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Medicare Home Health: Clarifying the Homebound Definition Is Likely to Have Little Effect on Costs and Access (open access)

Medicare Home Health: Clarifying the Homebound Definition Is Likely to Have Little Effect on Costs and Access

Correspondence issued by the General Accounting Office with an abstract that begins "Medicare's home health benefit provides skilled nursing and other services to beneficiaries who are homebound. The Department of Health and Human Services (HHS) had a long-standing policy that beneficiaries who regularly attend adult day care were not considered homebound, particularly if the purpose of attending was to receive nonmedical or custodial care. In 2000, Congress indicated that Medicare beneficiaries who attended adult day care could still be considered homebound if they still met the other homebound requirements. GAO found that this clarification will have little effect on program costs or access to services because the number of affected individuals is small. On the basis of National Long Term Care Survey data, GAO estimates that 0.2 percent of elderly Medicare beneficiaries who attended adult day care had mobility or cognitive impairments that might make some eligible for Medicare home health services."
Date: April 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Boy Scouts of America for 2000 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Boy Scouts of America for 2000

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit report covering the financial statements of the Boy Scouts of America for fiscal year 2000. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
The Department of Education's Compliance with the Inflation Adjustment Act (open access)

The Department of Education's Compliance with the Inflation Adjustment Act

Correspondence issued by the General Accounting Office with an abstract that begins "Earlier this year, GAO initiated a governmentwide review of the implementation of the Federal Civil Penalties Inflation Adjustment Act of 1990. The Inflation Adjustment Act requires each federal agency to issue a regulation adjusting its covered maximum and minimum civil monetary penalties for inflation by October 23, 1996, and requires them to make necessary adjustments at least once every 4 years thereafter. During the review, the Department of Education's Office of the General Counsel indicated that at least eight of the agency's civil penalties are covered by that act, but the agency had not yet adjusted any of them for inflation."
Date: August 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Personnel Practices: Career and Other Appointments of Former Political Appointees, October 1998-April 2001 (open access)

Personnel Practices: Career and Other Appointments of Former Political Appointees, October 1998-April 2001

A letter report issued by the General Accounting Office with an abstract that begins "Political appointees in the federal government sometimes seek appointments to career positions, which do not end with an administration. Although merit system principles require that selections be determined solely on the basis of merit after fair and open competition, questions have been raised about whether some individuals have received political favoritism or an unfair advantage, even the appearance of which could adversely compromise the integrity of the system. The 45 agencies GAO surveyed reported that 100 employees converted from political appointments and 11 converted from congressional staff positions from October 1998 through April 2001. All the conversions took place at 21 agencies. Ninety-five of the 111 conversions were to positions at the GS-12 level and above. GAO found that the 21 agencies used appropriate appointment authorities, such as civil service certificates from the competitive selection process, and generally followed merit system procedures. In 17 instances, however, the appointments could give the appearance that individuals had received political favoritism or preferences."
Date: February 26, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Agricultural Hall of Fame for 2001 and 2000 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Agricultural Hall of Fame for 2001 and 2000

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit report covering the financial statements of the Agricultural Hall of Fame for fiscal years 2000 and 2001. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Aviation Hall of Fame for 2000 and 1999 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Aviation Hall of Fame for 2000 and 1999

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit report covering the financial statements of the Aviation Hall of Fame for fiscal years 1999 and 2000. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Foot and Mouth Disease: To Protect U.S. Livestock, USDA Must Remain Vigilant and Resolve Outstanding Issues (open access)

Foot and Mouth Disease: To Protect U.S. Livestock, USDA Must Remain Vigilant and Resolve Outstanding Issues

