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Patient Protection and Affordable Care Act: Effect on Long-Term Federal Budget Outlook Largely Depends on Whether Cost Containment Sustained (open access)

Patient Protection and Affordable Care Act: Effect on Long-Term Federal Budget Outlook Largely Depends on Whether Cost Containment Sustained

A letter report issued by the Government Accountability Office with an abstract that begins "The effect of the Patient Protection and Affordable Care Act (PPACA), enacted in March 2010, on the long-term fiscal outlook depends largely on whether elements in PPACA designed to control cost growth are sustained. There was notable improvement in the longer-term outlook after the enactment of PPACA under GAO's Fall 2010 Baseline Extended simulation, which assumes both the expansion of health care coverage and the full implementation and effectiveness of the cost-containment provisions over the entire 75-year simulation period. However, the federal budget remains on an unsustainable path. Further, questions about the implementation and sustainability of these provisions have been raised by the Centers for Medicare & Medicaid Services' Office of the Actuary and others, due in part to challenges in sustaining increased health care productivity. The Fall 2010 Alternative simulation assumed cost containment mechanisms specified in PPACA were phased out over time while the additional costs associated with expanding federal health care coverage remained. Under these assumptions, the long-term outlook worsened slightly compared to the pre-PPACA January 2010 simulation."
Date: January 31, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Drug Control: State Approaches Taken to Control Access to Key Methamphetamine Ingredient Show Varied Impact on Domestic Drug Labs (open access)

Drug Control: State Approaches Taken to Control Access to Key Methamphetamine Ingredient Show Varied Impact on Domestic Drug Labs

A letter report issued by the Government Accountability Office with an abstract that begins "Methamphetamine (meth) lab incidents--seizures of labs, dumpsites, chemicals, and glassware--declined following state and federal sales restrictions on pseudoephedrine (PSE), an ingredient commonly found in over-the-counter cold and allergy medications, but they rose again after changes to methods in acquiring PSE and in the methods to produce meth. According to Drug Enforcement Administration (DEA) data, the number of lab incidents nationwide declined through 2007 after the implementation of state and federal regulations on PSE product sales, which started in 2004. The number of meth lab incidents reported nationally increased after 2007, a trend primarily attributed to (1) the emergence of a new technique for smaller-scale production and (2) a new method called smurfing--a technique used to obtain large quantities of PSE by recruiting groups of individuals to purchase the legally allowable amount of PSE products at multiple stores that are then aggregated for meth production."
Date: January 31, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Medicare Advantage: Substantial Excess Payments Underscore Need for CMS to Improve Accuracy of Risk Score Adjustments (open access)

Medicare Advantage: Substantial Excess Payments Underscore Need for CMS to Improve Accuracy of Risk Score Adjustments

A letter report issued by the Government Accountability Office with an abstract that begins "GAO found that the cumulative impact of coding differences on risk scores increased from 2010 through 2012 and was greater than the Centers for Medicare & Medicaid Services' (CMS) risk score adjustment of 3.4 percent for each of the 3 years. In updating the analysis from its January 2012 report, GAO estimated that cumulative Medicare Advantage (MA) risk scores in 2010 were 4.2 percent higher than they likely would have been if the same beneficiaries had been enrolled continuously in Medicare fee-for-service (FFS). For 2011, GAO estimated that differences in diagnostic coding resulted in risk scores that were 4.6 to 5.3 percent higher than they likely would have been if the same beneficiaries had been continuously enrolled in FFS. This upward trend continued for 2012, with estimated risk scores 4.9 to 6.4 percent higher."
Date: January 31, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Overlap and Duplication: Federal Inspections of Entities Registered with the Select Agent Program (open access)

Overlap and Duplication: Federal Inspections of Entities Registered with the Select Agent Program

A letter report issued by the Government Accountability Office with an abstract that begins "About 15 percent of entities registered to work with select agents were subject to inspection overlap (multiple federal agencies inspecting within a 2-year period). Entities experiencing overlap tended to be larger ones, with more laboratories, principal investigators, and staff. Although there was overlap between Department of Transportation (DOT) inspections and those of the Centers for Disease Control and Prevention (CDC) and the Animal and Plant Health Inspection Service (APHIS), they were generally not duplicative because specific inspection activities tended to differ, according to GAO's survey of entities experiencing overlap. For example, DOT inspections tended to focus on transportation issues, such as checking hazardous materials and transportation security plans, rather than general biosafety issues. The Department of Homeland Security (DHS) and Department of Defense (DOD) inspections, however, tended to be more duplicative with those of CDC and APHIS. For example, both review the same documents, require safety and security demonstrations, conduct inventory inspections and personnel interviews, and provide corrective action plans. While inspections are important for safety and compliance, there is no value added when federal agencies are expending resources to conduct the same work and, in …
Date: January 31, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
TSA Explosives Detection Canine Program: Actions Needed to Analyze Data and Ensure Canine Teams Are Effectively Utilized (open access)

