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 …

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)."

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."

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."

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 …

A letter report issued by the General Accounting Office with an abstract that begins "Through the impartial and independent investigation of citizens' complaints, federal ombudsmen provide the public with an informal and accessible avenue of redress. Ombudsmen help federal agencies be more responsive to persons who believe that their concerns have not been dealt with fully or fairly through normal problem-solving channels. A national hazardous waste ombudsman was established at the Environmental Protection Agency (EPA) in 1984. In recent years, that ombudsman has increasingly investigated citizen complaints referred by Members of Congress. As the number and significance of the ombudsman's investigations have increased, so have questions about the adequacy of available resources and whether other impediments exist to fulfilling the ombudsman's responsibilities. This report (1) compares the national ombudsman's operations with professional standards for independence and other factors and (2) determines the relative roles and responsibilities of EPA's national and regional ombudsmen. GAO found that key aspects of EPA's national hazardous waste ombudsman differ from professional standards for ombudsmen who deal with inquiries from the public. For example, an effective ombudsman must have independence from any person who may be the subject of a complaint or inquiry. However, EPA's national …

A letter report issued by the General Accounting Office with an abstract that begins "The North Atlantic Treaty Organization (NATO) alliance achieved the goals of Operation Allied Force--Yugoslavian forces were removed from Kosovo; refugees returned; and a peacekeeping force was put in place, with no allied combat fatalities. Through it all, the NATO allies stayed united and learned much about working together as a combat force. These achievements did not come easily, however, and the departures from accepted U.S. military doctrine were troubling for many U.S. military commanders and planners. The Department of Defense (DOD) has tried to address these and other issues by changing its doctrine. Nevertheless, GAO has two observations on the nature of conducting military operations in a multinational environment. First, the challenges of dealing with the constraints of working within a multinational environment may not be completely resolved through the development of new joint multinational operations doctrine and revisions to joint and service doctrine. These revisions to doctrine are likely to be unable to provide conclusive solutions to these issues because each multinational operation will differ according to the nations that participate and the extent of their interests. Second, future multinational operations, particularly those in which …

Correspondence issued by the General Accounting Office with an abstract that begins "The General Services Administration (GSA) began its Metropolitan Area Acquisition (MAA) program in 1997 to achieve immediate, substantial, and sustained price reductions for local voice and selected data communications services in selected metropolitan areas. As of June 2001, GSA has awarded 37 MAA contracts for 20 metropolitan areas. The transition from existing GSA contracts to the MAA contracts is still underway. This correspondence answers congressional questions about GAO's June 2001 testimony on MAA implementation issues."

A letter report issued by the General Accounting Office with an abstract that begins "During the last several years, senior Navy officials have testified before Congress on the effects of shortages in training resources on the readiness of aviation units. This report examines one of these resources--ordnance for air-to-ground training--to assess the potential for enhancing Navy and Marine Corps tactical aviation unit readiness by improving training ordnance management. The availability of Navy and Marine training ordnance depends on an accurate requirements determination process, a procurement program that supports identified needs, and an allocation process that puts the right amount of ordnance where it is needed for training. The Navy program has problems with all three of these elements. Neither the Navy nor Marine Corps provides request data that reflect the training needs identified in its training instruction. Although both services have linked their ordnance requirements to readiness in their training instructions, neither services' request indicates that its instruction serves as the basis for identifying its needs. GAO believes each service has the knowledge and ability to develop more accurate and justifiable training ordnance requirements. Training ordnance shortages limit the amount of training and exercises aircrews can carry out and reportedly …

A letter report issued by the General Accounting Office with an abstract that begins "The United Nations (U.N.) and its affiliated entities face the dual challenge of attracting and retaining staff who meet the highest standards of efficiency, competence, and integrity while maintaining the international character of the organizations by ensuring equitable geographic balance in the workforce. Nevertheless, U.N. organizations have made slow progress in addressing U.S. concerns about underrepresentation, and, except for the U.N. secretariat in New York, the organizations with representation targets that GAO studied have not achieved equitable employment of Americans since 1992. Although the U.N. organizations are ultimately responsible for achieving fair geographic balance among its member countries, the State Department, in coordination with other U.S. agencies, plays a role in ensuring that the United States is fairly represented. U.N. organizations have not fully developed long-range workforce planning strategies, and neither State nor the U.N. agencies have formal recruiting and hiring action plans to improve U.S. representation in the U.N. system. Without these measures, the United States' ability to even maintain the number of Americans employed in the United Nations could be hampered."

