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Community Development Block Grant Formula: Options for Improving the Targeting of Funds
Testimony issued by the Government Accountability Office with an abstract that begins "Congress asked GAO to testify at this hearing whose purpose is to examine the Community Development Block Grant (CDBG) Program administered by the Department of Housing and Urban Development (HUD) and the Administration's proposal to reform this federal government program. This proposal would use a single formula and five variables to allocate funds. This hearing is a follow-up to a series of subcommittee hearings that GAO participated in during 2005 on the CDBG program. Based on the principles of formula design that GAO outlined in its 2005 testimony, Congress had requested GAO to undertake a body of work to help the Congress explore alternative formulas to allocate CDBG funds among the nation's diverse communities. This work is underway. In this hearing, GAO addresses its ongoing work on options for improving the targeting of CDBG funding as contributions to these efforts and to determining next steps."
Date:
June 27, 2006
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Health Care: Consultants' Billing Advice May Lead to Improperly Paid Insurance Claims
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)."
Date:
June 27, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Nursing Workforce: Multiple Factors Create Nurse Recruitment and Retention Problems
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."
Date:
June 27, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Defense Logistics: Integrated Plans and Improved Implementation Needed to Enhance Engineering Efforts
Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO discussed the Department of Defense's (DOD) logistics reengineering initiatives, focusing on the: (1) DOD's reengineering efforts; (2) potential effect of reengineering efforts on combat forces; and (3) factors that could limit the achievement of the reengineering goals."
Date:
June 27, 2000
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Food Stamp Program: Program Integrity and Participation Challenges
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 …
Date:
June 27, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Defense Inventory: Navy Logistics Strategy and Initiatives Need to Address Spare Parts Shortages
A letter report issued by the General Accounting Office with an abstract that begins "Since 1990, GAO has identified DOD inventory management as high risk because of long-standing management weaknesses. In fiscal years 2001 and 2002, Congress provided the Navy with more than $8 billion in operations and maintenance funds to purchase spare parts in support of the service's operations. Nevertheless, spare parts availability has fallen short of the Navy's goals in recent years. GAO examined the extent to which Navy strategic plans address mitigation of critical spare parts shortages, the likelihood that key supply system improvement initiatives will help mitigate spare parts shortages and enhance readiness, and the Navy's ability to identify the impact on readiness of increased spare parts investments."
Date:
June 27, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Public Transportation: Preliminary Information on FTA's Implementation of SAFETEA-LU Changes
Testimony issued by the Government Accountability Office with an abstract that begins "The Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU) authorized a significant level of investment--over $52 billion--for federal transit programs. SAFETEA-LU also added new transit programs and made changes to existing programs, including the New Starts and Job Access and Reverse Commute (JARC) programs. The New Starts program is a discretionary grant program for public transportation capital projects. The JARC program is intended to improve the mobility of low-income individuals seeking work. SAFETEA-LU authorized $8.6 billion for these two programs. The Federal Transit Administration (FTA) manages both of these programs. This testimony discusses GAO's preliminary findings on the (1) changes SAFETEA-LU made to the New Starts program, (2) changes SAFETEA-LU made to the JARC program, and (3) issues that may be important as FTA moves forward with implementing the act. To address these objectives, GAO interviewed FTA officials, sponsors of New Starts projects, and representatives from industry associations and reviewed FTA's guidance on the New Starts and JARC programs and federal statutes, among other things."
Date:
June 27, 2006
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Assessment of Public Law 106-303: The Role of Personnel Flexibilities in Strengthening GAO's Human Capital
Other written product issued by the General Accounting Office with an abstract that begins "Leading public organizations here and abroud have found that strategic human capital management must be the centerpiece of any serious change management initiative and effort to transform the culture of government agancies. GAO is not immune to these challenges facing the federal government. Over the past 3 years, however, we have made considerable progress toward addressing a number of our major human capital challenges through various initiatives. While many of the initiatives were administrative in nature, the additional flexibilities that the Congress authorized in Public Law 106-303 have helped to ensure that we have the right staff, with the right skills, in the right locations to better meet the needs of the Congress and the American people."
Date:
June 27, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Clinical Labs: CMS and Survey Organization Oversight Is Not Sufficient to Ensure Lab Quality
Testimony issued by the Government Accountability Office with an abstract that begins "Today's hearing focuses on oversight of clinical labs. The Clinical Laboratory Improvement Amendments of 1988 (CLIA) strengthened quality requirements for labs that perform tests to diagnose or treat disease. About 36,000 labs that perform certain complex tests must be surveyed biennially by a state survey agency, a state CLIA-exempt program, or a private accrediting organization. CMS oversees implementation of CLIA requirements, which includes determining the CLIA equivalency of the inspection requirements used by exempt states and accrediting organizations. GAO was asked to discuss (1) the quality of lab testing and (2) the adequacy of CLIA oversight. To examine these issues, GAO analyzed data on lab performance and reviewed the procedures used by CMS and survey organizations to implement CLIA and oversee lab performance. This testimony is based on the GAO report, Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened, GAO-06-416 (June 16, 2006)."