TSA Explosives Detection Canine Program: Actions Needed to Analyze Data and Ensure Canine Teams Are Effectively Utilized

A letter report issued by the Government Accountability Office with an abstract that begins "The Transportation Security Administration (TSA), the federal agency that administers the National Canine Program (NCP), is collecting and using key data on its canine program, but could better analyze these data to identify program trends. TSA collects canine team data using the Canine Website System (CWS), a central management database. TSA uses CWS to capture the amount of time canine teams conduct training as well as searching for explosives odor, among other functions. However, TSA has not fully analyzed the data it collects in CWS to identify program trends and areas that are working well or in need of corrective action. Such analyses could help TSA to determine canine teams' proficiency, inform future deployment efforts, and help ensure that taxpayer funds are used effectively. For example:"
Date: January 31, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Broadcast and Cable Television: Requirements for Identifying Sponsored Programming Should Be Clarified (open access)

Broadcast and Cable Television: Requirements for Identifying Sponsored Programming Should Be Clarified

A letter report issued by the Government Accountability Office with an abstract that begins "Sponsorship identification statutes and regulations, overseen by the Federal Communications Commission (FCC), require broadcasters to identify commercial content--usually an advertisement, an embedded advertisement, or a video news release--that has been broadcast in exchange for payment or other consideration. A written or verbal sponsorship announcement must be made at least once during any sponsored commercial content except when the sponsor is obvious. For content considered political or that discusses a controversial issue, broadcasters must follow all requirements for commercial content and additional requirements, such as identifying officials associated with the entity paying for an advertisement. In addition, the Federal Election Commission (FEC) enforces federal election law that requires all political communications for a federal election, including television and radio advertisements, to include a disclaimer statement. FEC also oversees requirements to report campaign funding and expenditures, including funding for political advertising. FCC has guidance that helps broadcasters determine when a sponsorship announcement is needed, such as when a deejay receives a payment for airing specific content. While broadcasters consider this guidance useful, it addresses older technology that in some cases is no longer used. Furthermore, some broadcasters indicated …
Date: January 31, 2013
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Interim Report to the 83rd Texas Legislature: House Committee on Defense and Veterans' Affairs (open access)

Interim Report to the 83rd Texas Legislature: House Committee on Defense and Veterans' Affairs

Report from the Texas House Committee on Defense and Veterans' Affairs describing the group's goals, activities, accomplishments, and other information, for review by the 83rd Texas Legislature.
Date: January 31, 2013
Creator: Texas. Legislature. House of Representatives. Committee on Defense and Veterans' Affairs.
System: The Portal to Texas History
The Earned Income Tax Credit (EITC): Changes for 2012 and 2013 (open access)

The Earned Income Tax Credit (EITC): Changes for 2012 and 2013

The earned income tax credit, established in the tax code in 1975, provides cash assistance to lower-income working parents and individuals through the tax system. The earned income tax credit will be higher in 2012 and 2013 than it was in 2011. An increase in the size of the earned income tax credit will occur because the maximum amount of earned income used to calculate the credit and the phase-out income level and indexed for inflation. The increases reflect the inflation adjustment.
Date: January 31, 2013
Creator: Scott, Christine
System: The UNT Digital Library
Ukraine: Current Issues and U.S. Policy (open access)

Ukraine: Current Issues and U.S. Policy

This report offers background information on Ukraine's current political and economic situation, and foreign policy towards NATO (the North Atlantic Treaty Organization), the European Union, and Russia. It also discusses U.S. policy, U.S. aid to Ukraine, the congressional response, and related legislation.
Date: January 31, 2013
Creator: Woehrel, Steven
System: The UNT Digital Library
Water Resource Issues in the 113th Congress (open access)

Water Resource Issues in the 113th Congress

This report provides an overview of the federal role in water resources development, management, and protection, including a discussion of the two major federal water resources agencies and related legislation. It also discusses overarching policy issues, such as flood and drought management and response; project funding and authorization priorities; and aquatic ecosystem restoration.
Date: January 31, 2013
Creator: Cody, Betsy A.; Stern, Charles V.; Carter, Nicole T. & Sheikh, Pervaze A.
System: The UNT Digital Library
Analysis of ISO NE Balancing Requirements: Uncertainty-based Secure Ranges for ISO New England Dynamic Inerchange Adjustments (open access)

