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HRD-79-69 1 (1979-04-12)

handle is hein.gao/gaobabmsz0001 and id is 1 raw text is: COMPTROLLER GENERAL OF THE UNITED STATES WASHINGTON, D.C. 20548 RELEASED B-16401(5) O de the GeneIvf B -1 6 4 3 1 ( 5 ) b y th 0 R ea tio ns APRIL 12, 1979 The Honorable Edward M. Kennedy Chairman, Subcommittee on Health and Scientific .Research Senate Committee on Labor and V Human Resources 3EW-V62l II~II 111f The Honorable Alan D. Cranston United States Senate 120175 This report summarizes the information we provided to your offices for hearings on February 28, 1979, on the emergency medical services (EMS) systems program. As you requested, we reviewed the Department of Health, Education, and elfare's (HEW's) implementation of the Emer- gency Medical Services Amendments of 1976; specifically, we reviewed the extent that the amendments have helped obtain community financial support to continue operating EMS systems. EMS regional management organizations are not adequately planning for their financial self-sufficiency, nor are they obtaining firm financial commitments from local governments to continue regional systems at the conclusion of Federal funding, although plans for financial self-sufficiency and local government endorsement of these plans are required by the 1976 amendments. HEW regulations conform to legislative intent both with respect to grantee financial planning and with obtaining local financial support when Federal funding stops. However, HEW issued these regulations 2 years after the amendments were passed. We could not assess their effect on grantee compli- ance with legislative intent because HEW has awarded no grants since publishing them. HEW has also not yet published cor- responding program guidelines. The effect of the 1976 amendments can be better assessed after HEW requires that rantees comply with these regulations and guidelines. ,. iZ ) frk ~J7 ~ II

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