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Government Accountability Office Reports
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Medicare: Private Sector Initiatives to Bundle Hospital and Physician Payments for an Episode of Care
Correspondence issued by the Government Accountability Office with an abstract that begins "In recent years, we and other federal fiscal experts--including the Congressional Budget Office (CBO) and the Medicare Trustees--have noted the rise in Medicare spending and expressed concern that the program is unsustainable in its present form. Concerns about the rising cost of health care are particularly pressing in light of evidence that suggests that greater spending does not necessarily translate to better health outcomes or higher-quality care. Medicare's fee-for-service (FFS) payment system may contribute to spending growth because it rewards volume of services regardless of the appropriateness, cost, and quality of those services. Under FFS, a payment is made for each unit of service based on the expected costs of delivering that service. For example, Medicare makes multiple separate payments for the services associated with a complex medical procedure performed in a hospital. It pays the hospital for the initial admission and any related readmissions; each physician involved in the patient's care, such as the surgeon and the anesthesiologist; and the skilled nursing facility for any related care immediately after hospitalization. Payments made in isolation in this way may give providers little incentive to coordinate the provision of …
Date:
January 31, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Suspension and Debarment: Some Agency Programs Need Greater Attention, and Governmentwide Oversight Could Be Improved
A publication issued by the Government Accountability Office with an abstract that begins "This testimony discusses the Federal government's use of suspensions and debarments. In 2010, spending on contracted goods and services was more than $535 billion. To protect the government's interests, federal agencies are required to award contracts only to responsible sources--those that are determined to be reliable, dependable, and capable of performing required work. One way to do so is through the use of suspensions and debarments, which are actions taken to exclude firms or individuals from receiving contracts or assistance based on various types of misconduct. The Federal Acquisition Regulation (FAR) prescribes overall policies and procedures governing the suspension and debarment of contractors by agencies and directs agencies to establish appropriate procedures to implement them. This flexibility enables each agency to establish a suspension and debarment program suitable to its mission and structure. Even though the FAR specifies numerous causes for suspensions and debarments, including fraud, theft, bribery, tax evasion, or lack of business integrity, the existence of one of these does not necessarily require that the party be suspended or debarred. Agencies are to establish procedures for prompt reporting, investigation, and referral to the agency suspension …
Date:
October 6, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Patient Protection and Affordable Care Act: Contracts Awarded and Consultants Retained by Federal Departments and Agencies to Assist in Implementing the Act
Correspondence issued by the Government Accountability Office with an abstract that begins "The Patient Protection and Affordable Care Act (PPACA), as amended by the Health Care and Education Reconciliation Act of 2010 (HCERA), contained provisions to increase access to health insurance coverage through: health insurance market reforms; an expansion of Medicaid eligibility; and the creation of health insurance exchanges to provide small employers and individuals access to coverage. In addition, PPACA contained provisions designed to improve the quality of health care, reduce expenditures, and provide incentives for preventive and primary care. To help implement PPACA, federal departments and agencies awarded contracts, including contracts for consulting services. Contractors and consultants perform a variety of tasks, including research, market reviews, actuarial support, logistics and technical support, data management, and information technology support. As required by the Department of Defense and Full-Year Continuing Appropriations Act, 2011, this report provides information on contracts awarded by the Department of Health and Human Services (HHS) and other federal departments and agencies related to authority provided by PPACA, including information on firms retained to facilitate contracting and consultants retained by HHS and other federal departments and agencies to assist in PPACA implementation."
