Testimony issued by the General Accounting Office with an abstract that begins "Medicare provides valuable and extensive health care coverage for 40 million elderly and disabled beneficiaries. Nevertheless, significant gaps leave some beneficiaries vulnerable to sizeable out-of-pocket expenses. Medicare provides no limit on out-of-pocket spending and no coverage for most outpatient prescription drugs. Most beneficiaries have supplemental coverage that helps to fill Medicare coverage gaps and pay some out-of-pocket expenses. Privately purchased Medigap policies are a widely available source of supplemental coverage. The other sources--employer-sponsored policies, Medicare + Choice plans, and Medicaid--are not available to all beneficiaries. Medigap policies help to fill in some of Medicare's gaps but also have shortcomings. In 1999, premiums paid for Medigap policies averaged $1,300, with more than 20 percent going to administrative costs. Medigap plans typically cover Medicare's required deductibles, coinsurance, and copayments but do not fully protect beneficiaries from potentially significant out-of-pocket costs. Medigap policies offering prescription drug coverage can be inadequate because beneficiaries still pay most of the cost and the Medigap benefit is capped."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed its recent reports on the status of key census taking operations, focusing on such essential activities as: (1) outreach and promotion; (2) field follow-up operations; and (3) data capture."

Testimony issued by the General Accounting Office with an abstract that begins "The Peruvian government has acted decisively to address the serious problems that affected last year's elections. President Paniagua's administration has committed itself to ensuring the neutrality of the government and the armed forces during the upcoming elections, including prohibiting the use of government resources for political purposes. Also, the government has named new leaders to two electoral agencies--those responsible for overseeing and implementing the elections--and these leaders have emphasized their full commitment to conducting free and fair elections. The Agency for International Development's election-related assistance has been timely, responsive, and coordinated with other donors, and has been responsive to Peru's needs by funding electoral observation efforts before and during the elections; supporting technical assistance efforts to the Peruvian electoral agencies; and funding the delivery of election-related information to voters, journalists, candidates, and political parties. In addition, the agency has coordinated its election-related assistance with the other international donors that are also helping Peru hold democratic elections in 2001. Although Peru appears to be on track to conduct free and fair elections in 2001, Peru faces several important challenges over the next 3-1/2 weeks before the first round of …

Testimony issued by the General Accounting Office with an abstract that begins "In some cases, Medicare pays significantly more for covered outpatient drugs than the actual costs to the physicians and pharmacy suppliers. Attempts to reduce these payments have been met with provider claims that overpayments for the drugs are needed to cover underpayments for administering or delivering them. Medicare's method for establishing drug payments is flawed. Medicare pays 95 percent of the average wholesale price (AWP), which, despite its name, is neither an average nor a price that wholesalers charge. Instead, it is a number that manufacturers derive using their own criteria. There are no requirements or conventions that AWP reflect the price of actual drug sales. Widely available purchase prices for drugs in 2001 were substantially below AWP. For both physician-billed drugs and pharmacy supplier-billed drugs, Medicare payments often far exceeded widely available prices. Physicians and pharmacy suppliers contend that the excess payments for covered drugs are necessary to offset what they claim are inappropriately low Medicare payments or no such payments for services related to the administration or delivery of these drugs. Although physicians receive an explicit payment for administering drugs, Medicare's payment policies for delivering pharmacy …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed its recent reports concerning the Department of Energy's (DOE) and the National Nuclear Security Administration's (NNSA) security programs to protect against theft, sabotage, espionage, terrorism, and other risks to national security at its facilities, focusing on: (1) oversight of safeguards and security programs at DOE; and (2) security issues with NNSA."

A letter report issued by the General Accounting Office with an abstract that begins "The events of September 11, 2001, triggered a national re-examination of the security of thousands of industrial facilities that use or store hazardous chemicals in quantities that could potentially put large numbers of Americans at risk of serious injury or death in the event of a terrorist-caused chemical release. GAO was asked to examine (1) available information on the threats and risks from terrorism faced by U.S. chemical facilities; (2) federal requirements for security preparedness and safety at facilities; (3) actions taken by federal agencies to assess the vulnerability of the industry; and (4) voluntary actions the chemical industry has taken to address security preparedness, and the challenges it faces in protecting its assets and operations."

