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B-204034 1 (1981-08-12)

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                     COMPTROLLER GENERAL OF THE UNITED STATES
                              WASHINGTON D.C. 20548



B-204034                                     August 12, 1981




The Honorable Alan Cranston

United States Senate

Dear Senator Cranston:

     This responds to your letter dated July 1, 1981, in which
you asked us to address the concerns expressed by Dr. Theodore
Jackson, Martin Luther King General Hospital, in his letter to
you dated June 26, 1981. Dr. Jackson's concerns arise out of
the Department of Health and Human Services' not awarding an
emergency medicine training grant to the hospital subsequent to
the expiration of the 45-day withholding period authorized for
rescissions under the Impoundment Control Act.

EMERGENCY MEDICAL SERVICES TRAINING PROGRAM

     The Emergency Medical Services Training Program (EMST)
was established by section 3(a) of the Emergency Medical
Services Systems Act of 1973, Pub. L. 93-154, which amended
title VII of the Public Health Services Act. 42 U.S.C. 295g-9.
The Secretary of the Department of Health and Human Services
is authorized to make grants to, and enter contracts with,
qualified hospitals having training programs which meet require-
ments established by the Secretary. The grants and contracts
assist in meeting the cost of training programs in the techniques
and methods of providing emergency medical services, and provide
financial assistance to those who plan to work in the practice
of emergency medicine. 42 U.S.C. 295g-9(a)(1). The statute
gives the Secretary discretion in determining the amount of any
grant or contract, 42 U.S.C. 295g-9(c), and in establishing the
funding cycle applicable to the submission and review of appli-
cations for grants and contracts, 42 U.S.C. 295g-9(f).

     The EMST grant to the Hospital initially was awarded in
1977, with up to 5 years of renewal options. Grant periods for
1977 through 1980 were from October 1 through September 30.
During the first 3 years, the hospital was awarded a grant during
the fourth quarter; in 1980, the grant was awarded It the end of
the third quarter.

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