University of North Dakota, DAB No. 707 (1985)

GAB Decision 707

November 22, 1985 University of North Dakota;
Garrett, Donald F.; Garrett, Donald F.  Ballard, Judith D.
Docket No. 84-208


The University of North Dakota (UND or University) appealed the
decision of the Public Health Service (PHS) to disallow $38,118 in
salary and associated fringe benefit costs charged to a PHS grant during
the period March 1980 to June 1982.  The basis for the disallowance was
that UND failed to comply with the conditions of a PHS Grants Policy
Statement (Policy Statement) provision governing salary payments from
federal grants to full-time federal employees. /1///


PHS asked the Board to rule on a single question which PHS contended is
dispositive of the case:  whether the undisputed fact that officials of
the subagency which administered the grant had no knowledge that the
salary recipient was a full-time federal employee establishes that the
salary is unallowable.

We conclude that it does not and remand the case to PHS to examine
whether certain conditions of the Policy Statement provision were met
and whether PHS should agree to the salary and fringe benefit payments.
If PHS does not ultimately approves the payments, PHS should issue a new
decision stating new grounds and giving UND the right to appeal.

Background

The costs in question here were charged to a Health Careers Opportunity
Program (HCOP) grant awarded to the University for its Indians Into
Medicine (INMED) Program.  The purpose of the INMED Program, as the name
implies, was to develop Indian health professionals to provide health
services to the Indian people.

The facts here are complicated because more than one subagency of PHS
provided support to the INMED Program.  The essentials are:  (1) two
subagencies provided grant funds to the program and one also provided a
Commissioned Corps physician;  (2)(2) the physician was not a
Commissioned Officer at the time the University requested approval of
her employment under the HCOP grant;  and (3) the University did not
inform HCOP grant officials that the physician had Commissioned Corps
status or Commissioned Corps officials that the physician was receiving
a salary under the HCOP grant in addition to her Commissioned Corps
salary.

Applicable Provision

PHS based its argument here solely on the following provision from page
18 of the PHS Grants Policy Statement (1976):

   Federal (U.S. Government) employees -- the following rules apply to
payments made from a grant to Federal employees:

   * * *

   3.  Salaries and travel:  Allowable when the employee is:

   a.  Working under a grant to a Federal institution.

   b.  During nonduty hours, in leave-without-pay status, or on detail
to a State or local government, provided (1) reimbursement is in
accordance with terms mutually acceptable to the grantee institution and
PHS, and (2) all parties concerned are assured that there is no
possibility of dual compensation or a resulting conflict of interest.

UND did not dispute that this provision applied to the HCOP grant, and
it is clear on the face of the Notice of Grant Award, dated June 13,
1978, that the Policy Statement was a term of the HCOP grant.

Parties' Arguments

The parties agreed that section 3(a) of the above provision did not
apply because UND was not a federal institution.  They also agreed that
section 3(b) did apply since UND was a state agency.

PHS argued that the requirements of section 3(b) were not met because
the HCOP grant officials had no knowledge of the fact that Dr. X was a
Commissioned Corps Officer on federal salary at the time they approved
her compensation from the HCOP grant.  Thus, PHS argued, there was no
"mutual acceptance" regarding the terms of reimbursement and assurance
of all parties regarding the possibility of dual compensation and
conflict of interest, as required by 3(b)(1) and (2).  (Respondent's
Memorandum of Points and Authorities($)

In Support of Its Motion For Summary Decision, p. 4) PHS argued that all
issues in the case were irrelevant aside from whether the lack of
knowledge by HCOP grant officials about Dr. X's federal employee status
compelled the conclusion that there was no "mutual acceptance" or
"mutual assurance," as required by the Policy Statement.  PHS asked that
all other questions (for example, whether there was, in fact, dual
compensation or conflict of interest) be reserved pending a ruling on
the "mutual acceptance" and "mutual assurance" issue. /2/


UND argued that HCOP officials should have known of Dr. X's Commission.
UND noted that it informed the other grantor subagency promptly upon
learning of her Commission, and that while there may have been a
communication problem between the subagencies, the University acted
reasonably in assuming that appropriate PHS officials knew of the
doctor's salary arrangements.  The University attributed the problem to
the "many layers of Boards, agencies, and officials within the Public
Health Service." (Appellant's Brief, p. 2)

Analysis

Although PHS characterized the issue as one of mutual acceptance and
assurance, the PHS position, in effect, was that the costs were
unallowable because UND did not obtain prior approval from the subagency
which awarded the grant.

