Health Care Spending: Public Payers Face Burden of Entitlement Program Growth, While All Payers Face Rising Prices and Increasing Use of Services (open access)

Health Care Spending: Public Payers Face Burden of Entitlement Program Growth, While All Payers Face Rising Prices and Increasing Use of Services

Testimony issued by the Government Accountability Office with an abstract that begins "GAO testified about the challenges involved in financing health care. GAO has been particularly concerned about the federal government's long-term fiscal sustainability and the contribution of health care spending to this troubling picture. For the past several years, we have consistently reported that in just a few decades, the government will face a serious fiscal imbalance driven by known demographic trends and escalating health care cost growth. Over the next several decades, growth in spending on federal retirement and health entitlements will encumber an escalating share of the government's resources. These entitlement programs primarily include Social Security, which provides, among other things, retirement income to individuals aged 62 and older; Medicare, which provides health care coverage primarily for individuals 65 and older; and Medicaid, which is a joint federal-state program providing health care and long-term care for low-income individuals. Congress's concern about the challenges involved in financing health care is consistent with the fact that certain spending pressures faced by Medicare and Medicaid are faced by all health care payers, including the Departments of Veterans Affairs (VA) and Defense, as well as private payers of health care. To …
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Defense Logistics: Improved Oversight and Increased Coordination Needed to Ensure Viability of the Army's Prepositioning Strategy (open access)

Defense Logistics: Improved Oversight and Increased Coordination Needed to Ensure Viability of the Army's Prepositioning Strategy

A letter report issued by the Government Accountability Office with an abstract that begins "Prepositioned military equipment and supplies on ships and overseas on land have become an integral part of the U.S. defense strategy. However, the Army's program has faced long-standing management challenges, including equipment excesses and shortfalls, invalid or poorly defined requirements, and maintenance problems. In Public Law 109-163, Congress required the Army to conduct an assessment of its prepositioning programs and required GAO to assess (1) whether the Army's report addressed the areas required by Congress, and (2) the major challenges the Army continues to face in its prepositioning program. GAO analyzed the Army's report and other information it obtained from the Joint Staff, the Army, and its subordinate commands to identify the issues affecting the Army's prepositioning program. GAO also visited prepositioned equipment sites in South Carolina, Europe, South Korea, and Kuwait."
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Deposit Insurance: Assessment of Regulators' Use of Prompt Corrective Action Provisions and FDIC's New Deposit Insurance System (open access)

Deposit Insurance: Assessment of Regulators' Use of Prompt Corrective Action Provisions and FDIC's New Deposit Insurance System

A letter report issued by the Government Accountability Office with an abstract that begins "The Federal Deposit Insurance Reform Conforming Amendments Act of 2005 required GAO to report on the federal banking regulators' administration of the prompt corrective action (PCA) program under section 38 of the Federal Deposit Insurance Act (FDIA). Congress created section 38 as well as section 39, which required regulators to prescribe safety and soundness standards related to noncapital criteria, to address weaknesses in regulatory oversight during the bank and thrift crisis of the 1980s that contributed to deposit insurance losses. The 2005 act also required GAO to report on changes to the Federal Deposit Insurance Corporation's (FDIC) deposit insurance system. This report (1) examines how regulators have used PCA to resolve capital adequacy issues at depository institutions, (2) assesses the extent to which regulators have used noncapital supervisory actions under sections 38 and 39, and (3) describes how recent changes to FDIC's deposit insurance system affect the determination of institutions' insurance premiums. GAO reviewed regulators' PCA procedures and actions taken on a sample of undercapitalized institutions. GAO also reviewed the final rule on changes to the insurance system and comments from industry and academic experts."
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Federal Deposit Insurance Corporation: Human Capital and Risk Assessment Programs Appear Sound, but Evaluations of Their Effectiveness Should Be Improved (open access)

Federal Deposit Insurance Corporation: Human Capital and Risk Assessment Programs Appear Sound, but Evaluations of Their Effectiveness Should Be Improved

A letter report issued by the Government Accountability Office with an abstract that begins "The Federal Deposit Insurance Reform Conforming Amendments Act of 2005 requires GAO to report on the effectiveness of Federal Deposit Insurance Corporation's (FDIC) organizational structure and internal controls. GAO reviewed (1) mechanisms the board of directors uses to oversee the agency, (2) FDIC's human capital strategies and how its training initiatives are evaluated, and (3) FDIC's process for monitoring and assessing risks to the banking industry and the deposit insurance fund, including its oversight and evaluation. To answer these objectives, GAO analyzed FDIC documents, reviewed recommended practices and GAO guidance, conducted interviews with FDIC officials and board members, and conducted site visits to FDIC regional and field offices in three states."
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Risk-Based Capital: Bank Regulators Need to Improve Transparency and Overcome Impediments to Finalizing the Proposed Basel II Framework (open access)