Analysis of ISO NE Balancing Requirements: Uncertainty-based Secure Ranges for ISO New England Dynamic Inerchange Adjustments

The document describes detailed uncertainty quantification (UQ) methodology developed by PNNL to estimate secure ranges of potential dynamic intra-hour interchange adjustments in the ISO-NE system and provides description of the dynamic interchange adjustment (DINA) tool developed under the same contract. The overall system ramping up and down capability, spinning reserve requirements, interchange schedules, load variations and uncertainties from various sources that are relevant to the ISO-NE system are incorporated into the methodology and the tool. The DINA tool has been tested by PNNL and ISO-NE staff engineers using ISO-NE data.
Date: January 31, 2013
Creator: Etingov, Pavel V.; Makarov, Yuri V.; Wu, Di; Hou, Zhangshuan; Sun, Yannan; Maslennikov, S. et al.
System: The UNT Digital Library
Performance Analysis: Issues Tracking System Data through June 2012 (open access)

Performance Analysis: Issues Tracking System Data through June 2012

None
Date: January 31, 2013
Creator: Kerr, C; Mctyer, N J; Holman, G & De Grange, C E
System: The UNT Digital Library
Statistical Analysis of Tank 5 Floor Sample Results (open access)

Statistical Analysis of Tank 5 Floor Sample Results

Sampling has been completed for the characterization of the residual material on the floor of Tank 5 in the F-Area Tank Farm at the Savannah River Site (SRS), near Aiken, SC. The sampling was performed by Savannah River Remediation (SRR) LLC using a stratified random sampling plan with volume-proportional compositing. The plan consisted of partitioning the residual material on the floor of Tank 5 into three non-overlapping strata: two strata enclosed accumulations, and a third stratum consisted of a thin layer of material outside the regions of the two accumulations. Each of three composite samples was constructed from five primary sample locations of residual material on the floor of Tank 5. Three of the primary samples were obtained from the stratum containing the thin layer of material, and one primary sample was obtained from each of the two strata containing an accumulation. This report documents the statistical analyses of the analytical results for the composite samples. The objective of the analysis is to determine the mean concentrations and upper 95% confidence (UCL95) bounds for the mean concentrations for a set of analytes in the tank residuals. The statistical procedures employed in the analyses were consistent with the Environmental Protection Agency …
Date: January 31, 2013
Creator: Shine, E. P.
System: The UNT Digital Library
2012 ACCOMPLISHMENTS - TRITIUM AGING STUDIES ON STAINLESS STEELS (open access)

2012 ACCOMPLISHMENTS - TRITIUM AGING STUDIES ON STAINLESS STEELS

This report summarizes the research and development accomplishments during FY12 for the tritium effects on materials program. The tritium effects on materials program is designed to measure the long-term effects of tritium and its radioactive decay product, helium-3, on the structural properties of forged stainless steels which are used as the materials of construction for tritium reservoirs. The FY12 R&D accomplishments include: (1) Fabricated and Thermally-Charged 150 Forged Stainless Steel Samples with Tritium for Future Aging Studies; (2) Developed an Experimental Plan for Measuring Cracking Thresholds of Tritium-Charged-and-Aged Steels in High Pressure Hydrogen Gas; (3) Calculated Sample Tritium Contents For Laboratory Inventory Requirements and Environmental Release Estimates; (4) Published report on “Cracking Thresholds and Fracture Toughness Properties of Tritium-Charged-and-Aged Stainless Steels”; and, (5) Published report on “The Effects of Hydrogen, Tritium, and Heat Treatment on the Deformation and Fracture Toughness Properties of Stainless Steels”. These accomplishments are highlighted here and references given to additional reports for more detailed information.
Date: January 31, 2013
Creator: Morgan, M.
System: The UNT Digital Library
Evaluation of Instrumentation and Dynamic Thermal Ratings for Overhead Lines (open access)

Evaluation of Instrumentation and Dynamic Thermal Ratings for Overhead Lines

In 2010, a project was initiated through a partnership between the Department of Energy (DOE) and the New York Power Authority (NYPA) to evaluate EPRI's rating technology and instrumentation that can be used to monitor the thermal states of transmission lines and provide the required real-time data for real-time rating calculations. The project included the installation and maintenance of various instruments at three 230 kV line sites in northern New York. The instruments were monitored, and data collection and rating calculations were performed for about a three year period.
Date: January 31, 2013
Creator: Phillips, A.
System: The UNT Digital Library
Laboratory Studies of the Reactive Chemistry and Changing CCN Properties of Secondary Organic Aerosol, Including Model Development (open access)

