Medicare Home Health: Clarifying the Homebound Definition Is Likely to Have Little Effect on Costs and Access (open access)

Medicare Home Health: Clarifying the Homebound Definition Is Likely to Have Little Effect on Costs and Access

Correspondence issued by the General Accounting Office with an abstract that begins "Medicare's home health benefit provides skilled nursing and other services to beneficiaries who are homebound. The Department of Health and Human Services (HHS) had a long-standing policy that beneficiaries who regularly attend adult day care were not considered homebound, particularly if the purpose of attending was to receive nonmedical or custodial care. In 2000, Congress indicated that Medicare beneficiaries who attended adult day care could still be considered homebound if they still met the other homebound requirements. GAO found that this clarification will have little effect on program costs or access to services because the number of affected individuals is small. On the basis of National Long Term Care Survey data, GAO estimates that 0.2 percent of elderly Medicare beneficiaries who attended adult day care had mobility or cognitive impairments that might make some eligible for Medicare home health services."
Date: April 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Reports for the Military Order of the Purple Heart of the United States of America, Inc., for Fiscal Years 1997-2000 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Reports for the Military Order of the Purple Heart of the United States of America, Inc., for Fiscal Years 1997-2000

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the financial statement audit reports for the Military Order of the Purple Heart of the United States of America, Inc., for fiscal years ended 2000, 1999, 1998, and 1997. GAO found no reportable instances of noncompliance with the requirements of the law, and the audit reports included the auditors' opinions that the corporation's financial statements were presented fairly in accordance with generally accepted accounting principles."
Date: February 20, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Secure Border Initiative Fiscal Year 2008 Expenditure Plan Shows Improvement, but Deficiencies Limit Congressional Oversight and DHS Accountability (open access)

Secure Border Initiative Fiscal Year 2008 Expenditure Plan Shows Improvement, but Deficiencies Limit Congressional Oversight and DHS Accountability

Correspondence issued by the Government Accountability Office with an abstract that begins "In November 2005, the Department of Homeland Security (DHS) announced the launch of Secure Border Initiative (SBI), a multiyear, multibillion-dollar program aimed at securing U.S. borders and reducing illegal immigration. Elements of SBI are carried out by several organizations within DHS. One component is the U.S. Customs and Border Protection's (CBP) SBI program office, which is responsible for developing a comprehensive border protection system using people; technology, known as SBInet; and tactical infrastructure (TI)--pedestrian and vehicle fencing; roads; and lighting. Initially, the focus of SBI is on the U.S. southwest border areas, between the ports of entry, that CBP has designated as most in need of enhanced border security because of serious vulnerabilities. In September 2006, CBP awarded a prime contract to the Boeing Company for 3 years, with three additional 1-year options. As the prime contractor, Boeing is responsible for acquiring, deploying, and sustaining selected SBInet technology and tactical infrastructure projects, and for providing supply chain management for selected tactical infrastructure projects. For fiscal years 2005 through 2008, Congress appropriated more than $2.7 billion for the SBI program. For fiscal year 2009, the President's budget includes a …
Date: June 26, 2008
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
National Institutes of Health Extramural Research Grants: Oversight of Cost Reimbursements to Universities (open access)

National Institutes of Health Extramural Research Grants: Oversight of Cost Reimbursements to Universities

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Health and Human Services' (HHS) National Institutes of Health (NIH) is the nation's leader in conducting and sponsoring biomedical research. More than 80 percent of NIH's budget, which totaled over $28 billion in fiscal year 2006, is used to support extramural research, which is primarily conducted at over 500 universities nationwide. NIH reimburses universities for direct costs that can be specifically attributed to research sponsored by NIH grants, including costs for labor and materials used solely to carry out the research. It also reimburses universities for indirect costs, which include various facility and administrative expenses incurred by the universities for the shared support of such research. To be reimbursed for direct and indirect costs, universities must properly identify and claim them in accordance with federal guidance. Because indirect costs cannot be specifically attributed to a particular research grant, they are charged via an indirect cost rate that is applied to the direct costs for each grant agreement. The oversight responsibilities of NIH's institutes and centers (IC) include the financial management of grants as well as ensuring that grantees comply with the terms of the grants. …
Date: January 31, 2007
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Crop Insurance: Actions Needed to Reduce Program's Vulnerability to Fraud, Waste, and Abuse (open access)

