**GAO-08-723**                      Published: Aug 08, 2008. Publicly Released: Sep 11, 2008.                  

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## Highlights

Health centers funded through grants under the Health Center Program--managed by the Health Resources and Services Administration (HRSA), an agency in the U.S. Department of Health and Human Services (HHS)--provide comprehensive primary care services for the medically underserved. HRSA provides funding for training and technical assistance (TA) cooperative agreement recipients to assist grant applicants. GAO was asked to examine (1) to what extent medically underserved areas (MUA) lacked health center sites in 2006 and 2007 and (2) HRSA's oversight of training and TA cooperative agreement recipients' assistance to grant applicants and its provision of written feedback provided to unsuccessful applicants. To do this, GAO obtained and analyzed HRSA data, grant applications, and the written feedback provided to unsuccessful grant applicants and interviewed HRSA officials.

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## Topics

Health Care

Cooperative agreementsData collectionEmployee trainingEvaluation criteriaGrant administrationGrantsGrants to statesHealth care planningHealth care policiesHealth care programsHealth care servicesHealth centersHealth policyManaged health carePerformance measuresPolicy evaluationPrices and pricingProgram evaluationProgram managementStandards evaluationStrategic planningTraining utilizationProgram implementationProgram goals or objectives