A letter report issued by the General Accounting Office with an abstract that begins "The Air Force is developing the F/A-22 aircraft to fly at higher speeds for longer distances, be less detectable, and improve the pilot's awareness of the surrounding situation. The F/A-22 will replace the Air Force's existing fleet of F-15 aircraft. Over the past several years the program has experienced significant cost overruns and schedule delays. Congress mandated that GAO assess the development program and determine whether the Air Force is meeting key performance, schedule, and cost goals. GAO also assessed the implications of the progress of the development program on production."

Testimony issued by the Government Accountability Office with an abstract that begins "The Department of Homeland Security (DHS) is responsible for addressing the threat of nuclear smuggling. Radiation detection portal monitors are key elements in our national defenses against such threats. DHS has sponsored R&D and testing activities to develop a "next generation" portal monitor, known as the advanced spectroscopic portal monitor. However, each one costs 6 times more than a current portal monitor. In March 2006, we recommended that DHS conduct a cost-benefit analysis to determine whether the new portal monitors are worth the additional cost. In June 2006, DHS issued its analysis. In October 2006, we issued our report that assessed the DHS study. GAO's statement, based on our October 2006 report, addresses whether DHS's cost-benefit analysis provides an adequate basis for its decision to purchase and deploy the next generation portal monitors."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on issues related to the safety of children who may be exposed to pesticides in agricultural settings, focusing on: (1) what federal requirements govern the safe use of pesticides, particularly as they relate to protecting children in agricultural settings; (2) what information is available on the acute and chronic effects of agricultural pesticide exposure, particularly on children; and (3) what the Environmental Protection Agency (EPA) has done to ensure that its Worker Protection Standard considers the needs of children and is being adequately implemented and enforced."

A letter report issued by the General Accounting Office with an abstract that begins "The U.S. Census Bureau conducted the Accuracy and Coverage Evaluation (ACE) survey to estimate the number of people missed, counted more than once, or otherwise improperly counted in the 2000 Census. On the basis of uncertainty in the ACE results, the Bureau's acting director decided that the 2000 Census tabulations should not be adjusted in order to redraw the boundaries of congressional districts or to distribute billions of dollars in federal funding. Although ACE was generally implemented as planned, the Bureau found that it overstated census undercounts because of an error introduced during matching operations and other uncertainties. The Bureau concluded that additional review and analysis of these uncertainties would be needed before the data could be used. Matching more than 1.4 million census and ACE records involved the following four phases, each with its own matching procedures and multiple layers of review: computer matching, clerical matching, field follow-up, and clerical matching. The Bureau applied quality assurance procedures to each phase of person matching. Because the quality assurance procedures had failure rates of less than one percent, the Bureau reported that person matching quality assurance was …

Testimony issued by the Government Accountability Office with an abstract that begins "Since the fall of the former Iraq regime in April 2003, the multinational force has been working to develop Iraqi military and police forces capable of maintaining security. To support this effort, the United States provided about $5.8 billion in 2003-04 to develop Iraq's security capability. In February 2005, the president requested a supplemental appropriation with an additional $5.7 billion to accelerate the development of Iraqi military and police forces. GAO provides preliminary observations on (1) the strategy for transferring security responsibilities to Iraqi military and police forces; (2) the data on the status of forces, and (3) challenges that the Multi-National Force in Iraq faces in transferring security missions to these forces. To prepare this statement, GAO used unclassified reports, status updates, security plans, and other documents from the Departments of Defense and State. GAO also used testimonies and other statements for the record from officials such as the Secretary of Defense. In addition, GAO visited the Iraqi police training facility in Jordan."

