A chapter report issued by the General Accounting Office with an abstract that begins "According to the Environmental Protection Agency (EPA) and water utility industry groups, communities will need as much as $1 trillion during the next 20 years to repair, replace, or upgrade aging drinking water and wastewater facilities; accommodate a growing population; and meet new water quality standards. GAO found that the amount of funds obtained from user charges and other local sources of revenue was less than the full cost of providing service--including operation and maintenance, debt service, depreciation, and taxes--for more than a quarter of drinking water utilities and more than 4 out of 10 wastewater utilities in their most recent fiscal year. GAO also found that more than a quarter of utilities lacked plans recommended by utility associations for managing their existing capital assets, but nearly all had plans that identify future capital improvement needs. A privatization agreement's potential to generate profits is the key factor influencing decisions by private companies that enter into such agreements with publicly owned utilities or the governmental entities they serve, according to the companies GAO contacted."

A letter report issued by the General Accounting Office with an abstract that begins "For fiscal year 2002, the Department of Veterans Affairs (VA) will pay $25 billion in cash disability benefits to 3.3 million disabled veterans and their families. Veterans who are dissatisfied with VA's 57 regional offices' decisions may file appeals with VA's Board of Veteran's Appeals. In about half of such appeals, the Board has either granted the benefits denied or returned the cases to regional offices for rework. Additionally, VA reported an accuracy rate of less than 70 percent for regional office disability decisions when it tested a new quality assurance program in fiscal year 1998. When the Board itself denies benefits, veterans may appeal to the U.S. Court of Appeals for Veterans Claims. In over half of these appeals, the Court has either granted the benefits denied by the Board or returned the decisions to the Board for rework. In fiscal year 1998, the Board of Veteran's Appeals established a quantitative evaluation program to score its decisionmaking accuracy and collect data to improve decisionmaking. The accuracy measure used by the Board understates its true accuracy rate because the calculations include certain deficiencies, such as errors …

A letter report issued by the General Accounting Office with an abstract that begins "The mission of the National Nuclear Security Administration's (NNSA) Nonproliferation and Verification Research and Development (R&D) Program is to conduct needs-driven research, development, testing, and evaluation of new technologies that are intended to strengthen the United States' ability to prevent and respond to nuclear, chemical, and biological attacks. In fiscal years 1998 through 2002, the Nonproliferation and Verification R&D program received an average of $218 million per year--a total of $1.2 billion. Nearly 75 percent of that total was distributed for R&D at three NNSA national laboratories. Two of the three research areas of the Nonproliferation and Verification R&D Program lack a formal process to identify users' needs, and the tools used to monitor project progress are inadequate. In terms of users, NNSA's role is to develop technologies for, and transfer them to, users in the federal government, the intelligence community, law enforcement, and others. The program requires that projects' life-cycle plans and quarterly reports contain detailed information on project time frames, milestones, users of technologies, and deliverables. Officials from federal, state, and local agencies that use the technology developed by NNSA's R&D program have found …

A letter report issued by the General Accounting Office with an abstract that begins "In 1998, the Health Care Financing Administration implemented a prospective payment system (PPS) for skilled nursing facility (SNF) services provided to Medicare beneficiaries. PPS is intended to control the growth in Medicare spending for skilled nursing and rehabilitative services that SNFs provide. Two years after the implementation of PPS, the mix of patients across the categories of payment groups has shifted, as determined by the patients' initial minimum data set assessments. Although the overall share of patients classified into rehabilitation payment group categories based on their initial assessments remained about the same, more patients were classified into the high and medium rehabilitation payment group categories, and fewer were initially classified into the most intensive (highest paying) and least intensive (lowest paying) rehabilitation payment group categories. Two years after PPS was implemented the majority of patients in rehabilitation payment groups received less therapy than was provided in 1999. This was true even for patients within the same rehabilitation payment group categories. Across all rehabilitation payment group categories, fewer patients received the highest amounts of therapy associated with each payment group."

