A letter report issued by the General Accounting Office with an abstract that begins "Eight federal agencies now have teams that can respond to a terrorist attack involving chemical, biological, radiological, or nuclear weapons. Each team varies in size, structure, geographical scope, and task. The teams do not duplicate one another. They have unique capabilities and functions, and many have experience dealing with different types of agents and weapons. The type of terrorist incident would determine which team would be most appropriate to respond. GAO found that federal agencies lack a coherent framework to develop and evaluate budget requirements for their response teams because there is no national strategy with clearly defined outcomes. To improve interagency cooperation, federal agencies have participated in several group activities. For example, the Weapons of Mass Destruction Interagency Steering Group, led by the Federal Emergency Management Agency, is identifying federal response teams that could respond to different terrorist scenarios. Federal, state, and local agencies have also participated in major field exercises that simulated urban terrorist acts. These efforts could go a long way toward improving the operational coordination of federal response teams."

Correspondence issued by the General Accounting Office with an abstract that begins "The decision by the United States Court of Appeals for the 11th Circuit resulted in the Forest Service's suspending or maintaining the suspension of 49 projects within Georgia's Chattahoochee-Oconee National Forests--11 for contracted timber sales and 27 for vegetative management actions. The decision did not result in the suspension of projects in other national forests in Alabama and Florida. According to Forest Service officials and other stakeholders, the decision has had various consequences for timber sales and vegetative management projects in the Chattahoochee-Oconee National Forests. In some cases, such as the suspended timber sale projects, the consequences could be quantified in terms of monetary claims against the Forest Service and reduced receipts to local communities. In other cases, such as the suspended vegetative management projects, the consequences are more qualitative. According to Forest Service officials, the suspensions affected the Forest Service's ability to control for wildfires, sedimentation, and southern pine beetle infestations; to protect endangered species; and to ensure habitat diversity. Although the environmental group that filed the lawsuit against the Forest Service could not provide any data on the consequences of the suspended timber sales and vegetative …

Correspondence issued by the General Accounting Office with an abstract that begins "This document reviews the Department of Veterans Affairs' oversight of laundry services at its Medical Center in Albany, New York. GAO found inadequate management and oversight of the contract for operating the laundry facility. There was no separation of duties between the quality assurance evaluator and the contracting officer's technical representative. This individual allowed the contractor to deviate from the contract's terms. As a result, it appears that the contractor was overpaid for the services provided."

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) could save millions of dollars by systematically consolidating food production, employing Veterans Canteen Service workers to provide inpatient food services, and using competitive sourcing. VA already has experience in implementing these options at several locations, although VA's experience with food service contractors is limited. Using a systematic approach to assess available options at each location would allow VA to provide food service at the lowest cost while maintaining quality."

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) runs 67 laundries that serve patients in its hospitals, nursing homes, and domiciliaries. Most of the operating costs for these laundries are for labor. VA could reduce these costs by closing 13 of its 67 facilities and moving those workloads to its underused laundries. VA could make more efficient use of its existing facilities and save money by closing costly laundries that require expensive renovations and new equipment. In addition, VA could make greater use of competitive sourcing to keep costs down. GAO's review of current VA laundry contracts showed that labor costs were significantly reduced. Furthermore, competing VA in-house services with the private sector would ensure that VA would receive the most efficient and lowest-cost laundry service."

Correspondence issued by the General Accounting Office with an abstract that begins "The Forest Service canceled or suspended several timber sales contracts to protect endangered or threatened species. From October 1992 through June 1996, the Forest Service paid $6.5 million to settle claims on 48 canceled or suspended contracts. Currently, there are pending claims of about $51 million for canceled or suspended contracts. To minimize its financial liability in the future, the Forest Service is developing cancellation regulations and a new standard timber sales contract. Progress in finalizing these new regulations has been slow because of the Forest Service's need to conduct a more detailed economic analysis. The proposed rules have also undergone several changes since the Forest Service began working on them in the late 1980s to settle some of the timber companies' claims. The Forest Service has sometimes used replacement timber; however, the timber replacement program has had limited success because the timber was either unavailable within the sale area or was in such poor condition that many companies would not accept it."

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense (DOD) spends millions of dollars each year to acquire information technology (IT) services through the General Services Administration's (GSA) Federal Supply Schedule (FSS). However, DOD has not been taking steps critical to ensuring that it gets the best services at the best prices. GAO's review of 22 DOD orders revealed that 17 of them were placed without seeking competitive quotes. GSA's established procedures require that agencies seek competitive quotes to ensure that the government gets the best price for IT services. Many DOD contracting officers were unaware of this requirement and placed orders under FSS contracts without seeking quotes from multiple contractors. The Federal Acquisition Regulation covering FSS contracts does not provide clear guidance to contracting officers on these special ordering procedures."

