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DEPARTMENT OF HEALTH. EDUCATION. AND WELFARE
PUBLIC HEALTH SERVICE

_ HEALTH RESOURCES ADMINISTRATION
Rockville, Maryland 20852-

 

; | : 6 1974 BUREAU OF HEALTH RESOURCES
MAR DEVELOPMENT

+

; TO: RMP COORDINATORS, RAG CHAIRMEN, GRANTEES, REGIONAL DIRECTORS
. and REGIONAL HEALTH ADMINISTRATORS , :

SUBJECT: Compliance with Court Order
"|
Le . |
In accordance with the February 7, 1974 Order of Judge Thomas A.
Flannery, in the Case of National Association of Regional Medical

Programs v. Weinberger, the following. actions are taken:
1. ‘The RMPS documents listed below are hereby rescinded:
t

a. Telegram of February 2, 1973, signed by Harold
Margulies, M.D., announcing the phaseout of the

© .- . RMP program;

b. Letter of February «<2, 1973, signed by Harold
: Margulies, M.D., refining and clarifying the
above telegram and specifying requirements for
phaseout plans;

ce. Telegram of July 5, 1973, signed by Herbert B.
Pahl, Ph.D., concerning RMPS support through
September 30, 1973, anda limitations on expendi-
ture of the awarded $6.9 million Fiscal Year
1973 balance; (see attachments)

@. Letter of September #, 1973, signed by Herbert B.
Pahl, Ph.D., specizying RMFS application instruc-
tions for Fiscal Year 1974;

e. All RMPS written communications stating or implying
that the amount of Federal funds available for
obligation and expenditure under Pitle IX of the
Public Health Service Act are less than the full
amount appropriated or otherwise made availabie

’ by Congress for Fiscal Years 1973 and 1974;
Page 2 } MAR 6 1974
£. Al other RMPS written communications or portions
ereof that are contrary to the letter or intent

of the Court Order. |

2. Any requirement, either expressed or implied, that the
use of Title IX funds is restricted to the five "Priority
and’ Option" areas enumerated in the September 7, 1973,
application instructions is specifically rescinded.

 

3. The dune 30, 1974, termination date for expenditure of PHS
' Title IX funds is specifically rescinded.

4. The He Mission Statement approved by Council on May ll,
1971,/ and issued on June 30, 1971, is reinstated.

Nothing in this notice of rescission changes the amount awarded, |

--or the conditions of any contract, or removes any RMP National

Advisory Council-recommended condition of a grant award. The current
grants will be amended to extend the budget period through June 30,
1975. Ordinarily, Regional Medical Programs may exercise reasonable
discretion in interoreting and applying the above instructions. Where
there is substantial doubt with respect to the meaning or applicability
of these in srecific cases, the Regions are expected to contact the
Director, Division of Regional Medical Programs, for necessary
clarificaticn.

Sincerely yours,

ee OE GF t per

Herbert B. Pahl, Ph.D.
Acting Director
Division of Regional Medical Programs

Enclosures
 

DRMP 3/6/74

‘ ATTACHMENT I

°

‘In June 1973, $6.9 million remaining from the then apportioned fiscal year

1973 funds was awarded to the Regional Medical Programs. On instructions
from the Department, amounts were awarded to individual Regions based on
needs and conditions existing at that time. Al] but five Regions ,received
some portion of the funds awarded. Expenditure of these funds by |RMPs,
however, was not permitted pending a future announcement by HEW off the
purposes for which the funds could be spent.
The Court Order of February 7, 1974, called for release of the restricted
funds for expenditure, and accordingly, DRMP has recalculated the jdistri-

bution of the $6.9 million fiscal year 1973 year-end balance in onder to

utilize the released funds effectively and insure that each of thq 53 RMPs
receives its appropriate share. The revised amount shown in Attadhment
II for each Region has been calculated using the same method as the

 

October 1, 1975 and January 1, 1974 RMP awards. If the amount awdrded

to your Region in June 1973 is less than that shown in Attachment |II,
you will soon receive an amended award for the difference. If your
Region has received more than its revised share of the June 1973 distri-
bution, the difference will be subtracted from the amount to be awarded
subsequent to the June 1974 Council review.

Funds may be used for program activities that are consistent with
Title IX of the PHS Act and the "RMP Mission Statement"! of June 30,
1971. To keep our records on your program up-to-date, we will need
updated or new page 15's and page 16's on the activities for which

the funds are allocated. Please send the necessary documentation

to your Operations Officer in the Division of Regional Medical Programs
no later than April 15, 1974. While your plan for use of these funds
is not subject to DRMP review, any "new" activities funded should, of
course, receive normal review and approval locally.

 

 

 

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15.
16.
17.

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19.
20.
21.
22,
23.
24.
25.
26,
27.
28.
29.
30.

31.
32,
33.
34.
35.
36.
37.
38.

REGION

Alsbaran
Albany
Arkanses
Arizonug

. Bi-State

California
Central N.Y.
- Colo. /Ryo.
Connecticut
Florida
Georgia

Greater Dela. Val.

Hawaii
Illinois
Indiana
Intermountain
Lowa

Kansas
Lakes Area
Louisiana
Maine
Maryland
Henphis
Metro. D.C.
Michigan
Mississippi
Missouri
Ntn. States
Nassau/Sufficolk
Nebraske

New Jersey
New Mexico
Rew York Metro
Ko. Carolina
No. Dakota

Ho. K. England
Northlands

? Ohio Valley

ATTACHMENT T-1

RE TSED
AWARDED JUNE 39,

DISTRIBUTION

5.

118,117

93,799
138,266
103,526

2+. 76,429

761,481
61,143

96,578

138,961
196, 630
224.622

170,227
94,494
232,065
87, 54
218, G64
80,598
135,487
133,403
77,819
84,072
65,312
142,435
68,786

"180,649

93,799
143,825
135,487

83,377

52,806
183,429 |

~ 100,052

132,013
168,838
35,435
72,955
132,013
143,130
64.617

DISTRIBUTION OF 36.9 M FY 1975 FUNDS

1973

 

3/6/74
DRMP
39.
40.
él.
42.

43.

44.
45.
46.
47.
48.
49,
50.
51.
52,
53.

Oklahoma
Oregon
Puerto Rico
Rochester

‘So. Carolina

So. Dakota
Susq. Valley
Tenn. Mid. So.
Texas
Tri-State
Virginia

Wash. /Alaska
West Vireinia
Western Pa.
Wisconsin

mre yee

64,61

83,377
87,546.
80,598
148,688
34,742 -
64,617
189,682
145,909
163,974
105,611
157,026