A letter report issued by the General Accounting Office with an abstract that begins "The U.S. surface and maritime transportation systems include roads, mass transit systems, railroads, and ports and waterways. One of the major goals of these systems is to provide and enhance mobility, that is, the free flow of passengers and goods. Mobility provides people with access to goods, services, recreation, and jobs; provides businesses with access to materials, markets and people; and promotes the movement of personnel and material to meet national defense needs. During the past decade, total public sector spending increased for public roads and transit, remained constant for waterways, and decreased for rail. Passenger and freight travel are expected to increase over the next 10 years, according to Department of Transportation projections. Passenger vehicle travel on public roads is expected to grow by 24.7 percent from 2000 to 2010. Passenger travel on transit systems is expected to increase by 17.2 percent over the same period. Amtrak has estimated that intercity passenger rail ridership will increase by 25.9 percent from 2001 to 2010. The key factors behind increases in passenger travel, and the modes travelers choose, are expected to be population growth, the aging of …

A letter report issued by the General Accounting Office with an abstract that begins "Every year, some meat and poultry products are contaminated with microbial pathogens--such as Salmonella and E. coli--that cause foodborne illnesses and deaths. To improve the safety of meat and poultry products, the U.S. Department of Agriculture's (USDA) Food Safety and Inspection Service (FSIS) introduced additional regulatory requirements for meat and poultry plants. These requirements are intended to ensure that plants operate food safety systems that are prevention-oriented and science-based. These systems, called Hazard Analysis and Critical Control Point (HACCP) systems, were phased in from January 1998 through January 2000 at all meat and poultry slaughter and processing plants. As the foundation of the HACCP system, plants are responsible for developing HACCP plans that, among other things, identify all of the contamination hazards that are reasonably likely to occur in a plant's particular production environment, establish all of the necessary steps to control these hazards, and have valid scientific evidence to support their decisions. GAO found that FSIS is not ensuring that all plants' HACCP plans meet regulatory requirements. As a result, consumers may be unnecessarily exposed to unsafe foods that can cause foodborne illnesses. In particular, …

A letter report issued by the General Accounting Office with an abstract that begins "There are currently 57 inspectors general (IG) subject to the Inspector General Act of 1978 or similar statutory provisions. The President appoints 29 IGs who are confirmed by the Senate. Twenty-eight IGs in designated federal entities (DFE IGs) are appointed by their agency heads. GAO developed a survey that included key elements related to IG independence, quality of work, and resources. Responses to the survey indicate a clear delineation between the responses of the presidential and DFE IGs regarding the potential impact of conversion and consolidation. The presidential IGs indicated that DFE IG independence, quality and use of resources could be strengthened by conversion and consolidation. DFE IGs responses to these same questions indicated that there would be no impact or that these elements would be weakened. The Presidential IGs indicated that several elements affecting the DFE IGs' quality of work could be strengthened through consolidation, including the ability to issue hard-hitting reports when necessary, to audit issues of high risk, to review issues across agencies, to get attention to recommendations made by the IGs, and to plan work. The IGs overwhelmingly responded that establishing the …

A letter report issued by the General Accounting Office with an abstract that begins "Strategic human capital management challenges face public sector organizations both here and abroad. The United States is not alone in examining how government agencies can use their performance management systems as a tool to foster a more results-oriented organizational culture. The Organization for Economic Cooperation and Development (OECD) has reported that its member nations have increasingly moved towards performance-based pay and appraisal systems that reward employees, hold them accountable for the quality of their work, and connect their efforts to organizational results. Four OECD member countries--Australia, Canada, New Zealand, and the United Kingdom--have begun to use their performance management systems to achieve results. Although the performance management initiatives in these countries reflect their specific organizational structures, cultures, and priorities, their experiences developing and implementing results-oriented individual performance management initiatives may provide U.S. agencies with information and insights as they implement strategic human capital practices. These countries have begun to use their performance management systems to create a "line of sight" between individual and organizational goals, use competencies to provide a fuller assessment of individual performance, link pay to individual and overall organizational performance, and foster organizationwide …

A letter report issued by the General Accounting Office with an abstract that begins "Following the anthrax attacks of October 2001, the United States Postal Service (USPS) has started to look at various technologies that could be implemented in the event of another bioterror attack. The high-efficiency particulate air (HEPA) filtration system is being used as a prototype at two facilities and is planned for implementation throughout the country. HEPA filtering technology is the state-of-the-art technology for the removal of particulate biohazards and other particles of micron-sized range. USPS has not adequately tested the HEPA filtration system to confirm that it will meet its intended purpose of trapping anthrax spores and its secondary purpose of cleaning the mail processing equipment. USPS's testing has not shown conclusively (1) the HEPA filtration system's ability to trap released hazards and other contaminants, and (2) what level of hazards or contaminants could be released into the mail processing environment as a result of the air filtration system's design. Furthermore, USPS has not verified through testing that the air filtration system will not interfere with the air sampling and detection equipment. Even though HEPA filtration systems could reduce the risk of exposure to biohazards, they …

A letter report issued by the General Accounting Office with an abstract that begins "This report discusses (1) the amount of improper payments reported in agencies' fiscal year 2000 financial statements, (2) the extent to which agencies' fiscal year 2002 performance plans address improper payments, (3) the extent to which the Office of Management and Budget (OMB) has implemented previous GAO recommendations in this area, and (4) other actions that might encourage agencies to better report improper payments. Of the 15 agency performance plans GAO reviewed, only 4 comprehensively addressed any of the Government Performance and Results Act requirements for evaluating the effectiveness of federal programs and the resources spent on them. GAO found that improper payments often result from a lack of, or breakdown in, internal controls. This report also contains recommendations for agencies to assign responsibilities to minimize improper payments and for OMB to assist agencies in identifying and implementing corrective actions."

