text for Judgment. - a From 1960 to 1980, Dr. Koop was vice president for four. terms and ‘a hoard “member of MAP International a relief - agency in Wheaton, Illinois. MAP Interna- tional started out providing medicines and material for doctors working in Third World countries. Its, work now extends to efforts in sanitation, water supply, sewage disposal . and famine control. a Dr. Koop has chaired the MAP Reader's Digest International Fellowship Committee « for many years and has been instrumental in sending some 750 medical student abroad to visit bushtype hospitals in Third World countries for.a minimum of 10 weeks, Some of these students have gone on.to special training including additional time in schools of public health. They are now returning to Third World countries for careers in inter. national medicine. In 1960, Dr. Koop made trips to Egypt, Ethiopia, Kenya, Uganda, Tanzania, Belgian -Conge (Zaire), South Africa, Nigeria and Ghana to acquaint medical missionaries of American: and other origins with the serv- ices of MAP International. He flew from . bush hospital to bush hospital in a small - plane to assess the people’s needs. In 1964, at the request of the Ministry of ‘Health of the Dominican Republic, Dr. Koop set up nine hydration stations for treatment during an epidemic of dysentery ped the mortality was in excess of 70 per- cen In 1965, ‘Dr. Koop visited European and ‘Asian fellows who had been previously trained by him at The Children’s Hospital of Philadelphia. He lectured in medica) schools and operated on patients at teach- ing hospitals in Greece, Iran, Thailand, the Philippines, Taiwan, Japan and Hong Kong. ‘Richard D, Wood is chairman of the Board of _ eaneuers @. at. ‘The (Children’s Hospital of Philadel. May 20, 1981 Dr. Koop has displayed a continuing inter- est in the Tarascan Indians of Southwest Mexico, whose want for medical care stimu- lated him to work among these people him: self, to encourage other physictans to do the same, and eventually to set up. a number of dispensaries, staffs of which have been trained by Amcrican physician volunteers, His medical work on behalf of pediatrie populations everywhere has been acknowl- edged by many countries including France, which presented him with ‘the Legton of Honor last June and the city of Marseilles, . . which last week sent its highest decoration to him. The late President Eisenhower was the last American to be so honored by that city, Dr. Koop’s work has been the essence of public health. Mr. WAXMAN. Mr. Speaker, will the gentleman yield? Mr. MADIGAN, I yield to the gen- tleman from California. ~ : Mr. WAXMAN. Mr. Speaker, I feel that I must respond to the assertion made that the appropriate committce has not been willing to consider the legislation. : We asked the administration wheth- er they would like us to proceed with this bill separately, and they have not responded that they are in favor of that, I might also point out that in the other body the Republican Party ts-in control, and the committee of jurisdic- tion in the other body has not held hearings or moved legislation to remedy the provision in the law that prevent the President from making the appointment he wishes to make. We asked the administration to coop- erate with us and to have this individ- ual appear before our committee. They refused. Rather than cooperate with us, they have attached a nonger- mane amendment to a bill that has nothing te do with the issue of the Surgeon General. I do not know what they have to hide from us, why they do not want us to consider the issue in committee and in an appropriate way, and why they want us to take this halfway measure that will not do the job and why they now ask that conferees agree to some- thing that is inappropriate. I think that is a bad way to legislate. . We are willing to work on this thing and solve problems and let the Presi- dent make an appointment. The Senate will have confirmation authori- ty; we do not have that authority. I do not expect the President to appoint someone of whom I would wholeheart- edly approve. It is his right to make the appointment, not mine. However, it is up to the Senate then to confirm. This particular nominee is not one about whom I am very enthusiastic, but it is not my job to be enthusiastic or not enthusiastic about him. My job. as chairman of the subcommittee is to try to work on legislation that would, in an appropriate way, address the qualifications of the Surgeon General and those of the Public Health Service Corps. I do not think there ought to be a mandatory retirement for the ‘has CONGRESSIONAL RECORD — HOUSE Surgeon’ General and others in the Public Health Corps. >: ~ Mr. COURTER.. Mr. Speaker, will