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Children's Mental Health: Concerns Remain about Appropriate Services for Children in Medicaid and Foster Care (open access)

Children's Mental Health: Concerns Remain about Appropriate Services for Children in Medicaid and Foster Care

A letter report issued by the Government Accountability Office with an abstract that begins "An annual average of 6.2 percent of noninstitutionalized children in Medicaid nationwide and 4.8 percent of privately insured children took one or more psychotropic medications, according to GAO's analysis of 2007-2009 data from the Department of Health and Human Services' (HHS) Medical Expenditure Panel Survey (MEPS). MEPS data also showed that children in Medicaid took antipsychotic medications (a type of psychotropic medication that can help some children but has a risk of serious side effects) at a relatively low rate--1.3 percent of children--but that the rate for children in Medicaid was over twice the rate for privately insured children, which was 0.5 percent. In addition, MEPS data showed that most children whose emotions or behavior, as reported by their parent or guardian, indicated a potential need for a mental health service did not receive any services within the same year. The Centers for Medicare & Medicaid Services (CMS) and many states have initiatives under way to help ensure that children receive appropriate mental health treatments. However, CMS's ability to monitor children's receipt of mental health services is limited because CMS does not collect information from states …
Date: December 10, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Follow-up on the Haiti Earned Import Allowance Program (open access)

Follow-up on the Haiti Earned Import Allowance Program

Correspondence issued by the Government Accountability Office with an abstract that begins "Exports of Haitian apparel to the United States under EIAP have increased substantially since we last reported in 2011. Although only three account holders are actively earning credits and two have begun to use them, in the 12-month period ending November 19, 2012, the number of credits OTEXA issued increased to about 42 million SMEs from approximately 8 million SMEs during the same period 1 year earlier. Similarly, over this period, the number of credits redeemed, or used by account holders increased to about 25 million SMEs from approximately million SMEs in 2011. In addition, exports of Haitian apparel to the United States under EIAP have grown faster than non-EIAP exports. Last year, we reported that about $350,000 in Haitian apparel had been exported to the United States under EIAP from January through August of 2011--about 0.07 percent of all Haitian apparel exported to the United States during that period. In contrast, from January through August of 2012, nearly $18 million in Haitian apparel was exported under EIAP--about 4 percent of Haitian apparel exported to the United States during this period. Increased use of the program may be …
Date: December 14, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Higher Education: A Small Percentage of Families Save in 529 Plans (open access)

Higher Education: A Small Percentage of Families Save in 529 Plans

A letter report issued by the Government Accountability Office with an abstract that begins "A small percentage of U.S. families saved in 529 plans in 2010, and those who did tended to be wealthier than others. According to the Survey of Consumer Finances (SCF), less than 3 percent of families saved in a 529 plan or Coverdell Education Savings Account (Coverdell)--a similar but less often used college savings vehicle also included in the SCF. While the economic downturn may have reduced income available for education savings, even among those families who considered saving for education a priority, fewer than 1 in 10 had a 529 plan (or Coverdell). Families with these accounts had about 25 times the median financial assets of those without. They also had about 3 times the median income and the percentage who had college degrees was about twice as high as for families without 529 plans (or Coverdells)."
Date: December 12, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Veterans' Employment and Training: Better Targeting, Coordinating, and Reporting Needed to Enhance Program Effectiveness (open access)

Veterans' Employment and Training: Better Targeting, Coordinating, and Reporting Needed to Enhance Program Effectiveness

A letter report issued by the Government Accountability Office with an abstract that begins "The six federal veterans' employment and training programs offer similar employment services, but largely target different groups. Among these programs, the Department of Labor's (Labor) Disabled Veterans' Outreach Program has the greatest potential for overlap with other veterans' programs and Labor's employment programs for the general population. Federal law governing the Disabled Veterans' Outreach Program makes all veterans who meet the broad definition of "eligible veteran" eligible for its services, but gives disabled veterans and economically and educationally disadvantaged veterans the highest priority for services. However, Labor's guidance does not provide states--who administer the program using federal funds--criteria for prioritizing services. The law also generally requires that program staff provide participants with intensive services (e.g., individual employment plans), but Labor's data indicate that nationally 28 percent of participants received such services in 2011. In explaining this statistic, Labor officials said one possible explanation was that staff are enrolling people who do not need intensive services. Labor said it plans to develop guidance on prioritizing services, and it also has a six-state pilot to improve monitoring, but neither of these efforts has been completed."
Date: December 13, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
End-Stage Renal Disease: Reduction in Drug Utilization Suggests Bundled Payment Is Too High (open access)

End-Stage Renal Disease: Reduction in Drug Utilization Suggests Bundled Payment Is Too High

