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Public Health Information Technology: Additional Strategic Planning Needed to Guide HHS's Efforts to Establish Electronic Situational Awareness Capabilities (open access)

Public Health Information Technology: Additional Strategic Planning Needed to Guide HHS's Efforts to Establish Electronic Situational Awareness Capabilities

A letter report issued by the Government Accountability Office with an abstract that begins "A catastrophic public health event could threaten our national security and cause hundreds of thousands of casualties. Recognizing the need for efficient sharing of real-time information to help prevent devastating consequences of public health emergencies, Congress included in the Pandemic and All-Hazards Preparedness Act in December 2006 a mandate for the Secretary of the Department of Health and Human Services (HHS), in collaboration with state, local, and tribal public health officials, to develop and deliver to Congress a strategic plan for the establishment and evaluation of an electronic nationwide public health situational awareness capability. Pursuant to requirements of the act, GAO reviewed HHS's plans for and status of efforts to implement these capabilities, described collaborative efforts to establish a network, and determined grants authorized by the act and awarded to public health entities. GAO assessed relevant strategic planning documents and interviewed HHS officials and public health stakeholders."
Date: December 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Federal Transit Programs: Federal Transit Administration Has Opportunities to Improve Performance Accountability (open access)

Federal Transit Programs: Federal Transit Administration Has Opportunities to Improve Performance Accountability

A letter report issued by the Government Accountability Office with an abstract that begins "Public demand and federal funding for transit have grown in recent years, yet most of this funding is not tied to performance. As Congress prepares for reauthorization of the federal surface transportation programs, GAO was asked to report on (1) the extent to which federal transit programs use performance information in making decisions about funding distribution and in evaluating the programs' effectiveness; (2) mechanisms for making these programs more performance based, and strategies for supporting their successful implementation; and (3) how selected U.S. and foreign transit agencies have used performance measurement in their planning and decisions, and their views on the federal role in transit. To do so, GAO analyzed legislation, federal documents, and literature; interviewed federal officials and transit experts; and conducted semistructured interviews with selected transit agencies using criteria that, for U.S. agencies, covered a variety of regions and population sizes and, for foreign agencies, multiple transit modes and English language capability."
Date: November 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
U.S.-Russian Civilian Nuclear Cooperation Agreement: Issues for Congress (open access)

U.S.-Russian Civilian Nuclear Cooperation Agreement: Issues for Congress

The United States and Russia signed a civilian nuclear cooperation agreement on May 6, 2008. President Bush submitted the agreement to Congress on May 13. This report discusses key policy issues related to that agreement, including future nuclear energy cooperation with Russia, U.S.-Russian bilateral relations, nonproliferation cooperation and Russia's policies toward Iran.
Date: September 17, 2010
Creator: Nikitin, Mary Beth
System: The UNT Digital Library
High Speed Rail: Learning From Service Start-ups, Prospects for Increased Industry Investment, and Federal Oversight Plans (open access)

High Speed Rail: Learning From Service Start-ups, Prospects for Increased Industry Investment, and Federal Oversight Plans

A letter report issued by the Government Accountability Office with an abstract that begins "The American Recovery and Reinvestment Act (Recovery Act) and subsequent appropriations have dramatically increased federal funds available for high speed intercity passenger rail from $120 million in fiscal year 2008 and fiscal year 2009 combined to $10.5 billion available in fiscal year 2010. Other issues, such as developing industry capacity to supply rail equipment and fostering multiyear public support for such systems must be resolved. As part of its efforts to assess Recovery Act initiatives, GAO reviewed (1) how states started or improved passenger rail services in the recent past, (2) rail industry plans to accommodate the increased passenger rail investments, and (3) Federal Railroad Administration (FRA) plans to oversee the use of federal intercity passenger rail funds. GAO reviewed federal legislation; interviewed state, industry and federal officials; and reviewed selected literature. GAO is not making any recommendations. The Department of Transportation did not express an overall opinion on a draft of this report. It did provide technical and clarifying comments, which GAO incorporated."
Date: June 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Employment Verification: Federal Agencies Have Taken Steps to Improve E-Verify, but Significant Challenges Remain (open access)

Employment Verification: Federal Agencies Have Taken Steps to Improve E-Verify, but Significant Challenges Remain

