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HRD-78-69 1 (1978-02-24)

handle is hein.gao/gaobaaxhf0001 and id is 1 raw text is: 
                         DOCOHENT RESUBM

05985 - (B1366351J   PeL..A,'rED 35

[allegations regarding Certain Activities of the Health Systems
Agency for Los Angeles County, California]. KERD-78-69;
B-164A'31(3). February 24, 1978. Released March 3, 1978. 5 pp.
enclosure (46 pp.).

Report to Rep. John E. foss, Chairman, House Committee on
Interstate and Foreign Commerce: Oversight and Investigations
Subcommittee; Rep. Henry A. laxman; by Elmer B. Staats,
Comptroller General.

Issue Area: Health Programs (1200);
Contact: Human Resources Div.
Budget Function: Health: Health Planning and Construction J554).
Organization Concerned: Department of Health, Education, and
    Welfare; Health Systems Agency of Los Angeles County, CA.
Congressional Relevance: House Committee on Interstate and
    Foreign Commerce: Oversight and Investigations Subcommittee.
    Rep. John E. Ross; Rep. Henry 1. gaxman,
Authority: National Health Planning and Resources Development
    Act of 1974.

         allegations were made regarding the following
activities of the Health Systems agency for Los Angeles County,
California: election of members to subarea governing bodies;
outside legal counsel; hiring of the Executive Director and
staff; deviations from the budget; and the Department of Health,
Education, and Helfare'l (HEWls) soitoring of the agency. The
agency did deviate from several election policies and procedures
in its bylaws. Mhile the agency made a reasonakle effort to
inform the public, Los Angeles County residents were generally
not aware of the elections. The registration process made it
difficult to participate in the election, and the agency did
change, on several occasions, the consumer or provider
classification of various candidates. go conclusions were
reached on the reasonableness of expenditures for legal services
since the hours billed could not be independeatly verified. The
agency hired numerous individuals not meeting mirimus
qualifications, and procedures used in hiring employees were not
documented in many cases. Several employees did not perform the
duties of the positions fir which they were hired. A major
revision to the agency's budget was approved by Ehb on the basis
of incorrect and misleading information. Revisiots to the budget
were not always approved by the agency's interim governing body#
and agency funs were often expended for revised budget items
before HEV approval of the changes. HEV was not adequately
monitoring the agency, and violations of Federal regulations
were identified in the case of a former BEV emplcyee currently
employed by the agency. (RRS)

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