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Military Treatment Facilities: Eligibility Follow-up at Wilford Hall Air Force Medical Center
Correspondence issued by the General Accounting Office with an abstract that begins "In October 2002, we reported the results of our audit of selected internal control activities at three military treatment facilities: Eisenhower Army Medical Center, Augusta, Georgia; Naval Medical Center-Portsmouth, Portsmouth, Virginia; and Wilford Hall Air Force Medical Center, San Antonio, Texas. As part of our work for that report, we requested data files of all patients who had been admitted, treated as outpatients, or received pharmaceutical benefits during fiscal year 2001. Despite considerable effort by the three facilities, only Wilford Hall Air Force Medical Center was able to provide a file of beneficiaries who received pharmaceuticals during the year. We compared this file to data in the Social Security Administration's (SSA) Death Master File as a technique to identify instances of potential fraud or abuse. For Wilford Hall, we identified 41 cases in which a prescription was ordered for an individual after the date of his or her death as recorded in the SSA Death Master File. Congress requested that we determine whether individuals fraudulently obtained pharmaceuticals or other health benefits by assuming the identity of a dead person, and, if so, to identify the specific breakdowns in …
Date:
April 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Medicare Trust Funds Actuarial Estimates: Efforts Have Been Made to Improve Internal Control over Projection Process but Some Weaknesses Remain
Correspondence issued by the General Accounting Office with an abstract that begins "Medicare spending growth remains one of the most pressing and complex issues facing the Congress and the nation. During calendar year 2001, the most recent year for which complete data were available at the time of our review, over 40 million Medicare enrollees received $240.9 billion in benefits from the trust funds maintained for Hospital Insurance and Supplementary Medical Insurance, Medicare's two components. The Boards of Trustees of the trust funds are required to report annually on the current and projected financial status of the Medicare program to the Congress and the American people. The Centers for Medicare and Medicaid Services' (CMS) Office of the Actuary (OACT) provides estimates to the boards to assist them in setting certain assumptions about HI and SMI future performance that are needed to prepare long-range and short-range projections of the financial status of the trust funds for the Trustees' reports. Based on the boards' assumptions, OACT then prepares the projections and the Trustees' reports for the boards. In its 2002 annual report, the Board of Trustees estimated that, under current rules, HI expenditures would begin to exceed tax revenue in calendar year …
Date:
March 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
U.S. Public Diplomacy: State Department Expands Efforts but Faces Significant Challenges
A letter report issued by the General Accounting Office with an abstract that begins "The terrorist attacks of September 11, 2001, focused attention on the need to improve public diplomacy efforts to cultivate a better public opinion of the United States abroad. However, recent opinion research indicates that many foreign publics, especially in countries with significant Muslim populations, view the United States unfavorably. GAO examined changes in the State Department's (State) public diplomacy efforts since September 11, whether State has an overall strategy for its public diplomacy programs, how it measures their effectiveness, and challenges it faces in implementing these programs."
Date:
September 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Capitol Hill Anthrax Incident: EPA's Cleanup Was Successful; Opportunities Exist to Enhance Contract Oversight
A letter report issued by the General Accounting Office with an abstract that begins "In September and October 2001, the first cases of anthrax bioterrorism occurred in the United States when letters containing anthrax were mailed to congressional leaders and members of the news media. As the cleanup of the Capitol Hill anthrax site progressed, EPA's estimates of the cleanup costs steadily rose. GAO was asked to describe (1) the costs EPA incurred to conduct the cleanup and how it was funded, (2) the extent to which EPA awarded the cleanup contracts competitively, (3) EPA's oversight of the contractors' work and any suggested changes to EPA's contracting practices, and (4) the extent to which EPA agreed to indemnify contractors against liability for potential damages related to the cleanup."
