The Legislature should consider eliminating the dual-title provision since it results in two people carrying out the duties of the secretary and commissioner, and at salaries that are significantly above statutory salaries.

The objective of this review was to examine the cost, possible duplication of services, and rationale for a person having the dual title and responsibilities of DOT secretary and DOH commissioner. The Legislative Auditor contends that the statutory responsibilities of the commissioner and the cabinet secretary cannot be accomplished by one person because a single individual realistically cannot be effective serving in this dual role. This proves to be true in practice since the dual-title provision invariably leads to another person being employed in the capacity of deputy secretary/commissioner and receives a salary over $100,000.