75TH CONG., 3D SESS.-CH. 187-MAY 9, 1938 service of the Army, insane persons transferred from the Canal Zone who have been admitted to the hospital and who are indigent, American citizens legally adjudged insane in the Dominion of Canada whose legal residence in one of the States, Territories, or the District of Columbia it has been impossible to establish, insane beneficiaries of the United States Employees' Compensation Com- mission, insane beneficiaries of the United States Veterans' Adminis- tration, and insane Indian beneficiaries of the Bureau of Indian Affairs, including not exceeding $27,000 for the purchase, exchange, maintenance, repair, and operation of motor-propelled passenger- carrying vehicles for the use of the superintendent, purchasing agent, and general hospital business, and including not to exceed $185,000 for repairs and improvements to buildings and grounds, $1,182,600, including cooperation with organizations or individuals in scientific research into the nature, causes, prevention, and treatment of mental illness, and including maintenance and operation of necessary facilities for feeding employees and others (at not less than cost), and the proceeds therefrom shall reimburse the appropriation for the institution; and not exceeding $1,500 of this sum may be expended in the removal of patients to their friends; not exceeding $1,500 in the purchase of such books, periodicals, and newspapers as may be required for the purposes of the hospital and for the medical library, and not exceeding $1,500 for the actual and necessary expenses incurred in the apprehension and return to the hospital of escaped patients: Provided, That so much of this sum as may be required shall be available for all necessary expenses in ascertaining the residence of inmates who are not or who cease to be properly chargeable to Federal maintenance in the institution and in returning them to such places of residence: Providedfurther, That not exceed- ing $200 additional may be paid to two employees to provide mail facilities for patients in the hospital: Provided further, That no part of this appropriation shall be expended for the purchase of oleomar- garine or butter substitutes except for cooking purposes: Provided further, That during the fiscal year 1939 the District of Columbia or any branch of the Government requiring Saint Elizabeths Hospital to care for patients for which they are responsible, shall pay by check to the Superintendent, upon his written request, either in advance or at the end of each month, all or part of the estimated or actual cost of such maintenance, as the case may be, and bills rendered by the Superintendent of Saint Elizabeths Hospital in accordance here- with shall not be subject to audit or certification in advance of payment; proper adjustments on the basis of the actual cost of the care of patients paid for in advance shall be made monthly or quarterly, as miav be agreed upon between the Superintendent of Saint Elizabeths Hospital and the District of Columbia government, department, or establishments concerned. All sums paid to the Superintendent of Saint Elizabeths Hospital for the care of patients that he is authorized by law to receive shall be deposited to the credit on the books of the Treasury Department of the appropriation made for the care and maintenance of the patients at Saint Elizabeths Hospital for the year in which the support, clothing, and treatment is provided, and be subject to requisition upon the approval of the Secre- tary of the Interior. For construction and equipment of two continuous-treatment buildings, including preparation of plans and specifications, adver- tising, and supervision of construction, to remain available until June 30, 1940, $580,000. Insane citizens in Canada. Vehicles. Buildings and grounds. Removal of patients to their friends. Provisos. Return of inmates no longer Federal charges. Mail facilities. Butter substitutes, restriction. Payment for care of patients from the Dis- trict, etc. Credit for pay- ments. Continuous-treat- ment buildings, con- struction, etc. 52 STkT.I 341
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