A letter report issued by the General Accounting Office with an abstract that begins "Hospital emergency departments are a major part of the nation's health care safety net. Emergency departments report being under increasing pressure, with the number of visits nationwide increasing from an estimated 95 million in 1997 to an estimated 108 million in 2000. GAO was asked to provide information on emergency department crowding, including the extent hospitals located in metropolitan areas are experiencing crowding, the factors contributing to crowding, and the actions hospitals and communities have taken to address crowding. To conduct this work, GAO surveyed over 2,000 hospitals and about 74 percent responded. The survey collected information on crowding, such as data on diversion--that is, the extent to which hospitals asked ambulances that would normally bring patients to their hospitals to go instead to other hospitals that were presumably less crowded."

A letter report issued by the General Accounting Office with an abstract that begins "The federal government is in a period of profound transition and faces an array of challenges and opportunities to enhance performance, ensure accountability, and position the nation for the future. High-performing organizations have found that to successfully transform themselves, they must often fundamentally change their cultures so that they are more results-oriented, customer-focused, and collaborative in nature. To foster such cultures, these organizations recognize that an effective performance management system can be a strategic tool to drive internal change and achieve desired results. Based on previously issued reports on public sector organizations' approaches to reinforce individual accountability for results, GAO identified key practices that federal agencies can consider as they develop modern, effective, and credible performance management systems."

Testimony issued by the Government Accountability Office with an abstract that begins "The radio-frequency spectrum is used to provide an array of wireless communications services that are critical to the U.S. economy and various government missions, such as national security. With demand for spectrum exploding, and most useable spectrum allocated to existing users, there is growing concern that the current spectrum management framework might not be able to respond adequately to future demands. This testimony, which is based on previous GAO reports, provides information on (1) the extent to which the Federal Communications Commission (FCC) has adopted market-based mechanisms for commercial use, (2) the extent to which market-based mechanisms have been adopted for federal government users of spectrum, (3) options for improving spectrum management, and (4) potential barriers to spectrum reform."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed whether federal agencies have the capacity to monitor and enforce trade agreements, focusing on: (1) the federal structure for monitoring and enforcing trade agreements; (2) the increasing complexity of the federal monitoring and enforcement task and key activities that federal agencies must perform; and (3) whether the Office of the U.S. Trade Representative (USTR), the Department of Commerce, and the Department of Agriculture (USDA) have the capacity to handle their monitoring and enforcement workload, that is, whether their human capital resources and support mechanisms enable them to perform needed monitoring and enforcement activities."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO audited the financial statements of the Capitol Preservation Fund for the fiscal years ended September 30, 1999 and 1998, and the related statements of activities and statements of cash flows for the fiscal years then ended."

Testimony issued by the Government Accountability Office with an abstract that begins "In response to long-standing problems with student academic performance, the condition of school facilities, and the overall management of the D.C. public school system, the D.C. Council approved the Public Education Reform Amendment Act of 2007 (Reform Act). The Reform Act made major changes to the operations and governance of the D.C. public school system, including giving the Mayor authority over public schools, including curricula, personnel, and school facilities. While other large urban school districts have transferred governance of schools to their mayors, D.C. is unique because it functions as both local and state offices for many education responsibilities. GAO's testimony focuses on (1) the status of the District's efforts to reform its public school system, and (2) what the District has done to establish accountability for these efforts. To address these issues GAO reviewed documents, interviewed District education officials and interviewed principals from nine D.C. public schools."

Testimony issued by the Government Accountability Office with an abstract that begins "In February 2004 and again in June 2005, GAO testified that some Department of Defense (DOD) and civilian agency federal contractors abused the federal tax system with little consequence. Previous problems we identified with contractors with unpaid taxes have led to concerns over whether any interagency contractors, such as those on the General Services Administration's (GSA) federal supply schedule, failed to pay their taxes. GSA, through its federal supply schedule and other interagency contracts, arranges for federal agencies to purchase billions of dollars of goods and services directly from private vendors. GAO was asked to determine if GSA contractors, including both contractors that were paid by GSA and GSA interagency contractors, have unpaid federal taxes, and if so, to (1) determine the magnitude of tax debts owed by GSA contractors; (2) identify examples of GSA contractors that have tax debts and are also engaged in potentially abusive, fraudulent, or criminal activities; and (3) determine whether GSA screens contractors for tax debts and criminal activities prior to awarding contracts and at the exercise of any government contract options."