Date:
July 14, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Hardrock Mining: BLM Needs to Revise Its Systems for Assessing the Adequacy of Financial Assurances
Correspondence issued by the Government Accountability Office with an abstract that begins "Based on data reviewed from BLM's Bond Review Report, mine operators had provided financial assurances valued at approximately $1.5 billion to guarantee reclamation costs for 1,365 hardrock operations on federal land managed by BLM. We determined that 57 hardrock operations had inadequate financial assurances--amounting to about $24 million less than needed to fully cover estimated reclamation costs. Nevada had the largest number of hardrock mining operations and the largest number of inadequate financial assurances. As we have reported, BLM has taken some steps to strengthen and improve its management of hardrock financial assurances but has not yet addressed the issues we identified in 2008 regarding how the Bond Review Report calculates the total value of those financial assurances that are inadequate. To improve its management of hardrock financial assurances, BLM in 2009 issued IM 2009-153, which, among other things, directs periodic review of reclamation cost estimates for all ongoing operations to ensure the current cost estimate and the amount of the required financial assurance continue to meet applicable regulatory requirements. However, we found that only two BLM state offices--Montana and Wyoming--fully implemented IM 2009-153 by conducting timely reviews …
Date:
December 12, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Additional Cost Transparency and Design Criteria Needed for National Aeronautics and Space Administration (NASA) Projects
Correspondence issued by the Government Accountability Office with an abstract that begins "GAO published its third annual assessment of selected large-scale NASA projects. During this assessment we identified several issues that merit NASA's management attention. The federal government faces real fiscal limitations and will have to make difficult choices about upcoming priorities. This reality makes it more important than ever that NASA manage its programs and projects as efficiently and effectively as possible and within a budget that over recent years has remained relatively constant. It will also require that NASA make tough decisions about which projects to fund among core missions in science, aeronautics, and human space flight and exploration. Our work over the past three years has shown that NASA's major projects are frequently approved without evidence of a sound business case--ensuring a match between requirements and resources--and, therefore, cost more and take longer to develop than planned. Our March 2011 assessment found that 13 NASA projects that established baselines prior to fiscal year 2009 had experienced an average cost growth of almost 55 percent, with a combined increase in development costs of almost $2.5 billion from their baselines established at their Confirmation Review. While NASA has taken …
Date:
March 3, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
DOD Financial Management: Weaknesses in Controls over the Use of Public Funds and Related Improper Payments
A publication issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) is required to design and implement effective internal controls, including controls over its use of public funds ("funds controls") and controls over its payment processes ("payment controls"). As a steward of the public's resources, DOD is responsible and accountable for (1) using public funds efficiently and effectively and for the purposes and within the time frames and amounts prescribed by law, (2) making payments to the right parties in the correct amount within allowable time frames and recouping any improper payments, and (3) accurately recording and reporting on its transactions and use of public funds. GAO's testimony focuses on (1) challenges DOD faces in its funds control, and their effect on the reliability of DOD's financial information, especially the budgetary information in DOD's Statement of Budgetary Resources and (2) weaknesses in DOD's payment controls that put the department at risk of making improper payments. This statement is based on our prior work and reports issued by the department's Inspector General (DOD IG). The panel requested that GAO provide its perspective on the status of DOD's process for identifying and reporting on improper …
Date:
September 22, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Homelessness: To Improve Data and Programs, Agencies Have Taken Steps to Develop a Common Vocabulary
Testimony issued by the Government Accountability Office with an abstract that begins "What GAO Found"
Date:
December 15, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Improvements Needed to Help Ensure Reliability of SBA's Performance Data on Procurement Center Representatives
Correspondence issued by the Government Accountability Office with an abstract that begins "This letter responds to the mandate contained in Section 1312(c) of the Small Business Jobs Act of 2010, for GAO to conduct a study of the Small Business Administration's (SBA) Procurement Center Representatives (PCR) and Commercial Market Representatives (CMR), including ways to improve their effectiveness. To fulfill this mandate, we provided congressional staff a briefing on the results of this work in meetings with them on March 22, 23, and 24, 2011. Each year, the federal government awards hundreds of billions of dollars in contracts for goods and services--more than $500 billion in fiscal year 2010 alone. It uses this buying power to maximize procurement opportunities for small businesses through long-standing policies such as set-asides and requiring large contractors to set goals for using small business subcontractors. SBA's PCRs and CMRs play an important role in helping ensure that small businesses gain access to contracting and subcontracting opportunities. In particular, a PCR's key responsibilities include reviewing proposed agency contract events--such as potentially bundled or consolidated contracts--and making set-aside recommendations to agency contracting officers (through informal and formal means), reviewing agency small business programs (surveillance reviews), and counseling small …
Date:
June 15, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Department of State Overseas Comparability Pay
Correspondence issued by the Government Accountability Office with an abstract that begins "The Federal Employees Pay Comparability Act (FEPCA) of 1990 established locality pay to achieve pay comparability between federal and nonfederal jobs within the United States. Because FEPCA established pay localities only for areas within the United States, federal employees permanently stationed overseas, including members of the Foreign Service, did not receive locality pay. As the Washington, D.C., locality rate grew to over 24 percent in 2010, the pay gap between federal employees who receive locality pay and those who do not widened considerably. To close this gap, the fiscal year 2009 Supplemental Appropriations Act granted the Department of State (State) temporary authority to provide locality pay at the Washington, D.C., rate, also known as Overseas Comparability Pay, to Foreign Service personnel posted overseas. State is implementing this pay in three phases. Currently, Foreign Service personnel serving overseas receive 16.52 percent comparability pay, approximately twothirds of the Washington, D.C., locality rate. State had planned to implement the third and final phase of comparability pay, raising it to 24.22 percent, in August 2011. However, these plans have been delayed by the administration's freeze on federal salaries and the passage of …