the gentleman yleld to me? . : Mr.. MADIGAN... Mr... Speaker, I would say to the distinguished gentle- man from California (Mr. Waxman) that I intend to respond to the points he has made, but in the interim period I will yield to the gentleman from New Jersey (Mr. CourTER). He : Mr. COURTER. Mr. Speaker, thank the gentleman for yielding, **: I rise in support of the motion of- fered by the gentleman from Illinois : (Mr. Mapiaan). I think, very frankly, ° that the issue is‘a very, very important one.'Granted that we are attempting to do one-half of the work now, “but I have never seen this body refuse to do something or take a step forward be- cause the entire package could not be accomplished on one particular day. The simple issue here is whether we are going to waive the age requirement. for one individual who the President of the United States would like to see appointed to an extremely: important position. Time is awasting here. This is not the first time this body has waived age requirements..We havé done it for. Admiral Rickover, and I understand we have done it a number of times for: J. Edgar Hoover... 2 ee The simple question here is, will we, go along with the President’s request . I: ‘on waiving an age requirement with respect to an outstanding - medical practitioner in the United :.States. today? I see no complication. I think we should take at least’ this one step . forward this afternoon.-: °° 7.’ Mr. DERWINSKI. Mr. Speaker, will the gentleman yield? = * ee Rs Mr.:MADIGAN. I yield to the gen- tieman from Ilinots,’ a Mr. DERWINSKI. Mr. Speaker, I thank the gentleman for’: yielding. First, let me offer my support for Dr. Koop for the position of Surgeon Gen- eral. However, I am somewhat con- fused by the pattern of debate. I was intrigued by the emphasis on the part. of the gentleman from California (Mr. Waxman) emphasizing, of course, his: committee jurisdiction... <.- But earlier the gentlewoman from Colorado (Mrs. ScHrorpra). empha- sized the same claim of jurisdiction for. her committee. If I had a suspicious mind, I would have to ask if this em- phasis on committee jurisdiction was not in fact a delaying tactic. But not having that kind of a suspicion, I. merely raise the point, and I wonder ff the gentleman would care to comment, Mr. MADIGAN. No. -- Loe Mr. MAZZOLI. Mr. Speaker, will the gentleman yield? ‘ . Mr. MADIGAN. I yield to the gen- tleman from Kentucky. Mr. MAZZOLI. Mr. Speaker, I thank the gentleman for yielding. Mr. Speaker, I rise in. support of the motion offered by the gentleman from linois (Mr. Mapican). I think it is fairly clear that age discrimination no part in our statutes, and I +H 2349 think {t ought to be stricken, ag we have done over the years. mo I think, second, that if this gentle- man, the prospective nominee for this post, had not been very outspoken in his.opposition to abortion, probably ‘we would not be here today. - Se, Mr. Speaker, I- thank the gentle- man for having brought the issue up, and I urge my colleagues to agree to his motion. ; . Mrs. SCHROEDER. Mr. Speaker, will the gentleman yield? ‘Mr. MADIGAN. I yield, for the pur- pose of debate only, to the gentlewom- anfrom Colorado. .. - So Mrs. SCHROEDER. Mr. Speaker, I: just want to say that certainly I un- derstand that Civil Service does not have jurisdiction over Public Health, and that it is tn someone else’s juris- diction. I was just trying to say that from my perspective it appears very, very important. that: we keep in mind the: ‘fact that ‘some: people in the . agency are still going to be suffering from age discrimination, and that is terribly important.) = Sb. ‘The: only..person this’ amendment would exempt:is the “guy'at the top,” and all I can say from my perspective is that certainly this damages morale in other agencies. <. ae os I do not claim any jurisdiction over that.:I am only saying that that: is something this body should be very much aware. of. I think we should be dealing with age discrimination and how it affects everyone, rather than with'special legislation for’one person atthetop. 