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B-164031(5) 1 (1974-07-30)

handle is hein.gao/gaobaaemc0001 and id is 1 raw text is: Accoagntr t2fi~e oxcept 01 ebas0 Z~ei app-a 1 0ee 0 ELEASED by1 the11 042fi, of wo 1ji COMPTROLLER GENERAL OF THE UNITED STATES WA R W ING ON. D.C. 20 . B- 164031 (5) JL309 c The Honorable Marvin L, Esch House of Representatives LM092487 -7 Dear Mr. Esch: In accordance with your April 1, 1974, request and discussions with your office, we reviewed aspects of the Public Health and National Health Service Corps Scholarship Training Program as authorized by section 225 of Public Law 92-585. We discussed the results of our re- view with officials of the Commissioned Personnel Operations Division, U. S. Public Health Service (PHS), Department of Health, Education, and Welfare (HEW), and their comments have been considered in prepar- ing this report. However, we have not submitted the report to them for review and written comments, BACKGROUND As stated in the law, the program's purpose is to obtain trained physicians, dentists, nurses, and other health specialists for the National Health Service Corps and other PHS units. The other units include the Indian Health Service, PHS hospitals and clinics, Coast Guard medical facilities, and Federal prison medical facilities. The legislation authorizing the program was enacted on October 27, 1972, with an authorization of $3 million for the fiscal year ended June 30, 1974. Funds were made available in December 1973 when the President signed the HEW Appropriations Act. The Secretary of HEW signed the implementing regulations for the program on May 17, 1974. DELAY IN ISSUING REGULATIONS At our request the Deputy Director of the Commissioned Personnel Operations Division provided us with a timeframe of the actions involved in issuing the regulations. This timeframe covered from November 20, 1973, the date the first acceptable draft of the regulations was completed, to April 16, 1974. The Deputy Director did not provide a detailed explana- tion of the delay before November 20, 1973, but he did say that determin- ing the appropriate interest rate to charge students in case of default was a problem which contributed to the delay. From November 29, 1973, until March 28, 1974, various offices within HEW were reviewing the regulations. On March 28, 1974, a Notice of Proposed Rule Making was printed in the Federal Register , I II

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