Correspondence issued by the Government Accountability Office with an abstract that begins "Utilization of ESRD drugs in 2011 was about 23 percent lower, on average, than it was in 2007, driven largely by a decline in the utilization of ESAs. As a result, Medicare may have paid more than necessary for dialysis care in 2011 because the bundled payment rate in that year was based on 2007 utilization levels. We estimated that Medicare expenditures on dialysis would have been about $650 million to $880 million lower in 2011 if the bundled payment rate were rebased to reflect the 2011 utilization level of ESRD drugs. Furthermore, this estimate of potential savings could be larger in future years if the level of ESRD drug utilization at the end of 2011 declines further, as preliminary data suggest. Rebasing the bundled payment rate to account for changes in ESRD drug utilization could help ensure that Medicare pays appropriately for dialysis services and also yield savings to Medicare. However, CMS officials indicated that they did not have immediate plans to rebase the rate and that the statute does not provide CMS with explicit authority to do so. Therefore, Congress should consider requiring the Secretary of …
Date: December 7, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Medicare and Medicaid: Consumer Protection Requirements Affecting Dual-Eligible Beneficiaries Vary across Programs, Payment Systems, and States (open access)

Medicare and Medicaid: Consumer Protection Requirements Affecting Dual-Eligible Beneficiaries Vary across Programs, Payment Systems, and States

A letter report issued by the Government Accountability Office with an abstract that begins "Medicare and Medicaid consumer protection requirements vary across programs, payment systems--either fee-for-service (FFS) or managed care--and states. Within Medicare, enrollment in managed care through the Medicare Advantage (MA) program must always be voluntary, whereas state Medicaid programs can require enrollment in managed care in certain situations. For example, Arizona requires nearly all beneficiaries, including dual-eligible beneficiaries, to enroll in managed care, but in North Carolina all beneficiaries are in FFS. In addition, Medicare and state Medicaid programs require managed care plans to meet certain provider network requirements to ensure beneficiaries have adequate access to covered services. For example, MA plans in rural counties must have at least one primary care provider per 1,000 beneficiaries. Subject to federal parameters, states establish network requirements for their Medicaid programs. For example, in California every plan must have at least one primary care provider per 2,000 beneficiaries. Finally, Medicare and Medicaid also have different appeals processes that do not align with each other. The Medicare appeals process has up to five levels of review for decisions to deny, reduce, or terminate services, with certain differences between FFS and MA. In …
Date: December 5, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
The Federal Government's Long-Term Fiscal Outlook: Fall 2012 Update (open access)

The Federal Government's Long-Term Fiscal Outlook: Fall 2012 Update

Other written product issued by the Government Accountability Office with an abstract that begins "GAO's simulations continue to illustrate that the federal government is on an unsustainable long-term fiscal path. In both the Baseline Extended and Alternative simulations, debt held by the public grows as a share of gross domestic product (GDP) over the long term. While the timing and pace of growth varies depending on the assumptions used, neither set of assumptions achieves a sustainable path. In the Baseline Extended simulation, which assumes current law, including the discretionary spending limits and other spending reductions contained in the Budget Control Act (BCA) of 2011 and expiration of certain tax cuts enacted in 2001 and 2003, debt as a share of GDP declines in the short term before turning up again. In the Alternative simulation, in which these laws are assumed to not take full effect, federal debt as a share of GDP grows throughout the period. Discretionary spending limits alone do not address the fundamental imbalance between estimated revenue and spending, which is driven largely by the aging of the population and rising health care costs. The Patient Protection and Affordable Care Act (PPACA) slows the growth of health care …
Date: December 3, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
James Webb Space Telescope: Actions Needed to Improve Cost Estimate and Oversight of Test and Integration (open access)

James Webb Space Telescope: Actions Needed to Improve Cost Estimate and Oversight of Test and Integration

A letter report issued by the Government Accountability Office with an abstract that begins "The National Aeronautics and Space Administration (NASA) has provided significantly more time and money to the James Webb Space Telescope (JWST) than previously planned and expressed high confidence in the project's new baselines. Its current cost estimate reflects some features of best practices for developing reliable and credible estimates. For example, the estimate substantially meets one of four cost characteristics--comprehensive--that GAO looks for in a reliable cost estimate, in part because all life cycle costs were included. The estimate, however, only partially met the other three characteristics--well documented, accurate, and credible--which detracts from its reliability. For example, the estimate's accuracy, and therefore the confidence level assigned to the estimate, was lessened by the summary schedule used for the joint cost and schedule risk analysis because it did not provide enough detail to determine how risks were applied to critical project activities. The estimate's credibility was also lessened because officials did not perform a sensitivity analysis that would have identified key drivers of costs, such as workforce size. Program officials believe that it would have been difficult to fully address all best practice characteristics. GAO believes there …
Date: December 3, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Department of Energy: Better Information Needed to Determine If Nonmajor Projects Meet Performance Targets (open access)