9. J Mr. MADIGAN. Mr. Speaker, prior to moving the previous . qtestion, I would like to respond briefly to some _ of the points that have been made, The gentleman from New Jersey has made the point that we do make ex- ceptions, that we do have a history of making exceptions to the age limita- tion, and he has cited several instances where that has been done.".: _.. : ' But if Members are really concerned about moving ahead with some sort of a proposition. to exempt everybody: | from this age limitation, then let me _ invite those Members who would want ”: to do that to get up and make a second | motion to instruct conferees. I would not raise a point of order against that, and I would be happy to support it. With respect to legislative commit- tees: having the ability to work their will, I would say to everybody assem- bled in. the House that a bill to do what everybody is talking about ought to be done was introduced by the gen- tleman from Illinois (Mr. Hype) on April 7, and it has not yet been the ‘subject even of a hearing in any legis- lative committee, © Pos, ‘With.regard to the remarks of the gentlewoman from Maryland (Ms. Mz- KULSKI): that the American Public Health Service has. somebody that they would prefer for this. appoint- ment, let: me simply point out to her Mat the American Public Health Serv- H 2350 {ce does not appoint the Surgeon Gen- eral of the United States. The Surgeon General of the United States is ap- pointed by the President of the United States, and we are trying to facilitate a process that will give him the ability to do that. Mr. Speaker, I move the previous question. : The previous question was ordered. The SPEAKER pro tempore. The question is on the motion to instruct the conferees on H.R. 31 offered by the gentleman from Illinois (Mr. Mapb- IGAN), The motion to instruct was agreed to. A motion to reconsider was laid on the table. . ADJOURNMENT OF THE HOUSE FROM THURSDAY, MAY 21, 1981, TO WEDNESDAY, MAY 27, 1981, AND ADJOURNMENT OF THE SENATE FROM THURS- DAY, MAY — 21, 1981, MONDAY, JUNE 1, 1981 Mr. MURTHA. Mr. Speaker, I offer a privileged concurrent resolution (H. Con. Res. 138) and ask for its immedi- ate consideration. The Clerk read the concurrent reso- lution, as follows: , H. Con. Res, 138 Resolved by the House of Representatives (the Senate concurring), That when the House adjourns on Thursday, May 21, 1981, it stand adjourned until 12 o’clock meridian on Wednesday, May 27, 1981, and that when the Senate adjourns on Thursday, May 21, 1981, it stand adjourned until 12 o’clock me- ridian on Monday, June 1, 1981. The concurrent resolution was agreed to. : A mbdtion to reconsider was laid on the table. ’ HIGHER EDUCATION ACT AMENDMENTS INTRODUCED (Mr. COLEMAN asked and was wiven permission to address the House for 1 minute and to revise and extend his remarks and include extraneous matter.) Mr. COLEMAN. Mr. Speaker, at the request of the administration, I am in- troducing 2 bill amending the Higher Education Act of 1965. This bill con- tains the administration’s proposals to restrain growth in the guaranteed stu- dent loan (GSL) program and in the Pell grant program in order to achieve the savings the President has asked for and that we will be expected to make in reconciliation. : The administration’s bill would make several significant changes in the student assistance programs that are designed to better target loans to the truly needy student and to reaf- firm the traditional role of the family. The bill achieves this by imiting guar- anteed student loans to the student’s “remaining need” after all other as- sistance and family contributions have been taken: into consideration, by asking the parents to contribute more © TO- CONGRESSIONAL RECORD — HOUSE _ thorizes the under a revised formula for determin- ing expected family contribution—for the Pell grant program—and by rais- ing the interest rate paid by parents for parent loans. os bie This bill also would require a contri- bution of $750 in self-help from the student, before any assistance is of- fered, and the bill would also elimi- nate the interest subsidy. currently paid by the Federal Government on the student’s ioan while. he or she is attending school. — ~ ms I believe that the proposals con- tained in the administration’s bill de- serve thorough consideration by the Congress. I consider these proposals, however, to be but one among many possibilities to achieve the required savings in the GSL and Pell grant pro- grams. As the ranking Republican on the Subcommittee on Postsecondary Edu- cation and from conversations in my office and at home in Missouri, I have heard from students, educators, insti- tutions, large, small, private. and public, and from the lending institu- tions regarding the administration’s proposals. I think everyone. will agree that we must take action to curtail the burgeoning growth of these programs, While I fully support the administra- tion in this goal, at the same time we must closely scrutinize each proposal, including this one, for its effect upon these very complicated and far-reach- ing programs. . os I have been examining and will con- tinue to examine ail suggestions, op- tions, and proposals very. carefully, and am certain that changes can be made to the GSL and Pell grant pro- grams that will achieve the savings re- quired by the reconciliation ‘process and at the same time will insure that students have access to grant and loan money. : . . _ Mr. Speaker, I place In the Recorp at this point the text and analysis of the administration’s bill: 2 5 es HLR. 3641 A bill to make certain amendments to the Higher Education Act of 1965 . Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the “Higher Education Amendments of 1981” - 0 Sec. 2. (a) Section 425(aX1) of the Higher Education Act of 1965 (hereafter referred to as “the Act”) is amended by inserting at the beginning thereof the following new. sen- tences: . The amount of any loan made after June 30, 1981 which may be covered by. Federal loan insurance under this part shall be lim- ited to the student's financial need for the period of instruction to be covered by the loan. For purpcses of this section, the term “financial need” means the estimated cost of attendance less estimated financial assist- ance and the expected family contribution. The eligible institution at which the student has been accepted for enrollment or at which he is in attendance shall determine the student’s financial need in accordance belt the provisions of section. 482 of this e,”” : \ . . (bp) Section 428(bX1A) of the Act is amended by inserting before the words ‘‘au- May 20, 1981 {nsurance’ the following: “limits the amount of any loan made after June 30, 1981 to the student’s financial need, as defined in section 425(a)(1), for the period of instruction to be covered by the © Joan by requiring the eligible institution at which the student has been accepted for en- rollment or at which he is in attendance to determine the studeht’s financial need in ac- cordance with the provisions of section 482 of this title;”. ° (ce) Section 439B of the Act is repealed. . (d) Section 482(a\(1) of the Act is amend- ed by striking out “and under part BY. (e) Section 428B(bX3) of the Act is amend- ed by striking out. “No” and inserting in- stead the following: .’ . “Any loan under this section may be ‘counted as part of the student's expected - family contribution in the determination of need under this title, but no”. Sec. 3. Section 428 of the Act is amended— (a) in subsection (aX(1XA) by inserting before the semicolon the following: “prior to July 1, 1981”, and «- Sot - ; (b) by amending paragraph (5) of subsec- tion (a) to read as follows: an . “(5) The period referred to in subpara- graphs (B) and (C) of paragraph (1) of this subsection shall begin on the date of enact- ment of this Act and end at the close of June 30, 1981.", and | . . 1» te) by repealing subsection (e). y + See. 4. Section 426B of the Act is further “amended— . , : ’ (a) in subsection (¢X(1) by inserting before. the end thereof a comma and the following: “and shall be made over a period of not more than twerity years”, ss (b) by amending paragraph (3) of subsec- tion (c) to read as follows: . “(3) The rate of interest on a loan made after June 30, 1981 pursuant to this section shall be set by the lender at a rate not to exceed a rate provided by the Secretary of the Treasury after taking into consideration — ‘current market yields on outstanding mar- _ketable obligations of the United States of comparable maturity plus an allowance ce- ternined by the Secretary of Education.”,’ - (e) in subsection (c) by inserting at the end thereof the following new paragraph: .— “(4) No special allowances shall be paid to lenders pursuant to section 438 of this part on any loans made under this section after June 30, 1981.” . Src. 5. Section 428(c) of the Act is amend- ed— ‘ (a) in paragraph (2D) by striking out after the word “thereof” the comma and _the words: “but shall not otherwise provide for subrogation of the United States to rights of any insurance beneficiary”, and ‘ (b) by adding at the end thereof the fol- lowing new paragraph: ‘ “(8) Where the Secretary has made a de- -termination that.the protection of the Fed- eral fiscal interest so reaufres, a guaranty ~ agency shall assign to the Secretary any loan for which the Secretary has made pay- ment under a guaranty agreement pursuant. to paragraph (1) of this subsection.” i Sec, 6. (a) Section 411(aX2B)dD of the Act is amended to read as follows: «| - “Gii) No basic grant under this subpart shall exceed the difference between the cost of attendance at the institution at: which the student is in attendance and the sum of the expected family contribution for the student and an amount of expected’ self- help as determined by the Secretary. If with respect to any student, it is determined that the amount of the basic grant plus the ex- pected family. contribution and the amount of expected self-help for that student ex- ceeds the cost of attendance for that year,’