; and (2) for each State in the region, a deputy director (in this Act referred to as a State Director ) appointed by the governor of that State. (c) Regional office duties Regional offices of the Program shall be responsible for— (1) coordinating funding to health care providers and physicians; and (2) coordinating billing and reimbursements with physicians and health care providers through a State-based reimbursement system. (d) State Director’s duties Each State Director shall be responsible for the following duties: (1) Providing an annual State health care needs assessment report to the National Board of Universal Quality and Access, and the regional board, after a thorough examination of health needs, in consultation with public health officials, clinicians, patients, and patient advocates. (2) Health planning, including oversight of the placement of new hospitals, clinics, and other health care delivery facilities. (3) Health planning, including oversight of the purchase and placement of new health equipment to ensure timely access to care and to avoid duplication. (4) Submitting global budgets to the regional director. (5) Recommending changes in provider reimbursement or payment for delivery of health services in the State. (6) Establishing a quality assurance mechanism in the State in order to minimize both under utilization and over utilization and to assure that all providers meet high quality standards. (7) Reviewing program disbursements on a quarterly basis and recommending needed adjustments in fee schedules needed to achieve budgetary targets and assure adequate access to needed care. (e) First priority in retraining and job placement; 2 years of salary parity benefits The Program shall provide that clerical, administrative, and billing personnel in insurance companies, doctors offices, hospitals, nursing facilities, and other facilities whose jobs are eliminated due to reduced administration— (1) should have first priority in retraining and job placement in the new system