Correspondence issued by the General Accounting Office with an abstract that begins "Humana, Inc., a large Medicare Choice Plan, provided a prescription drug benefit with a coverage limit that was below the amount listed in its 1998 Florida Medicare Choice contract. Ernst and Young, the contractor hired by the Health Care Financing Administration (HCFA) to review Humana's contract submission, did not detect the discrepancies because it failed to follow HCFA's review procedures. HCFA has revised its processes and procedures for monitoring the accuracy of the information in Medicare Choice plans' contracts. The Humana case shows that the agency did not follow procedures that could have revealed the contract discrepancies that caused some beneficiaries to receive less coverage for brand name prescription drugs than the amount specified in their plan's basic package. Unless HCFA adheres to its revised monitoring procedures, beneficiaries will have few guarantees that they will receive the prescription drug benefits for which the government contracted and paid."

A letter report issued by the General Accounting Office with an abstract that begins "The colocation of the Forest Service and the Bureau of Land Management (BLM) units provides the best opportunity for the agencies to jointly serve the public, effect operational efficiencies, and improve land management. The Service First Initiative is designed to improve the operations of these two agencies by combining resources and providing "one-stop shopping" services for the public. Since the initiative has been in operation, the number of shared projects between BLM and the Forest Service has increased from 15 in fiscal year 1996 to 272 in mid-fiscal year 2000. Many of the projects involve shared personnel, shared equipment, and joint training projects. Although there have been some successes in achieving efficient government operations, there are many legal and regulatory barriers that prevent the full integration of the agencies' resources. The full integration of the agencies' operations depends on resolution of these barriers."

A chapter report issued by the General Accounting Office with an abstract that begins "During fiscal year 1999, the Internal Revenue Service (IRS) made several improvements to address financial management issues that GAO raised in earlier reports. However, serious internal control and financial weaknesses continue to undermine the agency's ability to manage operations and produce reliable financial information. These weaknesses affect IRS' ability to, (1) manage unpaid assessments, (2) disburse taxpayer refunds, (3) safeguard manual tax receipts and taxpayer information, (4) account for property and equipment, (5) account for appropriated funds, and (6) collect and report financial data. These problems resulted from, (1) deficient operational and financial systems, (2) inadequate internal controls, and (3) policies and procedures that were not being consistently followed. The improvements that have been made so far focus on ad hoc work-arounds intended to yield immediate results for the limited purpose of reporting reliable annual financial statement information, but they have not corrected underlying long-term systems deficiencies. In addition, IRS has been unable to develop and maintain reliable and timely cost/benefit information to evaluate the relative merits of its various tax collection and enforcement activities. Until IRS undertakes more systemic, short- and long-term corrections, it will …

Correspondence issued by the General Accounting Office with an abstract that begins "As required by the Metropolitan Washington Airports Act of 1986, GAO must periodically determine whether the Metropolitan Washington Airports Authority (MWAA) uses fair practices in determining which vendors win contracts. This correspondence provides information on MWAA's uses contracting practices between 1992 and 1999. GAO found that 2,843 contracts for supplies and services were awarded during this period. The initial award of these contracts was $1.43 billion. Between 1998 and 1999, GAO found that 95 out of 124 large contracts had been awarded using full and open competition. The remaining contracts were awarded on a sole-source basis or by using limited competition."

A letter report issued by the General Accounting Office with an abstract that begins "Although the National Practitioner Data Bank is presently the nation's only central source of medical malpractice payment information, it is unclear whether all relevant data are being properly reported. GAO's review suggests that information in that data bank may not be as accurate, complete, or as timely as it should be. Inaccuracies in the way reported information was coded could confuse or mislead querying organizations about the severity of actions taken against practitioners. Also, duplicate reports overstate the amount of information that the databank has on a particular practitioner. The Health Resources and Services Administration (HRSA) has not established criteria for the information that states and other entities must report when notifying the data bank of the disciplinary actions taken. Moreover, HRSA lacks procedures for ensuring that reporters adhere to the criteria established for medical malpractice reports, including inappropriate references to patients' names. Furthermore, the practitioner notification and dispute resolution processes have not ensured that inaccurate and erroneously reported information is removed from the data bank and not released to entities seeking information on specific practitioners. Finally, without an examination of its financial operations, HRSA has …