Date:
June 27, 2006
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Air Force Inventory: Parts Shortages Are Impacting Operations and Maintenance Effectiveness
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."
Date:
June 27, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Implementation of the Beach Act of 2000: EPA and States Have Made Progress, but Additional Actions Could Improve Public Health Protection
Testimony issued by the Government Accountability Office with an abstract that begins "Waterborne pathogens can contaminate water and sand at beaches and threaten human health. Under the Beaches Environmental Assessment and Coastal Health (BEACH) Act, the Environmental Protection Agency (EPA) provides grants to states to develop water quality monitoring and public notification programs. This statement summarizes the key findings of GAO's May 2007 report, Great Lakes: EPA and the States Have Made Progress in Implementing the BEACH Act, but Additional Actions Could Improve Public Health Protection. In this report GAO assessed (1) the extent to which EPA has implemented the Act's provisions, (2) concerns about EPA's BEACH Act grant allocation formula, and (3) described the experiences of the Great Lakes states in developing and implementing beach monitoring and notification programs using their grant funds."
Date:
June 27, 2007
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Capitol Visitor Center: Update on Status of Project's Schedule and Cost as of June 27, 2007
Testimony issued by the Government Accountability Office with an abstract that begins "The purpose of this testimony is to assist the Committees in monitoring progress on the Capitol Visitor Center (CVC) project. This testimony will focus on (1) the Architect of the Capitol's (AOC) construction progress since the last CVC hearing on April 24, 2007; and (2) the project's expected cost at completion and funding status. GAO's remarks are based on our review of schedules and financial reports for the CVC project and related records maintained by AOC and its construction management contractor, Gilbane Building Company; our observations on the progress of work at the CVC construction site; and our discussions with the CVC team (AOC and its major CVC contractors), AOC's Chief Fire Marshal, and representatives from the U.S. Capitol Police. We also reviewed AOC's construction management contractor's periodic schedule assessments, potential change order log, and weekly reports on the progress of interior wall and floor stonework. In addition, we reviewed the contract modifications made to date."
Date:
June 27, 2007
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Video Surveillance: Information on Law Enforcement's Use of Closed-Circuit Television to Monitor Selected Federal Property in Washington, D.C.
A letter report issued by the General Accounting Office with an abstract that begins "Law enforcement use of closed-circuit television (CCTV) as a tool to fight crime and terrorism has become more prevalent over time. Civil liberties advocates have raised privacy concerns about its use. This report describes (1) the Metropolitan Police Department's and the United States Park Police's implementation of CCTV to monitor public spaces in the Washington, D.C., metropolitan area such as the National Mall and (2) the management controls they established to address privacy concerns. GAO also identified experiences of selected CCTV users that provide insights to help ensure the proper CCTV use."
Date:
June 27, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Health Care: Consultants' Billing Advice May Lead to Improperly Paid Insurance Claims
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."
Date:
June 27, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Defense Inventory: The Department Needs a Focused Effort to Overcome Critical Spare Parts Shortages
A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense's (DOD) annual appropriation totals billions of dollars for spare parts. In addition, it has received supplemental funding totaling $1.5 billion since fiscal year 1999 to increase the availability of spare parts. However, DOD continues to experience critical spare parts shortages that impact military readiness. GAO examined whether (1) DOD's logistics strategic plan addresses the mitigation of critical spare parts shortages that adversely affect readiness, (2) DOD's logistics initiatives are likely to mitigate spare parts shortages that affect readiness, and (3) DOD has the ability to identify the effect of increased investments for spare parts on readiness."
Date:
June 27, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Tax Administration: New Compliance Research Effort Is on Track, but Important Work Remains
A letter report issued by the General Accounting Office with an abstract that begins "The U.S. tax system is based on taxpayers voluntarily complying with the tax laws. However, the Internal Revenue Service (IRS) last measured taxpayers' rate of compliance using 1988 tax returns. As time has passed, IRS has become concerned that its ability to understand the effectiveness of its programs and target audits on noncompliant returns has deteriorated, potentially resulting in poorer service to taxpayers, reduced confidence in the fairness of the tax system, and unnecessary audits of compliant taxpayers. IRS is now planning a new compliance study called the National Research Program (NRP). NRP is designed to review 49,000 individual tax returns randomly selected from the population of over 129 million. According to the NRP plan, IRS will review each sampled return to determine whether the taxpayer has complied with statutory income, expense, and tax reporting requirements. Unlike past compliance studies, not all of the reviews will include contacting taxpayers. Based on GAO's assessment of the NRP in light of government guidance on performance measurement and data reliability, research design guidelines, and IRS's goals for the program, NRP's design is likely to yield the sort of detailed …
Date:
June 27, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Purchase Cards: Control Weaknesses Leave Army Vulnerable to Fraud, Waste, and Abuse
A letter report issued by the General Accounting Office with an abstract that begins "The Army's purchase card program--the largest within the Defense Department--offers significant benefits, but weak internal controls have left the Army vulnerable to fraudulent, improper, and abusive purchases. The Army has yet to issue servicewide regulations or operating procedures, instead relying on ad hoc memoranda and other informal guidance. The Army also does a poor job of overseeing the purchase card program. The Army lacks the infrastructure--guidance and human capital--needed for effective program oversight. GAO identified several improper transactions involving clothing, food, and other items. GAO also identified improper purchases in which cardholders made a large number of purchases of similar items to circumvent the mandated limit of $2,500 for a single purchase."