At the outset, we note that the Policy Statement is not a prohibition on
payment of additional compensation to a federal employee altogether.
Rather, it provides that salaries and travel costs are allowable, so
long as certain conditions are met.  First, the services must be
provided during nonduty hours, in leave-without-pay status, or on detail
to a state or local government.  When the Board inquired about nonduty
hours, PHS refused to respond, arguing that it was irrelevant.
(Respondent's Supplemental Memorandum, p. (16) The record shows that it
it is at least possible that Dr. X's assignment to the University is
equivalent to a detail to a state government since a PHS team which
investigated the situation noted the procedures for such a detail should
have been used, rather than an "assingment" to the Unversity.
(Appellant's Appeal File, (Appellant's File) AF11, p. 9)(4))

The two conditions which PHS argued could not have been met here are
that the reimbursement must be in accordance with "terms mutually
acceptable to the grantee institution and PHS" and "all parties
concerned" must be "assured that there is no possibility of dual
compensation or a resulting conflict of interest." PHS in effect
interpreted this as requiring a prior "mutual agreement" between the
University and HCOP grant officials regarding the salary.  The provision
merely say that the terms of the reimbursement must be "acceptable" to
'PHS" and that "all parties" must be "assured" that there is no problem
with the arrangement.  The provision does not require prior written
agreement from PHS, nor does it specify that "acceptance" has to come
from any specific subagency of PHS.  To read the provision as PHS
proposed would require upholding the disallowance without considering
the factors which the provision specifies are relevant.

PHS argued that the Policy Statement provision in question was different
from other provisions which allow for retroactive approval under certain
circumstances where the Policy Statement calls for prior approval.  PHS
attempted to distinguish such provisions on grounds that they deal
generally with matters of expenditures by grantees while the provision
at issue here deals with the much more sensitive area of a federal
employee receiving grant funds.  PHS asserted that while any harm done
by a simple expenditure could be remedied retroactively, the harm done
to the federal government by dual compensation or conflict of interest
could not.

We are not persuaded by this argument.  We see no valid reason for not
granting approval if a determination is first made that there was no
conflict of interest or dual compensation.  If there is no conflict or
dual compensation, there is no "harm" PHS needs to be protected against
and there is nothing achieved by denying approval. Moreover, the Policy
Statement provision does not state that prior approval is required or
that retroactive approval will not be allowed.  It makes no mention of a
time frame for approval at all.  It merely requires that the terms of
reimbursement be acceptable to PHS and that PHS receive proper
assurances.  We can see no basis for interpreting the provision more
narrowly that other provisions which on their face specify prior
approval.  (See, e.g., Policy Statement, pp. 21, 26, 28, 48) Indeed, the
term "prior approval" triggers formal processes.  (See, e.g., Policy
Statement, pp. 4, 64-70) The absence of the term from this provision
could have been interpreted to indicate that the provision was less
formal than the other provisions and that approval alone, regardless of
when given, would be sufficient.  Finally, we note that the provision
itself is somewhat ambiguous (in that section 3 (b)(2) reffered to "all
parties" without providing guidance as to what that meant) and,
therefore, should not be read narrowly against UND.(5)

While there may be valid policy reasons why prior approval should be
required and retroactive approval prohibited, that is not sufficient to
transform a provision written as this was into a prior approval
requirement. While the Board recognizes that PHS has considerable
discretion in determining whether costs should be approved, PHS cannot
apply this provision in a manner not warranted by its plain language.

We do think that PHS would be justified, however, in disallowing if UND
cannot provide reasonable assurance that there was no dual compensation
or conflict.

