A letter report issued by the General Accounting Office with an abstract that begins "Members of Congress periodically have expressed interest in converting the federal budget process from an annual to a biennial cycle. Congress believes that the time spent on these activities has come at the expense of congressional oversight and authorization responsibilities. To better understand states' experiences with the biennial budget cycle, GAO studied three states: Arizona, Ohio, and Connecticut. GAO found that the states' reasons for changing their budget cycles varied. For example, Arizona adopted a biennial cycle to increase legislative oversight and reduce time spent on the budget. Connecticut adopted it as part of a fiscal reform effort. To execute a biennial budget successfully, the states' experiences suggest that the legislative and executive branches must agree on how the off-year budget process will work. Different approaches to managing the off-year budget have been developed by states, including establishing formal guidelines for off-year budget changes and relying on leadership control. Efforts to increase legislative oversight in the off-year by converting to a biennial budget process may be difficult. Ohio and Connecticut officials said they that have not increased legislative oversight in the off-year, and Arizona officials said …

A letter report issued by the General Accounting Office with an abstract that begins "As the steward of taxpayer dollars, the federal government is accountable for how its agencies and grantees spend funds. It is also responsible for safeguardingagainst improper payments, which include payments that should not have been madeor were made for incorrect amounts irrespective of whether the agency had effective controls in place. Reported estimates of improper payments total billions ofdollars annually. With billions of dollars at risk, agencies need to vigilantly safeguard those resources entrusted to them and assign a high priority to reducing fraud, waste, and abuse. In their fiscal year 1999 financial statement, 12federal agencies reported improper payments totalling $20.7 billion. A first step for some agencies will be to assess programs at risk and develope ways to identify, estimate, and report the nature and extent of improper payments annually. Without this fundamental knowledge, agencies will not be fully informed about the magnitude, trends, and types of payment errors occurring within their programs. Furthermore, most agencies will not be able to make informed cost-benefit decisions about strengthening their internal controls to minimize future improper payments or effectively develop goals and strategies to reduce them. In …

A letter report issued by the General Accounting Office with an abstract that begins "Public health experts have raised concerns about the ability of the nation's public health system to detect and respond to emerging infectious disease threats, such as pandemic influenza. Although vaccines are considered the first line of defense to prevent or reduce influenza-related illness and death, GAO found that they may be unavailable, in short supply, or ineffective for some portions of the population during the first wave of a pandemic. Federal and state influenza pandemic plans are in various stages of completion and do not completely or consistently address key issues surrounding the purchase, distribution, and administration of vaccines and antiviral drugs. Inconsistencies in state and federal policies could contribute to public confusion and weaken the effectiveness of the public health response."