Correspondence issued by the General Accounting Office with an abstract that begins "Since May 2000, California's restructured electricity market has experienced rapidly rising prices and uncertain reliability. In response to disruptions in service, or blackouts, the state has taken steps to increase electricity supplies and to reduce demand through conservation. The California Independent System Operator, the agency in charge of balancing electricity supply with demand, expects high prices and disruptions to persist, and perhaps even worsen, in the summer of 2001. This report reviews (1) the condition of California's electricity market, including changes in demand, supply, and prices; (2) the extent to which the Department of Defense (DOD) can help enhance western electricity supplies during the summer of 2001; and (3) available private backup generation resources and any benefits and problems associated with their deployment. GAO found that electricity demand has risen sharply in recent years while supply has not kept up with the demand, causing higher prices. DOD could help augment western electricity supplies by generating an estimated 90 megawatts of electricity and implementing conservation initiatives. The use of private generation is limited because of business and environmental risks."

Correspondence issued by the General Accounting Office with an abstract that begins "Visitor centers at the national parks are among the most important facilities run by the National Park Service. As existing visitor centers age and new parks are created, renovated or new facilities are needed. This report discusses (1) the number, the status, and the reasons for Park Service visitor center projects; (2) whether the projects involve new construction or the renovation of existing buildings; (3) whether these projects were designated priorities by the Park Service or by Congress; (4) the costs and functions of the projects; and (5) the funding sources for the projects. GAO found that from 1996 through 2005, the Park Service has completed or planned 80 projects to renovate or build new visitor centers. The renovations and new construction are intended to replace aging facilities and exhibits, to provide more space, and to handle rising numbers of visitors. Of the 80 projects, 53 were a priority of the Park Service and 27 were a priority of Congress. The Park Service estimates that the total cost of the 80 projects will be $542 million. The visitor center projects are funded primarily by the Park Service's appropriated …

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the results of GAO's investigation of health care billing consultants whose seminars and workshops advise health care providers on how to boost revenue and avoid audits. Consultants at two workshops that GAO attended provided in-depth discussions of regulations on billing for health care services and compliance with health care laws and regulations. Some of this advice was inconsistent with federal law and guidance provided by the Department of Health and Human Services' Office of Inspector General. Such advice could result in violations of both civil and criminal statutes. Some consultants urged health care providers to not report or refund overpayments from insurance carriers after they were discovered. The consultants also encouraged the performance of unnecessary tests and procedures to generate documentation that would support bills for evaluation and management services at a higher level of complexity than actually confronted during patients' office visits. This testimony summarizes a June report (GAO-01-818)."

Testimony issued by the General Accounting Office with an abstract that begins "Health care providers' difficulties in recruiting and retaining nurses may worsen as the demand for nurses rises with the aging of the population. Demographic changes are widening the gap between the numbers of people needing care and available caregivers. Moreover, the current high levels of job dissatisfaction among nurses because of management decisions to restructure health care delivery and staffing may play a crucial role in the extent of future nurse shortages. Efforts to improve the workplace environment may reduce the likelihood that nurses will leave or consider leaving the profession. More data on the exact scope and nature of the problem are needed to help plan and target corrective measures. Providers, states, and the federal government have the opportunity to collect and analyze critical information on changes in the supply of and demand for nurses."

Testimony issued by the General Accounting Office with an abstract that begins "The Food and Nutrition Service (FNS) and the states have taken steps to reduce fraud, waste, and abuse in the Food Stamp Program. GAO's past work has found that FNS and the states need to make better use of electronic data to track individuals and storeowners who may be trafficking in food stamps. GAO also found that financial sanctions and enhanced funding have been at least partially successful in focusing states' attention on minimizing payment errors. However this "carrot and stick" approach can accomplish only so much. Food stamp regulations for determining eligibility and benefits are extremely complex and their application is inherently error-prone and costly to administer. Furthermore, this approach, carried to extremes, can create incentives for states to take actions that may inhibit achievement of one of the agency's basic missions--providing food assistance to needy persons. For example, requiring recipients to report income changes more frequently could decrease errors, but it could also have the unintended effect of discouraging participation by the eligible working poor. This would run counter not only to FNS' basic mission but also to an overall objective of welfare reform--helping people move …

A letter report issued by the General Accounting Office with an abstract that begins "Spare parts shortages on the three Air Force systems GAO reviewed have undermined the performance of assigned missions and the economy and efficiency of maintenance activities. Specifically, the Air Force did not meet its mission-capable goals for the E-3 or C-5 aircrafts during fiscal years 1996-2000, nor did it have enough F-100-220 engines to meet peacetime and wartime goals during that period. These shortages may also affect personnel retention. GAO recently reported that the lack of parts and materials to successfully complete daily job requirements was one of six major factors causing job dissatisfaction among military personnel. Item managers at the maintenance facilities often indicated that spare parts shortages were caused by the inventory management system underestimating the need for spare parts and by delays in the Air Force's repair process as a result of the consolidation of repair facilities. Other reasons included difficulties with producing or repairing parts, reliability of spare parts, and contracting issues. The Air Force and the Defense Logistics Agency have planned or begun many initiatives to alleviate shortages of the spare parts for the three systems GAO reviewed."

A letter report issued by the General Accounting Office with an abstract that begins "This report investigates health care consultants who conduct seminars or workshops that offer advice to health care providers on ways to enhance revenue and avoid audits or investigations. GAO attended several seminars and workshops offered by these consultants. GAO sought to determine whether the consultants were providing advice that could result in improper or excessive claims to Medicare, Medicaid, other federally funded health plans, and private health insurance carriers. GAO found that some advice was inconsistent with guidance provided by the Department of Health and Human Services' Office of Inspector General (OIG). Such advice could result in violations of both civil and criminal statutes."

Testimony issued by the General Accounting Office with an abstract that begins "Hydropower projects generate about 10 percent of all electricity produced in the United States. Federally owned and operated hydropower projects generate about half of this amount, while about 1,000 nonfederally owned and operated hydropower projects, which are licensed by the federal government, generate the rest. Some licensees and other participants in the licensing process have expressed concern that obtaining a license takes too long and costs too much. In response, the Federal Energy Regulatory Commission (FERC) established an alternative licensing process, and other federal agencies undertook reforms to streamline the licensing process. However, these reforms did not quell the concerns. In November 2000, Congress directed FERC to review the policies, procedures, and regulations on the licensing of nonfederal hydropower projects to determine how to reduce the time and costs associated with obtaining a license. This testimony discusses (1) the process used by FERC to issue licenses to build and to operate nonfederal hydroelectric power projects and (2) FERC's congressionally mandated report on hydroelectric licensing policies, procedures, and regulations."