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Medicare: New Spending Estimates Underscore Need for Reform
Testimony issued by the General Accounting Office with an abstract that begins "Although the short-term outlook of Medicare's hospital insurance trust fund improved in the last year, Medicare's long-term prospects have worsened. The Medicare Trustee's latest projections, released in March, use more realistic assumptions about health care spending in the years ahead. These latest projections call into question the program's long-term financial health. The Congressional Budget Office also increased its long-term estimates of Medicare spending. The slowdown in Medicare spending growth in recent years appears to have ended. In the first eight months of fiscal year 2001, Medicare spending was 7.5 percent higher than a year earlier. This testimony discusses several fundamental challenges to Medicare reform. Without meaningful entitlement reform, GAO's long-term budget simulations show that an aging population and rising health care spending will eventually drive the country back into deficit and debt. The addition of a prescription drug benefits would boost spending projections even further. Properly structured reform to promote competition among health plans could make Medicare beneficiaries more cost conscious. The continued importance of traditional Medicare underscores the need to base adjustments to provider payments on hard evidence rather than on anecdotal information. Similarly, reforms in the …
Date:
July 25, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
The National Fire Plan: Federal Agencies Are Not Organized to Effectively and Efficiently Implement the Plan
Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses how federal agencies conduct fire management under the National Fire Plan. Effective fire management requires coordination, consistency, and agreement among five federal land management agencies in two departments--the National Park Service, the Fish and Wildlife Service, the Bureau of Land Management, and the Bureau of Indian Affairs in the Department of the Interior and the Forest Service in the Department of Agriculture. Human activities, especially the federal government's decades-old policy of suppressing all wild fires, have led to dangerous accumulations of felled trees and other dead vegetation on federal lands. As a result, conditions on 211 million acres continue to deteriorate. The National Fire Plan represents the latest effort to address wildland fire on federal lands. Two conditions set this effort apart from earlier efforts. First, Congress has to recognize the need to sustain increased funding for wildland fire management in future fiscal years. Second, Congress has issued direction to reduce the risk of wildland fire in the wildland-urban interface. However, many of the policy's guiding principles and recommendations have not been implemented. The failure of the five federal land management agencies to incorporate into …
Date:
July 31, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Kosovo Air Operations: Need to Maintain Alliance Cohesion Resulted in Doctrinal Departures
A letter report issued by the General Accounting Office with an abstract that begins "The North Atlantic Treaty Organization (NATO) alliance achieved the goals of Operation Allied Force--Yugoslavian forces were removed from Kosovo; refugees returned; and a peacekeeping force was put in place, with no allied combat fatalities. Through it all, the NATO allies stayed united and learned much about working together as a combat force. These achievements did not come easily, however, and the departures from accepted U.S. military doctrine were troubling for many U.S. military commanders and planners. The Department of Defense (DOD) has tried to address these and other issues by changing its doctrine. Nevertheless, GAO has two observations on the nature of conducting military operations in a multinational environment. First, the challenges of dealing with the constraints of working within a multinational environment may not be completely resolved through the development of new joint multinational operations doctrine and revisions to joint and service doctrine. These revisions to doctrine are likely to be unable to provide conclusive solutions to these issues because each multinational operation will differ according to the nations that participate and the extent of their interests. Second, future multinational operations, particularly those in which …
Date:
July 27, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
International Journal of Government Auditing, July 2000, Vol. 27, No. 3 (Spanish Version)
Other written product issued by the General Accounting Office with an abstract that begins "This journal of the International Organization of Supreme Audit Institutions (INTOSAI) includes articles regarding: (1) the Food and Agriculture Organization's audit, management, and governance; (2) fighting corruption and fraud; (3) INTOSAI's conference on internal controls; (4) Romania's Court of Audit; (5) reports in print on auditing; and (6) activities inside INTOSAI."
