A/HRC/22/49/Add.1 Care Action Plan was established, with the core aims of insuring access to health care by Roma, raising awareness of health care, and ensuring and implementing preventive measures aimed at improving Roma health. 53. The NGOs appointed to monitor implementation of the action plans report that, with the exception of measures to improve immunization of Roma children and some programmes to respond to specific local issues, the planned activities of the Roma HealthCare Action Plan ―have unfortunately not been realized‖.18 The Ministry for Human Rights and Refugees was required to establish an expert group to implement the Action Plan, but did not do so; this omission had negative consequences for planning, implementation and monitoring. 54. The NGOs also raised concerns relating to the accuracy of reports by health-care agencies on the implementation of this Action Plan, which cast doubt on their validity. While reported expenditure on activities countrywide was KM 135,000, most was apparently spent on immunization programmes for Roma children. The NGOs note that immunization should be free for all children in Bosnia and Herzegovina and falls under the responsibility and budget of ministries of health. Therefore, funds under the Action Plan should have been used for other health-related purposes and initiatives for Roma communities. 55. Ensuring provision of health insurance is a measure called for in the Roma HealthCare Action Plan, as is developing a database of Roma with health insurance. Civil society reports indicate that many Roma lack medical insurance. Employers are expected to provide insurance for their long-term employees. This route to acquiring health insurance is closed to the many Roma who lack formal employment, and who consequently must rely on the responsible authorities. Under the State‘s extremely decentralized governmental system, health insurance and health care provision fall under the responsibility of the entity, canton and municipal authorities. D. Housing 56. Positive developments have been achieved in the provision of housing units in some localities, for which the Government is commended. Implementation of the Action Plan on Roma Housing, adopted in July 2008, began in 2009. Of the €1.5 million allocated in 2009 to the Ministry for Human Rights and Refugees for activities under the Decade of Roma Inclusion, €1 million were disbursed on Roma housing. The Ministry disburses funds each year following an annual public call for the submission of Roma housing projects and a review and selection process conducted by a commission under the Ministry. 57. Priority has been given to the construction and reconstruction of houses, improvement of living conditions and infrastructure, and improvement of the housing situation of the most vulnerable families. Roma representatives participated in the project selection process and the selection of beneficiaries. The Government noted that it could invest funds only for families who had had their property status resolved, and that it was necessary for a municipality to allocate land to construct new housing units for homeless families, which had been a barrier in some cases. 58. The Ministry for Human Rights and Refugees notes that in 2009, €3 million were invested in Roma housing projects in 17 municipalities and results surpassed initial plans to construct or reconstruct 195 housing units. In fact, 84 housing units for Roma were newly constructed and 129 were reconstructed. In total, 182 Roma families reportedly benefited 18 14 Ibid., p. 50.