Date:
June 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Space Acquisitions: Committing Prematurely to the Transformational Satellite Program Elevates Risks for Poor Cost, Schedule, and Performance Outcomes
Correspondence issued by the General Accounting Office with an abstract that begins "In a multibillion-dollar effort, the Department of Defense (DOD) plans to build a space-based communications system that leverages technologies never before used in space. Such a system would enable DOD to transform how information is collected on potential U.S. adversaries and how military forces are warned of hostile action. The backbone of this system will be the Transformational Satellite (TSAT), which is expected to play a pivotal role in connecting communications networks on the ground, in the air, on ships, and in space. TSAT represents a potential leap forward in communications speed, security, and availability. The Air Force, which heads up DOD's space programs, intends for TSAT to be interoperable with similar systems being acquired for the National Aeronautics and Space Administration (NASA) and the intelligence agencies. The initial TSAT program is expected to cost about $12 billion from 2003 to 2015 for development and production. Several billions more are to be spent acquiring and supporting the associated ground infrastructure, including thousands of user terminals. The Air Force intends to start the acquisition program in December 2003 and expects to launch the first TSAT in 2011. To help …
Date:
December 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Foreign Affairs: Effective Stewardship of Resources Essential to Efficient Operations at State Department, USAID
Testimony issued by the General Accounting Office with an abstract that begins "In recent years, funding for the Department of State has increased dramatically, particularly for security upgrades at overseas facilities and a major hiring program. The U.S. Agency for International Development (USAID) has also received more funds, especially for programs in Afghanistan and Iraq and HIV/AIDS relief. Both State and USAID face significant management challenges in carrying out their respective missions, particularly in areas such as human capital management, performance measurement, and information technology management. Despite increased funding, resources are not unlimited. Thus, State, USAID, and all government agencies have an obligation to ensure that taxpayer resources are managed wisely. Long-lasting improvements in performance will require continual vigilance and the identification of widespread opportunities to improve the economy, efficiency, and effectiveness of State's and USAID's existing goals and programs. GAO was asked to summarize its findings from reports on State's and USAID's management of resources, actions taken in response to our reports, and recommendations to promote cost savings and more efficient and effective operations at the department and agency."
Date:
September 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Telecommunications: GSA Needs to Improve Process for Awarding Task Orders for Local Service
A letter report issued by the General Accounting Office with an abstract that begins "The Metropolitan Area Acquisition (MAA) program, managed by the General Services Administration (GSA), provides local telecommunications services to government agencies in selected metropolitan areas. Of the 25 cities in which MAA contracts were awarded as of January 2003, 15 were awarded to two or more providers. Such multiple-award contracts are a means of promoting competition. To ensure equity in the award of task orders under these contracts, the Federal Acquisition Regulation (FAR) requires that the government provide contractors a fair opportunity to be considered. GAO was asked to review, among other things, whether GSA's implementation of the fair consideration process is consistent and the effect of any inconsistency, as well as the adequacy of GSA's documentation to support the decisions reached."
Date:
April 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Human Capital: Building on DOD's Reform Effort to Foster Governmentwide Improvements
Testimony issued by the General Accounting Office with an abstract that begins "People are at the heart of an organization's ability to perform its mission. Yet a key challenge for the Department of Defense (DOD), as for many federal agencies, is to strategically manage its human capital. DOD's proposed National Security Personnel System would provide for wide-ranging changes in DOD's civilian personnel pay and performance management and other human capital areas. Given the massive size of DOD, the proposal has important precedent-setting implications for federal human capital management. This testimony provides GAO's observations on DOD human capital reform proposals and the need for governmentwide reform."
Date:
June 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Nuclear Regulatory Commission: Oversight of Security at Commercial Nuclear Power Plants Needs to Be Strengthened
A letter report issued by the General Accounting Office with an abstract that begins "The September 11, 2001, terrorist attacks intensified the nation's focus on national preparedness and homeland security. Among possible terrorist targets are the nation's nuclear power plants--104 facilities containing radioactive fuel and waste. The Nuclear Regulatory Commission (NRC) oversees plant security through an inspection program designed to verify the plants' compliance with security requirements. As part of that program, NRC conducted annual security inspections of plants and force-on-force exercises to test plant security against a simulated terrorist attack. GAO was asked to review (1) the effectiveness of NRC's security inspection program and (2) legal challenges affecting power plant security. Currently, NRC is reevaluating its inspection program. We did not assess the adequacy of security at the individual plants; rather, our focus was on NRC's oversight and regulation of plant security."
