SIOUX CITY FAMILY PHYSICIANS, P.C.
                            4230 HAMILTON BLVD.
                          SIOUX CITY, IOWA 51104

                         TELEPHONE: (712) 239-4300
JOHN H. ROBERTS, M.D.	                                 TERRY H. MITCHELL, M.D.
F. JOHN KISSEL, M.D.                                    THOMAS E. SCHRYVER, M.D.




January 10, 1994



The Honorable Senator Charles Grassley
135 Hart Senate Office Building
Washington, D.C. 20510

Dear Senator Grassley,

Enclosed please find a copy of a letter I directed to Senator
Harkin about the problems related to the Americans with
Disabilities Act that was recently passed.  We are finding that
mandates of the law difficult to live up to.  We are accustomed to
giving away care with charity work and with reimbursements from
Medicare and Medicaid running around 50%.  The problem here,
however, is that we are not only giving away all of our care and
the use of our facility but we are actually having to come with out
of pocket money to pay for the interpreter services.

This is grossly unfair and needs to be remedied quickly.  With
overhead running at 60% we simply cannot afford to take on this
additional burden.

Please direct your attention to this problem.  Your consideration
will be greatly appreciated.

Sincerely,



John H. Roberts, M.D.

JHR/rjr

01-02997