A letter report issued by the Government Accountability Office with an abstract that begins "As a condition of receiving federal funding for elementary and secondary education programs, states each year provide vast amounts of data to Education. While the need for information that informs evaluation is important (particularly with the No Child Left Behind Act), Education's data gathering has heretofore presented some problems. It has been burdensome to states because there are multiple and redundant requests administered by a number of offices. In addition, the resulting data supplied by states has not been accurate, timely, or conducive to assessing program performance. To improve the information by which it evaluates such programs and also to ease states' reporting burden, Education in 2002 initiated an ambitious, multiyear plan to consolidate elementary and secondary data collections into a single, department-wide system focused on performance. Given its importance, we prepared a study, under the authority of the Comptroller General, to provide Congress with information on its progress."

A letter report issued by the Government Accountability Office with an abstract that begins "In May 2001, the Equal Employment Opportunity Commission (EEOC) and other federal agencies were directed by the Office of Management and Budget (OMB) to prepare restructuring plans to make government more responsive to citizens' needs. By June 2001, agencies were to submit a workforce analysis to OMB that would include, for example, demographic information on the agency's employees and would serve as the baseline for agency-specific restructuring plans. Agencies were to submit restructuring plans to OMB with fiscal year 2003 budget submissions and annual performance plans. These submissions were due to OMB September 2001. OMB's directive required agencies with more than 100 full-time employees to develop restructuring plans with the goal of flattening the federal hierarchy. The OMB directive stated that plans should describe the specific activities and actions each agency planned to take, associated resources, expected outcomes, and tools to measure performance. In order to ascertain what progress EEOC has made in reorganizing its operations, we determined (1) whether EEOC implemented OMB's directive to develop a restructuring plan and (2) what actions EEOC is taking to restructure and make its operations more efficient and effective."

A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2004 federal spending on service contracts grew to over $189 billion governmentwide. This growth, along with cuts in the acquisition workforce and increases in high-dollar procurement actions, creates a challenging environment. In November 2003 the Services Acquisition Reform Act (SARA) was enacted to provide federal agencies with tools to optimize mission performance in this challenging environment. To implement the act, regulations and guidance must be developed, and other actions taken. GAO was asked to report on progress in implementing SARA's provisions."

Testimony issued by the Government Accountability Office with an abstract that begins "Since it was established in 1982, GAO has consistently reported on the success of the Small Business Innovation Research (SBIR) program in benefiting small, innovative companies, strengthening their role in federal research and development (R&D), and helping federal agencies achieve their R&D goals. However, through these reviews GAO has also identified areas where action by participating agencies or the Congress could build on the program's successes and improve its operations. This statement for the record summarizes the program's successes and improvements over time, as well as the continuing challenge of assessing the long term results of the program."

A letter report issued by the Government Accountability Office with an abstract that begins "To assist the Congress in its oversight role, GAO is undertaking a series of reviews on the costs of operations in support of the Global War on Terrorism (GWOT). In related work, GAO is raising concerns about the reliability of the Department of Defense's (DOD) reported cost data and therefore is unable to ensure that DOD's reported obligations for GWOT are complete, reliable, and accurate. In this report, GAO (1) identified funding for GWOT in fiscal years 2004 and 2005, (2) compared supplemental appropriations for GWOT in fiscal year 2004 to the military services' reported obligations, and (3) compared supplemental appropriations for GWOT in fiscal year 2005 to the military services' projected obligations."

Testimony issued by the Government Accountability Office with an abstract that begins "The trend toward globalization has intensified the debate about the proper role of business and government in global "corporate social responsibility" (CSR), which involves business efforts to address the social and environmental concerns associated with business operations. The growth in global trade and the dramatic increase in foreign direct investment in developing countries raise questions regarding CSR-related issues such as labor, environment, and human rights. U.S. firms with operations in many countries employ millions of foreign workers and conduct a range of CSR activities to address these issues. However, there is controversy as to the proper government role. GAO describes (1) federal agency policies and programs relating to global CSR and (2) different perspectives regarding the appropriate U.S. government role in corporate global CSR efforts."

A letter report issued by the Government Accountability Office with an abstract that begins "The Environmental Protection Agency's (EPA) Superfund and Resource Conservation and Recovery Act (RCRA) programs were established to clean up hazardous waste sites. Because some sites cannot be cleaned up to allow unrestricted use, institutional controls--legal or administrative restrictions on land or resource use to protect against exposure to the residual contamination--are placed on them. GAO was asked to review the extent to which (1) institutional controls are used at Superfund and RCRA sites and (2) EPA ensures that these controls are implemented, monitored, and enforced. GAO also reviewed EPA's challenges in implementing control tracking systems. To address these issues, GAO examined the use, implementation, monitoring, and enforcement of controls at a sample of 268 sites."

