DOD and VA Health Care: Medication Needs during Transitions May Not Be Managed for All Servicemembers (open access)

DOD and VA Health Care: Medication Needs during Transitions May Not Be Managed for All Servicemembers

A letter report issued by the Government Accountability Office with an abstract that begins "About 1 in 12 (approximately 94,000) servicemembers discharged from military service and Reservists and National Guard members demobilized in fiscal years 2009 through 2011 had a psychiatric or pain medication, and almost half of these servicemembers subsequently received care from the Department of Veterans Affairs (VA) within 9 months. The percentage of servicemembers discharged or demobilized with psychiatric or pain medications increased slightly across the 3 fiscal years, from about 7 percent in fiscal year 2009 to about 9 percent in fiscal year 2011. The most common psychiatric medications for servicemembers discharged or demobilized from fiscal years 2009 through 2011 included antidepressants, while the most common pain medications included nonsteroidal anti-inflammatories, such as prescription-strength ibuprofen, and an opioid--oxycodone acetaminophen. Although not all discharged or demobilized servicemembers receive care from VA, GAO found that almost half of servicemembers with psychiatric or pain medications in fiscal years 2009 through 2011 subsequently received care from VA within 9 months."
Date: November 2, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Indian Issues: Improvements Needed in Tribal Recognition Process (open access)

Indian Issues: Improvements Needed in Tribal Recognition Process

A letter report issued by the General Accounting Office with an abstract that begins "The Indian gambling industry has flourished since the enactment of the Indian Gaming Regulatory Act in 1988. Nearly 200 tribes generated about $10 billion in annual revenues in 1999 from their gambling operations. Because of weaknesses in the federal recognition process, the basis for tribal recognition decisions by the Bureau of Indian Affairs (BIA) is not always clear and the length of time involved can be substantial. Despite an increasing workload, the number of BIA staff assigned to evaluate the petitions has fallen by about 35 percent since 1993. Just as important, the process lacks effective procedures for promptly addressing the increased workload. In particular, the process does not impose effective deadlines that create a sense of urgency, and procedures for providing information to interested third parties are ineffective. GAO summarized this report in testimony before Congress; see: Indian Issues: More Consistent and Timely Tribal Recognition Process Needed, by Barry T. Hill, Director for Natural Resources and Environment, before the Subcommittee on Energy Policy, Natural Resources and Regulatory Affairs, House Committee on Government Reform. GAO-01-415T, Feb. 7 (nine pages)."
Date: November 2, 2001
Creator: United States. General Accounting Office.
System: The UNT Digital Library