A letter report issued by the Government Accountability Office with an abstract that begins "The financing of the federal government depends largely on the Internal Revenue Service's (IRS) efforts to collect taxes. These efforts focus on providing taxpayer services, such as electronic filing and telephone assistance, to make voluntary compliance easier and enforcing tax laws to ensure everyone meets their obligations to pay taxes. To fund IRS's 2012 operations, the President requested $13.3 billion spread over five appropriations, including $6 billion for enforcement, $4.6 billion for operations support, and $2.3 billion for taxpayer services. Because of the size of IRS's budget and the importance of its service and compliance programs for all taxpayers, Congress asked us to review the fiscal year 2012 budget justification for IRS. Special areas of interest included any new tax law enforcement and taxpayer service initiatives, the cost of implementing IRS's responsibilities under the Patient Protection and Affordable Care Act (PPACA), and any opportunities for savings. Based on your request our objectives were to: (1) describe IRS's budget and staffing trends for fiscal years 2008 through 2012; (2) assess IRS's process for identifying potential savings and how it used savings that were greater than projected; (3) …

Correspondence issued by the Government Accountability Office with an abstract that begins "Hospital emergency departments are a major component of the nation's health care safety net as they are open 24 hours a day, 7 days a week, and generally are required to medically screen all people regardless of ability to pay. From 1997 through 2007, U.S. emergency department per capita use increased 11 percent. In 2007, there were approximately 117 million visits to emergency departments; of these visits, approximately 8 percent were classified as nonurgent. The use of emergency departments, including use for nonurgent conditions, may increase as more people obtain health insurance coverage as the provisions of the Patient Protection and Affordable Care Act (PPACA) are implemented. Some nonurgent visits are for conditions that likely could be treated in other, more cost-effective settings, such as health centers--facilities that provide primary care and other services to individuals in communities they serve regardless of ability to pay. Care provided in an emergency department may be substantially more costly than care provided in a health center. The average amount paid for a nonemergency visit to the emergency department was seven times more than that for a health center visit, according to …

Correspondence issued by the Government Accountability Office with an abstract that begins "This document is in response to the mandate contained in the National Aeronautics and Space Administration (NASA) Authorization Act of 2010, Pub. L. No. 111-267, Section 503(c)(2), for GAO to provide an evaluation of the accuracy and level of confidence in the findings contained in NASA's assessment of the essential modules, operational systems and components, structural elements, and permanent scientific equipment required to ensure complete, effective, and safe functioning and full scientific utilization of the International Space Station through 2020. We provided to Congress a draft copy of this briefing in meetings with them on April 6 and 7, 2011. We also provided a draft to NASA for comment. NASA agreed with our findings and provided technical comments that we incorporated as appropriate."