Correspondence issued by the General Accounting Office with an abstract that begins "Because of the serious concern for health care workers in the United States, GAO examined the benefit and cost implications of purchasing needlestick prevention devices for hospitals. GAO estimates about 69,000 needlesticks in hospitals can be prevented in 1 year through the use of needles with safety features. Eliminating these needlesticks could reduce the number of health care workers who become infected with the hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) after sustaining a needlestick injury. GAO's analysis of Centers for Disease Control and Prevention data shows that reducing needlesticks may prevent at least 25 cases of HBV and at least 16 cases of HCV infection per year. The reduction in the number of HIV infections cannot be estimated. GAO estimates that the cost to purchase needles with safety features would be between $70 million and $352 million per year. The exact cost to adopt these needles is difficult to determine because several factors must be considered, including the cost to train workers to use the devices and the extent to which the needles reduce injuries."

A letter report issued by the General Accounting Office with an abstract that begins "The Farm Credit Administration (FCA) reviewed the Small Business Administration's (SBA) oversight of the Small Business Lending Companies (SBLC) program and determined that several areas could be strengthened. SBA officials said that the agency plans to take appropriate action on most of FCA's recommendations to improve the program. However, FCA expressed concern about the financial risk to SBA's loan portfolio associated with less favorable economic conditions. Such conditions could place upward pressure on SBA's 7(a) loan default rates. SBA needs to have access to information that accurately identifies risk in both individual loan and the total portfolio. The initial SBLC examination results have provided some information to aid in such risk identification, but a continued effort is needed."

Correspondence issued by the General Accounting Office with an abstract that begins "The Forest Service consolidated its Rocky Mountain Forest and Range Experiment Station with its Intermountain Research Station. The resulting consolidated station was renamed the Rocky Mountain Research Station and was relocated to Fort Collins, Colorado. The Forest Service originally proposed consolidating the two stations in 1992 but delayed taking any action until it completed its reorganizational assessment in May 1997. The Forest Service cut 18 managerial and administrative staff positions during the consolidation. The positions that were eliminated were either transferred to other Forest Service units or were vacated through retirement or employee buyouts. Since 1992, the research funding available to the merged station has remained relatively constant, about 15 percent of the Forest Service's budget for research stations, and the number of employees has remained relatively stable."

A letter report issued by the General Accounting Office with an abstract that begins "As Congress considers Medicare beneficiaries' access to prescription drug coverage, there is increased interest in the range of options available to help vulnerable populations obtain access to needed medications. Patient assistance programs, offered voluntarily by drug companies, are generally designed to provide prescription drugs to low-income persons who lack drug coverage. These programs typically rely on health care providers' involvement with some or all stages of applying for and receiving drugs from the programs. Drug companies characterize their programs as a last-resort source of prescription drugs, and most programs are not designed to provide long-term prescription drug coverage. To comply with the programs' eligibility criteria, which are intended to target patients who need assistance, application procedures require information about the patient's financial and insurance status. The provider's role in the application process is significant, involving obtaining applications, completing all or part of the forms, and receiving and dispensing drugs."

A letter report issued by the General Accounting Office with an abstract that begins "This report documents GAO's concurrence with the findings of PricewaterhouseCoopers' (PwC) report on the Centers for Disease Control and Prevention's (CDC) financial management operations. To effectively monitor and evaluate PwC's work, GAO reviewed PwC's methodology for conducting its work, its collection techniques, resulting analysis, and the draft and final reports. Overall, PwC found significant weaknesses in CDC's financial management procedures, operations, systems, and staff. PwC stated that CDC's financial management capabilities has not kept pace with its expanding mission and funding growth. GAO notes that PwC's report provided CDC with both a framework and critical steps for beginning a long-term upgrading effort, and CDC should use this report as a guide."

A letter report issued by the General Accounting Office with an abstract that begins "Each year, the Department of Defense (DOD) ships inventory worth billions of dollars to locations around the world. DOD has had longstanding difficulty tracking this inventory from origin to destination. GAO reviewed six draft plans developed by the four military services, the Defense Logistics Agency, and the U.S. Transportation Command to overcome this problem. The six draft plans have significantly improved on DOD's original plan for tracking inventory. They are, however, inconsistent in content and do not reflect a coordinated, DOD-wide approach to correcting the lack of visibility over inventory being shipped. These draft plans also lack detailed performance measures for monitoring progress and determining the effectiveness of the actions after they are implemented. They do not address how DOD will ensure appropriate coordination among the military services and DOD commands in the implementation of the corrective actions or how DOD will monitor future progress. Lastly, the Office of the Secretary of Defense has not established a deadline for when the plans should be finalized."