Date:
July 1, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
FBI Intelligence Investigations: Coordination Within Justice on Counterintelligence Criminal Matters Is Limited
A letter report issued by the General Accounting Office with an abstract that begins "This report reviews the coordination efforts involved in foreign counterintelligence investigations where the Foreign Intelligence Surveillance Act has been or may be employed. The act established (1) requirements and a process for seeking electronic surveillance and physical search authority in national security investigations seeking foreign intelligence and counterintelligence information within the United States and (2) the Foreign Intelligence Surveillance Court, which has jurisdiction to hear applications for and grant orders approving Foreign Intelligence Surveillance Act surveillance and searches. GAO found that coordination between the Federal Bureau of Investigation (FBI) and the Department of Justice's (DOJ) Criminal Division has been limited in those foreign counterintelligence cases in which criminal activity is indicated and surveillance and searches have been, or may be, employed. A key factor inhibiting this coordination is the concern over how the Foreign Intelligence Surveillance Court or another federal court might rule on the primary purpose of the surveillance or search in light of such coordination. In addition, the FBI and the Criminal Division differ on the interpretations of DOJ's 1995 procedures concerning counterintelligence investigations. In January 2000, the Attorney General issued additional procedures to …
Date:
July 16, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Medicare Management: CMS Faces Challenges to Sustain Progress and Address Weaknesses
A letter report issued by the General Accounting Office with an abstract that begins "Considering the complexity, the size, and the statutory constraints affecting the Medicare Program, some contend that the Health Care Financing Administration's (HCFA)--recently renamed the Centers for Medicare and Medicaid Services--management of Medicare has, on balance, been satisfactory. Others argue that HCFA's management has been unacceptable. HCFA's record has been mixed and the agency's challenges are growing. Effective management of Medicare depends on finding a balance between flexibility and accountability--that is, granting the agency adequate flexibility to act prudently while ensuring that it can be held accountable for its decisions and actions. Moreover, because Medicare will play such a significant role in the nation's fiscal future, it is prudent to make an adequate investment to ensure that Medicare is professionally and efficiently managed. Achieving this goal will require the modernization and maintenance of Medicare's traditional day-to-day operations."
Date:
July 31, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Nuclear Regulation: Progress Made in Emergency Preparedness at Indian Point 2, but Additional Improvements Needed
A letter report issued by the General Accounting Office with an abstract that begins "Consolidated Edison Company shut down the Indian Point 2 commercial nuclear power plant in February 2000 because a tube had ruptured in a steam generator, raising the possibility that radioactively contaminated water could leak into the environment. In this case, the total amount of radioactivity released posed no threat because the amount of radioactivity released was about one thousandth of the dose an individual receives from a chest X-ray. However, in the event of a more serious emergency at Indian Point 2, protecting the public from a radioactive release presents more substantial challenges because the plant is located in a heavily populated area. This report reviews issues associated with emergency preparedness protocols associated with the plant. GAO found that a more proactive approach to correct recurring weaknesses could have improved the emergency preparedness plan during the February 2000 emergency. This emergency demonstrated the importance of effective, clear communication networks, both on-site regarding the need to ensure that pagers work well to notify key personnel of an emergency, as well as off-site, regarding communication about the extent and magnitude of the emergency. Exercises, although playing a valuable …
Date:
July 30, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Defense Budget: Need for Continued Visibility Over Use of Contingency Funds
A letter report issued by the General Accounting Office with an abstract that begins "Since the end of the Persian Gulf War in February 1991, the Department of Defense (DOD) has reported over $25 billion in incremental costs for its overseas contingency operations. These operations include the enforcement of no-fly zones, humanitarian assistance, and peace enforcement operations. The majority of these costs ($22 billion) have been incurred in the Balkans (Bosnia and Kosovo) and Southwest Asia. In fiscal year 2001, U.S. military forces are continuing to participate in a number of contingency operations, primarily in the Balkans and Southwest Asia. In this report, GAO reviews (1) the adequacy of DOD's incremental contingency operations funding for all ongoing contingency operations in fiscal year 2001, (2) DOD's estimated contingency operations costs for fiscal year 2002, and (3) the ramifications of DOD's plan to change the method for funding its operations in Southwest Asia. GAO found that (1) existing funds are sufficient to cover DOD's estimated costs for ongoing contingency operations for fiscal year 2001, (2) in June 2001, the administration submitted a revised fiscal year 2002 budget for DOD, which included $4 billion for ongoing operations in the Balkans and Southwest Asia, …
Date:
July 6, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
A Special Investigations Unit Report Regarding Hinson-Hazelwood Loans
Report of the Texas State Auditor's Office related to an investigation by the State Auditor's Special Investigations Unit into allegations of forged Hinson-Hazelwood loan applications, which led to indictments for Angelettelia Wright and Maria Hernandez on counts of theft, forgery, securing execution of a document by deception, and tampering with a governmental record.
Date:
July 2001
Creator:
Texas. Office of the State Auditor.
Object Type:
Report
System:
The Portal to Texas History
Special Investigations Unit Report Regarding EuroTex
Report of the Texas State Auditor's Office related to an investigation conducted by the Special Investigations Unit into Margo Dover, the Interim Director of International Relations for the Texas Department of Economic Development, who was charged with a class A misdemeanor of Tampering with a Governmental Record.
Date:
July 2001
Creator:
Texas. Office of the State Auditor.
Object Type:
Report
System:
The Portal to Texas History
Today Cedar Hill (Duncanville, Tex.), Vol. 36, No. 18, Ed. 1 Thursday, July 19, 2001
Weekly newspaper published in Duncanville, Texas that includes local Cedar Hill, state, and national news along with advertising.