A chapter report issued by the General Accounting Office with an abstract that begins "The 2001 outbreak of foot and mouth disease (FMD) in the United Kingdom decisively illustrated the devastation that this highly contagious animal disease can cause to a nation's economy. By the time the disease was eradicated, the United Kingdom had slaughtered more than 4 million animals and sustained losses of $5 billion in the food and agricultural sectors, as well as comparable losses to its tourism industry. Before 2001, the United Kingdom had been FMD-free for almost 34 years. Following the outbreak, the country was generally barred from participating in the international trade of live animals and animal products that could transmit the virus. The United States has adequate processes for obtaining information on foreign FMD outbreaks and providing the Department of Agriculture (USDA) and others with this information, but it lacks adequate processes for sharing this information with the Customs Service. The United States receives information on FMD outbreaks from USDA officials stationed abroad, international agricultural and animal health organizations, and foreign governments. These officials collect a wide array of agricultural and animal health information about the countries and regions in which they are stationed, …
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Combating Terrorism: Funding Data Reported to Congress Should Be Improved (open access)

Combating Terrorism: Funding Data Reported to Congress Should Be Improved

A briefing report issued by the General Accounting Office with an abstract that begins "Congress responded to the attacks of September 11, 2001, with dramatic funding increases to combat terrorism. Even before these attacks, Congress was concerned about increased funding in this area, and based on findings from a 1997 GAO report, mandated that the Office of Management and Budget (OMB) report annually on funding to combat terrorism. In this review, GAO was asked to analyze such funding trends, describe difficulties in coordinating combating terrorism budgets, assess data reported to Congress, and describe the executive branch's efforts to maximize the effective use of combating terrorism funds. The review relied on OMB's definition of "combating terrorism" to include both homeland security and overseas combating terrorism missions."
Date: November 26, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Department of Energy: Observations on Using External Agencies to Regulate Nuclear and Worker Safety in DOE's Science Laboratories (open access)

Department of Energy: Observations on Using External Agencies to Regulate Nuclear and Worker Safety in DOE's Science Laboratories

Correspondence issued by the General Accounting Office with an abstract that begins "The Department of Energy's (DOE) complex of research and nuclear facilities is not inspected or licensed by an independent external regulator, such as the Nuclear Regulatory Commission (NRC). Instead, DOE and its predecessors have, since 1946, been granted legislative authority to self-regulate nuclear and worker safety in the department's facilities. DOE officials told GAO that (1) the department's current position on external regulation is "neutral" because the Secretary has insufficient information on which to make a decision; (2) another study is needed to develop data on the costs and benefits of making the transition to, and operating under, external regulation, and (3) a realistic implementation plan cannot be developed for the six to nine months DOE estimates the study will take. On the other hand, NRC and the Occupational Safety and Health Administration (OSHA) report that they are prepared to begin regulating the department's 10 science laboratories. The cost of upgrading DOE facilities to regulator standards may not be significant for a variety of reasons. First, NRC concluded from its simulations that few changes to DOE facilities are needed to meet it's licensing requirements. Second, NRC stated that …
Date: June 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Future Farmers of America for Fiscal Years 2001 and 2000 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Future Farmers of America for Fiscal Years 2001 and 2000

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit report covering the financial statements of the Future Farmers of America for fiscal years 2001 and 2000. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Congressional Award Foundation: Management Action Needed to Establish Control Requirements and Related Procedures (open access)

Congressional Award Foundation: Management Action Needed to Establish Control Requirements and Related Procedures

Correspondence issued by the General Accounting Office with an abstract that begins "During GAO's fiscal year 2001 audit on accounting procedures and internal controls at the Congressional Award Foundation it found several internal control weaknesses related to processing transactions, maintaining supporting documents, and required reporting. Specifically, GAO found lack of approval for payments to vendors, inaccurate classification of transactions in the general ledger, lack of supporting documents for adjusting journal entries made by the foundation's accounting firm, incomplete personnel files, and lack of congressional reports for fiscal year 2000. The leadership of the Congressional Award Foundation changed near the end of the fiscal year 2001, and this transition may have contributed to the weaknesses found during GAO's audit. Since this transition, the foundation has established the executive position of the Director of Finance and Administration to oversee daily financial and administrative operations."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
National Science Foundation's Compliance With the Inflation Adjustment Act (open access)