A letter report issued by the Government Accountability Office with an abstract that begins "E-Verify is a system to electronically verify work eligibility and operated by the Department of Homeland Security's (DHS) U.S. Citizenship and Immigration Services (USCIS) and the Social Security Administration (SSA). GAO testified in June 2008 that ensuring accuracy and combating fraud were challenges facing E-Verify. As requested, GAO examined the extent to which USCIS and SSA took efforts to (1) reduce tentative nonconfirmations (TNC) and E-Verify's vulnerability to fraud, (2) safeguard employee personal information, and (3) prepare for possible mandatory use by all employers nationwide. GAO reviewed key policy and procedural documents, interviewed relevant DHS and SSA officials, and conducted site visits to three states selected, in part, based on employer types."
Date: December 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Defense Authorization and Appropriations Bills: FY1970-FY2010 (open access)

Defense Authorization and Appropriations Bills: FY1970-FY2010

The passage of the Department of Defense (DOD) authorization and appropriations bills through Congress often does not follow the course laid out in textbooks on legislative procedure. Tracking DOD authorization or appropriations bills can often be confusing and time-consuming. This report is a research aid, which lists the DOD authorization bills (Table 1) and appropriations bills (Table 2) for FY1970-FY2010. This report includes all the pertinent information on the passage of these bills through the legislative process: bill numbers, report numbers, dates reported and passed, recorded vote numbers and vote tallies, dates of passage of the conference reports with their numbers and votes, vetoes, substitutions, dates of final passage, and public law numbers. Key definitions are also included.
Date: February 17, 2010
Creator: Oboroceanu, Mari-Jana
System: The UNT Digital Library
Elections: DOD Can Strengthen Evaluation of Its Absentee Voting Assistance Program (open access)

Elections: DOD Can Strengthen Evaluation of Its Absentee Voting Assistance Program

A letter report issued by the Government Accountability Office with an abstract that begins "Under the Uniformed and Overseas Citizens Absentee Voting Act (UOCAVA), citizens covered are permitted to register and vote absentee. The Secretary of Defense has the primary responsibility for federal UOCAVA functions, and the Department of Defense's (DOD) Federal Voting Assistance Program (FVAP) facilitates absentee voters' participation in federal elections. Since 2001, the DOD Office of Inspector General and GAO have reviewed FVAP's efforts and recommended improvements to its procedures and the direction FVAP provides to the services. In response to a congressional request, this report evaluates how FVAP (1) addresses its mission and evaluates efforts to conduct it, (2) aligns budget priorities with strategic goals, and (3) implemented DOD Office of Inspector General and GAO recommendations made from 2001 through 2009. GAO analyzed FVAP's performance measures, relevant DOD directives, FVAP's strategic plans, budgets, and past audit reports. Also, GAO interviewed agency officials."
Date: June 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Natural Catastrophe Insurance Coverage Remains a Challenge for State Programs (open access)

Natural Catastrophe Insurance Coverage Remains a Challenge for State Programs

A letter report issued by the Government Accountability Office with an abstract that begins "Natural catastrophes can adversely affect U.S. residents and businesses by causing extensive property damage. The 2005 hurricanes and other recent natural disasters have had significant effects on the cost of obtaining insurance against such risks, especially in high-risk areas. As private market insurers have raised their premium rates, an increased number of residents have obtained coverage through state-sponsored natural catastrophe programs. In a previous report, GAO identified public policy goals for government involvement in natural catastrophe insurance and applied those goals to potential changes in the federal government's role. To assist Congress as it considers legislative proposals that would increase the federal role in natural catastrophe insurance coverage, Congress asked us to provide a briefing on (1) the current status of key state natural catastrophe insurance programs, and the extent to which the state programs support public policy goals identified in prior GAO reports; (2) the extent to which proposed changes to federal involvement in natural catastrophe insurance support policy goals identified in prior GAO reports; and (3) how natural catastrophe insurance is provided in selected other countries."
Date: May 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Telecommunications: FCC's Performance Management Weaknesses Could Jeopardize Proposed Reforms of the Rural Health Care Program (open access)

Telecommunications: FCC's Performance Management Weaknesses Could Jeopardize Proposed Reforms of the Rural Health Care Program