Department of Energy: Better Information Needed to Determine If Nonmajor Projects Meet Performance Targets

A letter report issued by the Government Accountability Office with an abstract that begins "Of the 71 nonmajor projects that the Department of Energy's (DOE) Office of Environmental Management (EM) and National Nuclear Security Administration (NNSA) completed or had under way from fiscal years 2008 to 2012, 21 met or are expected to meet their performance targets for scope, cost, and completion date. These projects included a $22 million EM project to expand an existing waste disposal facility at the Oak Ridge Reservation in Tennessee and a $199 million NNSA project to equip a radiological laboratory and office building at the Los Alamos National Laboratory in New Mexico. Another 23 projects did not meet or were not expected to meet one or more of their three performance targets for scope, cost, and completion date. Among these, 13 projects met or are expected to meet two targets, including a $548 million NNSA project to shut down a nuclear reactor in Russia for nonproliferation purposes; 8 projects met or are expected to meet one target; 1 project did not meet any of its targets; and 1 project was cancelled. Of the remaining 27 projects, many had insufficiently documented performance targets for scope, …
Date: December 19, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Inmate Reentry Programs: Enhanced Information Sharing Could Further Strengthen Coordination and Grant Management (open access)

Inmate Reentry Programs: Enhanced Information Sharing Could Further Strengthen Coordination and Grant Management

A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2011, the Departments of Justice (DOJ), Labor (Labor), and Health and Human Services (HHS) separately administered nine fragmented but minimally overlapping reentry grant programs with low risk of duplication. Specifically, GAO found that these grant programs are fragmented since more than one federal agency is involved in administering the programs. Further, GAO found that overlap across the nine programs was minimal because the programs varied in (1) their applicant eligibility criteria, (2) the extent to which their funds solely benefit the reentry population, and (3) their primary services funded. For example, Labor's reentry program limits eligibility to private, nonprofit organizations that will use the funds primarily to assist current or former inmates--residing in or released from any facility--with their employment needs. In contrast, one of DOJ's reentry programs limits eligibility to governmental entities that will use the funds primarily to assist current or former inmates--residing in or released from state, local, or tribal facilities--with their substance abuse treatment needs. Given the variance across eligible applicants, beneficiaries, and primary services, the overlap across the nine programs is minimal and the risk of duplication--when two …
Date: December 14, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
G6f-Like Is an ITAM-Containing Collagen Receptor in Thrombocytes (open access)

G6f-Like Is an ITAM-Containing Collagen Receptor in Thrombocytes

Article discussing how G6f-like is an ITAM-containing collagen receptor in thrombocytes.
Date: December 2012
Creator: Hughes, Craig E.; Radhakrishnan, Uvaraj P.; Lordkipanidzé, Marie; Egginton, S.; Dijkstra, Johannes M.; Jagadeeswaran, Pudur et al.
Object Type: Article
System: The UNT Digital Library
Military Spouse Employment Programs: DOD Can Improve Guidance and Performance Monitoring (open access)

Military Spouse Employment Programs: DOD Can Improve Guidance and Performance Monitoring

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) has recently created three new programs to help military spouses obtain employment: (1) the Military Spouse Career Advancement Accounts (MyCAA) tuition assistance program, (2) the Military Spouse Employment Partnership (MSEP), which connects military spouses with employers, (3) and the Military Spouse Career Center, consisting of a call center and a website for military spouses to obtain counseling and information. DOD's goals for these programs are to reduce unemployment among military spouses and close their wage gap with civilian spouses. Aside from these new programs, military spouses can also use employment assistance programs that the military services have long operated on DOD installations. However, GAO's site visits and interviews indicate that there may be gaps in coordination across the various programs that result in confusion for military spouses. Currently, DOD does not have guidance describing its overall strategy and how all of its programs should coordinate to help military spouses obtain employment, but DOD is in the process of developing such guidance."
Date: December 13, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Southwest Retort, Volume 65, Number 4, December 2012 (open access)

Southwest Retort, Volume 65, Number 4, December 2012

This publication of the Dallas-Fort Worth Section of the American Chemical Society includes information about research, prominent scientist, organizational business, and various other stories of interest to the community.
Date: December 2012
Creator: American Chemical Society. Dallas/Fort Worth Section.
Object Type: Journal/Magazine/Newsletter
System: The UNT Digital Library
Congressional Salaries and Allowances (open access)

Congressional Salaries and Allowances

Report that provides basic information on congressional salaries and allowances.
Date: December 4, 2012
Creator: Brudnick, Ida A.
Object Type: Report
System: The UNT Digital Library
The Bayh-Dole Act: Selected Issues in Patent Policy and the Commercialization of Technology (open access)

