Whereas , on account of the increase in the armed forces of the United States, the number of insane persons now admitted and entitled to admission to St. Elizabeth's Hospital, at Washington, D. C., is greater than that hospital can accommodate properly; and Whereas the United States Public Health Service Hospitals at Lexington, Kentucky, and Fort Worth, Texas, have adequate facilities and personnel for the care and treatment of insane persons without impairing the efficiency of the service for the purposes for which such hospitals were created and are maintained; and Whereas the use of such hospitals for the care and treatment of insane persons will promote the public interest and aid in the successful prosecution of the war: Now, Therefore , by virtue of the authority vested in me by section 4 of the act of July 1, 1902, 32 Stat. 713, as modified by section 1 of the act of August 14, 1912, 37 Stat. 309 (U.S.C., title 42, sec. 8), and by Title I of the First War Powers Act, 1941, approved December 18, 1941 (Public Law 354, 77th Congress), it is hereby ordered as follows: 1. The Federal Security Administrator is authorized to admit, to the extent that he may deem desirable, insane persons (except those from the District of Columbia) to the Public Health Service Hospitals at Lexington, Kentucky, and Fort Worth, Texas, for care and treatment upon the same terms and conditions as such persons may be entitled to admission to St. Elizabeth's Hospital, at Washington, D. C. 2. The Federal Security Administrator is authorized to transfer, to the extent that he may deem desirable, insane persons (except those from the District of Columbia) from St. Elizabeth's Hospital to the said Public Health Service Hospitals for care and treatment. 3. The agency of the Government responsible for the care and treatment of any insane person admitted or transferred to either of the said Public Health Service Hospitals under authority of this order shall pay the Superintendent of St. Elizabeth's Hospital for the care and treatment of such person in the same manner and amount as it would be required to pay if the patient were in St. Elizabeth's Hospital. All sums so paid shall be deposited in the United States Treasury to the credit of the appropriation made for the care and maintenance of patients at St. Elizabeth's Hospital. 4. To the extent deemed necessary and proper by the Federal Security Administrator, and under his direction, the appropriation for the operation and maintenance of said Public Health Service Hospitals shall be reimbursed from time to time from the appropriation for the care and maintenance of patients at St. Elizabeth's Hospital. 5. This order shall remain in force during the continuance of the present war and for six months after the termination thereof. FRANKLIN D ROOSEVELT The White House, February 26, 1942.
Executive Order 9079—Making Certain Public Health Service Hospitals Available for the Care and Treatment of Insane Persons
Executive Brief • At a Glance
The Federal Security Administrator is authorized to admit, to the extent that he may deem desirable, insane persons (except those from the District of Columbia) to the Public Health Service Hospitals at Lexington, Kentucky, and Fort Worth, Texas, for care and treatment upon the same terms and conditions as such persons may be entitled to admission to St. Elizabeth's Hospital, at Washington, D. C. 2.
Plain-English Translation & Framers' Constitutional Analysis
Early Statesman synthesis distilling legal jargon into practical meaning, statutory anchors, and structural constitutional impacts.
Signed by President Franklin D. Roosevelt on February 26, 1942, this order concerns Making Certain Public Health Service Hospitals Available for the Care and Treatment of Insane Persons. The Federal Security Administrator is authorized to admit, to the extent that he may deem desirable, insane persons (except those from the District of Columbia) to the Public Health Service Hospitals at Lexington, Kentucky, and Fort Worth, Texas, for care and treatment upon the same terms and conditions as such persons may be entitled to admission to St. Elizabeth's Hospital, at Washington, D. C. 2.
Key Directives & Operative Actions
The Federal Security Administrator is authorized to admit, to the extent that he may deem desirable, insane persons (except those from the District of Columbia) to the Public Health Service Hospitals at Lexington, Kentucky, and Fort Worth, Texas, for care and treatment upon the same terms and conditions as such persons may be entitled to admission to St. Elizabeth's Hospital, at Washington, D. C. 2.
The agency of the Government responsible for the care and treatment of any insane person admitted or transferred to either of the said Public Health Service Hospitals under authority of this order shall pay the Superintendent of St. Elizabeth's Hospital for the care and treatment of such person in the same manner and amount as it would be required to pay if the patient were in St. Elizabeth's Hospital.
All sums so paid shall be deposited in the United States Treasury to the credit of the appropriation made for the care and maintenance of patients at St. Elizabeth's Hospital. 4.
To the extent deemed necessary and proper by the Federal Security Administrator, and under his direction, the appropriation for the operation and maintenance of said Public Health Service Hospitals shall be reimbursed from time to time from the appropriation for the care and maintenance of patients at St. Elizabeth's Hospital. 5.
Constitutional & Societal Entities Impacted
Policy Areas & Topics
The Framers' Constitutional Council
1787 PrismEvaluating this order against the constitutional debates of 1787 and the limits of Article II executive power.
"When the President acts in absence of either a congressional grant or denial of authority, he can only rely upon his own independent powers, but there is a zone of twilight in which he and Congress may have concurrent authority."
James Madison
Separation of Powers & Legislative Primacy
"Power is of an encroaching nature, and it ought to be effectually restrained from passing the limits assigned to it." — Federalist No. 48 (1788)
Madison would view this order with watchful scrutiny. Operating in the 'Zone of Twilight' where Congress is silent, each such directive establishes an administrative precedent that steadily expands the executive perimeter at the expense of legislative primacy.
Alexander Hamilton
The Energetic Executive & Unified Command
"The direction of war implies the direction of the common strength; and the power of directing and employing the common strength must be under the direction of the single hand of the Executive." — Federalist No. 74 (1788)
Hamilton would forcefully champion executive discretion here. For foreign entanglements, commerce defense, and national security, deliberative assemblies are too slow and faction-ridden. A unified, energetic Executive exercising swift command is precisely what the Philadelphia Convention intended for national preservation.
George Mason
Bill of Rights, Due Process & 10th Amendment
"The president will be surrounded by flatterers and sycophants... and the great powers of the executive will gradually absorb the liberties of the people." — Cato IV (Anti-Federalist, 1787)
The Anti-Federalist prism advises continuous democratic vigilance. Even routine administrative directives aggregate centralized federal power away from town halls and state assemblies toward a distant executive apparatus.
Five Measurable "Constitutional Friction" Dimensions
An objective audit measuring potential separation-of-powers tension against the United States Constitution and established Supreme Court doctrine.
Legislative Encroachment & Purse
Touches upon core congressional prerogatives: raises appropriations reallocation, tariff imposition, or statutory preemption questions.
Executive Scope & Faithfulness
Exercises standard supervisory executive authority to faithfully execute existing statutes.
Federalism & State Sovereignty
Engages state and local partners in cooperative federalism programs.
Due Process & Individual Rights
Focuses on internal governmental operations with no direct impairment of private rights or property.
Youngstown Jacksonian Tier
The order relies on inherent Article II executive discretion, civil service management, or foreign diplomacy where Congress has neither expressly approved nor prohibited action.
This order operates within Justice Jackson’s Zone of Twilight, resting upon concurrent presidential authority or congressional silence.
Referenced By Later Executive Orders (1)
Subsequent presidents who cited, amended, continued, or revoked this directive in later orders.
Scholarly & Legal Citations
Exec. Order No. 9079 (Feb. 26, 1942), https://executiveordersarchive.org/orders/app-executive-order-9079-making-certain-public-health-service-hospitals-available-for-the-care.