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) spent about $1.9 billion--or about 10 percent of its health care budget--to provide nursing home care to veterans in fiscal year 2000. VA will likely see increasing demand for nursing home care during the next decade. The number of veterans age 85 and older is expected to triple--from 422,000 veterans in 2000 to nearly 1.3 million in 2010. Among the very old, the prevalence of chronic health conditions and disabilities increases markedly. In addition, VA is required to provide long-term care to some veterans, which may further increase veterans' demand for nursing home care. Almost 73 percent of VA's nursing home care in fiscal year 2000 went to VA's 134 nursing homes; the rest went to state-owned and operated veterans' nursing homes (15 percent) or to community nursing homes under local or national contract to VA (12 percent). VA generally requires its medical center staff to conduct annual inspections of state veterans' homes and community nursing homes; it also requires monthly staff visits to veterans in community nursing homes. However, VA plans to change its oversight of community nursing homes, …

A letter report issued by the General Accounting Office with an abstract that begins "GAO reviewed grant monitoring and evaluation efforts by the U.S. Department of Justice's (DOJ) Office of Justice Program (OJP). This report discusses the monitoring of discretionary grants awarded by the Bureau of Justice Assistance's (BJA) Byrne Program and the Violence Against Women Office (VAWO) within OJP. In constant 2000 dollars, Byrne and VAWO discretionary grants grew about 85 percent--from $105 million to $194 million between fiscal years 1997 and 2000. These funds were awarded to state and local governments, either on a competitive basis or pursuant to legislation allocating funds through congressional earmarks. BJA and VAWO, together with OJP's Office of the Comptroller, are responsible for monitoring these grants to ensure they are implemented as intended, are responsive to grant goals and objectives, and comply with statutory regulations and policy guidelines. OJP's monitoring requirements include the development of monitoring plans that articulate who will conduct monitoring, the manner in which it will be done, and when and what type of monitoring activities are planned. Grant managers are to maintain documentation in grant files using such techniques as written reports of on-site reviews and telephone interview write-ups. …

A letter report issued by the General Accounting Office with an abstract that begins "GAO reviewed the following key outcomes in National Aeronautics and Space Administration's (NASA) fiscal year 2002 performance plan: expanding scientific knowledge of the Earth's system, expanding the commercial development of space, and deploying and operating the International Space Station. GAO found that NASA has improved its fiscal year 2002 performance plan and responded to recommendations by GAO and others to make its plan more useful--particularly by providing more comprehensive explanations of how it plans to verify and validate performance data and by better explaining how its performance goals will benefit the public. NASA's annual performance goals appear to be objective and should help to measure progress toward the outcomes. However, the plan still does not explain the reasons for changes in performance goals. Not having these explanations could hinder assessments of NASA's performance."

A letter report issued by the General Accounting Office with an abstract that begins "The Department of State is leading an interagency assessment of staffing needs in U.S. embassies and consulates to improve mission effectiveness and reduce security vulnerabilities and costs. This process, called "rightsizing," was begun in response to the recommendations of the Overseas Presence Advisory Panel. In the aftermath of the August 1998 bombings of U.S. embassies in Africa, the Panel determined that overseas staffing levels had not been adjusted to reflect changing missions and requirements; thus, some embassies and consulates were overstaffed, and others were understaffed. The Panel recommended a rightsizing strategy to improve security by reducing the number of embassy staff at risk. The Panel also recommended the establishment of a permanent committee to regularly adjust the U.S. presence, and the adoption of explicit criteria to guide decisions on the size and location of posts. A State-led interagency committee conducted pilot studies at six embassies in 2000 to (1) develop a methodology for assessing staffing at embassies and consulates during the next five years and (2) recommend adjustments to staffing levels at the embassies studied. The interagency committee formed teams that visited U.S. embassies in Amman, …

