{"@context":"http://iiif.io/api/presentation/2/context.json","@type":"sc:Manifest","@id":"https://iiif.quartexcollections.com/ncdcr/iiif/dfe44972-e7ca-4a84-beb5-4643f4d1c7f7/manifest","label":"Medical_Care_Commission","metadata":[{"label":"Title","value":"State Agency Finding Aid: Medical Care Commission, 1945-1966"},{"label":"MARS ID","value":"94"},{"label":"Digital Collections","value":["Legacy Finding Aids Collection"]},{"label":"Identifier","value":"Medical_Care_Commission"},{"label":"Digital Format","value":["application/pdf"]},{"label":"Hosted By","value":["State Archives of North Carolina"]},{"label":"Metadata Creator","value":["Cusick, Aaron"]},{"label":"Type","value":["Text"]},{"label":"Notes Public","value":"If you have questions about this collection, please contact the State Archives of North Carolina at archives@ncdcr.gov."},{"label":"Source","value":"Medical Care Commission Records. State Archives of North Carolina"},{"label":"Language","value":["English"]},{"label":"Description","value":"In 1945 the General Assembly created the North Carolina Medical Care Commission to provide a state-wide program of hospital and medical care. The commission was initially charged with the following duties:  to develop a program whereby the state would help pay for the hospitalization of indigent patients; to assess hospital needs throughout the state and develop a plan to coordinate any necessary state or federal funding for local hospitals; to administer a low-cost program for students planning to become physicians who were accepted in a standard four-year medical school in North Carolina; to survey and report recommendations for the expansion of the Medical School of the University of North Carolina from a two-year to a four-year program; to assess and report on the provision of medical training for black students; and to encourage the development of group insurance plans for residents of the state.  Eight of the commission's twenty members were nominated by various professional medical associations or societies and appointed by the governor. The governor also appointed ten members who were to represent labor, industry, agriculture and other interests and groups. The Commissioner of Public Welfare and the secretary of the State Board of Health served on the commission ex officio without voting powers.  The Medical Care Commission employed an executive secretary to hire and manage the personnel necessary to carry out the commission's directives. The governor appointed a five-member Advisory Council to assist the commission, especially in obtaining federal grants for the construction and maintenance of hospitals and other medical care facilities. The commissison was authorized to receive and administer federal funds designated for the improvement of hospital facilities.  In 1947 the General Assembly expanded the statutory powers of the Medical Care Commission. All hospitals operating in the state were made subject to licensure under standards set by the commission. The Medical Care Commission was authorized to inspect any hospital to ensure compliance with hospital standards and to review for approval the plans of proposed hospital construction, including renovations. A Hospital Advisory Council, to be appointed by the commission, was established to review the commission's rules, regulations, and standards for hospitals, and also its administrative policies. The commission was directed to prepare an annual report of its activities for the General Assembly.  The 1947 act extended the low-cost loan program to students in other medical fields including dentistry, nursing, and pharmacy. As in the 1945 act, students who received these loans agreed to practice for four years in a rural area of the state after they graduated and were licensed.  The 1947 act also authorized the Medical Care Commission to award grants-in-aid to regional or municipal authorities for the construction, maintenance, or improvement of hospital facilities. The commission was authorized to establish the criteria for awarding state and federal funds, but was directed to give preference to applications which matched the priorities of the Federal Hospital Survey and Construction Act. The General Assembly authorized local governments to apply to the Medical Care Commission for technical and financial assistance to help them establish or improve local hospitals. Local governments, with the approval of the Medical Care Commission and voters, were allowed to levy taxes and issue bonds to support medical facilities.  In 1949 the General Assembly authorized the creation of hospital districts. The steps for the creation of a hospital district were defined, beginning with a petition, a hearing before the Medical Care Commission, and then an election. The hospital districts could levy taxes and issue bonds the same as a local government. The Local Government Commission must approve the issuance of notes or bonds.  In 1957 the low-cost student loan program was extended to graduate students in sociology and psychology. Students in these programs were given the option of canceling their student loans by agreeing to work for one year in a state mental hospital for each year they  received their loans. An amendment in 1959 allowed students in medical fields to cancel their loans by working one calendar year for each academic year they received the loan. Students were given the choice between working in rural programs or state hospitals.  