Date:
July 19, 2001
Creator:
Crooks, Kristi
Object Type:
Newspaper
System:
The Portal to Texas History
Today Cedar Hill (Duncanville, Tex.), Vol. 36, No. 17, Ed. 1 Thursday, July 12, 2001
Weekly newspaper published in Duncanville, Texas that includes local Cedar Hill, state, and national news along with advertising.
Date:
July 12, 2001
Creator:
Crooks, Kristi
Object Type:
Newspaper
System:
The Portal to Texas History
Today Cedar Hill (Duncanville, Tex.), Vol. 36, No. 19, Ed. 1 Thursday, July 26, 2001
Weekly newspaper published in Duncanville, Texas that includes local Cedar Hill, state, and national news along with advertising.
Date:
July 26, 2001
Creator:
Crooks, Kristi
Object Type:
Newspaper
System:
The Portal to Texas History
Today Cedar Hill (Duncanville, Tex.), Vol. 36, No. 16, Ed. 1 Thursday, July 5, 2001
Weekly newspaper published in Duncanville, Texas that includes local Cedar Hill, state, and national news along with advertising.
Date:
July 5, 2001
Creator:
Crooks, Kristi
Object Type:
Newspaper
System:
The Portal to Texas History
Highlights of the 77th Texas Legislature, Regular Session: A Summary of the Most Significant Legislative Action
Report providing summaries of significant legislative actions conducted by the 77th Texas Legislature, broken down by topical categories.
Date:
July 2001
Creator:
Texas. Legislature. Senate. Research Center.
Object Type:
Report
System:
The Portal to Texas History
A Review of Financial and Performance Audit Reports for Four Mass Transit Authorities
Report of the Texas State Auditor's Office related to summarizing the results of financial audits at four selected mass transit authorities (MTAs) required by Texas Transportation Code.
Date:
July 2001
Creator:
Texas. Office of the State Auditor.
Object Type:
Report
System:
The Portal to Texas History
Bogata News (Bogata, Tex.), Vol. 91, No. 10, Ed. 1 Thursday, July 26, 2001
Weekly newspaper from Bogata, Texas that includes local, state, and national news along with advertising.
Date:
July 26, 2001
Creator:
Nichols, Nanalee & Nichols, Thomas
Object Type:
Newspaper
System:
The Portal to Texas History
Bogata News (Bogata, Tex.), Vol. 91, No. 8, Ed. 1 Thursday, July 12, 2001
Weekly newspaper from Bogata, Texas that includes local, state, and national news along with advertising.
Date:
July 12, 2001
Creator:
Nichols, Nanalee & Nichols, Thomas
Object Type:
Newspaper
System:
The Portal to Texas History
Bogata News (Bogata, Tex.), Vol. 91, No. 7, Ed. 1 Thursday, July 5, 2001
Weekly newspaper from Bogata, Texas that includes local, state, and national news along with advertising.
Date:
July 5, 2001
Creator:
Nichols, Nanalee & Nichols, Thomas
Object Type:
Newspaper
System:
The Portal to Texas History
Bogata News (Bogata, Tex.), Vol. 91, No. 9, Ed. 1 Thursday, July 19, 2001
Weekly newspaper from Bogata, Texas that includes local, state, and national news along with advertising.
Date:
July 19, 2001
Creator:
Nichols, Nanalee & Nichols, Thomas
Object Type:
Newspaper
System:
The Portal to Texas History
Cherokeean/Herald (Rusk, Tex.), Vol. 152, No. 20, Ed. 1 Thursday, July 5, 2001
Weekly newspaper from Rusk, Texas that includes local, state and national news along with extensive advertising.
Date:
July 5, 2001
Creator:
Whitehead, Marie
Object Type:
Newspaper
System:
The Portal to Texas History
Cherokeean/Herald (Rusk, Tex.), Vol. 152, No. 21, Ed. 1 Thursday, July 12, 2001
Weekly newspaper from Rusk, Texas that includes local, state and national news along with extensive advertising.
Date:
July 12, 2001
Creator:
Whitehead, Marie
Object Type:
Newspaper
System:
The Portal to Texas History
Cherokeean/Herald (Rusk, Tex.), Vol. 152, No. 22, Ed. 1 Thursday, July 19, 2001
Weekly newspaper from Rusk, Texas that includes local, state and national news along with extensive advertising.
Date:
July 19, 2001
Creator:
Whitehead, Marie
Object Type:
Newspaper
System:
The Portal to Texas History
Cherokeean/Herald (Rusk, Tex.), Vol. 152, No. 23, Ed. 1 Thursday, July 26, 2001
Weekly newspaper from Rusk, Texas that includes local, state and national news along with extensive advertising.
Date:
July 26, 2001
Creator:
Whitehead, Marie
Object Type:
Newspaper
System:
The Portal to Texas History