A letter report issued by the Government Accountability Office with an abstract that begins "Telemedicine offers a way to improve health care access for patients in rural areas. The Federal Communications Commission's (FCC) Rural Health Care Program, established in 1997, provides discounts on rural health care providers' telecommunications and information services (primary program) and funds broadband infrastructure and services (pilot program). GAO was asked to review (1) how FCC has managed the primary program to meet the needs of rural health care providers, and how well the program has addressed those needs; (2) how FCC's design and implementation of the pilot program affected participants; and (3) FCC's performance goals and measures for both the primary program and the pilot program, and how these goals compare with the key characteristics of successful performance goals and measures. GAO reviewed program documents and data, interviewed program staff and relevant stakeholders, and surveyed all 61 pilot program participants with recent participation in the program."
Date: November 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Electronic Personal Health Information Exchange: Health Care Entities' Reported Disclosure Practices and Effects on Quality of Care (open access)

Electronic Personal Health Information Exchange: Health Care Entities' Reported Disclosure Practices and Effects on Quality of Care

A letter report issued by the Government Accountability Office with an abstract that begins "To promote the use of information technology for the electronic exchange of personal health information among providers and other health care entities, Congress passed the Health Information Technology for Economic and Clinical Health (HITECH) Act. It provides incentives intended to promote the widespread adoption of technology that supports the electronic sharing of data among hospitals, physicians, and other health care entities. Pursuant to a requirement in the HITECH Act, GAO is reporting on practices implemented by health information exchange organizations, providers, and other health care entities that disclose electronic personal health information. GAO's specific objectives were to describe (1) the practices implemented for disclosing personal health information for purposes of treatment, including the use of electronic means for obtaining consent, as reported by selected health information exchange organizations, their participating providers, and other entities; and (2) the effects of the electronic sharing of health information on the quality of care for patients as reported by these organizations. To address both objectives, GAO conducted case studies of 4 of more than 60 operational health information exchanges and a selection of each of the exchanges' participating providers."
Date: February 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Whistleblower Protection: Sustained Management Attention Needed to Address Long-standing Program Weaknesses (open access)

Whistleblower Protection: Sustained Management Attention Needed to Address Long-standing Program Weaknesses

A letter report issued by the Government Accountability Office with an abstract that begins "Workers who "blow the whistle" on prohibited or unlawful practices that they discover during their employment can play an important role in the enforcement of federal laws. However, these whistleblowers may also risk reprisals from their employers, sometimes being demoted, reassigned, or fired. Federal laws establish whistleblower protection processes, whereby workers who believe that they have faced retaliation for blowing the whistle can report their allegations to the appropriate federal agency, which then determines the merit of their claims. The Whistleblower Protection Program at the Department of Labor's (Labor) Occupational Safety and Health Administration (OSHA) is responsible for receiving and investigating most whistleblower complaints filed by nonfederal workers."
Date: August 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Media Programming: Factors Influencing the Availability of Independent Programming in Television and Programming Decisions in Radio (open access)

Media Programming: Factors Influencing the Availability of Independent Programming in Television and Programming Decisions in Radio

A letter report issued by the Government Accountability Office with an abstract that begins "The media industry plays a vital role in informing and entertaining the public. Media ownership and the availability of diverse programming have been a long-standing concern of Congress. Despite numerous programming choices in television and radio available to the public, some studies have reported that independently produced programming--that is, programming not affiliated with broadcast networks or cable operators--has decreased through the years. This requested report discusses (1) the extent to which the sources of television programming have changed over the last decade, (2) the factors industry stakeholders identified as affecting the availability of independent television programming, and (3) the factors industry stakeholders identified as influencing programming decisions in radio. To address these issues, GAO analyzed data from the Federal Communications Commission (FCC) and industry on sources of broadcast television programming in prime time (weeknights generally from 8:00 p.m. to 11:00 p.m.) and companies owning cable networks, as well as radio format data to determine programming variety. GAO also reviewed legal, agency, and industry documents and interviewed industry stakeholders, public interest groups, and others. GAO provided FCC with a draft of this report for comment. In response, …
Date: March 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Federal Lands: Adopting a Formal, Risk-Based Approach Could Help Land Management Agencies Better Manage Their Law Enforcement Resources (open access)

Federal Lands: Adopting a Formal, Risk-Based Approach Could Help Land Management Agencies Better Manage Their Law Enforcement Resources

A letter report issued by the Government Accountability Office with an abstract that begins "Four federal agencies--the Forest Service in the Department of Agriculture and the Bureau of Land Management, Fish and Wildlife Service, and National Park Service in the Department of the Interior--are responsible for managing federal lands, enforcing federal laws governing the lands and their resources, and ensuring visitor safety. Illegal activities occurring on these lands have raised concerns that the four agencies are becoming less able to protect our natural and cultural resources and ensure public safety. GAO examined (1) the types of illegal activities occurring on federal lands and the effects of those activities on natural and cultural resources, the public, and agency employees; (2) how the agencies have used their law enforcement resources to respond to these illegal activities; and (3) how the agencies determine their law enforcement resource needs and distribute these resources. GAO reviewed agency documents, interviewed agency officials, and visited or contacted 26 selected agency units."
Date: December 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Health Information Technology: DOD Needs to Provide More Information on Risks to Improve Its Program Management (open access)

