Mental Health: Community-Based Care Increases for People With Serious Mental Illness (open access)

Mental Health: Community-Based Care Increases for People With Serious Mental Illness

A letter report issued by the General Accounting Office with an abstract that begins "Between 1987 and 1997, the growth in mental health spending in the United States roughly paralleled the growth in overall health care spending. However, federal mental health spending grew at more than twice the rate of state and local spending. This led to the federal government's share surpassing that of state and local governments, while the share attributable to private sources declined slightly. The ability to care for more people in the community has been facilitated by the continued development of new medications that have fewer side effects and are more effective in helping people manage their illness. Furthermore, treatment approaches, such as assertive community treatment, supported employment, and supportive housing, provide the ongoing assistance that adults with serious mental illness (SMI) often need to function in the community. The Health Care Financing Administration (HCFA) has encouraged the use of community-based services for Medicaid beneficiaries with SMI by disseminating information on the use of new medications and treatment models, which can help people function better in the community. HCFA also supports states' use of Medicaid managed health care services. However, incentives associated with capitated payment can …
Date: December 19, 2000
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Facility Relocation: NRC Based Its Decision to Move Its Technical Training Center on Perceived Benefits--Not Costs (open access)

Facility Relocation: NRC Based Its Decision to Move Its Technical Training Center on Perceived Benefits--Not Costs

A letter report issued by the General Accounting Office with an abstract that begins "The Nuclear Regulatory Commission (NRC) has decided to move its technical training center from Chattanooga, Tennessee, to near its headquarters in Rockville, Maryland. The relocation is intended to improve the effectiveness and efficiency of the agency's operations. The center provides diverse training curricula on such topics as nuclear power plant technology augmented by training on simulators, risk assessment, radiation protection, and regulatory skills. NRC used a reasonable methodology to determine the costs of relocating its facility. It considered costs related to staff salaries, travel costs for center participants, and lease payments. However, NRC used several assumptions that, if changed, would affect the cost of the move. For example, a change in the number of staff who would relocate would have an impact on costs. According to NRC, the objective of the move was not to minimize the cost of operating the center but rather to improve the effectiveness and efficiency of the agency's operations. NRC believes that the move would yield many benefits, including greater access to training facilities by its headquarters staff and frequent use of simulators in investigations. NRC needs to resolve several issues …
Date: October 19, 2000
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Internet Pharmacies: Adding Disclosure Requirements Would Aid State and Federal Oversight (open access)

Internet Pharmacies: Adding Disclosure Requirements Would Aid State and Federal Oversight

A letter report issued by the General Accounting Office with an abstract that begins "The first Internet pharmacies began online service in early 1999. Public health officials are concerned about Internet pharmacies that do not adhere to state licensing requirements and standards. Public officials are also concerned about the validity of prescriptions and international drugs that are not approved in the United States being sent by mail. The unique qualities of the Internet pose new challenges for enforcing state pharmacy and medical practice laws because they allow pharmacies and physicians to reach consumers across state and international borders and remain anonymous. Congress is considering legislation to strengthen oversight of Internet pharmacies."
Date: October 19, 2000
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Drinking Water: Spending Constraints Could Affect States' Ability to Meet Increasing Program Requirements (open access)

Drinking Water: Spending Constraints Could Affect States' Ability to Meet Increasing Program Requirements

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the states' roles in implementing the Safe Drinking Water Act, focusing on: (1) how the Environmental Protection Agency's (EPA) budget requests for state program implementation compared to the amounts that are authorized and estimated to be needed; (2) how much the states have spent since the passage of the 1996 amendments to implement their drinking water programs and how their expenditures compare with estimated needs; (3) what effects federal funding levels have had, and could have in the future, on the states' ability to implement their programs; and (4) what existing practices have the potential to help the states implement their drinking water programs more effectively and efficiently."
Date: September 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Financial Management: Financial Management Challenges Remain at the Department of Education (open access)

Financial Management: Financial Management Challenges Remain at the Department of Education

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed financial management at the Department of Education, focusing on: (1) Eduction's current financial management status as evidenced by its fiscal year (FY) 1999 financial audit results and the corrective actions it has taken to resolve weaknesses identified in that audit; and (2) the relationship between the audit findings and the potential for waste, fraud, and abuse."
Date: September 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Foreign Assistance: Lack of Haitian Commitment Limited Success of U.S. Aid to Justice System (open access)