A letter report issued by the General Accounting Office with an abstract that begins "Several federal programs have been developed to provide homeownership opportunities for Native Americans because private institutions have rarely supplied conventional home loans to Native Americans on trust lands. In 1992, Congress directed the Department of Veterans Affairs (VA) to create the Native American Veterans Direct Home Loan Program to assist veterans in purchasing, constructing and improving homes. The Native American Veterans Direct Home Loan Program has been characterized by differences in the numbers served, with native Hawaiians and Pacific Islanders together receiving almost five times as many as loans as Native Americans. Several factors that apply to Native Americans, but not to native Hawaiians and Pacific Islanders, may explain this difference. Long-standing barriers to lending on Native American trust lands include insufficient income and credit history, a lack of meaningful interest in land among many Native Americans, and insufficient infrastructure on trust lands. Other factors that VA can address include program limits that may be lower than housing costs for some trust lands and potential applicants' inexperience with the mortgage lending process. VA has conducted outreach but has taken limited steps to meet the assessment and …

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense (DOD) estimates that cleaning up contamination and hazards at thousands of properties that it formerly owned or controlled will take more than 70 years and cost as much as $20 billion. These formerly used defense sites (FUDS), which can range in size from less than an acre to many thousands of acres, are now used for parks, farms, schools, and homes. Hazards at these properties include unsafe buildings, toxic and radioactive wastes, containerized hazardous wastes, and ordnance and explosive wastes. The U.S. Army Corps of Engineers is responsible for identifying, investigating, and cleaning up hazards resulting from military use. GAO found that the Corps lacks a sound basis for its conclusion that 38 percent of 3,840 FUDS need no further study or cleanup action. The Corps' determinations are questionable because there is no evidence that it reviewed or obtained information that would allow it to identify all the potential hazards at the properties, or that it took sufficient steps to assess the presence of potential hazards. GAO also found that the Corps often did not notify owners of its determinations that the …

A letter report issued by the General Accounting Office with an abstract that begins "For national security and foreign policy reasons, U.S. export control policy seeks to balance economic interests in promoting high technology exports with national security interests to maintain a military advantage in high performance computers over potential adversaries. In January 2002, the President announced that the control threshold--above which computers exported to countries such as China, India, and Russia--would increase from 85,000 millions of theoretical operations per second (MTOPS) to 190,000 MTOPS. The report justifying the changes in control thresholds for high performance computers focused on the availability of such computers. However, the justification did not fully address the requirements of the National Defense Authorization Act of 1998. The December 2001 report did not address several key issues related to the decision to raise the threshold: (1) the unrestricted export of computers with performance capabilities between the old and new thresholds will allow countries of concern to obtain computers that they have had difficulty constructing on their own, (2) the United States is unable to monitor the end-uses of many of the computers it exports, and (3) the report does not acknowledge the multilateral process used to …

A letter report issued by the General Accounting Office with an abstract that begins "The U.S. Patent and Trademark Office (USPTO) has a staff of 6,426 and collected $1.1 billion in patent and trademark fees in fiscal year 2001. As the U.S. economy depends increasingly on new innovations, the need to patent or trademark quickly the intellectual property resulting from such innovations becomes more important. Expressing concerns about USPTO's plans for the future, Congress directed USPTO to develop a 5-year plan. In February 2001, USPTO issued its first 5-year plan, called the USPTO Business Plan. Because the Director of USPTO did not believe that the Business Plan went far enough, in June 2002, USPTO produced another 5-year plan, called the 21st Century Strategic Plan. GAO found that patent activity grew substantially from 1990 through 2001. The numbers of patent applications filed and patents granted nearly doubled; the inventory of patent applications nearly tripled; patent pendency increased from slightly over 18 months to nearly 25 months, and the number of patent examiners increased by about 80 percent. Furthermore, in fiscal year 2001, both fee collections and agency funding requirements exceeded $1 billion for the first time in the agency's history. Although …

