State of Michigan's Efforts to Account for and Monitor Sub-Recipients' Use of Public Health Preparedness and Response to Bioterrorism Program Funds

EXECUTIVE SUMMARY:

Our objectives were to determine whether the Michigan Department of Community Health (State agency):  (i) properly recorded, summarized and reported bioterrorism preparedness transactions by specific focus areas designated in the cooperative agreements and (ii) whether the State agency had controls and procedures to monitor sub-recipient expenditures of Centers for Disease Control and Prevention (CDC) funds.  We found that the State agency generally accounted for program funds by specific focus area.  In response to our inquiry as to whether the State agency reduced funding to existing public health programs, State officials replied that Program funding had not been used to supplant existing State or local programs.  We recommended the State agency continue to comply with the terms and conditions of the cooperative agreements. The State agency concurred with our findings and recommendation.