Risk-Based Capital: Bank Regulators Need to Improve Transparency and Overcome Impediments to Finalizing the Proposed Basel II Framework

A letter report issued by the Government Accountability Office with an abstract that begins "Concerned about the potential impacts of the proposed risk-based capital rules, known as Basel II, Congress mandated that GAO study U.S. implementation efforts. This report examines (1) the transition to Basel II and the proposed changes in the United States, (2) the potential impact on the banking system and regulatory required capital, and (3) how banks and regulators are preparing for Basel II and the challenges they face. To meet these objectives, GAO analyzed documents related to Basel II and interviewed various regulators and officials from banks that will be required to follow the new rules."
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Update on the United Nations' Capital Master Plan (open access)

Update on the United Nations' Capital Master Plan

Correspondence issued by the Government Accountability Office with an abstract that begins "Since 2000, the United Nations (UN) has been developing a Capital Master Plan (CMP) to renovate its headquarters complex in New York City to bring it into compliance with current life safety and building codes. The planned renovation will also enable the UN to address technology and security needs. Since 2001, we have reported on the UN's efforts to develop the CMP. As we finalized our most recent report in November 2006, the UN Secretary-General released the latest progress report on the CMP and recommended that the UN General Assembly approve a scope, schedule, budget, and funding mechanism for the CMP. The Secretary-General's report also included an updated cost estimate of $1.88 billion for the project. This estimate for the CMP is about $128 million higher than the previous estimate, which was released in 2005. As the host country and largest contributor to the UN, the United States continues to have a significant interest in the success of the renovation. In this report, we (1) analyze the changes in the latest cost estimate and (2) describe the latest decisions the UN General Assembly made in regard to the …
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Rebuilding Iraq: Reconstruction Progress Hindered by Contracting, Security, and Capacity Challenges (open access)

Rebuilding Iraq: Reconstruction Progress Hindered by Contracting, Security, and Capacity Challenges

Testimony issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) has relied extensively on contractors to undertake major reconstruction projects and provide support to its deployed forces, but these efforts have not always achieved desired outcomes. Further, the Iraqi government must be able to reduce violence, sustain reconstruction progress, improve basic services, and make a positive difference in the daily lives of the Iraqi people. This statement discusses (1) factors affecting DOD's ability to promote successful acquisition outcomes on its contracts for reconstruction and for support to deployed forces in Iraq, (2) the deteriorating security situation and the capabilities of the Iraqi security forces, and (3) issues affecting the Iraqi government's ability to support and sustain future reconstruction progress. The testimony is based upon our work on Iraq reconstruction and stabilization efforts, DOD contracting activities, and DOD's use of support contractors spanning several years. This work was conducted in accordance with generally accepted government auditing standards."
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Coast Guard: Preliminary Observations on Deepwater Program Assets and Management Challenges (open access)

Coast Guard: Preliminary Observations on Deepwater Program Assets and Management Challenges

Testimony issued by the Government Accountability Office with an abstract that begins "The U.S. Coast Guard's Deepwater program was designed to upgrade or replace its aging legacy aircraft and vessels with assets focusing on the Coast Guard's traditional at-sea roles. After the September 11, 2001 terrorist attacks, the Coast Guard took on additional security missions, resulting in revisions to the Deepwater plan. GAO's prior work raised concerns about Coast Guard's efforts to upgrade or acquire assets on schedule, and manage and effectively monitor the system integrator. This testimony provides GAO's preliminary observations on (1) events and issues surrounding the Coast Guard's bridging strategy to convert the legacy 110-foot patrol boats to 123-foot patrol boats; (2) the status of the Coast Guard's efforts to acquire new or upgraded Deepwater assets; and (3) the Coast Guard's ability to effectively manage the Deepwater program, hold contractors accountable, and control costs through competition. GAO's preliminary observations are based on audit work performed from August 2006 to February 2007."
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Children's Health Insurance: States' SCHIP Enrollment and Spending Experiences and Considerations for Reauthorization (open access)

Children's Health Insurance: States' SCHIP Enrollment and Spending Experiences and Considerations for Reauthorization

