A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) provides a variety of long-term care services that includes nursing home care and noninstitutional care provided in community-based settings or in the homes of veterans. One important noninstitutional service is home-based primary care, which uses a multidisciplinary team approach involving VA health care providers and others such as social workers to treat veterans who are homebound. As part of GAO's work for the Committee on Veterans' Affairs, House of Representatives, to assess how VA meets veterans' long-term care needs, GAO reviewed how VA measures workload for home-based primary care and five other noninstitutional services."

A letter report issued by the Government Accountability Office with an abstract that begins "Smart cards--plastic devices about the size of a credit card--use integrated circuit chips to store and process data, much like a computer. Among other uses, these devices can provide security for physical assets and information by helping to verify the identity of people accessing buildings and computer systems. They can also support functions such as tracking immunization records or storing cash value for electronic purchases. Government adoption of smart card technology is being facilitated by the General Services Administration (GSA), which has implemented a governmentwide Smart Card Access Common ID contract, which federal agencies can use to procure smart card products and services. GAO was asked to update information that it reported in January 2003 on the progress made by the federal government in promoting smart card technology. Specific objectives were to (1) determine the current status of smart card projects identified in GAO's last review, (2) identify and determine the status of projects initiated since the last review, and (3) identify integrated agencywide smart card projects currently under way. To accomplish these objectives, GAO surveyed the 24 major federal agencies. In commenting on a draft …

A letter report issued by the Government Accountability Office with an abstract that begins "American Indians and Alaska Natives generally face worse economic conditions than the rest of the U.S. population. The Economic Development Administration (EDA) within the Department of Commerce provides grants to distressed communities, including to American Indian tribes and Alaska Native entities, to generate employment and stimulate economic growth. Because data on how these EDA grants helped tribes was not publicly available, GAO analyzed all EDA grants made to Indian tribes from 1993-2002 and determined what economic development resulted. Tribes also enter into self-governance and other contracting arrangements with two federal agencies--the Bureau of Indian Affairs (BIA) and the Indian Health Service--to assume the management of individual services, including law enforcement, education, social services, and road maintenance. GAO also analyzed the relationship between changes in tribes' economic profile and the extent to which they had self-governance or contracting arrangements to perform their own services. BIA and EDA provided comments on a draft of this report. BIA generally agreed with GAO's conclusions. EDA took issue with GAO's characterization of the relative success of EDA grant programs."

Testimony issued by the Government Accountability Office with an abstract that begins "In the aftermath of the September 11, 2001, terrorist attacks, Congress appropriated $175 million for the New York State Workers' Compensation Board (the Board) to assist with the resulting workers' compensation claims. These claims were filed by workers or volunteers (or survivors) who were injured, became ill, or died as a result of the attacks and the recovery efforts. Specifically, Congress provided federal funds to the U.S. Department of Labor (DOL) for the Board in three earmarked portions: $125 million for processing of claims, and $25 million each to reimburse the state Uninsured Employers Fund (UEF) for benefits paid (1) for workers associated with uninsured employers and (2) for volunteers. DOL transferred the funds to the Board using a grant agreement. This testimony looks at the Board's use of the $175 million in federal funds and the status of September 11 workers' compensation claims. The testimony addresses: (1) how the federal funds have been used and (2) how many applications for compensation have been received and their status. In addition, we are continuing to gather information about whether the grant agreement and the appropriation act are consistent with …

Testimony issued by the Government Accountability Office with an abstract that begins "When the World Trade Center (WTC) buildings collapsed on September 11, 2001, nearly 3,000 people died and an estimated 250,000 to 400,000 people who were visiting, living, working, and attending school nearby, or responding to the attack, were exposed to a mixture of dust, debris, smoke, and various chemicals. In the months to follow, thousands of people who returned to the area to live and work, as well as responders who were involved in the search for remains and site cleanup, were also exposed. In addition, people in New York City and across the country were exposed to the emotional trauma of a terrorist attack on American soil. Concerns have been raised about the short- and long-term physical and mental health effects of the attack. Various government agencies and private organizations established efforts to monitor and understand these health effects. GAO was asked to describe the health effects that have been observed in the aftermath of the WTC attack and the efforts that are in place to monitor and understand those health effects. GAO searched bibliographic databases such as Medline to determine the pertinent scientific literature, reviewed that …

Testimony issued by the Government Accountability Office with an abstract that begins "Lives of first responders and those whom they are trying to assist can be lost when first responders cannot communicate effectively as needed. This testimony addresses issues of determining the status of interoperable wireless communications across the nation, the potential roles that federal, state, and local governments can play in improving these communications, and the need to structure grant programs so that they better support public sector efforts to improve these communications."

A letter report issued by the Government Accountability Office with an abstract that begins "Although the U.S. government provides broad protection for intellectual property, intellectual property protection in parts of the world is inadequate. As a result, U.S. goods are subject to piracy and counterfeiting in many countries. A number of U.S. agencies are engaged in efforts to improve protection of U.S. intellectual property abroad. This report describes U.S agencies' efforts, the mechanisms used to coordinate these efforts, and the impact of these efforts and the challenges they face."