The Ministry of Health must explain how it handled billions of pesos the year prior to the pandemic.
In the Public Account 2019, the Superior Audit of the Federation pointed out that the Ssa did not carry out an efficient and transparent management of 1,26 million 223 thousand 350 pesos of the Program of Health Care and Free Medicines for the Population without Labor Security.
The description of the omissions reveals a lack of control by the central authority over the resources channeled to the states. By not adhering to the corresponding regulations, it is concluded that the objectives and goals of that strategy were not met.
In his report presented virtually to the Chamber of Deputies, David Colmenares, head of the ASF, indicated that other anomalies were detected in the health sector for 25 billion pesos, such as Insabi spending, the dispersion of resources from the Catastrophic Expenditure Fund and federalized spending delivered to states through different programs.
SSA MUST CLEAR UP 1,026 MDP
The Superior Audit of the Federation warns in the Public Account of 2019 that the Ministry of Health (Ssa) did not carry out an efficient and transparent management of resources for 1,26 million 223 thousand 350 pesos of the Health Care and Free Medicines program for the Population without Labor Security 2019.
The description of the omissions reveals a lack of control by the central authority over the resources channeled to the entities.
By not adhering to the corresponding regulations, it is concluded that the objectives and goals of that strategy were not met.
Compliance audit 167-DS states that the requested documentation does not clarify or justify the anomalies observed, in terms of compliance with regulations, in the transfer of resources and their respective agreements with the Treasuries of Baja California Sur, Guerrero, Michoacán, Nayarit , Sinaloa, Veracruz and Yucatán.
Thus, the Ministry of Health “is jointly responsible for the non-compliance with the Agreement and the operating criteria in the transfer of resources for an amount of 1,026,223.3 thousand pesos, which represents 20.1% of the resources transferred to the 31 Federal and to the IMSS for a total amount of 5,114,282.3 thousand pesos ”, is detailed in the report.
This audit is classified as compliance and presumes a probable loss or damage, or both, to the Federal Public Treasury in the amount of 1,026,223,350.00 pesos (one thousand twenty-six million two hundred twenty-three thousand three hundred fifty pesos 00/100 MN), plus the financial returns generated from its disposition until its reimbursement to the Federation Treasury.
It is specified that said resources were not delivered by the state treasuries to the entities executing the expenditure within 5 business days of their receipt. And it is claimed that the Ministry of Health, through the General Directorate of Health Planning and Development, did not request the reimbursement of those transferred federal resources.
It is concluded that the 7 state treasuries and the Ministry of Health are jointly responsible for non-compliance with the agreement and the criteria for operating the program subsidies.
The observations also show the lack of a calendar of the federal authority in the delivery of resources to the federative entities.
The ASF requests the Ministry of Health to carry out the pertinent investigations and, where appropriate, initiate the corresponding administrative procedure for the irregularities of the public servants who incurred in the aforementioned omission, as well as for the failure to follow up on the agreements the entities and the IMSS.
THE FUCAM NOR THE INP WERE NOT PAID
The Superior Audit of the Federation found that in 2019 the Catastrophic Expenditure Fund did not transfer 324 million 731 thousand pesos to the Institute of Health for Wellbeing (Insabi).
According to the report, a part of these resources was for the care of diseases, mainly in the care of children, and women with cancer, treated at the Breast Cancer Foundation (Fucam) and the National Institute of Pediatrics (INP) .
The head of the Superior Audit of the Federation (ASF), David Colmenares Páramo, reported that said amount corresponded to 121 thousand 726 interventions, when delivering the Public Account 2019 to the Chamber of Deputies.
Regarding the audit of the Catastrophic Expenses Fund, it is worth mentioning that the Insabi has pending to transfer 324 million pesos corresponding to 12 thousand 726 interventions to the medical units and providers of medical services ”, he said.
The breakdown of the report indicates that in the case of Fucam 1,713 patient cases had to be attended, each at a cost of 124 thousand 750.1 pesos, that is, 213 million 696 thousand 921 pesos, and in the case of the National Institute of Pediatrics, there were 412 cases, whose cost for each one was for 39 thousand 383.5 pesos, that is to say 16 million 226 thousand 2 pesos.
The Public Account details the lack of integration of the beneficiaries of 59 thousand 571 cases of interventions with “paid” status with resources from the Fund for Protection against Catastrophic Expenditures, since only the database of the 72 thousand 297 cases was provided of interventions that were authorized for financing.