Testimony issued by the Government Accountability Office with an abstract that begins "In August 1997, Congress created the State Children's Health Insurance Program (SCHIP) with the goal of significantly reducing the number of low-income uninsured children, especially those who lived in families with incomes exceeding Medicaid eligibility requirements. Unlike Medicaid, SCHIP is not an entitlement to services for beneficiaries but a capped allotment to states. Congress provided a fixed amount--approximately $40 billion from fiscal years 1998 through 2007--to states with approved SCHIP plans. Funds are allocated to states annually. Subject to certain exceptions, states have 3 years to use each year's allocation, after which unspent funds may be redistributed to states that have already spent all of that year's allocation. GAO's testimony addresses trends in SCHIP enrollment and the current composition of SCHIP programs across the states, states' spending experiences under SCHIP, and considerations GAO has identified for SCHIP reauthorization. GAO's testimony is based on its prior work, particularly testimony before the Senate Finance Committee on February 1, 2007 (see GAO-07-447T). GAO updated this work with the Centers for Medicare & Medicaid Services' (CMS) January 2007 approval of Tennessee's SCHIP program."
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Business Systems Modernization: Internal Revenue Service's Fiscal Year 2007 Expenditure Plan (open access)

Business Systems Modernization: Internal Revenue Service's Fiscal Year 2007 Expenditure Plan

A letter report issued by the Government Accountability Office with an abstract that begins "The Internal Revenue Service's (IRS) Business Systems Modernization (BSM) program is a multibillion-dollar, high-risk, highly complex effort that involves the development and delivery of a number of modernized information systems that are intended to replace the agency's aging business and tax processing systems. As required by law, IRS submitted its fiscal year 2007 expenditure plan, in September 2006, to congressional appropriations committees, requesting $167.3 million from the BSM account. GAO's objectives in reviewing the plan were to (1) determine whether it satisfied the conditions specified in the law, (2) determine IRS's progress in implementing prior GAO recommendations, and (3) provide any other observations about the plan and IRS's BSM program. To address these objectives, GAO analyzed the plan, reviewed related documentation, and interviewed IRS officials."
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Secure Border Initiative: SBInet Expenditure Plan Needs to Better Support Oversight and Accountability (open access)

Secure Border Initiative: SBInet Expenditure Plan Needs to Better Support Oversight and Accountability

A letter report issued by the Government Accountability Office with an abstract that begins "In November 2005, the Department of Homeland Security (DHS) established the Secure Border Initiative (SBI) program to secure U.S. borders and reduce illegal immigration. One element of SBI is SBInet, the program responsible for developing a comprehensive border protection system. By legislative mandate, DHS developed a fiscal year 2007 expenditure plan for SBInet to address nine legislative conditions, including a review by GAO. DHS submitted the plan to the Appropriations Committees on December 4, 2006. To address the mandate, GAO assessed the plan against federal guidelines and industry standards and interviewed appropriate DHS officials."
Date: February 15, 2007
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Intelligence Spending: Public Disclosure Issues (open access)

Intelligence Spending: Public Disclosure Issues

This report describes the constituent parts of the intelligence budget, past practice in handling intelligence authorizations and appropriations, the arguments that have been advanced for and against making intelligence spending totals public, a legal analysis of these issues, and a review of the implications of post-Cold War developments on the question. It also describes past congressional interest in keeping intelligence spending totals secret.
Date: February 15, 2007
Creator: Best, Richard A., Jr. & Bazan, Elizabeth B.
Object Type: Report
System: The UNT Digital Library
Sampling and Analysis Instruction for Evaluation of Residual Chromium Contamination in the Subsurface Soil at 100-C-7 (open access)

Sampling and Analysis Instruction for Evaluation of Residual Chromium Contamination in the Subsurface Soil at 100-C-7

This sampling and analysis instruction (SAI) provides the requirements for sample collection and laboratory analysis to evaluate the extent of hexavalent chromium contamination present in the soil below the 100-C-7 and 100-C-7:1 remedial action waste site excavations.
Date: February 15, 2007
Creator: Thompson, W. S.
Object Type: Report
System: The UNT Digital Library
Microwave Ion Source and Beam Injection for an Accelerator-drivenNeutron Source (open access)

