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We require verification of all matching contributions. For example, if a State 

 sqjpropriates funds, we require a copy of the appropriations language; for in-kind 

 donations, we require a certified copy of the independent ^praisal. Costs that 

 cannot be validated are unallowable. Follow-up is provided through post-award 

 site visits and audit. 



8. We have heard that medical schools have been using the Buildings and 

 Facilities Program to build medical facilities. Can you give some examples 

 of this? 



Several medical schools have applied to this program for funding to construct 

 medical facilities. For example: 



• The University of Texas Southwestern in Dallas applied for support in FY 

 1989, and an initial $950,000 was appropriated by Congress to begin the 

 planning phase. This project consisted of a referral tertiary care teaching 

 hospital for the university's medical school that was 82% complete at the 

 time of the on-site merit evaluation. Funding was not continued and the 

 original appropriation was redirected. 



• Wake Forest University applied for support in FY 1990, and approximately 

 $2.8 million was appropriated to start die process. The project consists of 

 an addition to the university's Bowman-Gray School of Medicine. A portion 

 of the program deals with nutrition research, but the primary thrust is on 

 chronic disease prevention in humans, primarily heart disease, cancer, and 

 stroke. 



• The Medical College of Wisconsin in Milwaukee applied for fimding in FY 

 1991, and an on-site merit evaluation of the project was conducted in the 

 Spring of that year. The College requested funds to build a new library- 

 type facility to house programs in informatics, medical services evaluation, 

 bioethics, and academic support systems. The thrust of the program was to 

 link rural health care providers through information systems. Funding was 

 never provided for this facility. 



• 



The University of North Dakota School of Medicine at Grand Forks also 

 applied for funding in FY 1991, and almost $2.9 million was appropriated 

 to begin the effort. The purpose of the program is to train third- and fourth- 

 year medical students to serve as family practitioners in small conununities. 

 The distinguishing feature of this program is its focus of providing 45 health 



