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HRD-84-83 1 (1984-07-31)

handle is hein.gao/gaobabnkt0001 and id is 1 raw text is: 



                  UNITED STATES GENERAL ACCOUNTING OFFICE
                          WASHINGTON, D.C. 20548


HUMAN RE Ot                                        JULY 31. 1984
   DIVlIION


     B-214417


     The Honorable Henry Waxman, Chairman
     Subcommittee on Health and the Environment
     Committee on Energy and Commerce                         124789
     House of Representatives

     Dear Mr. Chairman:

          Subject: An Analysis of Proposed Formulas for
                    the Home and Community Based Services
                    Block Grant Program (GAO/HRD-84-83)

          This letter responds to a request from your Subcommittee
     staff on May 24, 1984, asking GAO to provide an analysis of the
     proposed formula for allocating federal funds under the home and
     community-based services program proposed by the Health Services,
     Preventive Health Services, and Home and Community Based Services
     Act of 1984, reported by the Senate Committee on Labor and Human
     Resources on April 12, 1984, in S. 2301. Your staff raised two
     areas of concern:  (1) the measurement of the population in need
     used in allocating funds among states and (2) the specification
     of minimum state allotments. Specifically, we were asked to sug-
     gest options that would target federal funds based on measures of
     the elderly poor and near poor and to consider alternative
     methods of providing minimum state allotments.

          The bill establishes within the Preventive Health and Health
     Service Block authority a separate program to assist state acti-
     vities to

          --coordinate long-term care provided to elderly and disabled
             persons,

          --develop procedures and means to identify and assess
            elderly and disabled persons in need of home and
            community-based services,
          --identify and assess individuals in need of community-
            based services, and

          --provide certain home and community-based services.


(018984)

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