A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2004, Congress appropriated $6.8 billion to serve 919,000 poor children through 1,680 Head Start grantees nationwide. Recent reports of financial improprieties at a number of Head Start programs raised questions about the effectiveness of the oversight by the Department of Health and Human Services' (HHS) Administration for Children and Families (ACF) in identifying and resolving financial management weaknesses in Head Start grantees. In this report, GAO provides information on whether (1) ACF can consistently identify financial management weaknesses, if any, in Head Start grantees and (2) ACF ensures that grantees effectively resolve any problems, in a timely manner, when detected."

Testimony issued by the Government Accountability Office with an abstract that begins "Hurricane Katrina will have an enormous impact on people and the economy of the United States. The hurricane affected over a half million people located in Louisiana, Mississippi, and Alabama and has resulted in one of the largest natural disaster relief and recovery operations in United States history. In terms of public health, standing water and high temperatures have created a breeding ground for disease, and public health advisories have warned about the spread of disease in the affected areas. Hurricane Katrina also resulted in environmental challenges, such as water and sediment contamination from toxic materials released into the floodwaters. In addition, our nation's energy infrastructure was hard hit; it affected 21 refineries. In terms of telecommunications, Hurricane Katrina knocked out radio and television stations, more than 3 million customer phone lines, and more than a thousand cell phone sites. GAO prepared this testimony to highlight past work on government programs related to Hurricane Katrina and other natural disasters, and to provide information on plans and coordination among the accountability community--GAO, the Inspectors General, and other auditors at the state and local level."

A letter report issued by the Government Accountability Office with an abstract that begins "To carry out its mission of ensuring health care security for beneficiaries, the Centers for Medicare & Medicaid Services (CMS) relies heavily on information technology (IT) systems. In fiscal year 2005, CMS's total IT appropriations was about $2.55 billion, of which about $760 million, or 30 percent, was to support internal investments, and $1.79 billion was to fund the Medicaid Management Information Systems (MMIS) that states use to support their Medicaid programs. (GAO is using the term "internal" to refer to all of CMS' IT investments excluding state MMISs.) In light of the size and significance of these investments, GAO's objectives were to (1) evaluate CMS's capabilities for managing its internal investments, (2) determine any plans the agency might have for improving these capabilities, and (3) examine CMS's process for approving and monitoring state MMISs."

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Health and Human Services (HHS) is one of the largest federal agencies, the nation's largest health insurer, and the largest grant- making agency in the federal government. The department manages over 300 programs that serve to improve the health and well-being of the American public and is comprised of several component agencies covering a wide range of activities including conducting and sponsoring medical and social science research, guarding against the outbreak of infectious diseases, assuring the safety of food and drugs, and providing health care services and insurance. It also manages and funds a variety of information technology (IT) initiatives ranging from those facilitating the payment of claims for Medicare and Medicaid services to those supporting health surveillance and communications. In fiscal year 2006, the department plans to spend over $5 billion on information technology--the third largest IT expenditure in the federal budget. As we agreed with Congress, our objectives were to (1) assess the department's capabilities for managing its IT investments and (2)determine any plans the department might have for improving those capabilities. To address these objectives, we analyzed documents and interviewed …

A letter report issued by the Government Accountability Office with an abstract that begins "Drought conditions along the Oregon and California border since 2000 have made it difficult for the Bureau of Reclamation (Reclamation) to meet Klamath Project irrigation demands and Klamath River flow requirements for threatened salmon. To augment river flows and avoid jeopardizing the salmon's existence, Reclamation established a multiyear water bank as part of its Klamath Project operations for 2002 through 2011. Water banks facilitate the transfer of water entitlements between users. This report addresses (1) how Reclamation operated the water bank and its cost from 2002 through 2004, (2) whether Reclamation met its annual water bank obligations each year, (3) the water bank's impact on water availability and use in the Klamath River Basin, and (4) alternative approaches for achieving the water bank's objectives."

Testimony issued by the Government Accountability Office with an abstract that begins "In recent years, the Washington Metropolitan Area Transit Authority (WMATA) has faced serious financial and budgetary problems as well as continuing challenges related to the safety and reliability of its transit services. At the same time, ridership is at an all-time high, and WMATA continues to provide critical services and considerable benefits to the Washington region and to the federal government. This statement discusses (1) WMATA's responsibilities for serving the interests of the federal government, including the agency's role in transporting federal employees and visitors to the nation's capital and in supporting homeland security for the Washington metropolitan region; (2) the current funding challenges facing WMATA and the options proposed to address these challenges; (3) preliminary information on some of the entities that currently provide oversight of WMATA and the focus of their recent reviews; and (4) some considerations and options in instituting spending safeguards and oversight of any additional federal assistance provided to WMATA, should Congress decide to provide such assistance. GAO discussed this testimony with WMATA and FTA officials, who provided comments and additional information that GAO incorporated as appropriate."