UND also argued that it reasonably thought that the reimbursement was
acceptable to "PHS." The INMED Program received assistance through both
an Indian Health Service (IHS) grant and an HCOP grant, and through the
Commissioned Corps (Dr. X's IHS assignment as INMED Director).  PHS
admitted that the University informed IHS of Dr. X's status as a
Commissioned Officer by letter dated March 18, 1980.  IHS, at the time,
was a part of the Health Services Administration which was, at the time,
one of six agencies of PHS.  HCOP was at the time part of the Health
Resource Administration (HRA).  HSA both provided assistance to INMED.
The bureaucratic structure was confusing.  UND could easily have assumed
that IHS and HCOP were part of the same agency.  In fact, HSA and HRA
merged in 1984 and became the Health Resources and Services
Administration.  The confusing way the INMED Program received assistance
weighs in UND's favor. /3/ Nonetheless, we cannot view what occurred
here to be an implicit approval by PHS of the payments since neither
subagency had full knowledge of the situation.  This finding does not
change the result here, however, since we conclude that lack of prior
approval does not itself render the costs unallowable.

(6)

Remand

The Board remands to PHS to consider whether Dr. X's compensation from
the HCOP grant resulted in dual compensation or a conflict of interest
and whether the services were provided either during nonduty hours or on
detail.  With regard to these questions, the following is already part
of the record:  (1) IHS' own investigators concluded that there was no
"dual compensation" (Appellant's File, AF11, p. 4);  (2) Dr. X received
approximately the same overall salary as the previous director of INMED
although Dr. X's INMED duties apparently included all those of the
previous Director (a non-physician) plus numerous additional duties such
as patient care (Appellant's File, AF11, p. 2);  (3) the IHS
investigators found no evidence of impropriety, fraud or any attempt to
hide the fact that Dr. X was receiving compensation in addition to her
Commissioned Corps salary (Appellant's File, AF11, p. 4);  (4) the
current record reveals no conflict of interest in Dr. X's duties and, in
fact, the Assistant Surgeon General may have implicitly endorsed her
dual roles for the Commissioned Corps and the INMED program (Appellant's
Supplemental Brief, Exh. E);  (5) Dr. X received awards for outstanding
services to the INMED program (Appellant's Reply to Motion for Summary
Judgment, Exh. C);  (6) while the main reason given by PHS for not
considering retroactive approval was that damage from a conflict of
interest could not be undone, we think that there is less of a potential
for conflict in circumstances such as this where employment by IHS in
part was to work specifically on INMED - thus the goals of the federal
employment were the same as the goals of the grant;  (7) IHS
investigators found fault with PHS for failing to inform Dr. X about
policies regarding dual compensation and conflict of interest and noted
that the problem here may have been avoided if PHS had provided adequate
"orientation" (Appellant's File, AF11, pp. 3, 9); and (8) IHS
investigators also found fault with PHS for not having a system in palce
for sharing information and noted that such a system would have provided
another way the problem could have been avoided.

If PHS determines that there was no conflict of interest or dual
compensation, and that the services were provided during nonduty hours
or on detail, and reimbursement was in accordance with terms that are
acceptable, then it appears the salary payments from the grant funds are
allowable.  If PHS officials determine there was(7) a conflict or dual
compensation, or that the services were not performed during duty hours
or on detail, or that reimbursement was not in accordance with terms
that are mutually acceptable, PHS must issue a new decision stating
grounds and giving UND an opportunity to appeal.  /1/ During the course
        of the proceeding PHS stated that certain other legal grounds
cited in the disallowance letter as a basis for the disallowance in fact
were not and that the Policy Statement provision was the only legal
basis.  (Respondent's Supplemental Memorandum, pp.  8, 11, 12)
/2/ The Board's regulations do not specifically provide for a "summary
decision" procedure but do provide that we can take whatever steps
necessary to resolve a dispute.  (45 CFR 16.13) The Board informed the
parties by telephone that if that if we determined that it was
appropriate to decide that isue alone and if we found against PHS on
that issue, the Board would remand the case to PHS with appropriate
directions.  The parties did not object to that procedure.  Since it
appeared that a resolution of teh threshold issue in PHS' favor would
resolve the case, the Board concluded that a decision on that issue was
appropriate. 3 PHS' own investigators recognized the potential confusion
caused by "the multiple PHS foci . . . involved with the INMED program .
. . (including) project officers of the two grants, grants management
officials of the two grants, CPOD, Director, IHS, IHS Division of
Program Operations, IHS Physician Recruitment Branch, (and) HRA
Scholarship Program. . . ." (Appellant's File, AF11 p. 7)

MARCH 28, 1987

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