National Science Foundation's Compliance With the Inflation Adjustment Act

Correspondence issued by the General Accounting Office with an abstract that begins "The Federal Civil Penalties Inflation Adjustment Act of 1990 required each federal agency to issue a regulation adjusting its covered maximum civil monetary penalties for inflation by October 23, 1996, and to make necessary adjustments at least once every 4 years thereafter. During its review, GAO determined that the National Science Foundation (NSF) had adjusted its maximum civil penalties more than the act permits. First, the NSF adjusted the civil penalties by 10 percent, which increased the penalty for an unintentional violation of the statue from $5,000 to $5,500 and increased the penalty for an intentional violation from $10,000 to $11,000. Second, the rule noted that for violations occurring after December 31, 1997, the maximum civil penalty would be $12,000 for unintentional violations and $23,000 for intentional violations. This second adjustment accounted for all of the changes in the Consumer Price Index between June 1978 and June 1995 that had not been accounted for by the initial 10 percent increase. NSF's second adjustment is inconsistent with the act's requirements."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Reports for the Civil Air Patrol for Fiscal Years 1999 and 1998 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Reports for the Civil Air Patrol for Fiscal Years 1999 and 1998

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed an audit report covering the financial statements of the Civil Air Patrol for fiscal years 1999 and 1998. The audit report for 1999 included the auditors' opinion that, with one exception, the financial statements of the corporation were presented fairly in accordance with U.S. generally accepted accounting principles. The auditor disclaimed an opinion for fiscal year 1998 because the effect of a pending Air Force investigation was not determinable upon the financial statements."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Fleet Reserve Association for Fiscal Years 2000 and 2001 and 3-Months Ended December 31, 2001 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Report for the Fleet Reserve Association for Fiscal Years 2000 and 2001 and 3-Months Ended December 31, 2001

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit reports covering the financial statements of the Fleet Reserve Association for fiscal year 2000 and 2001 and the 3-months period ending December 31, 2001. GAO found no reportable instances of noncompliance. The audit reports include the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Review of the Estimates for the Impact of the September 11, 2001, Terrorist Attacks on New York Tax Revenues (open access)

Review of the Estimates for the Impact of the September 11, 2001, Terrorist Attacks on New York Tax Revenues

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the New York City Office of Management and Budget and the New York State Division of Budget estimates of tax revenue losses attributed to the September 2001 terrorist attacks. Both offices estimated that the attacks would reduce anticipated tax revenues to the city and state in both fiscal years 2002 and 2003. The budget offices' estimates of the tax revenue losses have limitations, such as including some of the economic slowdown that was under way at the time of the attacks. Nevertheless, the tax revenue loss estimates for the 2002 fiscal year--$1.6 billion for New York City and $1.6 billion for New York State--appear to reasonably approximate the impact of the attacks on tax revenues. Precisely measuring the effect on economic activity and related tax revenues is inherently difficult. Such measuring requires disentangling the effect of the attacks from the effects of other events. As of June 2002, the federal government had authorized funds of $10.4 billion to New York to partly compensate for the economic losses attributable to the attacks, including $6.4 billion for debris removal and temporary housing assistance. Nonetheless, the specific amount of …
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Reports for the Gold Star Wives of America, Incorporated, for Fiscal Years 2001 and 2000 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Reports for the Gold Star Wives of America, Incorporated, for Fiscal Years 2001 and 2000

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed an audit report covering the financial statement of the Gold Star Wives of America, Inc., for fiscal years 2000 and 2001. GAO found no reportable instances of noncompliance. The audit report included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Defense Space Activities: Status of Reorganization (open access)

