Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the federal government's strategic human capital management challenges, particularly in the information technology (IT) area. No management issue facing federal agencies could be more critical to the nation than their approach to attracting, retaining, and motivating people. Having enough people with the right mix of knowledge and skills will make the difference between success and failure. This is especially true in the information technology area, where widespread shortfalls in human capital have undermined agency and program performance. The federal government today faces pervasive human capital challenges that are eroding the ability of many agencies--and threatening the ability of others--to economically, efficiently, and effectively carry out their missions. How successfully the federal government acquires and uses information technology will depend on its ability to build, prepare, and manage its information technology workforce. To address the federal government's human capital challenges as a whole, GAO believes that (1) agencies must take all administrative steps available to them under current laws and regulations to manage their people for results; (2) the Administration and Congress should pursue opportunities to put new tools and flexibilities in place that will help …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the security protection of executive branch officials in fiscal years 1997 through 1999, focusing on: (1) how many federal government officials were protected, who protected them, and how many security personnel protected them; (2) how much did it cost to protect these officials; (3) under what legal authorities were agencies providing security protection; (4) under what circumstances were officials protected; (5) how agencies were preparing threat assessments, and the implications of standardizing and centralizing threat assessments; (6) what training did protective personnel receive, and what are the implications of standardizing and centralizing security protection training; (7) what are the implications of centralizing protection services under one agency; and (8) what are the views of the protected officials regarding the need for and adequacy of their protection."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the utilization of health care assets owned by the Department of Veterans' Affairs and operated by the Veterans Health Administration (VHA), focusing on: (1) VHA's hospital utilization; and (2) efforts to implement an asset realignment process."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the progress being made in addressing the year 2000 computing challenge, focusing on: (1) the federal government's progress and the challenges that remain in correcting its systems; (2) state and local government year 2000 issues; and (3) the readiness of key public infrastructure and economic sectors."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the impact of crime and corruption on the implementation of the Dayton Peace Agreement, focusing on: (1) how organized crime and public sector corruption have affected implementation of the agreement in Bosnia; (2) what the international community has done to improve Bosnia's law enforcement and judicial system and reduce corruption; and (3) how international assistance resources are being safeguarded and whether such assistance is being used by Bosnia in place of domestic revenues lost due to crime and corruption."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the management and program challenges facing the Immigration and Naturalization Service (INS)."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the proposal to amend the 1988 and 1990 base closure laws, focusing on the: (1) likelihood that the proposed legislation would expedite the property transfer process; and (2) expected financial consequences to the Department of Defense (DOD)."

Testimony issued by the General Accounting Office with an abstract that begins "The transportation sector accounts for roughly two thirds of the nation's petroleum consumption and one quarter of the total U.S. energy use. Several steps have been taken during the last 25 years either to reduce petroleum consumption or to increase fuel diversity in the transportation sector, including tax incentives, mandates for alternative fuel vehicles, and laws to promote automobile fuel efficiency. This testimony discusses the extent of alternative fuel vehicle acquisition and fuel use, some of the barriers inhibiting greater use of alternative fuels and vehicles, and the federal tax incentives used to promote the use of alternative motor fuels and vehicles. So far, alternative fuels and vehicles have not made much of a dent in the conventional fuel and vehicle dominance of the U.S. vehicle fleet, primarily because of fundamental economic obstacles, such as the relatively low price of oil, insufficient availability of alternative fuel refueling infrastructure, and the relatively high cost of some alternative fuel vehicles. As GAO reported in February 2000 (RCED-00-59), any significant increase in the use of alternative motor fuels and vehicles by the general public will depend on the following two factors: …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the progress being made in addressing the year 2000 computing challenge, focusing on: (1) the federal government's progress and the challenges that remain in correcting its systems; (2) state and local government year 2000 issues; and (3) the readiness of key public infrastructure and economic sectors."

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses federal agency processes for approval of state information technology (IT) projects supporting state-administered federal human services programs. Federal approval and funding processes for state IT development and acquisition projects for the Child Support Enforcement, Child Welfare, and Food Stamps programs require the establishment of federal funding participation rates, the documentation that states must submit, and the time frames in which the federal agency must respond to the request. Assessment of the federal approval and funding process requires complete and reliable data that track a request from agency receipt until the agency finally approves or disapproves the request. However, such information is not readily available and the process cannot be thoroughly assessed because (1) the system used by the Administration for Children and Families (ACF) and The Centers for Medicare and Medicaid Services (CMS) headquarters to manage the approval process does not track the life cycle of a request and (2) the Department of Agriculture's Food and Nutrition Services (FNS) and CMS regional offices do not have a central tracking system. However, in a vast majority of cases, agencies responded to states' IT planning and acquisition …