Crop Insurance: Actions Needed to Reduce Program's Vulnerability to Fraud, Waste, and Abuse

A letter report issued by the Government Accountability Office with an abstract that begins "Federal crop insurance protects producers against losses from natural disasters. In 2004, the crop insurance program provided $47 billion in coverage, at a cost of $3.6 billion, including an estimated $160 million in losses from fraud and abuse. The U.S. Department of Agriculture's (USDA) Risk Management Agency (RMA) administers this program with private insurers. The Agricultural Risk Protection Act of 2000 (ARPA) provided new tools to monitor and control abuses, such as having USDA's Farm Service Agency (FSA) conduct field inspections. GAO assessed, among other things, the (1) effectiveness of USDA's processes to address program fraud and abuse and (2) extent to which the program's design makes it vulnerable to abuse."
Date: September 30, 2005
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
President's Emergency Plan for Aids Relief: Millions Being Treated, but Better Information Management Needed to Further Improve and Expand Treatment (open access)

President's Emergency Plan for Aids Relief: Millions Being Treated, but Better Information Management Needed to Further Improve and Expand Treatment

A letter report issued by the Government Accountability Office with an abstract that begins ""
Date: July 8, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
National Archives and Records Administration: Actions Needed to Ensure Facilities That Store Federal Records Meet Standards (open access)

National Archives and Records Administration: Actions Needed to Ensure Facilities That Store Federal Records Meet Standards

A letter report issued by the Government Accountability Office with an abstract that begins "Agencies are to store federal records in three types of facilities:"
Date: September 10, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Combating Terrorism: Comments on Counterterrorism Leadership and National Strategy (open access)

Combating Terrorism: Comments on Counterterrorism Leadership and National Strategy

A statement of record issued by the General Accounting Office with an abstract that begins "The federal government will spend approximately $11 billion to combat terrorism In fiscal year 2001. In the event of a domestic terrorist incident, state and local governments have the primary responsibility for managing the consequences of a terrorist attack. However, the federal government can assist state and local authorities if they lack the capability to respond adequately. On the basis of past and ongoing GAO work, two key issues emerge that the new President and Congress will face concerning programs to combat terrorism. First, the overall leadership and management of such programs are fragmented within the federal government. No single entity acts as the federal government's top official accountable to both the President and Congress. Fragmentation exists in both coordination of domestic preparedness programs and in efforts to develop a national strategy. The Department of Justice worked with other agencies to develop the Attorney General's Five-Year Interagency Counterterrorism and Technology Crime Plan. Although this plan is the current document that most resembles a national strategy, GAO believes that it still lacks some critical elements including measurable desired outcomes, linkage to resources, and a discussion of …
Date: March 27, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Large Partnerships: Characteristics of Population and IRS Audits (open access)

Large Partnerships: Characteristics of Population and IRS Audits

Correspondence issued by the Government Accountability Office with an abstract that begins "This report provides data on the number and characteristics of large partnerships as well as Internal Revenue Service (IRS) audits of large partnership returns. For purposes of this report, GAO did not identify a statutory, IRS, or industry-accepted definition of a large partnership. Instead, GAO used a combination of criteria for partner size and asset size used by IRS to define large partnerships as those that reported having 100 or more direct partners and $100 million or more in assets. The number of large partnerships increased from 720 in tax year 2002 to 2,226 in tax year 2011. Large partnerships also increased in terms of the average number of direct partners and average asset size. IRS had data on two categories of large partnership return audits. First, the number of completed field audits of large partnership returns increased from 11 in fiscal year 2007 to 31 in fiscal year 2013. Second, IRS counted audits closed through its campus function, which increased from 42 to 143 over the same period. Unlike field audits, campus function audits generally do not entail a review of the books and records of the …
Date: March 19, 2014
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Indian Issues: The Office of the Special Trustee Has Implemented Several Key Trust Reforms Required by the 1994 Act, but Important Decisions about Its Future Remain (open access)

Indian Issues: The Office of the Special Trustee Has Implemented Several Key Trust Reforms Required by the 1994 Act, but Important Decisions about Its Future Remain

