XI. Proposed Budget A. Administrative Administrative responsibility for the budget will be with the Financial Intermediary/Program Implementor (FIPI). This entity will be responsible for providing whatever reporting and control is required by the U. S. Government. It is not anticipated that FIPI will be account- able for that portion of funding provided by the Marshall Islands. In addition to monitoring and reporting on how U. S. funds are spent, it is suagested that the FIPI be responsible for the development of budgets and future U. S. funding requirements for health care in the Marshall Islands. The budget which follows represents an estimate of total costs for the indicated year. No attempt has been made to identify the U. S. portion and the Marshall Islands portion. For example, for FY 1980 the Marshall Islands health care budget is approximately three million. budget is close to eleven million dollars. The recommended In theory the amount to be provided under 96-205 in year one would be about eight million dollars. It is beyond the scope of this study to recommend what the participation of the Marshall Islands should be in funding this share of the health care costs. Since this is something to be worked out by the two governments, it was decided to develop a total cost budget with the level of funding to be determined by the two governments at a later date. B. Primary Care/Public Health As might be expected, supplies, equipment and personnel costs repre- sent the major budget items. Although the population is only thirty thou- sand, there are twenty-six atolls with populations requiring primary care. Because of the obvious transportation and communication problems presented in the Marshall Islands, this level of care is more costly than would be found for the same population with a different geography.