Microwave Ion Source and Beam Injection for an Accelerator-drivenNeutron Source

An over-dense microwave driven ion source capable ofproducing deuterium (or hydrogen) beams at 100-200 mA/cm2 and with atomicfraction>90 percent was designed and tested with an electrostaticlow energy beam transport section (LEBT). This ion source wasincorporatedinto the design of an Accelerator Driven Neutron Source(ADNS). The other key components in the ADNS include a 6 MeV RFQaccelerator, a beam bending and scanning system, and a deuterium gastarget. In this design a 40 mA D+ beam is produced from a 6 mm diameteraperture using a 60 kV extraction voltage. The LEBT section consists of 5electrodes arranged to form 2 Einzel lenses that focus the beam into theRFQ entrance. To create the ECR condition, 2 induction coils are used tocreate ~; 875 Gauss on axis inside the source chamber. To prevent HVbreakdown in the LEBT a magnetic field clamp is necessary to minimize thefield in this region. Matching of the microwave power from the waveguideto the plasma is done by an autotuner. We observed significantimprovement of the beam quality after installing a boron nitride linerinside the ion source. The measured emittance data are compared withPBGUNS simulations.
Date: February 15, 2007
Creator: Vainionpaa, J. H.; Gough, R.; Hoff, M.; Kwan, J. W.; Ludewigt, B. A.; Regis, M. J. et al.
Object Type: Article
System: The UNT Digital Library
Single and Triple Differential Cross Sections for DoublePhotoionization of H- (open access)

Single and Triple Differential Cross Sections for DoublePhotoionization of H-

The hydride anion H- would not be bound in the absence ofelectron correlation. Electron correlation drives the doublephotoionization process and, thus should impact double photoionizationresults most strongly for H-. We present fully differential crosssections for the three-body breakup of H- by single photon absorption.The absolute triple-differential and single-differential cross sectionswere yielded by ab initio calculations making use of exterior complexscaling within a discrete variable representation partialwave basis.Results calculated at photon energies of 18eV and 30eV are compared withreported cross sections for helium calculated at 20eV above the doubleionization threshold. These comparisons show a clear signature of initialstate correlation that differentiate the He and H- cases.
Date: February 15, 2007
Creator: Yip, Frank L.; Horner, Daniel A.; McCurdy, C. William & Rescigno,Thomas N.
Object Type: Article
System: The UNT Digital Library
CH-TRU Waste Content Codes (CH-TRUCON) (open access)

CH-TRU Waste Content Codes (CH-TRUCON)

The CH-TRU Waste Content Codes (CH-TRUCON) document describes the inventory of the U.S. Department of Energy (DOE) CH-TRU waste within the transportation parameters specified by the Contact-Handled Transuranic Waste Authorized Methods for Payload Control (CH-TRAMPAC). The CH-TRAMPAC defines the allowable payload for the Transuranic Package Transporter-II (TRUPACT-II) and HalfPACT packagings. This document is a catalog of TRUPACT-II and HalfPACT authorized contents and a description of the methods utilized to demonstrate compliance with the CH-TRAMPAC. A summary of currently approved content codes by site is presented in Table 1. The CH-TRAMPAC describes "shipping categories" that are assigned to each payload container. Multiple shipping categories may be assigned to a single content code. A summary of approved content codes and corresponding shipping categories is provided in Table 2, which consists of Tables 2A, 2B, and 2C. Table 2A provides a summary of approved content codes and corresponding shipping categories for the "General Case," which reflects the assumption of a 60-day shipping period as described in the CH-TRAMPAC and Appendix 3.4 of the CH-TRU Payload Appendices. For shipments to be completed within an approximately 1,000-mile radius, a shorter shipping period of 20 days is applicable as described in the CH-TRAMPAC and Appendix 3.5 …
Date: February 15, 2007
Creator: Westinghouse TRU Solutions LLC
Object Type: Report
System: The UNT Digital Library
Texas Attorney General Opinion: GA-0517 (open access)

Texas Attorney General Opinion: GA-0517

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification: Application of the Public Information Act to private entities exercising eminent domain powers under Senate Bill 7; application of Senate Bill 7 to common carriers.
Date: February 15, 2007
Creator: Texas. Attorney-General's Office.
Object Type: Text
System: The Portal to Texas History
Legislative, Executive, and Judicial Officials: Process for Adjusting Pay and Current Salaries (open access)

Legislative, Executive, and Judicial Officials: Process for Adjusting Pay and Current Salaries