A letter report issued by the General Accounting Office with an abstract that begins "The Pentagon believes that chemical and biological weapons are likely to be used early in a conflict to disrupt U.S. operations and logistics and to potentially offset the overwhelming conventional warfare capabilities of U.S. forces; however, studies have confirmed that U.S. forces are not fully prepared to defend against chemical or biological weapons and could suffer significant casualties if they are used. A study of Army, Air Force, and Marine Corps divisions showed that recent changes to the system are a step in the right direction to improving chemical and biological defense readiness reporting, but the changes do not require units to report on the condition of their chemical and biological defense equipment; thus, these reports could provide incomplete or misleading information on the status of equipment, a key element in assessing overall unit readiness."

A letter report issued by the General Accounting Office with an abstract that begins "The Federal Reserve System plays multiple roles in the payments system by virtue of its status as central bank, banking industry regulator, and payments service provider. Where these roles overlap, conflict, or potentially complement one another inappropriately, the Federal Reserve is faced with the challenge of managing or separating them in such a way as to ensure that it is fulfilling each role without exerting undue influence or giving itself an advantage at the expense of the banking industry or its private sector competitors in providing payment services. GAO found no evidence to suggest that the Federal Reserve has not adequately separated its multiple roles."

A letter report issued by the General Accounting Office with an abstract that begins "The Panama Canal Treaty called for the United States to transfer control over the Panama Canal to Panama and withdraw U.S. military forces and equipment from Panama. The treaty allowed the U.S. government to remove or dispose of all equipment and supplies acquired by U.S. forces. U.S. plans for withdrawal from Panama required excess property to be processed using disposal procedures that gave the military services and the federal agencies the first opportunity to receive the property. During 1998 and 1999, the Department of Defense's (DOD) Panama disposal office processed excess property valued at $136.7 million. Of this amount, $691,000 worth of property (less than one percent) was unaccounted for during this period. Disposal office records show that the property was written off as lost. DOD recognizes the need to properly manage and account for its assets and is working on a long-term strategy to provide in-transit control and visibility over excess property through information technology. DOD also has developed a new lesson segment for training its personnel on control procedures, but it has not taken adequate steps to ensure that the appropriate field personnel have …

Correspondence issued by the General Accounting Office with an abstract that begins "This report focuses on GAO's review of the South Boston Piers Transitway Finance Plan. The Massachusetts Bay Transportation Authority (MBTA) is building a 1.5 mile underground transitway to connect its existing transit system with the South Boston Piers area, which is undergoing significant economic development. The project is experiencing cost increases and schedule delays, which have led to concerns over funding. GAO notes that although MBTA has shown that it has the financial capacity to complete the project, it has not yet clearly demonstrated to the Federal Transit Administration's financial management oversight contractor that funding the transitway project will not impair its ability to operate and maintain its overall transit system."

Correspondence issued by the General Accounting Office with an abstract that begins "The National Association of Securities Dealers (NASD) subsidiary, NASD Dispute Resolution (DR), failed to update its arbitrator disclosure system in a timely manner. As a result, several parties in an arbitration did not receive timely information on their arbitrator. To reduce the potential for further errors, NASD-DRplans to: (1) introduce a form that will allow arbitrators to submit updated information electronically, and (2) centralize processing of the information in itsDepartment of Neutral Management. In 1992 and 1998, NASD-DR also used other measures to ensure that arbitrator background information was current. Because NASD-DR has made these changes and plans to make additional improvements to its procedures for updating arbitrator disclosure information, GAO is not making any further recommendations at this time."

A letter report issued by the General Accounting Office with an abstract that begins "To improve its oversight of housing agencies, the Department of Housing and Urban Development (HUD) implemented its Public Housing Assessment System (PHAS). PHAS provides HUD with a system to measure the performance of its housing agencies. GAO found that the effectiveness of HUD's ability to measure housing agencies' performance under PHAS has not been greatly improved for several reasons. First, HUD does not verify the accuracy of self-certified data submitted by the agencies in response to PHAS requirements. According to GAO's survey, in several instances, agencies that certified themselves as "standard" or "high performers" were later found to be troubled. Second, HUD's field offices indicated that they are adequately prepared in some areas to assist troubled housing agencies but that in other areas, such as adequate staffing, they are not. Furthermore, HUD's experience indicated that although the use of sanctions against poor performing agencies can be an effective tool for improving performance, most of its field offices fail to use them."