Most state funded programs require no formal accountability to the state and instead rely primarily on the self-interest of the recipients to use the funds wisely. For example, the largest domestic program, social security, is designed to prevent seniors from lacking basic resources for housing, food, or clothing. But we don’t demand that seniors account for the use of their social security checks. They could blow it at the casino if they want. We’re just counting on the fact that most would have the good sense to make sure that their basic needs are covered first.
Even in the area of education most government programs require no formal accountability. Pell Grants, Stafford Loans, and the Daycare Tuition Tax Credit do not require state testing for people using those funds. We just trust that the public purpose of subsidizing education will be served by people pursuing their own interests. Anyone who declares that state funding requires state accountability obviously hasn’t thought about this for more than 10 seconds.