A letter report issued by the General Accounting Office with an abstract that begins "Concerns arose in the late 1990s about day trading, particularly the use of questionable advertising to attract customers without fully disclosing or by downplaying the risks involved. Concerns were also raised that traders were losing large amounts of money. Day traders as a group and day trading firms have continued to evolve and are generally more experienced and sophisticated about securities markets and investing than was the case several years ago. Likewise, day trading firms' operations have evolved, and many have shifted their primary focus away from retail customers and toward attracting institutional customers, such as hedge funds and money market managers. Furthermore, more firms are likely to engage in proprietary trading activities through professional traders that trade the firms' own capital. Finally, although the number of day trading firms appears to have remained constant, several day trading firms have been acquired by other brokerages and market participants whose customers want the direct access to securities markets and market information that technology used by day trading firms provides. Since GAO's 2000 review, the Securities and Exchange Commission and the self-regulatory organizations have addressed many of the …

A letter report issued by the General Accounting Office with an abstract that begins "The Securities and Exchange Commission (SEC) has indicated that one-third of Amex's new listings did not meet the exchange's equity listing standards. Amex's listing guidelines address factors that are the same or similar to those addressed by other U.S. stock markets. Quantitative requirements addressed share price, stockholders' equity, income, and market value of publicly held shares. However, the minimum thresholds for meeting these requirements varied to reflect the differences in the companies that each market targeted for listing. The most significant difference between Amex's guidelines and the listing standards of other U.S. stock markets was that Amex was one of only two markets that retained discretion to initially list companies that did not meet all of its quantitative requirements. Amex had not implemented the Office of Compliance Inspections and Examinations' (OCIE) recommendations on the exchange's discretionary listing decisions. OCIE officials told GAO that in the absence of an Amex agreement to address the recommendations, they would include them among the open significant recommendations to be reported to the SEC Commissioners as a result of a 1998 GAO recommendation. The Commission can require Amex to implement OCIE's …

Testimony issued by the General Accounting Office with an abstract that begins "Combating terrorism and ensuring homeland security have created urgent claims on the nation's attention and on the federal budget. Although an economic recovery seems to be underway, the recession that began last spring has had real consequences for the budget. At the same time, the fiscal pressures created by the retirement of the baby boomers and rising health care costs continue unchanged. However, the surpluses also put the nation in a stronger position to respond to the events of September 11 and to the economic slowdown. The nation's commitment to surpluses will be tested. A return to surplus will require sustained discipline and difficult choices. Because the longer-term outlook is driven in large part by known demographic trends, the outlook 20 years from now is surer than the forecast for the next few years. The message of GAO's updated simulations remains the same as last year: absent structural changes in entitlement programs for the elderly, persistent deficits and escalating debt will overwhelm the budget in the long term. Both longer-term and new commitments undertaken after September 11 sharpen the need for competing claims and new priorities. A fundamental …

A statement of record issued by the General Accounting Office with an abstract that begins "GAO studied several leading companies in the private sector that have made dramatic changes to their process for acquiring services. GAO found that these changes generally began with a corporate decision to pursue a more strategic approach to acquiring services--from developing a better picture of what the company was actually spending on services to developing new ways of doing business. The Defense Department (DOD), the government's largest purchaser of services, already has some elements in place that are essential to such a strategic approach, such as a commitment by top management to adopting best practices. However, DOD has yet to conduct a comprehensive analysis of its spending on services or thoroughly assess it's current structure, processes, and roles. DOD's size, the range and complexity of the services that it acquires, the capacity of its information and financial systems, and the unique requirements of the federal government are among the factors that DOD will need to consider as it tailors a strategic approach to its diverse needs."