THE MINUTE WAS NOT FORMALIZED
Likewise, the Audit indicates that the minutes of the Commission for Evaluation and Monitoring of the Agreement Modifying the Collaboration Agreement formalized with Fucam, AC, were not formalized, by means of which the medical units, service providers and services of the object were updated. financial support, medical care protocols and the Financial Support Tabulator, for the provision of hospital medical services for interventions considered catastrophic expenses.
The ASF indicates that in the case of Fucam 1,713 patient cases had to be attended, each for $ 124,750. Photo: Quetzalli González / Archive
ASF WILL FILE COMPLAINTS
The head of the Superior Audit of the Federation (ASF), David Colmenares Páramo, announced that next week he will report on the accumulation of complaints that said instance has presented.
In his report on the delivery of the 2019 Public Account, corresponding to the first year of the administration of the current federal government, before the Chamber of Deputies, he announced that complaints will continue to be filed next week, without announcing on which items.
The official, who appeared virtually before the members of the Vigilance Commission, said that since 2018 to date they have filed 117 criminal complaints.
Regarding criminal complaints, on March 15, 2018 to date we have filed 117 criminal complaints corresponding to public accounts from 14 to 18, and next week we will report that we have just filed this week and we will now present several criminal complaints next week, of issues that are really relevant for the treasury ”, he declared.
When reporting to the president of the Surveillance Commission of the Superior Audit of the Federation in the Chamber of Deputies, Mario Alberto Rodríguez Carrillo, the official said that some anomalies in spending were detected in the Institute of Health for Well-being (Insabi) , the dispersion of resources from the Catastrophic Expenditures Fund, the federalized spending delivered to states through different programs, for more than 25 billion pesos.
Colmenares Páramo also announced the audits sent to the ASF Surveillance Commission on infrastructure works, which amount to 56 audits, relating to the Mexico-Toluca Train, the canceled Texcoco Airport and various highways. In addition, he mentioned the Agro Nitrogenados plant acquired by the former director of Pemex, Emilio Lozoya.
The ASF presented the result corresponding to 487 audits with an audited sample of 3.7 billion pesos that represents 41.24% of the selected universe.
The 2019 Public Account identified irregularities by IMSS officials and non-compliance with the General Accounting Law. Photo: Archive
SOCIAL SECURITY MUST CLARIFY PERFORMANCE
The Public Account for the first year of the current six-year term detected irregularities by IMSS officials in the management of financial returns, in breach of the General Government Accounting Law, in the exercise of the Program for Health Care and Free Medicines for the Population without Social Security.
Probable damage or loss, or both, to the Federal Public Treasury is presumed for an amount of 1,342,933,005.00 pesos (one thousand three hundred forty-two million nine hundred thirty-three thousand five pesos 00/100 MN), plus the financial returns generated from its disposal until their reimbursement to the Federation Treasury, due to the lack of supporting and supporting documentation of the expenditures, and lack of documentation that proves when the payments were made and that they correspond to expenditures of the U013 2019 Budget Program, Health Care and Free Medicines for the Population without Social Security ”, it is stated.
Government reallocates 15% more than approved
In a first analysis of the Public Account 2019, the Chamber of Deputies highlighted that the reassignments of the Centralized Public Administration amount to 173 billion pesos.
Of that amount, 172 thousand 276.6 million pesos were executed through the administrative branches operated by the secretariats of State. This means that, last year, the government exercised a budget that was 15.2 percent higher than the one originally approved.
In the report The destination of the sub-exercises revealed in the Public Account 2019, of the PRD bench, the budget adjustments that the federal government made are reviewed in comparison with the resources approved by the Chamber of Deputies in 2018.
The list of the largest reallocations is headed by the Ministry of Energy with 101,096.7 million pesos, of which 97,131 million pesos were for the patrimonial contribution that, in September 2019, the federal government made to Pemex, for 97 1,131 million pesos, to strengthen its financial position.
The Ministry of Finance and Public Credit channeled 26 thousand 398.4 million pesos for the capitalization of the development bank ((Nafinsa, Bancomext, Banobras) for the granting of Credit to States and Municipalities and Financial Inclusion and Export Financing Operation.
SEP reallocated 24,304.3 million for support to education centers and organizations, and for the Benito Juárez Universal Scholarship for High School Students Program.
The Secretariat of National Defense (Sedena) spent 17,948.0 million pesos for government infrastructure projects for national security, and for the operation and development of the security forces of the Armed Forces, the PRD said.
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