Laboratory Studies of the Reactive Chemistry and Changing CCN Properties of Secondary Organic Aerosol, Including Model Development

The chemical evolution of secondary-organic-aerosol (SOA) particles and how this evolution alters their cloud-nucleating properties were studied. Simplified forms of full Koehler theory were targeted, specifically forms that contain only those aspects essential to describing the laboratory observations, because of the requirement to minimize computational burden for use in integrated climate and chemistry models. The associated data analysis and interpretation have therefore focused on model development in the framework of modified kappa-Koehler theory. Kappa is a single parameter describing effective hygroscopicity, grouping together several separate physicochemical parameters (e.g., molar volume, surface tension, and van't Hoff factor) that otherwise must be tracked and evaluated in an iterative full-Koehler equation in a large-scale model. A major finding of the project was that secondary organic materials produced by the oxidation of a range of biogenic volatile organic compounds for diverse conditions have kappa values bracketed in the range of 0.10 +/- 0.05. In these same experiments, somewhat incongruently there was significant chemical variation in the secondary organic material, especially oxidation state, as was indicated by changes in the particle mass spectra. Taken together, these findings then support the use of kappa as a simplified yet accurate general parameter to represent the CCN activation …
Date: January 31, 2013
Creator: Martin, Scot
System: The UNT Digital Library
Special Analysis for the Disposal of the Consolidated Edison Uranium Solidification Project Waste Stream at the Area 5 Radioactive Waste Management Site, Nevada National Security Site, Nye County, Nevada (open access)

Special Analysis for the Disposal of the Consolidated Edison Uranium Solidification Project Waste Stream at the Area 5 Radioactive Waste Management Site, Nevada National Security Site, Nye County, Nevada

The purpose of this Special Analysis (SA) is to determine if the Oak Ridge (OR) Consolidated Edison Uranium Solidification Project (CEUSP) uranium-233 (233U) waste stream (DRTK000000050, Revision 0) is acceptable for shallow land burial (SLB) at the Area 5 Radioactive Waste Management Site (RWMS) on the Nevada National Security Site (NNSS). The CEUSP 233U waste stream requires a special analysis because the concentrations of thorium-229 (229Th), 230Th, 232U, 233U, and 234U exceeded their NNSS Waste Acceptance Criteria action levels. The acceptability of the waste stream is evaluated by determining if performance assessment (PA) modeling provides a reasonable expectation that SLB disposal is protective of human health and the environment. The CEUSP 233U waste stream is a long-lived waste with unique radiological hazards. The SA evaluates the long-term acceptability of the CEUSP 233U waste stream for near-surface disposal as a two tier process. The first tier, which is the usual SA process, uses the approved probabilistic PA model to determine if there is a reasonable expectation that disposal of the CEUSP 233U waste stream can meet the performance objectives of U.S. Department of Energy Manual DOE M 435.1-1, “Radioactive Waste Management,” for a period of 1,000 years (y) after closure. The …
Date: January 31, 2013
Creator: National Security Technologies, LLC
System: The UNT Digital Library
Novel Zeolitic Imidazolate Framework/Polymer Membranes for Hydrogen Separations in Coal Processing (open access)

Novel Zeolitic Imidazolate Framework/Polymer Membranes for Hydrogen Separations in Coal Processing

Nanoparticles of zeolitic imidazolate frameworks and other related hybrid materials were prepared by modifying published synthesis procedures by introducing bases, changing stoichiometric ratios, or adjusting reaction conditions. These materials were stable at temperatures >300 °C and were compatible with the polymer matrices used to prepare mixed-matrix membranes (MMMs). MMMs tested at 300 °C exhibited a >30 fold increase in permeability, compared to those measured at 35 °C, while maintaining H{sub 2}/CO{sub 2} selectivity. Measurements at high pressure (up to 30 atm) and high temperature (up to 300 °C) resulted in an increase in gas flux across the membrane with retention of selectivity. No variations in permeability were observed at high pressures at either 35 or 300 °C. CO{sub 2}-induced plasticization was not observed for Matrimid®, VTEC, and PBI polymers or their MMMs at 30 atm and 300 °C. Membrane surface modification by cross-linking with ethylenediamine resulted in an increase in H{sub 2}/CO{sub 2} selectivity at 35 °C. Spectrometric analysis showed that the cross-linking was effective to temperatures <150 °C. At higher temperatures, the cross-linked membranes exhibit a H2/CO2 selectivity similar to the uncrosslinked polymer.
Date: January 31, 2013
Creator: Musselman, Inga H.
System: The UNT Digital Library
U.S. Trade Remedy Laws and Nonmarket Economies: A Legal Overview (open access)