A letter report issued by the Government Accountability Office with an abstract that begins "The American Indian Trust Fund Management Reform Act of 1994 established the Office of the Special Trustee for American Indians (OST), within the Department of the Interior, to oversee the implementation of management reforms for funds--derived primarily from Interior's leasing of Indian lands--that Interior holds in trust for many Indian tribes and individuals. Specifically, the act directs that an integrated information system be developed that interfaces the trust fund accounting system with the land title records and asset management systems maintained by Interior's Bureau of Indian Affairs (BIA). GAO examined (1) OST's progress in implementing the trust fund management reforms and (2) the extent to which OST has used contractors in implementing these reforms. GAO reviewed OST's strategic plans and contracting documents and interviewed OST and BIA managers."
Date: December 8, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Feasibility of Moving the Forest Service From the Sidney Yates Building (open access)

Feasibility of Moving the Forest Service From the Sidney Yates Building

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the feasibility of moving the Forest Service's Washington, D.C., employees from the Sidney Yates Building into the Department of Agriculture's (USDA) South Building, focusing on: (1) the estimated occupancy level of the modernized South Building; (2) the feasibility of moving Forest Service employees and other operations housed in the Sidney Yates Building into the South Building or other space; and (3) the feasibility of the Sydney Yates Building being used for other purposes, such as a museum."
Date: September 28, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Rebuilding Iraq: Resource, Security, Governance, Essential Services, and Oversight Issues (open access)

Rebuilding Iraq: Resource, Security, Governance, Essential Services, and Oversight Issues

Correspondence issued by the General Accounting Office with an abstract that begins "Rebuilding Iraq is a U.S. national security and foreign policy priority. According to the President, the United States intends to help Iraq achieve democracy and freedom and has a vital national interest in the success of free institutions in Iraq. As of April 30, 2004, billions of dollars in grants, loans, assets, and revenues from various sources have been made available or pledged to the reconstruction of Iraq. The United States, along with its coalition partners and various international organizations and donors, has embarked on a significant effort to rebuild Iraq following multiple wars and decades of neglect by the former regime. The Coalition Provisional Authority (CPA), established in May 2003, was the U.N.-recognized coalition authority led by the United States and the United Kingdom that was responsible for the temporary governance of Iraq. Specifically, the CPA wasresponsible for overseeing, directing, and coordinating the reconstruction effort. On June 28, 2004, the CPA transferred power to a sovereign Iraqi interim government, and the CPA officially dissolved. To pave the way for this transfer, the CPA helped the Iraq Governing Council develop the Law of Administration for the State of …
Date: June 28, 2004
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Indian Irrigation Projects: Numerous Issues Need to Be Addressed to Improve Project Management and Financial Sustainability (open access)

Indian Irrigation Projects: Numerous Issues Need to Be Addressed to Improve Project Management and Financial Sustainability

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of the Interior's Bureau of Indian Affairs (BIA) manages 16 irrigation projects on Indian reservations in the western United States. These projects, which were generally constructed in the late 1800s and early 1900s, include water storage facilities and delivery structures for agricultural purposes. Serious concerns have arisen about their maintenance and management. GAO was asked to examine (1) BIA's estimated deferred maintenance cost for its 16 irrigation projects, (2) what shortcomings, if any, exist in BIA's current management of its irrigation projects, and (3) any issues that need to be addressed to determine the long-term direction of BIA's irrigation program."
Date: February 24, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
U.S. Postal Service: Delivery Performance Standards, Measurement, and Reporting Need Improvement (open access)

U.S. Postal Service: Delivery Performance Standards, Measurement, and Reporting Need Improvement

A letter report issued by the Government Accountability Office with an abstract that begins "U.S. Postal Service (USPS) delivery performance standards and results, which are central to its mission of providing universal postal service, have been a long-standing concern for mailers and Congress. Standards are essential to set realistic expectations for delivery performance and organize activities accordingly. Timely and reliable reporting of results is essential for management, over-sight, and accountability purposes. GAO was asked to assess (1) USPS's delivery performance standards for timely mail delivery, (2) delivery performance information that USPS collects and reports on timely mail delivery, and (3) progress made to improve delivery performance information."
Date: July 27, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Federally Chartered Corporation: Financial Statement Audit Reports for the Reserve Officers Association of the United States for Fiscal Years 2004 and 2003 (open access)

