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B-203984 1 (1982-09-30)

handle is hein.gao/gaobadkqx0001 and id is 1 raw text is: 0EClI(8 FILE: B-203 MATTER C DIGEST: THE COMPTR:OLLER GENERAL OF THE UNITED STATES WASHINGTON. 0.C. 20548 DATE: September 30, 1992 ON 3984 )F: St. Elizabeths Hospital--District of Columbia Payments 1. Where current appropriation to St. Elizabeths Hospital is limited in amount, Hospital will violate Antideficiency Act, 31 U.S.C. § 665(a), if obligations exceed this amount even though Hospital is entitled to, but has not received, reimbursement from the District of Columbia for services provided District residents. 2. Antideficiency Act, .31 U.S.C. § 665(a),phrase excepting obligations authorized by law does not provide authority for St. Elizabeths Hospital to exceed appropriation on basis of mandatory language in District of Columbia Code, 21 D.C. § 501, et seq. 3. When the Federal payment to the District of Columbia has been appropriated and apportioned it becomes due and payable to the District. At this time, before payment to the District, it is available for offset for claims of St. Elizabeths Hospital for services provided District residents. The Superintendent of St. Elizabeths Hospital (Hospital) has asked for our decision concerning various questions that have arisen as a result of the Hospital's financial relationship with the District of Columbia (District). The Hospital, a part of the National Institute of Mental Health of the Department of Health and Human Services (HHS), is a public mental health hospital primarily serving the District of Columbia. The Hospital receives a direct Federal appropriation and other Federal reimbursements from miscellaneous sources such as executive Federal agencies for care of their beneficiaries. However, a substantial portion of the Hospital's budget is intended to come from payments from the District of Columbia for services provided indigent District residents. I.. -

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