A letter report issued by the General Accounting Office with an abstract that begins "Consistently classifying, defining, and distinguishing among the range of medical services provided today--from diagnoses to treatments--is critical for reimbursing providers and analyzing health care utilization, outcomes, and cost. Codes serve this role by assigning each distinct service a unique identifier. Health care providers, such as hospitals and physicians, report medical conditions and the health-related services they have provided to patients on medical records. In August 2000, the Department of Health and Human Services (HHS) adopted two standard code sets for reporting medical procedures: (1) the International Classification of Diseases, 9th Revision, Clinical Modification, Volume 3 (ICD-9-CM Vol. 3); and (2) the Current Procedural Terminology (CPT). Despite HIPAA's goals for administrative simplification, many representatives of the health care industry have expressed concern that the individual limitations of these code sets result in inefficiencies in record keeping and data reporting. GAO found that, given the 18-month time frame allotted to HHS under HIPAA for adopting standard code sets, ICD-9-CM Vol. 3 and CPT were practical options for HIPAA standard code sets despite some limitations. Both code sets meet almost all of the criteria for standard code sets recommended …

A letter report issued by the General Accounting Office with an abstract that begins "The Office of Pipeline Safety (OPS) is implementing a new approach to overseeing the safety of a 2.2-million-mile network of pipelines in the United States that transports potentially dangerous materials, including hazardous liquids, such as oil and natural gas. OPS has to complete several important steps to implement its integrity management approach within an ambitious, self-imposed schedule. The agency began applying this new regulatory approach to hazardous liquid pipelines in 2000 by issuing final rules requiring operators of these pipelines to develop integrity management programs. While implementing its integrity management approach, OPS must also perform ongoing oversight duties, such as inspecting the construction of new pipelines and investigating pipeline incidents. In addition to meeting its ambitious schedule, OPS faces a number of other challenges in implementing this new regulatory approach. These challenges include (1) enforcing the integrity management requirements consistently and effectively, (2) ensuring that natural gas transmission pipeline operators use assessment methods appropriately, (3) establishing an inspection interval for natural gas transmission pipelines, (4) measuring and reporting on the effectiveness of the approach, and (5) developing and implementing an approach for overseeing pipeline security. OPS's …

A letter report issued by the General Accounting Office with an abstract that begins "The U.S. Customs Service has begun a multiyear, multibillion-dollar project: the Automated Commercial Environment (ACE), a new import processing system that is planned to support effective and efficient movement of goods into the United States. By congressional mandate, Customs' expenditure plans for ACE must meet certain conditions, including being reviewed by GAO. This report addresses whether Customs' latest plan satisfies these conditions and provides observations about the plan and Customs' efforts to implement GAO's open recommendations for improving ACE management. Customs' May 2002 ACE expenditure plan is the third in a series of legislatively required plans. This plan provides for the design, development, and deployment of the second release of the first of four planned ACE increments. The plan also meets the legislative conditions governing investment in ACE that Congress imposed on Customs. Since 1999, GAO has reported on Customs' management of ACE and made a series of recommendations to correct deficiencies. Customs currently has efforts under way to respond to all of GAO's recommendations. One of these deficiencies that affects the third expenditure plan is Customs' lack of effective cost estimating capabilities. Specifically, the cost …

A letter report issued by the General Accounting Office with an abstract that begins "The three largest disability programs collectively provided $89.7 billion in cash benefits to 10.2 million adults in 2001. However, the Disability Insurance (DI) program, Supplemental Security Income (SSI) program, and VA disability criteria reflect neither medical and technological advances nor the labor market changes that affect the skills needed to perform work and work settings. If these federal disability programs do not update scientific and labor market information, they risk overestimating the limiting nature of some disabilities while underestimating others. Twelve years ago, both the Social Security Administration and the Department of Veterans Affairs (VA) began reviewing relevant medical advances and updating the criteria they use to evaluate claims. However, the time the agencies are taking to revise the medical criteria could undermine the very purpose of the update. Moreover, because of the limited role of treatment in the statutory and regulatory design of these programs, the updates have not fully captured the benefits afforded by advances in treatment. Also, the disability criteria used by DI, SSI, and VA programs have not incorporated labor market changes. These programs continue to use outdated information about the types …

A letter report issued by the General Accounting Office with an abstract that begins "The 1966 Freedom of Information Act (FOIA) established the public's right of access to government information, on the basis of openness and accountability. The 1996 Electronic Freedom of Information Act (e-FOIA) Amendments extended these principles to include electronic access to information. Under the act, the Department of Justice provides implementing guidance to agencies. In addition, agencies report annually to Justice on their FOIA operations. GAO was asked to determine, among other things, (1) agencies' progress in improving their timeliness in responding to requests for information and (2) the actions Justice has taken on previous GAO recommendations (GAO-01-378, Mar. 16, 2001) to improve data quality in annual reports and on-line availability of government information."