Testimony issued by the General Accounting Office with an abstract that begins "The challenges posed by homeland security exceed the capacity and authority of any one level of government. Protecting the nation against these threats calls for a truly integrated approach, bringing together the resources of all levels of government. The proposed Department of Homeland Security will have a central role in efforts to enhance homeland security. The proposed consolidation of homeland security programs has the potential to reduce fragmentation, improve coordination, and clarify roles and responsibilities. However, formation of a department should not be considered a replacement for the timely issuance of a national homeland security strategy to guide implementation of the complex mission of the department. Appropriate roles and responsibilities within and between the government and private sector need to be clarified. New threats are prompting a reassessment and shifting of long-standing roles and responsibilities, but these shifts are being considered on a piecemeal and ad hoc basis without benefit of an overarching framework and criteria. A national strategy could provide guidance by more systematically identifying the unique capacities and resources at each level of government to enhance homeland security and by providing increased accountability within the intergovernmental …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) efforts to improve the measurement of improper payments in the Medicare fee-for-service program."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Government Performance and Results Act (GPRA) of 1993, focusing on: (1) how the present phase of GPRA implementation will assist Congressional oversight and decisionmaking; and (2) the steps needed to maximize the usefulness of GPRA for Congress and the executive branch."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed: (1) the budget structure and current budgetary control regime; (2) the budget outlook, discretionary caps, and enforcement situation as the United States enters an era of projected unified budget surpluses; (3) potential implications of guaranteeing minimum spending levels on the discretionary side of the budget; and (4) the pay-as-you-go (PAYGO) side of the equation: (a) permanent appropriations; (b) mandatory trust funds; and (c) mandatory special funds."

Testimony issued by the General Accounting Office with an abstract that begins "Congress faces critical decisions about the future of the National Railroad Passenger Corporation (Amtrak) and intercity passenger rail. In GAO's view, the goal of a national system, much like Amtrak's current system, and the goal of operational self-sufficiency appear to be incompatible. In fact, Amtrak was created because other railroads were unable to profitably provide passenger service. In addition, Amtrak needs more capital funding than has been historically provided in order to operate a safe, reliable system that can attract and retain customers. Developing a high-speed rail system is also costly, requiring additional tens of billions of dollars. If intercity passenger rail is to have a future in the nation's transportation system, Congress needs realistic assessments of the expected public benefits and the resulting costs of these investments as compared with investments in other modes of transportation. Such analyses would provide sound bases for congressional action in defining the national goals that will be pursued, the extent that Amtrak and other intercity passenger rail systems can contribute to meeting these goals, and whether federal and state money would be available to sustain such systems over the long term."

Testimony issued by the General Accounting Office with an abstract that begins "In fiscal year 2000, Medicare made more than $200 billion in payments to hundreds of thousands of health care providers who served nearly 40 million beneficiaries. Because of the program's vast size and complexity, GAO has included Medicare on its list of government areas at high risk for waste, fraud, abuse, and mismanagement. GAO first included Medicare on that list in 1990, and it remains there today. GAO has continually reported on the efforts of the Health Care Financing Administration -- recently renamed the Centers for Medicare and Medicaid Services (CMS) -- to safeguard Medicare payments and streamline operations. CMS relies on its claims administration contractors to run Medicare. As these contractors have become more aggressive in identifying and pursuing inappropriate payments, providers have expressed concern that Medicare has become to complex and difficult to navigate. CMS's oversight of its contractors has historically been weak. In the last two years, however, CMS has made substantial progress. GAO has identified several areas in which CMS still need improvement, especially in ensuring that contractors provide accurate, complete, and timely information to providers on Medicare billing rules and coverage policies."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the results of its review of the Drug Enforcement Administration's (DEA) strategies and operations in the 1990s, focusing on: (1) the major enforcement strategies, programs, initiatives, and approaches DEA has implemented in the 1990s to carry out its mission; and (2) whether DEA's strategic goals and objectives, programs and initiatives, and performance measures are consistent with the Office of National Drug Control Policy's National Drug Control Strategy."