Date:
September 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Pension Benefit Guaranty Corporation: Single-Employer Pension Insurance Program Faces Significant Long-Term Risks
Testimony issued by the General Accounting Office with an abstract that begins "More than 34 million participants in 30,000 single-employer defined benefit pension plans rely on a federal insurance program managed by the Pension Benefit Guaranty Corporation (PBGC) to protect their pension benefits, and the program's long-term financial viability is in doubt. Over the last decade, the program swung from a $3.6 billion accumulated deficit (liabilities exceeded assets), to a $10.1 billion accumulated surplus, and back to a $3.6 billion accumulated deficit, in 2002 dollars. Furthermore, despite a record $9 billion in estimated losses to the program in 2002, additional severe losses may be on the horizon. PBGC estimates that financially weak companies sponsor plans with $35 billion in unfunded benefits, which ultimately might become losses to the program. This testimony provides GAO's observations on the factors that contributed to recent changes in the single-employer pension insurance program's financial condition, risks to the program's long-term financial viability, and options to address the challenges facing the single-employer program."
Date:
September 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Small and Disadvantaged Businesses: Some Agencies' Advocates Do Not Report to the Required Management Level
A letter report issued by the General Accounting Office with an abstract that begins "Section 15(k) of the Small Business Act requires that all federal agencies with procurement powers establish an Office of Small and Disadvantaged Business Utilization (OSDBU). This law is one of many designed to enhance the participation of small and disadvantaged businesses in federal procurement. Section 15(k)(3) of the act requires that OSDBU directors, who are intended to be advocates for small and disadvantaged businesses, be responsible only to and report directly to agency heads or deputy agency heads. GAO was asked to determine compliance with section 15(k)(3) across the government, review to whom the OSDBU director at the Office of the Secretary of Defense has reported since the office was exempted from that provision, and determine whether section 15(k) applies to the Office of Administration (OA), which is the central procurement arm of the Executive Office of the President (EOP)."
Date:
September 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Technology Transfer: NIH-Private Sector Partnership in the Development of Taxol
A letter report issued by the General Accounting Office with an abstract that begins "The transfer of technology from government-funded medical research laboratories to the private sector aims to have new pharmaceuticals brought to market more efficiently than would be possible for a federal agency acting alone. Much of the pharmaceutical-related technology transfer originates with research funded by the National Institutes of Health (NIH). GAO was asked to examine the legal and financial issues involved in technology transfers as illustrated by the research, development, and commercialization of Taxol. Taxol was developed through a cooperative research and development agreement (CRADA) between NIH and the Bristol-Meyers Squibb Company (BMS) and by 2001 had become the best-selling cancer drug in history. Specifically, GAO examined (1) how the technology transfer partnership affected the research and development of Taxol, (2) what NIH's financial investment was in Taxol-related research, and what the financial outcomes were of the technology transfer process related to Taxol, and (3) what factors influenced how NIH exercised its authority in Taxol-related technology transfer activities. GAO reviewed relevant materials and statutes governing technology transfer, reviewed the patent history of Taxol, interviewed NIH and BMS officials, and reviewed data on NIH's financial investment and …
Date:
June 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Military Aircraft: Observations on the Proposed Lease of Aerial Refueling Aircraft by the Air Force
Testimony issued by the General Accounting Office with an abstract that begins "At 543 aircraft, the KC-135 is the mainstay of U.S. aerial refueling capability. Recapitalizing this fleet is crucial to maintaining this capability and, ultimately, maintaining the mobility of U.S. forces. In the fiscal year 2002 defense appropriations act, the Congress authorized the Air Force to lease up to 100 aerial refueling aircraft after the Air Force reported its plans to the Senate and House Armed Services Committees and Defense Appropriations Subcommittees. The Air Force sent Congress on July 10 its report containing a business case analysis of its proposed lease. The Air Force plans to lease 100 KC-767A aircraft for 6 years each from a special purpose entity (SPE) that will order the aircraft from the Boeing Company. GAO was asked to (1) summarize the Air Force's report for leasing KC-767A aircraft, (2) present its observations on the report and justification for the lease, and (3) identify related issues and costs to assist the Congress as it considers the Air Force's proposal."
