	Almost Half of MUAs Lacked a Health Center Site in 2006, and Types of Services Provided by Each Site Could Not Be Determined

In August 2008, we reported that almost half of MUAs nationwide—  47 percent, or 1,600 of 3,421—lacked a health center site in 2006, and  there was wide variation among the four census regions and across states  in the percentage of MUAs that lacked health center sites. We could not determine the types of primary care services provided at  individual health center sites because HRSA did not collect and maintain  readily available data on the types of services provided at individual sites. 2007 Awards Reduced the Number of MUAs That Lacked a Health Center Site, but Wide Geographic Variation Remained

In August 2008, we reported that our analysis of new access point grants  awarded in 2007 showed that these awards reduced the number of MUAs  that lacked a health center site by about 7 percent. The South census region experienced the greatest decline in the  number of MUAs lacking a health center site in 2007 in large part because  it was awarded more new access point grants that year than any other  region. From 2006 to 2007, HRSA’s new access point  awards achieved modest success in reducing the percentage of MUAs that  lacked a health center site nationwide. However, in 2007, 43 percent of  MUAs continued to lack a health center site, and the new access point  awards made in 2007 had little impact on the wide variation among census  regions and states in the percentage of MUAs lacking a health center site. We reported that HRSA awards new access point grants to open new  health center sites, which increase access to primary health care services  for underserved populations in needy areas, including MUAs. However,  HRSA’s ability to target these awards and place new health center sites in  locations where they are most needed is limited because HRSA does not  collect and maintain readily available information on the services provided  at individual health center sites. Having readily available information on  the services provided at each site is important for HRSA’s effective  consideration of need when distributing federal resources for new health  center sites, because each health center site may not provide the full range  of comprehensive primary care services.
Why GAO Did This Study

Health centers funded through grants under the Health Center Program--managed by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS)--provide comprehensive primary care services for the medically underserved. The statement GAO is issuing today summarizes an August 2008 report, Health Resources and Services Administration: Many Underserved Areas Lack a Health Center Site, and the Health Center Program Needs More Oversight (GAO-08-723). In that report, GAO examined to what extent medically underserved areas (MUA) lacked health center sites in 2006 and 2007. To do this, GAO obtained and analyzed HRSA data and grant application

What GAO Found

In its August 2008 report, which is summarized in this statement, GAO found the following: (1) Grant awards for new health center sites in 2007 reduced the overall percentage of MUAs lacking a health center site from 47 percent in 2006 to 43 percent in 2007. (2) There was wide geographic variation in the percentage of MUAs that lacked a health center site in both years. (3) Most of the 2007 nationwide decline in the number of MUAs that lacked a health center site occurred in the South census region, in large part because half of all awards made in 2007 for new health center sites were granted to the South census region. (4) HRSA lacked readily available data on the services provided at individual health center sites. GAO concluded that from 2006 to 2007, HRSA's grant awards to open new health center sites reduced the number of MUAs that lacked a site by about 7 percent. However, in 2007, 43 percent of MUAs continued to lack a health center site, and the grants for new sites awarded that year had little impact on the wide variation among census regions and states in the percentage of MUAs lacking a health center site. GAO reported that HRSA's grants to open new health center sites increased access to primary health care services for underserved populations in needy areas, including MUAs. However, HRSA's ability to place new health center sites in locations where they are most needed was limited because HRSA does not collect and maintain readily available information on the services provided at individual health center sites. Because each health center site may not provide the full range of comprehensive primary care services, having readily available information on the services provided at each site is important for HRSA's effective consideration of need when distributing federal resources for new health center sites.