Defense Space Activities: Status of Reorganization

Correspondence issued by the General Accounting Office with an abstract that begins "To meet long-standing concerns about the Department of Defense's (DOD) organization and management of national security space activities, Congress chartered the Commission to Assess United States National Security Space Management and Organization to study the organization and management of space activities that support U.S. national security interests and make recommendations for improvements. DOD has decided to take actions related to 10 of the commission's 13 recommendations. These include recommendations for organizational changes aimed at consolidating some activities, changing chains of command, opening lines of communications, and modifying policies to achieve greater responsibility and accountability. Many changes have been implemented within the last few months, and thus related processes and procedures have not been completed. As a result, it is too early to determine whether these changes will enable DOD to promote and protect U.S. interests in space more effectively. Moreover, DOD has not yet completed plans for achieving some long-range goals, such as developing a cadre of space professionals and integrating military and intelligence space activities. The Secretary of Defense chose not to implement three of the commission's recommendations and is instead (1) opting to establish a focal …
Date: June 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Federally Chartered Corporation: Review of the Financial Statement Audit Report for the American War Mothers for Fiscal Year 2001 (open access)

Federally Chartered Corporation: Review of the Financial Statement Audit Report for the American War Mothers for Fiscal Year 2001

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit report covering the financial statements of the American War Mothers for fiscal year 2001. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Long-Term Care: Availability of Medicaid Home and Community Services for Elderly Individuals Varies Considerably (open access)

Long-Term Care: Availability of Medicaid Home and Community Services for Elderly Individuals Varies Considerably

A letter report issued by the General Accounting Office with an abstract that begins "As the baby boomers age, spending on long-term care for the elderly could quadruple by 2050. The growing demand for long-term care will put pressure on federal and state budgets because long-term care relies heavily on public financing, particularly Medicaid. Nursing home care traditionally has accounted for most Medicaid long-term care expenditures, but the high costs of such care and the preference of many individuals to stay in their own homes has led states to expand their Medicaid programs to provide coverage for home- and community-based long-term care. GAO found that a Medicaid-eligible elderly individual with the same disabling conditions, care needs, and availability of informal family support could find significant differences in the type and intensity of home and community-based services that would be offered for his or her care. These differences were due in part to the very nature of long-term care needs--which can involve physical or cognitive disabling conditions--and the lack of a consensus as to what services are needed to compensate for these disabilities and what balance should exist between publicly available and family-provided services. The differences in care plans were also …
Date: September 26, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Long-Term Care: Elderly Individuals Could Find Significant Variation in the Availability of Medicaid Home and Community Services (open access)

Long-Term Care: Elderly Individuals Could Find Significant Variation in the Availability of Medicaid Home and Community Services

Testimony issued by the General Accounting Office with an abstract that begins "As the baby boomers age, spending on long-term care for the elderly could quadruple by 2050. The growing demand for long-term care will put pressure on federal and state budgets because long-term care relies heavily on public financing, particularly Medicaid. Nursing home care traditionally has accounted for most Medicaid long-term care expenditures, but the high costs of such care and the preference of many individuals to stay in their own homes has led states to expand their Medicaid programs to provide coverage for home- and community-based long-term care. GAO found that a Medicaid-eligible elderly individual with the same disabling conditions, care needs, and availability of informal family support could find significant differences in the type and intensity of home and community-based services that would be offered for his or her care. These differences were due in part to the very nature of long-term care needs--which can involve physical or cognitive disabling conditions--and the lack of a consensus as to what services are needed to compensate for these disabilities and what balance should exist between publicly available and family-provided services. The differences in care plans were also due to …
Date: September 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Environmental Contamination: Uncertainties Continue to Affect the Progress of the Spring Valley Cleanup (open access)

Environmental Contamination: Uncertainties Continue to Affect the Progress of the Spring Valley Cleanup

