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V.
GENERAL GOVERNMENT
DIViSION
FEB 1 5 1979
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Mr. Albert P. Russo, Director
Department of Human Resources p)t9/
Washington, D.C. 20004
Dear Mr. Russo:
The Department of Health, Education and Welfare (HEW),
conditionally designated the Department of Human Resources
(DHR) as a State Health P anning and Development Agency
(SHPDA) on March 1, 1977. AThe SHPDA has recently begun
to make progress in developing a plan for meeting the
District's health care needs as required by law and HEW
regulations. (DHRs failure, in the past, to give adequate
priority to health planning and to recruiting a SHPDA
Executive Director and staff were the principal causes for
the delays in developing a District'health plan and in meet-
ing requirements.
Past delays in meeting requirements caused the DHR
to lose $175,000 of Federal health planning funds. DHR
has a target date of March 1980 to have an approved State
Health Plan and to receive full SHPDA designation by HEW.
If DHR accomplishes these goals, it would continue to receive
about $7 million in Federal funds for certain health programs.
Failure to meet designation requirements could result in HEW
relocating the SHPDA in another agency of the District
Government, or in an independent commi sio ]er d
BACKGROUND ' I
The National Health Planning and Resources Develojment
Act of 1974, Public Law 93-641, approved January 4, 1975, and
which is administered by HEW, provides for the development
of comprehensive health plans that would assure everyone
equal access to health care at a reasonable cost. Each State.
and the District of Columbia is required to develop a compre-
hensive health plan for meeting its health needs. The act
provides that planning is to be performed at the local and
State levels. The act provides also foi establishing health
service areas that are appropriate for.-?the effective planning
and developing of health services.
120145
CeI-Llo
UNITED STATES GENERAL ACCOUNTING OFFICE
-WASHINGTON, DC. 20548
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