Health Resources and Services Administration's Bureau of Primary Health Care Facility Investment Program Grants: Internal Control Review of the Process for Monitoring American Recovery and Reinvestment Act Funds.

摘要

The Recovery Act provides $2.5 billion to HRSA to help stimulate the economy through the support of health care access for the underserved. Of the $2.5 billion, $2.0 billion was appropriated to support, modernize, and renovate health centers. The remaining $500 million was appropriated to address the workforce shortage of health professionals. Of the $2.0 billion that the Recovery Act appropriated to support, modernize, and renovate health centers, HRSA apportioned $525 million to BPHC for Facility Investment Program (FIP) grants. As of April 2010, HRSA had selected 85 FIP grantees to receive awards totaling $508 million for major construction, repairs, and modernization of facilities. These competitive awards ranged from $792 thousand to $12 million. In June 2010, we issued a report on our review of internal controls over HRSAs process for awarding facility investment program grants funded under the Recovery Act (A-03-09-00364). Our objective was to assess the internal controls HRSA has in place over the FIP grant-monitoring process used by BPHC to monitor Recovery Act funds to determine whether the controls have been suitably designed.