A letter report issued by the General Accounting Office with an abstract that begins "This report presents the results of GAO's audits of the financial statements of the Internal Revenue Service (IRS) for fiscal years 2001 and 2000. GAO was able to provide unqualified opinions on IRS's fiscal years 2001 and 2000 financial statements because IRS senior management and staff made extraordinary efforts to compensate for serious internal control and systems deficiencies. Despite these efforts, IRS found it extremely difficult to meet the February 27 reporting deadline set by the Office of Management and Budget (OMB). OMB intends to significantly accelerate this deadline in the future. Beginning with fiscal year 2004, IRS will be required to issue its financial statements by November 15--only 6 weeks after the end of the fiscal year. Moreover, the Department of Treasury has established a goal of completing its fiscal year 2002 audit, including those of its component entities, and issuing its department wide accountability report by November 15, 2002. To meet this goal and sustain an unqualified opinion on its financial statements, IRS will need to make systemic changes in how it processes transactions, maintains its financial records, and reports its financial results. At …

Other written product issued by the General Accounting Office with an abstract that begins "GAO published its 2001 Performance and Accountability Report, which combines an assessment of its accomplishments in fiscal year 2001 with its plans for continued progress through fiscal year 2003. GAO noted that (1) its financial reporting is reliable, (2) GAO is in compliance with all applicable laws and regulations, and (3) its performance reporting is reliable."

A letter report issued by the General Accounting Office with an abstract that begins "Unlike other federal programs that make expenditures under the direct control of the government, Medicare constitutes a promise to pay for covered medical services provided to its beneficiaries by about one million providers. Given this open-ended entitlement, it is essential that appropriate and effective rules and policies be specified so that only necessary services are provided and reimbursed. Congress and the Centers for Medicare and Medicaid Services (CMS) have promulgated an extensive body of statutes, regulations, policies, and procedures on what shall be paid for and under what circumstances. Information that carriers give to physicians is often difficult to use, out of date, inaccurate, and incomplete. Medicare bulletins that carriers use to communicate with physicians are often poorly organized and contain dense legal language. Similarly, other means of communicating with physicians, such as toll-free provider assistance lines and websites, have problems with accuracy and completeness. Although all carriers issue bulletins, operate call centers, and maintain websites, each carrier develops its own communications policies and strategies. This approach results in a duplication of effort as well as variations in the quality of carrier communications. CMS provides little …

Testimony issued by the General Accounting Office with an abstract that begins "The collapse of the Enron Corporation and the resulting loss of employee retirement savings highlighted several key vulnerabilities in the nation's private pension system. Asset diversification was a crucial lesson, especially for defined contribution plans, in which employees bear the investment risk. The Enron case underscores the importance of encouraging employees to diversify. Workers need clear and understandable information about their pension plans to make sound decisions on retirement savings. Although disclosure rules require plan sponsors to provide participants with a summary of their plan benefits and rights and to notify them when benefits are changed, this information is not always clear, particularly in the case of complex plans like floor-offset arrangements. Employees, like other investors, also need reliable and understandable information on a company's financial condition and prospects. Fiduciary standards form the cornerstone of private pension protections. These standards require plan sponsors to act solely in the interest of plan participants and beneficiaries. The Enron investigations should determine whether plan fiduciaries acted in accordance with their responsibilities."

Correspondence issued by the General Accounting Office with an abstract that begins "Fugitive felons are ineligible for Supplemental Security Income (SSI) benefits. The Social Security Administration (SSA) will, upon request, provide law enforcement agencies with the current addresses and Social Security numbers of fugitive felons who are SSI recipients. The Privacy Act of 1974 generally prohibits federal agencies from disclosing to anyone, including other government agencies, information they have on file on individuals. When the head of a law enforcement agency asks SSA for information on an individual as part of civil or criminal investigations, SSA has the authority under the Privacy Act to disclose this information but is not required to do so. The Social Security Act does not give SSA the authority to determine if individuals are ineligible for Old Age and Survivors Insurance and Disability Insurance benefits because they are fugitive felons."