A letter report issued by the Government Accountability Office with an abstract that begins "Medicaid--the federal-state health care financing program covering nearly 54 million low-income people at a cost of $276 billion in fiscal year 2003--is by its size and structure at risk of waste and exploitation. Because of challenges inherent in overseeing the program, administered federally by the Centers for Medicare & Medicaid Services (CMS), GAO in 2003 added Medicaid to its list of high-risk federal programs. To help administer the program, states may employ consultants in a number of roles, sometimes under contracts whereby payment is contingent upon the consultant's performance. GAO was asked to report on states' use of contingency-fee consultants. GAO examined the extent to which (1) states are using contingency-fee consultants for projects to maximize federal Medicaid reimbursements, (2) claims from contingency-fee projects in selected states are consistent with federal law and policy, and (3) states and CMS are overseeing claims from such projects."

Testimony issued by the Government Accountability Office with an abstract that begins "Today's hearing addresses fraud and abuse control in Medicaid, a program that provides health care coverage for eligible low-income individuals and is jointly financed by the federal government and the states. In fiscal year 2003, Medicaid covered nearly 54 million people and the program's benefit payments totaled roughly $261 billion, of which the federal share was about $153 billion. States are primarily responsible for ensuring appropriate payments to Medicaid providers through provider enrollment screening, claims review, overpayment recoveries, and case referrals. At the federal level, the Centers for Medicare & Medicaid Services (CMS) is responsible for supporting and overseeing state fraud and abuse control activities. Last year, GAO reported that CMS had initiatives to assist states, but the dollar and staff resources allocated to oversight suggested that CMS's level of effort was disproportionately small relative to the risk of federal financial loss. Concerned about the stewardship of federal Medicaid funds, Congress has raised questions about CMS's commitment to Medicaid fraud and abuse control. This statement focuses on (1) the level of resources CMS currently applies to helping states prevent and detect fraud and abuse in the Medicaid program …

Testimony issued by the Government Accountability Office with an abstract that begins "Medicaid--the federal-state health care financing program covering almost 54 million low-income people at a cost of $276 billion in fiscal year 2003--is by its size and structure at significant risk of waste and exploitation. Because of challenges inherent in overseeing the program, which is administered federally by the Centers for Medicare & Medicaid Services (CMS), GAO added Medicaid to its list of high-risk federal programs in 2003. Over the years, states have found various ways to maximize federal Medicaid reimbursements, sometimes using consultants paid a contingency fee to help them do so. From earlier work and a report issued today (GAO-05-748), GAO's testimony addresses (1) how some states have inappropriately increased federal reimbursements; (2) some ways states have increased federal reimbursements for school-based Medicaid services and administrative costs; and (3) how states are using contingency-fee consultants to maximize federal Medicaid reimbursements and how CMS is overseeing states' efforts."

A letter report issued by the Government Accountability Office with an abstract that begins "In 2003, the National Aeronautics and Space Administration (NASA) initiated the Prometheus 1 project to explore the outer reaches of the Solar System. The Prometheus 1 spacecraft is being designed to harness nuclear energy that will increase available electrical power from about 1,000 watts to over 100,000 watts and enable the use of electric propulsion thrusters. Historically, NASA has had difficulty implementing some initiatives. NASA's failure to adequately define requirements and quantify the resources needed to meet those requirements has resulted in some projects costing more, taking longer, and achieving less than originally planned. Prometheus 1 will need to compete for NASA resources with other space missions--including efforts to return the shuttle safely to flight and complete the International Space Station. GAO was asked to determine (1) whether NASA is establishing initial justification for its investment in the Prometheus 1 project and (2) how the agency plans to ensure that critical technologies will be sufficiently mature at key milestones."

Correspondence issued by the Government Accountability Office with an abstract that begins "In July 2005, we issued a report entitled No Child Left Behind Act: Most Students with Disabilities Participated in Statewide Assessments, but Inclusion Options Could Be Improved (GAO-05-618) in response to a Congressional request for information about inclusion of students with disabilities in the statewide assessments. We found that most states were including these students in the assessments. In addition, we reviewed the National Assessment of Education Progress (NAEP) data to determine the extent to which students with disabilities were included in this assessment. Also called "The Nation's Report Card," the NAEP has been used to track trends in student achievement over time or to compare student performance in a particular state with the national average. With the assistance of Department of Education (Education) officials, we interpreted that in 2002 five percent of students with disabilities were excluded from the NAEP reading assessment."

