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B-133142 1 (1974-06-19)

handle is hein.gao/gaobaafpc0001 and id is 1 raw text is: 

                   -UNITED STATES GENERAL ACCOUN#
   o                      WASHINGTON, D.C. 2

MANPOWER AND WELFARE                                      f
     DIVISION

                                                 JU I   i74
     B-133142



     The Honorable
     The Secretary of Defense

     Dear Mr. Secretary:                                LM09S826

          We have surveyed the Civilian Health and Medical Program
     of the Uniforned Services (CHAMPUS) in the European area.
     Under CHAMPUS the Department of Defense (DOD) pays, or pro-
     vides reimbursement for, medical expenses incurred in civil-
     ian facilities by dependents of active duty and deceased
     mil-it-ary personnel and retired military personnel and their
     dependents.

          The Office of CHAMPUS in Denver, Colorado, is responsi-
     ble for administering CHAMPUS in the United States, Canada,
     Mexico, and Puerto Rico. The Office of CHAMPUS is directly
     responsible to DOD. In the European area CHAMPUS is admin-
     istered by the Office of the Civilian Health and Medical
     Program o.f the Uniformed Services, Furope (OCFMPUSEUR).
     OCHAMPUSEUR is under the Assistant Chief of Staff, Comptrol-
     ler, United States Army Medical Command, Europe, in Heidel-
     berg, Germany, and is responsible to the Office of the
     Surgeon General, Department of the Army.

          Our survey concentrated on the program's management in
     the European area, where claims costs were about $4 million
     during fiscal year 1973. We identified certain matters which
     we thought needed further management attention.

          We want to direct your attention to the fact that this
     report contains recommendations to you which are set forth on
     pages 8 and 9. As you know, section 236 of the Legislative Re-
     organization Act of 1970 requires the head of a Federal agency
     to submit a written statement on actions he has taken on our


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