Date:
September 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Wildland Fires: Better Information Needed on Effectiveness of Emergency Stabilization and Rehabilitation Treatments
A letter report issued by the General Accounting Office with an abstract that begins "Wildfires burn millions of acres annually. Most burnt land can recover naturally, but a small percentage needs short-term emergency treatment to stabilize burnt land that threatens public safety, property, or ecosystems or longer-term treatments to rehabilitate land unlikely to recover naturally. The Department of the Interior (Interior) and the Department of Agriculture's (USDA's) Forest Service--the two departments that manage most federal land--spend millions of dollars annually on such treatments. GAO was asked to (1) describe the two departments' processes for implementing their programs, (2) identify the costs and types of treatments implemented, and (3) determine whether these treatments are effective."
Date:
April 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Embassy Construction: State Department Has Implemented Management Reforms, but Challenges Remain
A letter report issued by the General Accounting Office with an abstract that begins "Since the 1998 bombings of two U.S. embassies in Africa, the State Department has done much to improve physical security at overseas posts. However, most overseas diplomatic office facilities still do not meet the security standards State developed to protect these sites from terrorist attacks and other dangers. To correct this problem, State in 1999 embarked on an estimated $21 billion embassy construction program. The program's key objective is to provide secure, safe, and functional compounds for employees overseas--in most cases by building replacement facilities. In 2001, State's Bureau of Overseas Buildings Operations (OBO)--which manages the program--began instituting reforms in its structure and operations to meet the challenges of the embassy construction program. This report discusses (1) OBO's mechanisms for more effectively managing the embassy construction program and (2) the status of and challenges facing the program. We received comments from State, which said that the report is a fair and accurate representation overall of the Department's overseas construction process."
Date:
November 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Bonneville Power Administration: Obligations to Fish and Wildlife in the Pacific Northwest
Testimony issued by the General Accounting Office with an abstract that begins "The Bonneville Power Administration produces a large portion of the Pacific Northwest's electric power, largely from hydroelectric projects in the Federal Columbia River Power System. Bonneville also has obligations to protect, mitigate, and enhance fish and wildlife populations affected by these hydroelectric projects. In the past several years, Bonneville has experienced financial difficulties, in part because of rising costs of providing power, lower-than-projected revenue from selling surplus power, and drought conditions. Bonneville's financial situation may adversely affect fish and wildlife. Stakeholders have expressed concern that Bonneville has effectively reduced spending on fish and wildlife programs. This testimony addresses (1) Bonneville's statutory and other obligations to support fish and wildlife programs, (2) Bonneville's historical spending and other efforts in support of fish and wildlife, (3) Bonneville's current financial condition, (4) Bonneville's recent actions that affect fish and wildlife programs, and (5) challenges Bonneville faces in supplying electricity to the region while simultaneously protecting, mitigating and enhancing fish and wildlife."
Date:
June 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Weapons of Mass Destruction: Observations on U.S. Threat Reduction and Nonproliferation Programs in Russia
Testimony issued by the General Accounting Office with an abstract that begins "After the breakup of the Soviet Union in 1991, Russia inherited the world's largest arsenal of nuclear, chemical, and biological weapons. The Soviets' extensive military resources and autocratic rule allowed it to maintain and secure this vast arsenal. As Russia adopted economic reforms and moved toward an open society, its economy and central controls deteriorated, making it difficult to maintain security at these weapons sites. Recognizing these difficulties, the Congress authorized funds for programs to help destroy Russian weapons and improve WMD security. The events of September 11th have increased U.S. concerns that terrorists might obtain nuclear materials or weapons at poorly secured sites. GAO has reviewed U.S. threat reduction and nonproliferation efforts in Russia since 1993."
Date:
March 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Bureau of Indian Affairs Schools: Expenditures in Selected Schools are Comparable to Similar Public Schools, But Data Are Insufficient to Judge Adequacy of Funding and Formulas
A letter report issued by the General Accounting Office with an abstract that begins "In 2001, Congress directed GAO to examine the adequacy of Bureau of Indian Affairs (BIA) school funding and the adequacy of the formulas employed by BIA to distribute various types of operating funds. Because there is no universally accepted standard for adequacy, for this report, GAO examined (1) the sources and amounts of federal funding provided for BIA schools and how they are determined, (2) how BIA school budgets and expenditures compared to national per-pupil expenditures and expenditures for similarly situated public schools, and (3) how equitably various formulas distribute funding across BIA schools and whether they account for all relevant costs. To obtain expenditure data for BIA schools GAO reviewed BIA budget and financial documents and collected data from 8 BIA and 6 public schools that were similar in terms of their relative isolation and student characteristics."