Foreign Assistance: Lack of Haitian Commitment Limited Success of U.S. Aid to Justice System

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the preliminary results of its review of U.S. assistance provided to Haiti's justice system, focusing on the: (1) results of the U.S. assistance provided to the Haitian police and judicial sector and the major problems that continue to affect these justice institutions; and (2) primary factors that have affected the success of the assistance."
Date: September 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Insurance Regulation: Scandal Highlights Need for States to Strengthen Regulatory Oversight (open access)

Insurance Regulation: Scandal Highlights Need for States to Strengthen Regulatory Oversight

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the details of Martin Frankel's insurance scandal, focusing on: (1) how the scam happened; (2) the regulatory weaknesses exposed by this scam; and (3) the crucial importance of regulatory information sharing."
Date: September 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Insurance Regulation: Scandal Highlights Need for Strengthened Regulatory Oversight (open access)

Insurance Regulation: Scandal Highlights Need for Strengthened Regulatory Oversight

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO evaluated insurance regulatory oversight and information-sharing in the matter of a highly publicized insurance investment scam exposed in May 1999, focusing on: (1) the alleged scam; (2) the oversight and information-sharing by insurance regulators; and (3) cross-financial-sector coordination issues, including those emanating from the scam relevant to financial regulators' efforts to implement the Gramm-Leach-Bliley (GLB) Act."
Date: September 19, 2000
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
National Park Service: Agency Should Recover Costs of Validity Examinations for Mining Claims (open access)

National Park Service: Agency Should Recover Costs of Validity Examinations for Mining Claims

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the federal costs of conducting validity examinations at three California Desert parks, focusing on whether: (1) data are available on the National Park Service's costs of conducting validity examinations at these parks since 1994; and (2) the Park Service recovers the costs of such examinations from claimants."
Date: September 19, 2000
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Securities and Exchange Commission: Unlisted Trading Privileges (open access)

Securities and Exchange Commission: Unlisted Trading Privileges

Other written product issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Securities and Exchange Commission's (SEC) new rule on unlisted trading privileges. GAO noted that: (1) under the rule, a national securities exchange extending unlisted trading privileges to an initial public offering (IPO) listed on another exchange will no longer be required to wait until the day after trading has commenced on the listing exchange to allow trading in that security; (2) the rule would allow a national securities exchange to begin trading an IPO issue immediately after the first trade in the security is reported to the Consolidated Tape; and (3) SEC complied with applicable requirements in promulgating the rule."
Date: September 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
U.S. Postal Service: Enhancements Needed in Performance Planning and Reporting (open access)

U.S. Postal Service: Enhancements Needed in Performance Planning and Reporting

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Postal Service's (USPS) performance measures, reports, and plans, focusing on: (1) how well USPS fiscal year (FY) 1999 performance report addressed USPS' progress toward achieving the goals established by the FY 1999 performance plan; and (2) whether USPS' FY 2001 preliminary performance plan demonstrates continued progress in developing a reasonable basis for establishing accountability for results."
Date: September 19, 2000
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
U.S. Postal Service: Sustained Attention to Challenges Remains Critical (open access)

U.S. Postal Service: Sustained Attention to Challenges Remains Critical

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Postal Service's (USPS) overall performance as well as the challenges that persist as mail volume growth continues to slow and competition from the private sector increases."
Date: September 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Bosnia: Crime and Corruption Threaten Successful Implementation of the Dayton Peace Agreement (open access)

Bosnia: Crime and Corruption Threaten Successful Implementation of the Dayton Peace Agreement

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."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Combating Terrorism: Action Taken but Considerable Risks Remain for Forces Overseas (open access)

Combating Terrorism: Action Taken but Considerable Risks Remain for Forces Overseas

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO evaluated the Department of Defense's (DOD) efforts to protect U.S. forces stationed overseas from terrorist attacks, focusing on: (1) the extent to which DOD has made improvements to its antiterrorism/force protection program overseas; (2) changes in DOD's process for assessing and reporting vulnerability at overseas installations; and (3) the adequacy of antiterrorism/force protection funding and staff."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Defense Trade: Status of the Department of Defense's Initiatives on Defense Cooperation (open access)