Testimony issued by the General Accounting Office with an abstract that begins "During World War I, the U.S. Army operated a large research facility to develop and test chemical weapons and explosives in the area that became the Spring Valley neighborhood in Washington, D.C. Buried ordnance, discovered there in 1993, led to the designation by the Department of Defense (DOD) of 61 acres as a formerly used defense site. Through fiscal year 2001, DOD had spent over $50 million to identify and remove hazards at the site. The government entities involved have identified and removed a large number of hazards, but the number remaining is unknown. The health risks influencing cleanup activities at Spring Valley are the possibility of injury or death from exploding or leaking ordnance and containers of chemical warfare agents and potential long-term health problems from exposure to arsenic-contaminated soil. As of April 2002, the U.S. Army estimated that the remaining cleanup activities would cost $7.1 million and take 5 years, but these estimates are unreliable. This testimony summarized a June report (See GAO-02-556)."
Date: June 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
VA Information Technology: Management Making Important Progress in Addressing Key Challenges (open access)

VA Information Technology: Management Making Important Progress in Addressing Key Challenges

Testimony issued by the General Accounting Office with an abstract that begins "In March of this year, GAO testified before the House Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, about the Department of Veterans Affairs' (VA) information technology (IT) program, and the strides that the Secretary had made in improving departmental leadership and management of this critical area--including the hiring of a chief information officer. At the Subcommittee's request, GAO evaluated VA's new IT organizational structure, and provided an update on VA's progress in addressing other specific areas of IT concern and our related recommendations pertaining to enterprise architecture, information security, the Veterans Benefits Administration's replacement compensation and pension payment system and maintenance of the Benefits Delivery Network, and the government computer-based patient record initiative."
Date: September 26, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Columbia River Basin Salmon and Steelhead: Federal Agencies' Recovery Responsibilities, Expenditures and Actions (open access)

Columbia River Basin Salmon and Steelhead: Federal Agencies' Recovery Responsibilities, Expenditures and Actions

A letter report issued by the General Accounting Office with an abstract that begins "Before 1850, an estimated 16 million salmon and steelhead returned to the Columbia River Basin annually to spawn. Over the past 25 years, the number of salmon and steelhead returning to the Columbia River Basin has averaged only 660,000 per year although annual population levels have varied widely. Factors such as over-harvesting, construction and operation of dams, degradation of spawning habitat, increased human population, and unfavorable weather and ocean conditions have contributed to the long-term decline. The population decline has resulted in the listing of 12 salmon and steelhead populations in the basin as threatened or endangered under the Endangered Species Act. Once a species is listed as threatened or endangered, the act requires that efforts be taken to allow its recovery. Eleven federal agencies are involved with salmon and steelhead recovery efforts in the Columbia River Basin. The National Marine Fisheries Service (NMFS), as the lead agency, is responsible for preparing a recovery plan and consulting with the other federal agencies on their planned actions. The 11 federal agencies estimate expenditures of $1.8 billion from fiscal year 1982 through fiscal year 1996 and $1.5 billion …
Date: July 26, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Worker Protection: Labor's Efforts to Enforce Protections for Day Laborers Could Benefit from Better Data and Guidance (open access)

Worker Protection: Labor's Efforts to Enforce Protections for Day Laborers Could Benefit from Better Data and Guidance

A letter report issued by the General Accounting Office with an abstract that begins "Day laborers generally are individuals who work and get paid on a daily or short-term basis. To find work, they often congregate on street corners and wait for employers to drive by and offer them work. Day laborers may also be employed by temporary staffing agencies that assign them work on a daily basis with client employers. Day laborers have an informal relationship with the labor market, often working for different employers each day, being paid in cash, and lacking key benefits, such as health or unemployment insurance. However, day laborers may be eligible for wage and safety protections provided by the Fair Labor Standards Act (FLSA) and the Occupational Safety and Health (OSH) Act. The U.S. Department of Labor administers both acts. Its Wage and Hour Division (WHD) is responsible for ensuring that all covered workers receive at least the federal minimum hourly wage and overtime pay. The Occupational Safety and Health Administration (OSHA) is required to ensure that employers provide safe and healthy workplaces to help their workers avoid injury or death. Coverage under both laws does not depend on a worker's immigration status. …
Date: September 26, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library