Health Information Technology: DOD Needs to Provide More Information on Risks to Improve Its Program Management

A letter report issued by the Government Accountability Office with an abstract that begins "The National Defense Authorization Act for Fiscal Year 2010 directed the Department of Defense (DOD) to submit a report to congressional defense committees on improvements to the governance and execution of its health information management and information technology (IT) programs to support medical care within the military health system. DOD submitted its report to the appropriate House and Senate committees in June 2010. The act also directed GAO to assess the report and DOD's plan of action to achieve its goals and mitigate risks in the management and execution of health information management and IT programs. Specifically, GAO's objective was to determine whether DOD addressed the reporting requirements specified in the defense authorization act. To do this, GAO reviewed the report submitted by DOD, and analyzed it against the reporting requirements, prior GAO work examining DOD's health IT issues, DOD guidance, and industry best practices."
Date: November 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Neighborhood Stabilization Program: HUD and Grantees Are Taking Actions to Ensure Program Compliance but Data on Program Outputs Could be Improved (open access)

Neighborhood Stabilization Program: HUD and Grantees Are Taking Actions to Ensure Program Compliance but Data on Program Outputs Could be Improved

A letter report issued by the Government Accountability Office with an abstract that begins "Congress created the Neighborhood Stabilization Program (NSP) to help reduce the number of foreclosed and abandoned properties and restore depressed local housing markets. The Housing and Economic Recovery Act of 2008 (HERA) authorized the program's first round (NSP 1), providing $3.92 billion in grant funds to states and local governments. The Department of Housing and Urban Development (HUD) administers the program. HERA mandated that GAO report on whether grantees were using NSP 1 funds in accordance with the act's criteria. For this mandate, GAO examined (1) grantees' progress and challenges in meeting NSP 1 obligation and income-targeting requirements, (2) HUD's actions to mitigate program risks and ensure grantees' compliance with key NSP 1 requirements, and (3) HUD's efforts to collect program data and assess program performance. To address these objectives, GAO analyzed HUD data and the information system used for NSP 1; interviewed HUD officials and representatives of NSP 1 grantees; analyzed HUD's internal control processes; and conducted limited tests of 8 grantees' compliance with key NSP 1 requirements."
Date: December 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Landsat and the Data Continuity Mission (open access)

Landsat and the Data Continuity Mission

This report discusses the U.S. Landsat Mission, which has collected remotely sensed imagery of the Earth's surface for more than 35 years. The two satellites currently in orbit are operating beyond their designed life and may fail at any time. Most Landsat data is used by federal agencies. Efforts to commercialize Landsat operations have not been successful. This report discusses issues facing Congress regarding funding for new Landsat satellites.
Date: September 17, 2010
Creator: Behrens, Carl E.
System: The UNT Digital Library
The Marines' Expeditionary Fighting Vehicle (EFV): Background and Issues for Congress (open access)

The Marines' Expeditionary Fighting Vehicle (EFV): Background and Issues for Congress

The Expeditionary Fighting Vehicle (EFV) is an armored amphibious vehicle program that originated two decades ago to replace the 1970s-era Amphibious Assault Vehicle (AAV). The EFV has experienced a variety of developmental difficulties, resulting in significant program delays and cost growth. While the Marine Corps and Department of Defense remain optimistic about the future of the EFC program, there continue to be major concerns about the EFV's reliability and escalating costs.
Date: September 17, 2010
Creator: Feickert, Andrew
System: The UNT Digital Library
Afghanistan: Post-Taliban Governance, Security, and U.S. Policy (open access)

Afghanistan: Post-Taliban Governance, Security, and U.S. Policy

This report discusses the current political state of Iran, focusing particularly on the influence of the Taliban and other militant groups and on the leadership of Afghan President Hamid Karzai. This report also discusses the U.S.-Iran relationship and U.S. efforts under the Obama Administration to provide military, reconstructive, and stabilization aid.
Date: September 17, 2010
Creator: Katzman, Kenneth
System: The UNT Digital Library
The Federal Debt: An Analysis of Movements from World War II to the Present (open access)