A letter report issued by the General Accounting Office with an abstract that begins "Congress passed the D.C. Family Court Act of 2001 to reform court practices and establish procedures to improve interactions between the District of Columbia's Family Court, of D.C. Superior Court, and social service agencies in the District. The act directed the Mayor to prepare a plan to integrate the computer systems of District agencies with those of the Court. The fiscal year 2002 D.C. Appropriations Act authorized $200,000 for integrating the computer systems and $500,000 for social workers to implement family court reform. The act also required the Mayor to prepare a plan for these funds and mandated that the plan be issued on July 8, 2002. The Mayor's plan provides such useful information as (1) an outline of the District's current health and human services information technology environment and its information needs and limitations regarding the Family Court, (2) planned and possible short- and long-term initiatives to integrate the District's computer systems with those of the Family Court, (3) five technological integration priorities, and (4) how the $200,000 in appropriated funds will be spent. However, the District has not yet completed essential analyses, such as …

A letter report issued by the General Accounting Office with an abstract that begins "Government and private-sector entities rely on satellites for services such as communication, navigation, remote sensing, imaging, and weather and meteorological support. Disruption of satellite services, whether intentional or not, can have a major adverse economic impact. Techniques to protect satellite systems from unauthorized use and disruption include the use of robust hardware on satellites, physical security and logical access controls at ground stations, and encryption of the signals for tracking and controlling the satellite and of the data being sent to and from satellites. When using commercial satellites, federal agencies reduce risks by securing the data links and ground stations that send and receive data. However, federal agencies do not control the security of the tracking and control links, satellites, or tracking and control ground stations, which are typically the responsibility of the satellite service provider. It is important to the nation's economy and security to protect against attacks on its computer-dependent critical infrastructures (such as telecommunications, energy, and transportation), many of which are privately owned. In light of the nation's growing reliance on commercial satellites to meet military, civil, and private sector requirements, omitting satellites …

A letter report issued by the General Accounting Office with an abstract that begins "Eighty-eight percent of children nationwide have private or public health insurance that, to varying degrees, covers mental health services, including those that may be needed to help children recover from traumatic events, such as natural disasters, school shootings, or family violence. Despite the widespread prevalence of health insurance coverage for children, depending on their type of insurance coverage and where they live, children may face certain limitations in coverage or other barriers that could affect their access to needed services. The 16 percent of children who are enrolled in Medicaid and the State Children's Health Insurance Program public insurance programs generally have coverage for a wide range of mental health benefits, and those enrolled in Medicaid are not subject to day or visit restrictions. Beyond providing insurance that can give children access to mental health services, a range of federal programs can help children who have experienced trauma obtain needed services. GAO identified over 50 programs that can be used by grantees to provide mental health and other needed services to children who have never experienced trauma, although many of these programs have a broader focus …

A chapter report issued by the General Accounting Office with an abstract that begins "The Pilot Records Improvement Act, enacted on October 9, 1996, responded to seven fatal commercial air carrier accidents that were attributed, in part, to errors by pilots who had been hired without background checks. The act, which took effect on February 6, 1997, requires air carriers, before making final hiring decisions, to obtain information for the past 5 years on a pilot applicant's performance, qualifications, and training from the Department of Transportation's Federal Aviation Administration (FAA), employers, and the National Driver Register (NDR). The act also includes provisions to protect pilots' rights. FAA oversees compliance with the act and has broad responsibility for overseeing aviation safety. According to GAO's analyses of FAA and NDR databases and carriers' responses to GAO's surveys, compliance with the act has generally increased since it went into effect, but compliance is not always complete or timely. The available data are not adequate to determine industrywide compliance. According to their responses to GAO's surveys, carriers are not always aware of the act's requirements for protecting pilots' rights. FAA has taken limited steps to oversee compliance with PRIA. Under the act and its …

Samples of Sungate windshield material provided by PPG were analyzed to ascertain failure mechanisms observed at the interface between a copper busbar and the electrically conductive coating in use. Samples of “failed” windshield material were characterized using optical and electron microscopy, as well as surface analysis methods. These were compared to corresponding samples of “good” coatings. The primary failure mechanism of the coated windshield appears to be related to electrical discharges that originate where air-filled gaps are present between the copper busbar and the conductive coating. Gaps are produced by irregularities or wrinkles in the copper busbar that may result from the installation process.