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Second Appeal Summary
PA ID# 057-UGWJP; GREENE MEMORIAL HOSPITAL, INC
DSR ID# 12; Medical Care Expenses
Citation: FEMA-1343-DR-OH, PA 057-UGWJP-00, Greene Memorial Hospital, Inc., PW 12, Medical Care Expenses
Cross-reference: Medical Care, Private Nonprofit Eligibility
Summary: On September 20, 2000, an F-4 tornado struck the city of Xenia, Ohio, resulting in one death and multiple injuries. Approximately 50 homes, four churches and six commercial buildings in the community were destroyed or significantly damaged. The Greene Memorial Hospital, located close to the area of impact, treated 160 patients during a five-hour period following the incident. In order to expedite treatment, hospital staff did not obtain the names of patients or information regarding possible insurance coverage. It incurred $24,016 in costs associated with staff overtime and materials required for medical treatment, as described in Project Worksheet (PW) 12. The regional staff found the PW ineligible on October 30, 2000, based on the Response and Recovery Directorate Policy Number 9525.4. FEMA denied the applicant's first appeal on November 20, 2000, because policy 9525.4 states that the cost of emergency medical treatment of any kind is an ineligible cost. The State submitted a second appeal on behalf of the applicant on December 13, 2000. The Governor's Authorized Representative claims that this FEMA policy is too restrictive and contradicts the intent of Section 403 of the Stafford Act (42 U.S.C. 5170(b)).
Issues: 1) Are the costs of overtime labor and materials associated with providing medical care eligible for public assistance funding?
Findings: 1) No. FEMA policy does not allow for funding the cost of medical treatment of any kind in this type of situation.
Rationale: Response and Recovery Policy Number 9525.4, Medical Care and Evacuations (August 17, 1999)