Federally Chartered Corporation: Financial Statement Audit Reports for the Reserve Officers Association of the United States for Fiscal Years 2004 and 2003

Correspondence issued by the Government Accountability Office with an abstract that begins "GAO reviewed the audit reports covering the financial statements of the Reserve Officers Association of the United States for Fiscal Years 2003 and 2004. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with U.S. generally accepted accounting principles."
Date: October 7, 2005
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Patient Protection and Affordable Care Act: Status of CMS Efforts to Establish Federally Facilitated Health Care Exchanges and the Federal Data Services Hub (open access)

Patient Protection and Affordable Care Act: Status of CMS Efforts to Establish Federally Facilitated Health Care Exchanges and the Federal Data Services Hub

Testimony issued by the Government Accountability Office with an abstract that begins "In brief, GAO's work found that CMS will operate a health insurance exchange in the 34 states that will not operate a state-based exchange for 2014. While CMS will retain full authority over each of these 34 FFEs, it planned to allow 15 of these states to assist it in carrying out certain FFE functions. However, the activities that CMS plans to carry out in these 15 exchanges, as well as in the 17 state-based exchanges, have evolved and may continue to change. For example, CMS approved states' exchange arrangements on the condition that states ultimately complete activities necessary for exchange implementation. Agency officials indicated that they were working with each state to develop mitigation strategies to ensure that all applicable exchange functions are operating in each state on October 1, 2013. CMS indicated that it would carry out more exchange functions if any state did not adequately progress towards implementation of all required activities."
Date: July 17, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Information Resource Management Internal Control Issues (open access)

Information Resource Management Internal Control Issues

Correspondence issued by the Government Accountability Office with an abstract that begins "In a recently completed report for Congress, we evaluated how the U.S. Department of Agriculture's (USDA) Rural Housing Service (RHS) makes eligibility determinations for its rural housing programs. As part of that review, we used 2000 census data to determine the populations of the rural areas that received RHS housing program loans and grants. We obtained information on the RHS loans and grants provided to communities, from October 1998 through April 2004, from databases maintained by USDA's Information Resource Management (IRM) in St. Louis, Missouri. As with any system, the accuracy of the data and the process used for entry affects reliability and usefulness for management and reporting purposes. During our review, we identified several issues that raised concerns about the accuracy of the information in the IRM databases. For example, while we originally intended to geocode (that is, match) 5 years of the national RHS housing loan and grant portfolio to specific communities, the time needed to ensure the reliability of the data required us to limit much of our analysis to five states (Arizona, California, Maryland, Massachusetts, and Ohio). This report is a follow-up on our …
Date: March 10, 2005
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Aviation Infrastructure: Feasibility of Using Alternate Means to Satisfy Requirements of Alaska National Airspace System Interfacility Communications System (ANICS) Phase II (open access)

Aviation Infrastructure: Feasibility of Using Alternate Means to Satisfy Requirements of Alaska National Airspace System Interfacility Communications System (ANICS) Phase II

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Federal Aviation Administration's (FAA) report to Congress recommending that it award a contract to an alternate contractor for the development of its Alaska National Airspace System Interfacility Communications System, focusing on whether the findings were properly supported. FAA's report compared the alternate contractor's costs to the costs of two other commercial telecommunications providers."
Date: September 6, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
United Nations: Lessons Learned from Oil for Food Program Indicate the Need to Strengthen UN Internal Controls and Oversight Activities (open access)

United Nations: Lessons Learned from Oil for Food Program Indicate the Need to Strengthen UN Internal Controls and Oversight Activities

A letter report issued by the Government Accountability Office with an abstract that begins "In 1996, the United Nations (UN) Security Council and Iraq began the Oil for Food program to address Iraq's humanitarian situation after sanctions were imposed in 1990. More than $67 billion in oil revenue was obtained through the program, with $31 billion in humanitarian assistance delivered to Iraq. The 2005 Defense Authorization Act mandated that GAO review the Oil for Food program. GAO reviewed how the UN adhered to five key internal control standards in its stewardship of the program. GAO assessed (1) the program's control environment and (2) key elements of the other internal control standards. GAO also reported on the UN Compensation Commission's progress in paying reparations from Iraq's invasion of Kuwait."
Date: April 25, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Renewable Energy: Increased Geothermal Development Will Depend on Overcoming Many Challenges (open access)