Testimony issued by the General Accounting Office with an abstract that begins "The challenges posed by homeland security exceed the capacity and authority of any one level of government. Protecting the nation against these threats calls for a truly integrated approach, bringing together the resources of all levels of government. The proposed Department of Homeland Security will have a central role in efforts to enhance homeland security. The proposed consolidation of homeland security programs has the potential to reduce fragmentation, improve coordination, and clarify roles and responsibilities. However, formation of a department should not be considered a replacement for the timely issuance of a national homeland security strategy to guide implementation of the complex mission of the department. Appropriate roles and responsibilities within and between the government and private sector need to be clarified. New threats are prompting a reassessment and shifting of long-standing roles and responsibilities, but these shifts are being considered on a piecemeal and ad hoc basis without benefit of an overarching framework and criteria. A national strategy could provide guidance by more systematically identifying the unique capacities and resources at each level of government to enhance homeland security and by providing increased accountability within the intergovernmental …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Veterans' Employment and Training Service (VETS) and its planning activities under the Government Performance and Results Act of 1993, focusing on: (1) VETS' strategic plan for fiscal years (FY) 1999 through 2004; and (2) VETS' FY 2000 performance plan."

Testimony issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) and the Department of Defense (DOD) pharmacy expenditures have risen significantly, reflecting national trends. The increase in pharmacy costs would have been even greater if not for the efforts taken by VA and DOD. GAO identified four important factors that have contributed to reduced pharmacy spending by VA and DOD. First, the two departments have used formularies to encourage the substitution of a lower-cost drug that is determined to be just as effective as a higher-cost drug. Second, VA and DOD have been able to effectively employ different arrangements to pay for or purchase prescription drugs at substantial discounts. Third, VA has significantly reduced the cost of dispensing prescription refills by using highly automated and less expensive consolidated mail outpatient pharmacy (CMOP) centers to handle a majority of the pharmacy workload instead of VA hospital and clinic pharmacies. Fourth, VA and DOD have reduced costs by leveraging their combined purchasing power by jointly buying prescription drugs. Nevertheless, one of the most important challenges is the joint procurement of brand name drugs. Although brand name drugs account for the bulk of prescription drug …

Testimony issued by the General Accounting Office with an abstract that begins "Consumer complaints against household good carriers have soared in the last five years, yet the Department of Transportation (DOT) has done little to oversee the industry. Although DOT does not collect nationwide information on consumer complaints against household good movers, it estimates that it receives about 4,000 complaints each year. Consumer protection in the interstate household goods moving industry is a relatively low priority for DOT compared with its primary mission of promoting motor carrier safety. The Federal Motor Carrier Safety Administration (FMCSA) has fallen behind in its recent efforts to improve industry oversight and consumer protection. FMCSA has failed to meet the milestones for completing many of its efforts and has extended its deadlines by as much as a year. In addition, DOT has not completed a study on the effectiveness of arbitration as a way to settle household goods disputes, even though the law mandated that the study be completed by 1997. DOT now plans to conduct the study between 2003 and 2005. This testimony summarizes a March report (GAO-01-318)."

Testimony issued by the General Accounting Office with an abstract that begins "The United States entered into the Compact of Free Association with the Federated States of Micronesia (FSM) and the Republic of the Marshall Islands (RMI) In 1986. The Compact has provided U.S. assistance to the FSM and the RMI in the form of direct funding as well as federal services and programs. The Compact allows for migration from both countries to the United States and established U.S. defense rights and obligations in the region. Provisions of the Compact that deal with economic assistance were scheduled to expire in 2001; however, they will remain in effect for up to 2 additional years while the affected provisions are renegotiated. Current U.S. proposals to the FSM and the RMI to renew expiring assistance would require Congress to approve $3.4 billion in new authorizations. The proposals would provide decreasing levels of annual grant assistance over a 20-year term. Simultaneously, the proposals would require building up a trust fund for each country with earnings that would replace grants once those grants expire. The U.S. proposals include strengthened accountability measures, though details of some key measures remain unknown. The proposals have addressed many, but …

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the Department of Energy's (DOE) plan for external regulation of nuclear and worker safety at its facilities. DOE's position remains essentially unchanged since the 1999 congressional hearing, when the department decided not to move forward on external regulation until cost uncertainties and implementation issues were resolved. Past regulatory simulations and ongoing work by DOE and its potential regulators indicate that the external regulation of the science laboratories would not require prohibitively expensive facility upgrades to be licensable. Further, much of the expected "costs" would likely involve bringing facilities into compliance with DOE's own safety standards. DOE's response to the conference report directive is not a detailed implementation plan. Rather, it is a restatement of its previously stated call for further cost and benefit analyses before making a final decision on accepting external regulation."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the President's recent proposal to reform Medicare."