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HRD-77-157 1 (1978-11-02)

handle is hein.gao/gaobaaygf0001 and id is 1 raw text is: DOCUMENT RESUME 07709 - [C3104E l Status of the Implementation of the National Hfalth Planning and Resources Development Act of 1974. HRE-77-157; B-164031(5). November 2, 1978. 48 pp. + 5 appendices (16 pp.). Report to the Congress; by Elmer B. Staats, Comptroller General. Issue Area.* Health Programs (1200). Contact: HUpn.,a Resourcis Div. Budget Function: Health: Health Planning and Construction (555). organization Concerned: Department of Health, Education, and welfare. Congressional Relevance: House Committee on Interstate and Foreign Commerce; Senate Committee on Human Resources; Congress. Authority: National Health Planning and Resources Develcplent Act of 1974 (P.L. 93-641). Hospital Survey and Construction Act; Hill-3urton Act (P.L. 79-725). Heart Disease, Cancerp and Strokfa Amendments of 1955 (P.L. 89-239). Comprehensive Health Planning and Public Health Service Amendments (P.L. 89-749). Public Health Service Act, as amended, Social Security Amendments of 1972. Community Rental Healtt Centers Act. P.L. 92-603. P.L. 95-142. Ovited States v. Nittek, 337 U.S. 346, 358-359. B-164031(2) (1S74). The Rational Health Planning and Resources Development Act of 1974 provided for: the development of guidelines for national health planning; the establishment of areawide and State health planning agencies to deal with needed planning for health services, manpower; aid facilities; and financial assistance for the development of resources. Findings/Conclusions: Since passage cf the act, the country has been divided into 205 health service areas; health systems aqencies have been designated in all of these areas; all State planning aqencies have been designated; and centers for health planning have been established in each of the 10 Department of Health, Education, and Welfare (HEW) regions. It is toc early to determine the effect cf areawide and State agencies in achieving the objectives of the act. HEW has been slow in publishing requlations and guidelines needed to carry out the act priiAarily because of new regulation development procedures, organizational problems, and litigation against the act. Planning agencies were handicapped in developing and completing health systems plans because of the anavailability of bhalth data 4ad nationa. standards ard criteria for the health care system, inability to recruit staff, conflictv between local and State planning agencies over respective responsibilities, and delays in receiving technica± assistance. Reccmmendations: The Secretary of HEW should: publish needed regulations and guidelines in a timely manner, resolve organizational prcblems within the Bureau of Health Planning and Resources Development, develop health system standards and criteria, address the problems of

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