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B-178349 1 (1974-07-15)

handle is hein.gao/gaobaagxc0001 and id is 1 raw text is: 





                               WASHINGTON, D.C. 20548


GENERAL GOVERNMENT
     DIVISION

                                                           JUL :i
         B- 178349




         The Honorable Bob Dole
         United States Senate

         Dear Senator Dole:

              Your February 18, 1974, letter requested that we comment on
         matters raised by Mr. C. F. Allen, concerning the use of revenue
         sharing funds by Kansas City, Kansas, for a city ambulance program.
         He contended that the city used its revenue sharing funds for
         an ambulance program that voters had rejected.

              To obtain data on the program and to determine whether the
         city complied with the State and Local Fiscal Assistance Act of
         1972 (Revenue Sharing Act) and Department of the Treasury regulations,
         we reviewed city records, procedures, and ordinances. We also
         reviewed State laws and discussed the matter with State and city
         officials and with Mr. Allen.

              The city's ambulance program, specifically an Emergency Medical
         Care (EMC) plogram, is envisioned as mobile units with intensive
         emergency care capabilities to be provided by the city in addition
         to the regular services of private ambulance companies when inten-
         sive care is not required. Ambulances operated by the city under
         the program are required to be specially constructed and equipped
         to provide life support to patients with life-threatening conditions.
         But ambulances operated by private companies need be constructed
         and equipped only to provide safe transportation and reasonable
         care of persons in less serious condition.

              The city had authorized spending $250,000 of revenue sharing
         funds for the EMC program to cover salaries, equipment, and
         training for the year starting about January 1, 1974. By March 1974,
         about $44,500 had been spent.

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