Leaders and Members of the Senate and the House of Representatives, the Vice President, individuals in positions on the Executive Schedule (EX), and federal justices and judges receive an annual pay adjustment under the Ethics Reform Act of 1989, P.L. 101-194. This report includes five tables which provide the January 2004, January 2005, January 2006, and January 2007 salaries for federal officials, members of the Senior Executive Service (SES), and employees in senior-level (SL), scientific and professional (ST), and GS-15 positions in the Washington, DC, and the “Rest of the United States” locality pay areas.
Date: February 15, 2007
Creator: Schwemle, Barbara L.
Object Type: Report
System: The UNT Digital Library
Child Support Provisions Considered But Not Enacted During the 2002-2005 Welfare Reauthorization Debate (open access)

Child Support Provisions Considered But Not Enacted During the 2002-2005 Welfare Reauthorization Debate

Although the Deficit Reduction Act of 2005 (enacted February 8, 2006) included significant changes to the Child Support Enforcement (CSE) program, it did not include many of the child support provisions that had been considered during the preceding four-year debate within the context of welfare reauthorization. This report discusses 12 such provisions that were passed by either the House or the Senate Finance Committee (or both). The Administration has included several of these provisions in its FY2008 budget.
Date: February 15, 2007
Creator: Solomon-Fears, Carmen
Object Type: Report
System: The UNT Digital Library
Mergers and Acquisitions: Primer on Economic Considerations in the FTC and DOJ Horizontal Merger Approval Process (open access)

Mergers and Acquisitions: Primer on Economic Considerations in the FTC and DOJ Horizontal Merger Approval Process

None
Date: February 15, 2007
Creator: unknown
Object Type: Report
System: The UNT Digital Library
Congressional Oversight of Intelligence: Current Structure and Alternatives (open access)

Congressional Oversight of Intelligence: Current Structure and Alternatives

This report first describes the current select committees on intelligence and then covers the former Joint Committee on Atomic Energy, often cited as a model for a counterpart on intelligence. The study also sets forth proposed characteristics for a joint committee on intelligence, differences among these, and their pros and cons.
Date: February 15, 2007
Creator: Kaiser, Frederick M.
Object Type: Report
System: The UNT Digital Library
Iraq: Summary of U.S. Casualties (open access)

Iraq: Summary of U.S. Casualties

This report provides statistics on fatalities during Operation Iraqi Freedom, which began on March 19, 2003.
Date: February 15, 2007
Creator: O'Bryant, JoAnne
Object Type: Report
System: The UNT Digital Library
Magnetic Dynamos and Stars (open access)

Magnetic Dynamos and Stars

Djehuty is a code that has been developed over the last five years by the Lawrence Livermore National Laboratory (LLNL), from earlier code designed for programmatic efforts. Operating in a massively parallel environment, Djehuty is able to model entire stars in 3D. The object of this proposal was to continue the effort to introduce magneto-hydrodynamics (MHD) into Djehuty, and investigate new classes of inherently 3D problems involving the structure, evolution and interaction of stars and planets. However, towards the end of the second year we discovered an unexpected physical process of great importance in the evolution of stars. Consequently for the third year we changed direction and concentrated on this process rather than on magnetic fields. Our new process was discovered while testing the code on red-giant stars, at the 'helium flash'. We found that a thin layer was regularly formed which contained a molecular-weight inversion, and which led therefore to Rayleigh-Taylor instability. This in turn led to some deeper-than-expected mixing, which has the property that (a) much {sup 3}He is consumed, and (b) some {sup 13}C is produced. These two properties are closely in accord with what has been observed over the last thirty years in red giants, whereas …
Date: February 15, 2007
Creator: Eggleton, P P
Object Type: Report
System: The UNT Digital Library
Environmental Test Activity on the Flight Modules of the GLAST LAT Tracker (open access)

Environmental Test Activity on the Flight Modules of the GLAST LAT Tracker

The GLAST Large Area Telescope (LAT) is a gamma-ray telescope consisting of a silicon micro-strip detector tracker followed by a segmented CsI calorimeter and covered by a segmented scintillator anticoincidence system that will search for {gamma}-rays in the 20 MeV-300 GeV energy range. The results of the environmental tests performed on the flight modules (towers) of the Tracker are presented. The aim of the environmental tests is to verify the performance of the silicon detectors in the expected mission environment. The tower modules are subjected to dynamic tests that simulate the launch environment and thermal vacuum test that reproduce the thermal gradients expected on orbit. The tower performance is continuously monitored during the whole test sequence. The environmental test activity, the results of the tests and the silicon tracker performance are presented.
Date: February 15, 2007
Creator: Brigida, M.; Caliandro, A.; Favuzzi, C.; Fusco, P.; Gargano, F.; Giglietto, N. et al.
Object Type: Article
System: The UNT Digital Library