A letter report issued by the General Accounting Office with an abstract that begins "Civil penalties are an important element of regulatory enforcement, allowing agencies to punish violators appropriately and to serve as a deterrent to future violations. In 1996, Congress enacted the Inflation Adjustment Act to require agencies to adjust certain penalties for inflation. GAO assessed federal agencies' compliance with the act and whether provisions in the act have prevented agencies from keeping their penalties in pace with inflation."

A letter report issued by the General Accounting Office with an abstract that begins "GAO contracted with Clifton Gunderson LLP to audit the financial statements of the Senate Restaurants Revolving Fund for fiscal years 2002 and 2001. Clifton Gunderson LLP found that (1) the financial statements were presented in conformity with U.S. generally accepted accounting principles; (2) the Fund maintained effective internal control over financial reporting and compliance with laws and regulations; and (3) there was no reportable noncompliance with selected provisions of laws and regulations it tested."

Testimony issued by the Government Accountability Office with an abstract that begins "In the interest of national security and personal privacy and for other reasons, federal agencies place dissemination restrictions on information that is unclassified yet still sensitive. The Department of Energy (DOE) and the Department of Defense (DOD) have both issued policy guidance on how and when to protect sensitive information. DOE marks documents with this information as Official Use Only (OUO) while DOD uses the designation For Official Use Only (FOUO). GAO was asked to (1) identify and assess the policies, procedures, and criteria DOE and DOD employ to manage OUO and FOUO information; and (2) determine the extent to which DOE's and DOD's training and oversight programs assure that information is identified, marked, and protected according to established criteria."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Air Force's engineering and manufacturing development program for the F-22 aircraft, focusing on: (1) the extent to which the F-22 development program is meeting its performance, schedule, and cost goals; (2) whether the Air Force is likely to complete the development program as planned without exceeding the cost limitation established by the act; and (3) whether GAO had access to sufficient information to make informed judgments on matters covered in this report."

Correspondence issued by the Government Accountability Office with an abstract that begins "The Joint Strike Fighter (JSF) acquisition program is estimated to cost $245 billion to develop and produce three variants of stealthy fighter aircraft--a conventional takeoff and landing variant for the Air Force, an aircraft carrier variant for the Navy, and a short take-off and vertical landing variant for the Marine Corps and Air Force. A major goal of the JSF program is to reduce costs by maximizing commonality among variants. However, the Air Force conventional variant is being designed with a different aerial refueling method than those used by the two other JSF variants. U.S. fighters use two different methods for aerial refueling. Air Force fixed-wing aircraft are all currently fueled by a boom that extends from a tanker aircraft and is guided into a receptacle. The Navy and Marine Corps fighters use a probe that extends from the fighter to receive fuel when inserted into a drogue, which is a basket-like device on the end of a hose that extends from the tanker. The Senate Armed Services Committee directed that we (1) examine the rationale behind the Air Force refueling decision for its JSF version, (2) determine …

A letter report issued by the Government Accountability Office with an abstract that begins "Over the past several years, GAO has issued numerous reports and testimonies on internal control breakdowns in certain individual agencies' purchase card programs. In light of these findings, GAO was asked to analyze purchase card transactions governmentwide to (1) determine whether internal control weaknesses existed in the government purchase card program and (2) if so, identify examples of fraudulent, improper, and abusive activity. GAO used statistical sampling to systematically test internal controls and data mining procedures to identify fraudulent, improper, and abusive activity. GAO's work was not designed to determine the overall extent of fraudulent, improper, or abusive transactions."