In 1971 the General Assembly reauthorized the Medical Care Commission to continue to survey the state on a county by county basis to determine hospital needs, and to carry out its functions in regard to administering state and federal funding for hospital projects. The Advisory Council, still appointed by the governor, was expanded to seven members.  Under the Executive Organization Act of 1971, the Medical Care Commission was transferred to the Department of Human Resources (DHR). Although the Medical Care Commission retained its statutory powers and continued to function as an independent agency, managerial and executive authority was transferred to the secretary of the Department of Human Resources.  Under the Executive Organization Act of 1973, the statutory powers of the Medical Care Commission were transferred to the new Commission for Medical Facility Services and Licensure within the DHR. To provide staff and administrative support for the new commission, the Division of Facility Services and Licensure was created.  The Commission for Medical Facility Services and Licensure consisted of seventeen members appointed by the governor. Seven of these members were nominated by professional medical associations or societies, and ten members were appointed from other interest groups. The eighteen members of the former Medical Care Commission were to finish their terms serving on the new commission. The General Assembly of 1973 changed the name of the commission back to the Medical Care Commission at its second session in April 1974.  Under the Emergency Medical Services Act of 1973, the DHR was given the responsibility for adopting the rules and regulations for a comprehensive emergency medical services program. The responsibility for setting the rules and regulations for emergency medical services was initially given to the Commission for Health Services, but the General Assembly of 1973 transferred this authority to the Medical Care Commission (effective 1974). The Emergency  Medical Services Advisory Council was created in 1973 to advise the secretary of the Department of Human Resources and the commission.  The General Assembly of 1975 passed the Health Care Facilities Finance Act to ameliorate the anticipated obsolescence of health care facilities and equipment. The Medical Care Commission  was authorized to buy, sell, or lease property; contract for construction and services; apply for and administer grants; borrow funds; and otherwise initiate the provision of modern and efficient health care facilities. The commission was also authorized to issue tax-exempt bonds and notes, subject to the approval of the Local Government Commission, and render other services to aid local governments in the development or maintenance of health care facilities and services.  The General Assembly of 1981 transferred the need-based loan program for students in the health care professions from the Medical Care Commission to the Office of State Budget. Also in 1981, the commission was reauthorized to inspect and license nursing homes (a duty that had been transferred from the commission to the Board of Health in 1961). In 1984 the commission was authorized to establish licensing standards for and to inspect hospices. In 1991 the Medical Care Commission and the Social Services Commission were directed by the General Assembly to draft standards and rules for the care of nursing home patients with Alzheimer's disease for the Study Commission on Aging. Patients with Alzheimer's disease or similar diseases were to be placed in special care units within nursing or rest homes.  The Medical Care Commission of the Department of Human Resources has continued to develop standards and rules for medical centers, hospitals, and related facilities; to disburse state and federal grants for the construction and maintenance of these facilities;  and to approve the issuance of tax-exempt bonds under the Health Care Facilities Finance Act.  REFERENCES:  S.L., 1945, c. 1096.  S.L., 1947, c. 933.  S.L., 1957, c. 1425.  S.L., 1959, c. 1165.  S.L., 1961, c. 51.  S.L., 1971, c. 134.  S.L., 1971, c. 864, s. 15.  S.L., 1973, c. 208, s. 1.  S.L., 1973, c. 276, ss. 121, 149.  S.L., 1973, c. 1090.  S.L., 1973, c. 1224.  S.L., 1981, c. 614, ss. 8-11.  S.L., 1981, c. 1388.  S.L., 1984, c. 1022.  S.L., 1991, c. 222.  G.S. 143B-165 through 143B-168, 43-507 through 143-150, 131A-25,   131E-41 through 131E-44 [1992].  Office of the Secretary of State. NORTH CAROLINA MANUAL, 1989-1990.   Edited by John L. Cheney, Jr. Raleigh, 1990. Pp. 624-625."},{"label":"Digital Characteristics","value":"5 pages"},{"label":"Format","value":["Finding aids"]},{"label":"Rights","value":"This item is provided courtesy of the State Archives of North Carolina and is a public record according to G.S.132."},{"label":"Source Collections","value":["Medical Care Commission Records. State Archives of North Carolina"]}],"description":"State Agency Finding Aid: Medical Care Commission, 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