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HRD-84-41 1 (1984-05-08)

handle is hein.gao/gaobabenp0001 and id is 1 raw text is: BY THE COMPTROLLER GENERAL Report To The Congress OF THE UNITED STATES States Use Added Flexibility Offered By The Preventive Health And Health Services Block Grant In 1981 the Congress consolidated seven preventive health programs into the preventive health and health services block grant, which gave states broad program and administrative responsibilities Aided by con- tinuing outlays from prior categorical grants, states strived to maintain program continuity between 1981 and 1983, but as those outlays diminished, states reassessed their needs and adjusted the level of support for individual program areas During this period states tended to assign higher priority and make fewer changes in areas where they had con- siderable involvement before the block grant, such as health incentive programs More changes were made in areas where states previously had less involve- ment, such as emergency medical services Established state agencies were carrying out their expanded management responsibilities and reported management improvements They reported increased levels of involvement by certain legislatures, gov- ernors' offices, and interest groups and used various methods to obtain public input Overall, state officials rated the block grant as more desirable, while about half the interest groups preferred the prior categorical approach g0il GAO/HRD-84-41 MAY 8, 1984

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