Date:
June 27, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Medical Malpractice Insurance: Multiple Factors Have Contributed to Increased Premium Rates
A letter report issued by the General Accounting Office with an abstract that begins "Over the past several years, large increases in medical malpractice insurance premium rates have raised concerns that physicians will no longer be able to afford malpractice insurance and will be forced to curtail or discontinue providing certain services. Additionally, a lack of profitability has led some large insurers to stop selling medical malpractice insurance, furthering concerns that physicians will not be able to obtain coverage. To help Congress better understand the reasons behind the rate increases, GAO undertook a study to (1) describe the extent of the increases in medical malpractice insurance rates, (2) analyze the factors that contributed to those increases, and (3) identify changes in the medical malpractice insurance market that might make this period of rising premium rates different from previous such periods."
Date:
June 27, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Defense Inventory: Air Force Plans and Initiatives to Mitigate Spare Parts Shortages Need Better Implementation
A letter report issued by the General Accounting Office with an abstract that begins "Despite reporting $10.5 billion in appropriations spent on spare parts since fiscal year 2000, the Air Force continues to report shortages of spare parts. The service has taken numerous actions to address these shortages. GAO examined whether the Air Force's strategic plan addresses the mitigation of spare parts shortages, whether key initiatives are likely to mitigate the shortages, and the impact on readiness identified from increased investments for spare parts."
Date:
June 27, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Licensing Hydropower Projects: Better Time and Cost Data Needed to Reach Informed Decisions About Process Reforms
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."
Date:
June 27, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Nuclear Waste Cleanup: DOE's Cleanup Plan for the Paducah, Kentucky Site Faces Uncertainties and Excludes Costly Activities
Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Department of Energy's (DOE) efforts to clean up its Paducah, Kentucky, uranium enrichment plant, focusing on: (1) DOE's planned activities, cost, and schedule for cleaning up the site; (2) the challenges in accomplishing the cleanup plan; and (3) whether the cleanup plan includes all areas at the site requiring cleanup."
Date:
June 27, 2000
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Medical Devices: Reprocessing and Reuse of Devices Labeled Single-Use
Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the reprocessing and reuse of medical devices marketed for single use, focusing on: (1) the extent of single-use devices (SUD) reprocessing; (2) the health risks associated with SUD reprocessing; (3) the cost savings from SUD reprocessing; and (4) the Food and Drug Administration's (FDA) oversight of SUD reprocessing."
Date:
June 27, 2000
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Propane: Causes of Price Volatility, Potential Consumer Options, and Opportunities to Improve Consumer Information and Federal Oversight
A letter report issued by the General Accounting Office with an abstract that begins "More than 4.6 million residential households in the U.S., many with low incomes, rely on propane to heat their homes. Unfortunately, propane prices have been subject to major price spikes in two of the last three winters. Responding to congressional concern caused by these price spikes, GAO undertook a study to address the (1) factors that affect residential propane price volatility, (2) options available to propane consumers to mitigate price volatility, and (3) federal role in the propane market."
Date:
June 27, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Medicare Part D: Complaint Rates Are Declining, but Operational and Oversight Challenges Remain
A letter report issued by the Government Accountability Office with an abstract that begins "Medicare Part D coverage is provided through plan sponsors that contract with the Centers for Medicare & Medicaid Services (CMS). As of April 2008, about 26 million beneficiaries were enrolled in Part D. When beneficiaries encounter problems with Part D, they can either file a complaint with CMS or a grievance with their plan sponsors. CMS centrally tracks complaints data and plan sponsors must report summary data on grievances for each of their contracts. GAO provided information on (1) complaints and what they indicate about beneficiaries' experiences with Part D, (2) whether grievances data provide additional insight about beneficiaries' experiences, and (3) CMS's oversight of the complaints and grievances processes. To conduct its work, GAO reviewed CMS's complaints and grievances data and interviewed the plan sponsors of eight, judgmentally selected contracts, which accounted for 40 percent of 2006 enrollment."
Date:
June 27, 2008
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library