U.S. Trade Remedy Laws and Nonmarket Economies: A Legal Overview

This report discusses the application of antidumping and countervailing duty law to the goods of nonmarket economy (NME) countries, including the decision of the Department of Commerce (DOC) in 2007 to change its long-standing policy and apply CVD law to such goods; reviews China's successful case in the World Trade Organization challenging the U.S. application of CVDs to Chinese products and the status of U.S. compliance efforts in the case; examines the December 2011 decision of the U.S. Court of Appeals for the Federal Circuit in GPX Int'l Tire Corp. v. United States holding that the U.S. CVD law does not authorize DOC to apply CVDs to NME country goods; summarizes the subsequently enacted P.L. 112-99, signed March 13, 2012, a statute authorizing DOC to apply CVDs to such products; and notes recent developments in the GPX litigation.
Date: January 31, 2013
Creator: Smith, Jane M.
System: The UNT Digital Library
Overview of Labor Enforcement Issues in Free Trade Agreements (open access)

Overview of Labor Enforcement Issues in Free Trade Agreements

This report identifies two types of labor enforcement issues: those that relate to the free trade agreements (FTA) provisions themselves, including their definitions and their enforceability, and those that relate to executive branch responsibilities, such as resource availability and determining dispute settlement case priorities.
Date: January 31, 2013
Creator: Bolle, Mary Jane
System: The UNT Digital Library
Chemical Facility Security: Issues and Options for the 113th Congress (open access)

Chemical Facility Security: Issues and Options for the 113th Congress

This report provides a brief overview of the existing statutory authority and implementing regulation. It describes several policy issues raised in previous debates regarding chemical facility security and identifies policy options for congressional consideration.
Date: January 31, 2013
Creator: Shea, Dana A.
System: The UNT Digital Library
Understanding China's Political System (open access)

Understanding China's Political System

This report is designed to provide Congress with a perspective on the contemporary political system of China, the only Communist Party-led state in the G-20 grouping of major economies. China's Communist Party dominates state and society in China, is committed to maintaining a permanent monopoly on power, and is intolerant of those who question its right to rule.
Date: January 31, 2013
Creator: Lawrence, Susan V. & Martin, Michael F.
System: The UNT Digital Library
Analysis of the Tank 6F Final Characterization Samples-2012 (open access)

Analysis of the Tank 6F Final Characterization Samples-2012

The Savannah River National Laboratory (SRNL) was requested by Savannah River Remediation (SRR) to provide sample preparation and analysis of the Tank 6F final characterization samples to determine the residual tank inventory prior to grouting. Fourteen residual Tank 6F solid samples from three areas on the floor of the tank were collected and delivered to SRNL between May and August 2011. These Tank 6F samples were homogenized and combined into three composite samples based on a proportion compositing scheme and the resulting composite samples were analyzed for radiological, chemical and elemental components. Additional measurements performed on the Tank 6F composite samples include bulk density and water leaching of the solids to account for water soluble components. The composite Tank 6F samples were analyzed and the data reported in triplicate. Sufficient quality assurance standards and blanks were utilized to demonstrate adequate characterization of the Tank 6F samples. The main evaluation criteria were target detection limits specified in the technical task request document. While many of the target detection limits were met for the species characterized for Tank 6F some were not met. In a few cases, the relatively high levels of radioactive species of the same element or a chemically similar …
Date: January 31, 2013
Creator: Oji, L. N.; Diprete, D. P.; Coleman, C. J.; Hay, M. S. & Shine, E. P.
System: The UNT Digital Library
Wave-actuated power take-off device for electricity generation (open access)

Wave-actuated power take-off device for electricity generation

Since 2008, Resolute Marine Energy, Inc. (RME) has been engaged in the development of a rigidly moored shallow-water point absorber wave energy converter, the "3D-WEC". RME anticipated that the 3D-WEC configuration with a fully buoyant point absorber buoy coupled to three power take off (PTO) units by a tripod array of tethers would achieve higher power capture than a more conventional 1-D configuration with a single tether and PTO. The investigation conducted under this program and documented herein addressed the following principal research question regarding RME'€™s power take off (PTO) concept for its 3D-WEC: Is RME's winch-driven generator PTO concept, previously implemented at sub-scale and tested at the Ohmsett wave tank facility, scalable in a cost-effective manner to significant power levels €”e.g., 10 to 100kW?
Date: January 31, 2013
Creator: Chertok, Allan
System: The UNT Digital Library