Defense Trade: Status of the Department of Defense's Initiatives on Defense Cooperation

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO examined the the Department of Defense's (DOD) initiatives to change export and procurement policies and procedures that relate to the transfer or sale of defense articles and services that may have national security implications."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
FCIC: Catastrophic Risk Protection Endorsement--Regulations for the 1999 and 2000 Succeeding Crop Years (open access)

FCIC: Catastrophic Risk Protection Endorsement--Regulations for the 1999 and 2000 Succeeding Crop Years

Other written product issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Federal Crop Insurance Corporation's (FCIC) new rule on crop insurance policies. GAO noted that: (1) the new rule would implement the changes to the crop insurance policies mandated by the Agricultural Risk Protection Act of 2000; and (2) FCIC complied with applicable requirements in promulgating the rule."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Fish and Wildlife Service: Use of Federal Aid Programs' Administrative Funds (open access)

Fish and Wildlife Service: Use of Federal Aid Programs' Administrative Funds

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Fish and Wildlife Service's (FWS) management and oversight of the administrative funds associated with the Wildlife Restoration Program and, to a lesser extent, with the Sport Fish Restoration Program."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Food Assistance: Reducing the Trafficking of Food Stamp Benefits (open access)

Food Assistance: Reducing the Trafficking of Food Stamp Benefits

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the improper trafficking of food stamp benefits, focusing on: (1) federal efforts to identify storeowners who engage in trafficking; (2) the amount of penalties assessed and collected against these storeowners; and (3) the extent to which states with statewide electronic benefit transfer (EBT) systems are identifying and disqualifying recipients who engage in trafficking."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Medicare: Refinements Should Continue to Improve Appropriateness of Provider Payments (open access)

Medicare: Refinements Should Continue to Improve Appropriateness of Provider Payments

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the effects of recent Medicare payment reforms, focusing on the Balanced Budget Act of 1997 (BBA) payment reforms affecting home health agencies, skilled nursing facilities (SNF), and the health plans in Medicare's managed care program, known as Medicare Choice."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Park Service: Agency Is Not Meeting Its Structural Fire Safety Responsibilities (open access)

Park Service: Agency Is Not Meeting Its Structural Fire Safety Responsibilities

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the National Park Service's (NPS) structural fire safety efforts, focusing on: (1) whether the parks were meeting their structural fire safety responsibilities; (2) if the parks were not meeting their responsibilities, why not; and (3) what efforts were underway to address any identified problems."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Small Business: SBA's 8(a) Information System Is Flawed and Does Not Support the Program's Mission (open access)

Small Business: SBA's 8(a) Information System Is Flawed and Does Not Support the Program's Mission

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO assessed the strengths and weaknesses of the Small Business Administration's (SBA) 8(a) program information system, focusing on: (1) whether the system meets the information needs of SBA field and headquarters staff; and (2) what plans, if any, does SBA have for improving the existing system."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
State Department: Progress and Challenges in Managing for Results (open access)

State Department: Progress and Challenges in Managing for Results

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Department of State's progress in addressing the challenges it faces in its efforts to achieve a more secure, efficient, and effective network of operations."
Date: July 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
[HUD Gun Buyback Initiative] (open access)

[HUD Gun Buyback Initiative]

Other written product issued by the General Accounting Office with an abstract that begins "GAO reviewed the Department of Housing and Urban Development's (HUD) Gun Buyback Violence Reduction Initiative, focusing on whether HUD: (1) may use funds appropriated for the Public Housing Drug Elimination Grants Program (PHDEG) for gun buyback programs; and (2) has used PHDEG funds for that purpose. GAO noted that HUD would need additional authority to use appropriated funds to support the gun buyback program. In addition, HUD nor GAO has identified any other HUD appropriation that would be available to pay for the gun buyback program."
Date: May 19, 2000
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Occupational Safety and Health: Government Responses to Beryllium Uses and Risks (open access)

Occupational Safety and Health: Government Responses to Beryllium Uses and Risks

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the health safety controls over the use of beryllium, focusing on: (1) beryllium's uses and risks; and (2) key events that illustrate the evolution of the federal government's response to risks posed by beryllium."
Date: May 19, 2000
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library