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HEHS-96-13R 1 (1995-10-11)

handle is hein.gao/gaobaclbe0001 and id is 1 raw text is: A o United States General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-265717 October 11, 1995 Dr. Marilyn Gaston, Director Bureau of Primary Health Care Health Resources and Services Administration Department of Health and Human Services Dear Dr. Gaston: As you requested, this letter summarizes the results of our review of the progress made by the Bureau of Primary Health Care in resolving grant administration issues identified in our 1992 report, Community Health Centers: Administration of Grant Awards Needs Strengthening (GAO/HRD-92-51). Our review of this progress was requested by Senator Kassebaum, Chairman, Senate Labor and Human Resources Committee. We briefed Senator Kassebaum in preparation for reauthorization hearings for the Community and Migrant Health Center (C/AHC) program, which is administered by the Bureau. Our update focused on the five aspects of program administration discussed in our 1992 report: the way Bureau grants are calculated, the degree of competition involved in grant awards, whether the Bureau ensures that grants do not support improper dues payments, whether the Bureau routinely awards grants for the standard 12-month grant period, and whether the Bureau has a process to ensure an unbiased grant review process. To do this work, we reviewed Public Health Service (PHS) and Bureau policies, their implementation, and their effects; analyzed grant award data and financial data from health centers; reviewed agency reports, relevant laws and regulations, and Internal Revenue Service (IRS) information returns filed by two associations that receive dues from health center grantees; and spoke with cognizant officials at the Bureau. We conducted this review from March to May- 1995 in accordance with generally accepted government auditing standards. GAO/HEHS-96-13R Community Health Center Grants

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