State of Texas' Efforts to Account for and Monitor Sub-Recipients' Use of Bioterrorism Hospital Preparedness Program Funds

EXECUTIVE SUMMARY:

Our overall objective was to determine if the Texas Department of Health (Department of Health) has adequate procedures in place to record, summarize and report Bioterrorism Hospital Preparedness Program (Program) costs in accordance with the approved cooperative agreements.  We found that the Department of Health (1) generally accounted for program funds in accordance with the terms and conditions of the cooperative agreement except that it did not segregate expenditures by phase, within a phase, or by priority planning area; (2) did not supplant current State or local expenditures with program funds; and (3) had adequate procedures in place to monitor sub-recipient activities.  We recommended procedural corrections with which the Department of Health concurred.