Renewable Energy: Increased Geothermal Development Will Depend on Overcoming Many Challenges

A letter report issued by the Government Accountability Office with an abstract that begins "The Energy Policy Act of 2005 (Act) contains provisions that address a variety of challenges that face the geothermal industry, including the high risk and uncertainty of developing geothermal power plants, lack of sufficient transmission capacity, and delays in federal leasing. Among the provisions are means to simplify federal royalties on geothermal resources while overall collecting the same level of royalty revenue. The Act also changes how these royalties are to be shared with local governments (disbursements). This report describes: (1) the current extent of and potential for geothermal development; (2) challenges faced by developers of geothermal resources; (3) federal, state, and local government actions to address these challenges; and (4) how provisions of the Act are likely to affect federal geothermal royalty disbursement and collections."
Date: May 24, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
VA Education Benefits: Actions Taken, but Outreach and Oversight Could Be Improved (open access)

VA Education Benefits: Actions Taken, but Outreach and Oversight Could Be Improved

A letter report issued by the Government Accountability Office with an abstract that begins "The U.S. Department of Veterans Affairs (VA) provided $9 billion in education benefits to service-members and veterans in fiscal year 2010, mostly through the new Post-9/11 GI Bill. In providing education benefits, VA relies on State Approving Agencies (SAA) to approve schools; and on schools to report students' enrollment status. GAO was asked to determine: (1) what is known about the effectiveness of outreach to and support for individuals applying for VA education benefits, particularly those with disabilities; (2) the role of school officials and challenges they face in their role; and (3) how VA monitors and oversees states' and schools' implementation of these benefits. GAO reviewed VA reports and plans, conducted a nationally representative survey of school officials, interviewed VA and state officials in four states, and reviewed recent statutory changes to the Post-9/11 GI Bill."
Date: February 28, 2011
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Clean Coal Technology: Status of Projects and Sales of Demonstrated Technology (open access)

Clean Coal Technology: Status of Projects and Sales of Demonstrated Technology

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Department of Energy's (DOE) Clean Coal Technology Demonstration Program, focusing on the: (1) status of 13 Clean Coal Technology projects that preliminary information indicated could have over $1 million in unspent funds; and (2) extent to which DOE's participants in completed projects have sold demonstrated Clean Coal technologies to coal users."
Date: March 9, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Department of Health and Human Services: Amounts Charged to the Department for Events Attended by the President (open access)

Department of Health and Human Services: Amounts Charged to the Department for Events Attended by the President

Correspondence issued by the General Accounting Office with an abstract that begins "GAO, answering a request from the House Committee on Ways and Means, compiled information concerning amounts charged by the White House for Department of Health and Human Services (HHS) events attended by President George W. Bush and charged to any department within HHS."
Date: June 9, 2003
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
School Facilities: Physical Conditions in School Districts Receiving Impact Aid for Students Residing on Indian Lands (open access)

School Facilities: Physical Conditions in School Districts Receiving Impact Aid for Students Residing on Indian Lands

A letter report issued by the Government Accountability Office with an abstract that begins "State and local governments spend billions of dollars annually on the construction, renovation, and maintenance of public school facilities, yet concerns persist about the condition of some school facilities, particularly in school districts serving students residing on Indian lands. The Department of Education's (Education) Impact Aid Program provides funding to school districts that are adversely impacted by a lack of local revenue because of the presence of federal land, which is exempt from local property taxes. Impact Aid can be used for school expenses, such as facilities and teacher salaries. In response to concern about school facility conditions and concern that these conditions can affect student outcomes, GAO was asked to describe (1) the physical condition of schools in districts receiving Impact Aid because of students residing on Indian lands and (2) what is known about how school facilities affect student outcomes. GAO interviewed federal, state, and local officials; analyzed available independent school facility assessment data for three states; visited eight school districts that receive Impact Aid; and analyzed studies examining the relationship between school facilities and student outcomes. GAO is not making recommendations in this …
Date: October 29, 2009
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library