This document contains the text of a Congressional oversight hearing on Public Law 98-621, the St. Elizabeths Hospital and District of Columbia Mental Health Services Act, which became law in November 1984 and which transferred St. Elizabeths Hospital from federal control to that of the government of the District of Columbia. The text of Public Law 98-621 is included. An opening statement by Congressman Walter Fauntroy and a staff summary of findings and conclusions are given. Witnesses providing testimony include: (1) Wilford Forbush, director, Office of Management, Public Health Service, United States Department of Health and Human Services; (2) David Rivers, director, Department of Human Services, Government of the District of Columbia; (3) Virginia Fleming, director, Mental Health Systems Reorganization Office, Department of Human Services, Government of the District of Columbia; (4) Polly Shackleton, Council of the District of Columbia; (5) Steven Sharfstein, deputy medical director, American Psychiatric Association; (6) William Carr, District of Columbia Psychological Association and American Psychological Association; (7) Peggy Brown, legislative affairs specialist, American Federation of State, County, and Municipal Employees; (8) Leonard Stein, Dixon Implementation Monitoring Committee; and (9) Norman Rosenberg, director, Mental Health Law Project. Witnesses provide an oversight of the progress being made toward implementation of Public Law 98-621. Prepared statements are included from the National Federation for Biblio/Poetry Therapy, Physician's Association of St. Elizabeths Hospital, and the Medical Society of the District of Columbia. Other materials submitted for the record and communications are provided. (NB)