Date:
September 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Social Security Trust Funds Actuarial Estimates: Internal Control over Projection Process Needs Improvement
Correspondence issued by the General Accounting Office with an abstract that begins "The combined Federal Old-Age, Survivors and Disability Insurance (OASDI) programs, commonly referred to as Social Security, provide protection against loss of earnings due to retirement, death, or disability. During calendar year 2001, the most recent year for which complete data were available at the time of our review, about 46 million people, including 91 percent of Americans age 65 or older, received $432 billion in benefits from the trust funds maintained for these programs. The Board of Trustees of the trust funds is required to report annually on the current and projected financial status of the Social Security programs to the Congress and the American people. The Social Security Administration's (SSA) Office of the Chief Actuary (OACT) provides estimates to the board to assist them in setting demographic, economic, and programmatic assumptions about OASDI's future performance that are needed to prepare long-range and short-range projections of the financial status of the trust funds for the trustees' reports. Based on the board's assumptions, OACT then prepares the projections and the trustees' report for the board. In its 2002 annual report, the Board of Trustees estimated that, under current rules, …
Date:
March 4, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Results of Deposition Scoping Tests
The processes of crystallization and solid deposit formation that led to the shutdown of the 2H evaporator operation at the Savannah River Site (SRS) and that could possibly cause similar problems in the future or in other evaporators need to be better understood. Through experimentation, thermodynamic modeling, and correlation of scaling to historical tank farm operations, progress has been made in developing guidelines as to the concentrations of silicon and aluminum that can be processed by evaporators while avoiding unacceptable levels of scale formation. However, because of limitations of the thermodynamic model and an insufficient amount of operational data at slightly supersaturated concentration levels, uncertainty still exists regarding acceptable feed concentrations. The objective of this effort is to provide information that can be used in defining acceptable levels of silicon and aluminum in evaporator feed solutions. Data collected previously showed that particle formation reactions can be rapid at evaporator temperatures for elevated silicon and aluminum concentrations. However, insufficient data exists to estimate the silicon and aluminum concentrations above which solids will form in the time frame of evaporator processing. The work described in this report was designed to determine the induction period for solutions of decreasing aluminum and silicon concentration …
Date:
March 4, 2003
Creator:
Hu, M.Z.
Object Type:
Report
System:
The UNT Digital Library
Cherokeean/Herald (Rusk, Tex.), Vol. 154, No. 15, Ed. 1 Wednesday, June 4, 2003
Weekly newspaper from Rusk, Texas that includes local, state and national news along with extensive advertising.
Date:
June 4, 2003
Creator:
Whitehead, Marie
Object Type:
Newspaper
System:
The Portal to Texas History
North Texas Daily (Denton, Tex.), Vol. 88, No. 13, Ed. 1 Tuesday, February 4, 2003
Daily student newspaper from the University of North Texas in Denton, Texas that includes local, state and campus news along with advertising.
Date:
February 4, 2003
Creator:
unknown
Object Type:
Newspaper
System:
The Portal to Texas History
78th Texas Legislature, Regular Session, House Concurrent Resolution 25
Concurrent resolution introduced by the Texas House of Representatives and Senate relating to recognizing February 24-26, 2003, as Tyler Days at the State Capitol.
Date:
March 4, 2003
Creator:
Texas. Legislature. House of Representatives.
Object Type:
Legislative Document
System:
The Portal to Texas History
78th Texas Legislature, Regular Session, House Concurrent Resolution 45
Concurrent resolution introduced by the Texas House of Representatives and Senate relating to congratulating Dr. Arthur K. Smith and his wife, June, on the occasion of his retirement as chancellor of the University of Houston System and as president of the University of Houston.
Date:
March 4, 2003
Creator:
Texas. Legislature. House of Representatives.
Object Type:
Legislative Document
System:
The Portal to Texas History