The Federal Debt: An Analysis of Movements from World War II to the Present

This report will define the measures of debt, discuss the reasons why debt levels change, and use historical examples to illustrate the factors causing debt movements over the last seven decades. Recent policies that have affected the budgetary outlook and the debt will also be discussed. Finally, this report will examine the long-term U.S. debt outlook and implications of rising federal debt levels.
Date: September 17, 2010
Creator: Levit, Mindy R.
System: The UNT Digital Library
Federal Contracting: Assessments and Citations of Federal Labor Law Violations by Selected Federal Contractors (open access)

Federal Contracting: Assessments and Citations of Federal Labor Law Violations by Selected Federal Contractors

A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2009, the federal government obligated over $500 billion on government contracts. Some in Congress are concerned that private companies may be awarded federal contracts even though they had been cited for violating federal laws that are meant to ensure that employees receive proper wages, have the right to bargain collectively, and are not subject to work-site hazards. GAO was asked to (1) investigate the extent to which companies that received federal contracts during fiscal year 2009 had been assessed the 50 largest monetary penalties for closed inspections of occupational safety, health, and wage regulations for fiscal years 2005 through 2009, and (2) develop case studies of federal contractors that have been assessed occupational safety, health, wage, and collective bargaining penalties. To perform this work, GAO obtained and analyzed concluded wage and health and safety inspections from the Department of Labor's Wage and Hour Division (WHD) and Occupational Safety and Health Administration (OSHA) for fiscal years 2005 to 2009. GAO also obtained labor union organization and bargaining violations from the National Labor Relations Board (NLRB). To determine the value of contracts awarded to GAO's …
Date: September 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Border Security: Enhanced DHS Oversight and Assessment of Interagency Coordination Is Needed for the Northern Border (open access)

Border Security: Enhanced DHS Oversight and Assessment of Interagency Coordination Is Needed for the Northern Border

A letter report issued by the Government Accountability Office with an abstract that begins "The challenges of securing the U.S.-Canadian border involve the coordination of multiple partners. The results of the Department of Homeland Security's (DHS) efforts to integrate border security among its components and across federal, state, local, tribal, and Canadian partners are unclear. GAO was asked to address the extent to which DHS has (1) improved coordination with state, local, tribal, and Canadian partners; (2) progressed in addressing past federal coordination challenges; and (3) progressed in securing the northern border and used coordination efforts to address existing vulnerabilities. GAO reviewed interagency agreements, strategies, and operational documents that address DHS's reported northern border vulnerabilities such as terrorism. GAO visited four Border Patrol sectors, selected based on threat, and interviewed officials from federal, state, local, tribal, and Canadian agencies operating within these sectors. While these results cannot be generalized, they provided insights on border security coordination."
Date: December 17, 2010
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
An Overview of Recent U.S. Supreme Court Jurisprudence in Patent Law (open access)

An Overview of Recent U.S. Supreme Court Jurisprudence in Patent Law

This report provides a brief summary of the Supreme Court's patent law jurisprudence in the following nine cases that have been decided since 2005: Merck KGaA v. Integra Lifesciences I, Unitherm Food Systems v. Swift-Eckrich, Illinois Tool Works v. Independent Ink, eBay v. MercExchange, Laboratory Corporation of America Holdings v. Metabolite Labs., MedImmune v. Genentech, KSR International Co. v. Teleflex Inc., Microsoft v. AT&T, Quanta Computer, Inc. v. LG Electronics, Inc., and Bilski v. Kappos.
Date: September 17, 2010
Creator: Yeh, Brian T.
System: The UNT Digital Library
Reform of U.S. International Taxation: Alternatives (open access)

Reform of U.S. International Taxation: Alternatives

This report describes and assesses the principal prescriptions that have been offered for broad reform of the current U.S. system for taxing international businesses. The report begins with an overview of current law and of possible revisions. It then sets the framework for considering economic efficiency as well as tax shelter activities. Finally, it reviews alternative approaches to revision in light of those issues.
Date: December 17, 2010
Creator: Gravelle, Jane G.
System: The UNT Digital Library
House Rules Committee Hearings on Special Rules (open access)

House Rules Committee Hearings on Special Rules

This report briefly discusses the procedure in the House of Representatives for rules committee hearings on special rules.
Date: November 17, 2010
Creator: Lynch, Megan Suzanne
System: The UNT Digital Library