A letter report issued by the Government Accountability Office with an abstract that begins "Since 1998, GAO has issued numerous reports on nursing home quality and safety that identified significant weaknesses in federal and state oversight. Under contract with the Centers for Medicare & Medicaid Services (CMS), states conduct annual nursing home inspections, known as surveys, to assess compliance with federal quality and safety requirements. States also investigate complaints filed by family members or others in between annual surveys. When state surveys find serious deficiencies, CMS may impose sanctions to encourage compliance with federal requirements. GAO was asked to assess CMS's progress since 1998 in addressing oversight weaknesses. GAO (1) reviewed the trends in nursing home quality from 1999 through January 2005, (2) evaluated the extent to which CMS's initiatives have addressed survey and oversight problems identified by GAO and CMS, and (3) identified key challenges to continued progress in ensuring resident health and safety. GAO reviewed federal data on the results of state nursing home surveys and federal surveys assessing state performance; conducted additional analyses in five states with large numbers of nursing homes; reviewed the status of its prior recommendations; and identified key workforce and workload issues confronting …

A letter report issued by the Government Accountability Office with an abstract that begins "The Office of Personnel Management (OPM) manages the systems that process retirement benefits for most federal civilian employees. In fiscal year 2003, over 198,000 claims were processed and over $50 billion in benefits was paid through OPM's retirement systems. OPM is trying to modernize these systems through a program called Retirement Systems Modernization (RSM). The conference report accompanying the fiscal year 2004 OPM appropriations act directed us to review the management of and challenges facing RSM. Specifically, our objectives were to determine (1) the current status of and plans for OPM's RSM program and (2) the challenges OPM faces in successfully managing the program."

A letter report issued by the Government Accountability Office with an abstract that begins "Much attention has focused on the "offshoring" of services to lower-wage locations abroad. Offshoring generally refers to an organization's purchase of goods or services from abroad that were previously produced domestically. Extensive public debate has arisen about both the potential benefits of services offshoring, such as lower consumer prices and higher U.S. productivity, as well as the potential costs, such as increased job displacement for selected U.S. workers. In response to widespread congressional interest, GAO conducted work under the Comptroller General's authority to help policy makers better understand the potential impacts and policy implications of services offshoring. This report: (1) provides an overview of experts' views on the potential impacts of services offshoring, (2) describes the types of policies that have been proposed in response to offshoring, and (3) highlights some key areas where additional research might help advance the debate about offshoring. In its comments, the Department of Commerce generally agreed with the findings of this report. Commerce, Treasury, and the Office of the United States Trade Representative also provided technical comments that have been incorporated as appropriate."

A letter report issued by the Government Accountability Office with an abstract that begins "GAO was asked to examine (1) the Office of Management and Budget's (OMB) and agency perspectives on the effects that the Program Assessment Rating Tool (PART) recommendations are having on agency operations and program results; (2) OMB's leadership in ensuring a complementary relationship between the PART and the Government Performance and Results Act of 1993 (GPRA); and (3) steps OMB has taken to involve Congress in the PART process. To do this, we also followed up on issues raised in our January 2004 report on the PART."

A letter report issued by the Government Accountability Office with an abstract that begins "With a number of challenges facing the nation--including a long-term fiscal imbalance--agencies need to maximize their performance and leverage available resources and authorities to achieve maximum value while managing risk. Examining state efforts to increase the focus on performance and their experiences in responding to recent fiscal stress can offer insights into practices that may assist federal decision makers in addressing the challenges ahead. GAO described for five selected states--Arizona, Maryland, Texas, Virginia, and Washington--legislators' use of performance information in budget deliberations, how performance information helped to inform choices during fiscal stress, challenges these states face in implementing and sustaining their efforts, and the potential for state experiences to inform initiatives to improve the use of performance information at the federal level. Among other factors, these states were selected because they have established histories of performance budgeting efforts and represent a variety of approaches to implementing those efforts."

A letter report issued by the Government Accountability Office with an abstract that begins "The Office of Management and Budget (OMB) designed the Program Assessment Rating Tool (PART) as a diagnostic tool to draw on program performance and evaluation information for forming conclusions about program benefits and recommending adjustments to improve results. To assess progress in improving the evidence base for PART assessments, GAO was requested to examine (1) agencies' progress in responding to OMB's recommendations to evaluate programs, (2) factors facilitating or impeding agencies' progress, and (3) whether agencies' evaluations appear to be designed to yield the information on program results that OMB expects."