The Bayh-Dole Act: Selected Issues in Patent Policy and the Commercialization of Technology

Report that discusses the rationale behind the passage of P.L. 96-517, its provisions, and implementation of the law.
Date: December 3, 2012
Creator: Schacht, Wendy H.
Object Type: Report
System: The UNT Digital Library
Spatio-temporal Variation of Nitrate Levels in Groundwater in Texas, 1970 to 2010 (open access)

Spatio-temporal Variation of Nitrate Levels in Groundwater in Texas, 1970 to 2010

This study looks at spatial variation of groundwater nitrate in Texas and its fluctuations at 10 year increments using data from the Texas Water Development Board. While groundwater nitrate increased in the Ogallala and Seymour aquifers across the time period, the overall rate in Texas appears to be declining as time progresses. However, the available data is limited. Findings show that a much more targeted, knowledge based strategy for sampling would not only reduce the cost of water quality analysis but also reduce the risk of error in these analyses by providing a more realistic picture of the spatial variation of problem contaminants, thereby giving decision-makers a clearer picture on how best to handle the reduction and elimination of problem contaminants.
Date: December 2012
Creator: Rice, Susan C.
Object Type: Thesis or Dissertation
System: The UNT Digital Library
The Greensheet (Houston, Tex.), Vol. 43, No. 537, Ed. 1 Thursday, December 6, 2012 (open access)

The Greensheet (Houston, Tex.), Vol. 43, No. 537, Ed. 1 Thursday, December 6, 2012

Free weekly newspaper that includes business and classified advertising.
Date: December 6, 2012
Creator: unknown
Object Type: Newspaper
System: The Portal to Texas History
The Greensheet (Houston, Tex.), Vol. 43, No. 566, Ed. 1 Tuesday, December 25, 2012 (open access)

The Greensheet (Houston, Tex.), Vol. 43, No. 566, Ed. 1 Tuesday, December 25, 2012

Free weekly newspaper that includes business and classified advertising.
Date: December 25, 2012
Creator: unknown
Object Type: Newspaper
System: The Portal to Texas History
A Report on the Audit of the Employees Retirement System's Fiscal Year 2012 Financial Statements (open access)

A Report on the Audit of the Employees Retirement System's Fiscal Year 2012 Financial Statements

Report of the Texas State Auditor's Office related to an opinion on the Employees Retirement System's basic financial statements for fiscal year 2012, as well as a report on internal controls over financial reporting, compliance, and other matters.
Date: December 2012
Creator: Texas. Office of the State Auditor.
Object Type: Report
System: The Portal to Texas History
The Greensheet (Houston, Tex.), Vol. 43, No. 572, Ed. 1 Thursday, December 27, 2012 (open access)

The Greensheet (Houston, Tex.), Vol. 43, No. 572, Ed. 1 Thursday, December 27, 2012

Free weekly newspaper that includes business and classified advertising.
Date: December 27, 2012
Creator: unknown
Object Type: Newspaper
System: The Portal to Texas History
The Greensheet (Houston, Tex.), Vol. 43, No. 536, Ed. 1 Thursday, December 6, 2012 (open access)

The Greensheet (Houston, Tex.), Vol. 43, No. 536, Ed. 1 Thursday, December 6, 2012

Free weekly newspaper that includes business and classified advertising.
Date: December 6, 2012
Creator: unknown
Object Type: Newspaper
System: The Portal to Texas History
The Greensheet (Houston, Tex.), Vol. 43, No. 548, Ed. 1 Thursday, December 13, 2012 (open access)

The Greensheet (Houston, Tex.), Vol. 43, No. 548, Ed. 1 Thursday, December 13, 2012

Free weekly newspaper that includes business and classified advertising.
Date: December 13, 2012
Creator: unknown
Object Type: Newspaper
System: The Portal to Texas History
The Greensheet (Houston, Tex.), Vol. 43, No. 541, Ed. 1 Tuesday, December 11, 2012 (open access)

The Greensheet (Houston, Tex.), Vol. 43, No. 541, Ed. 1 Tuesday, December 11, 2012

Free weekly newspaper that includes business and classified advertising.
Date: December 11, 2012
Creator: unknown
Object Type: Newspaper
System: The Portal to Texas History
The Greensheet (Houston, Tex.), Vol. 43, No. 560, Ed. 1 Thursday, December 20, 2012 (open access)

The Greensheet (Houston, Tex.), Vol. 43, No. 560, Ed. 1 Thursday, December 20, 2012

Free weekly newspaper that includes business and classified advertising.
Date: December 20, 2012
Creator: unknown
Object Type: Newspaper
System: The Portal to Texas History