Date:
June 30, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Transportation Security Infrastructure Modernization May Enhance DHS Screening Capabilities, but It Is Too Early to Assess Results
Correspondence issued by the Government Accountability Office with an abstract that begins "Securing transportation systems and facilities requires balancing security to address potential threats while facilitating the flow of people and goods that are critical to the U.S. economy and necessary for supporting international commerce. As we have previously reported, transportation systems and facilities are vulnerable and difficult to secure given their size, easy accessibility, large number of potential targets, and proximity to urban areas. The federal government has taken steps to ensure that transportation workers, particularly those who transport hazardous materials or seek unescorted access to secure areas of federally regulated maritime or aviation facilities, are properly vetted to identify whether they pose a security risk. These efforts are intended to reduce the probability of a successful terrorist or other criminal attack on the nation's transportation systems. To help enhance the security of the U.S. transportation system, the Department of Homeland Security (DHS) Transportation Security Administration's (TSA) Transportation Threat Assessment and Credentialing (TTAC) office is responsible for conducting background checks--known as security threat assessments--for various screening and credentialing programs established for maritime, surface, and aviation transportation workers. TSA's programs are largely focused on identifying security threats posed by those …
Date:
December 8, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Private Health Insurance Coverage: Expert Views on Approaches to Encourage Voluntary Enrollment
Correspondence issued by the Government Accountability Office with an abstract that begins "To help expand health insurance coverage among the 50 million uninsured Americans, the Patient Protection and Affordable Care Act as amended (PPACA) mandates that individuals, subject to certain exceptions, obtain health insurance coverage or pay a financial penalty beginning in 2014--the "individual mandate". At the same time, PPACA generally requires insurers to accept all applicants, regardless of health status, and prohibits insurers from excluding coverage based on any preexisting conditions. An individual mandate such as PPACA requires has been the subject of continued debate. Many health care policy experts have stressed the importance of a mandate in expanding health care coverage and keeping premiums affordable. For example, experts have noted that such a federal requirement may be necessary to prompt many individuals, such as younger, healthier individuals, to obtain coverage they otherwise would forego--particularly once they are guaranteed access to that coverage later when they may need it. They suggest that bringing these younger, healthier individuals into the insurance market is necessary to avoid adverse selection, whereby disproportionately less healthy individuals who need health care services enroll in coverage, leading to higher premiums that further discourage healthy individuals …
Date:
February 25, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Private Health Insurance: Early Indicators Show That Most Insurers Would Have Met or Exceeded New Medical Loss Ratio Standards
Correspondence issued by the Government Accountability Office with an abstract that begins "To help ensure that millions of Americans who rely on private insurance for health care coverage receive value for their premium dollars, the Patient Protection and Affordable Care Act (PPACA) established minimum "medical loss ratio" (MLR) standards for insurers. The MLR is a basic financial indicator, traditionally referring to the percentage of insurance premium revenues health insurers spent on their enrollees' medical claims. The MLR definition specified in the PPACA provision-- referred to as the PPACA MLR in this report--differs from the traditional MLR definition. Key differences are that the PPACA MLR allows insurers to include in their expenses spending on activities to improve health care quality and to deduct from their revenues certain tax payments and fees, and these differences will generally increase insurers' MLRs. Beginning in 2011, PPACA required insurers to meet minimum PPACA MLR standards of 85 percent in the large group market and 80 percent in the small group and individual markets or pay rebates to their enrollees. In implementing these MLR requirements, the Department of Health and Human Services (HHS) includes an adjustment for certain insurers to help address the disproportionate impact of …
Date:
October 31, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Taxpayer Privacy: A Guide for Screening and Assessing Proposals to Disclose Confidential Tax Information to Specific Parties for Specific Purposes
Other written product issued by the Government Accountability Office with an abstract that begins "The Internal Revenue Service (IRS) receives a great deal of personal information about individuals and businesses. While taxpayers are required to provide this information to IRS under penalty of fine or imprisonment, confidentiality of information reported to IRS is widely held to be a critical element of taxpayers willingness to provide information to IRS and comply with the tax laws. As a general rule, anything reported to IRS is held in strict confidenceInternal Revenue Code (IRC) Section 6103 provides that federal tax information is confidential and to be used to administer federal tax laws except as otherwise specifically authorized by law."
Date:
December 14, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
World Trade Center Health Program: Potential Effects of Implementation Options
Correspondence issued by the Government Accountability Office with an abstract that begins "The James Zadroga 9/11 Health and Compensation Act of 2010 became law on January 2, 2011, and established a World Trade Center Health Program (WTCHP) to assume the functions of the World Trade Center (WTC) responder health programs beginning on July 1, 2011. From September 11, 2001, through fiscal year 2010, approximately $475 million in federal funds was made available for screening, monitoring, and treating WTC responders for illnesses and conditions related to the WTC disaster. These include asthma, persistent coughing, and other respiratory conditions and mental health conditions such as depression, anxiety, and post-traumatic stress disorder (PTSD). The three federal programs that provided screening, monitoring, and treatment services to responders prior to July 1, 2011, which we refer to here as the WTC responder health programs, were the New York City Fire Department's (FDNY) WTC Medical Monitoring and Treatment Program, the New York/New Jersey (NY/NJ) WTC Consortium, and the WTC National Responder Health Program. The WTCHP is administered by HHS and provides screening, monitoring, and treatment services through contracted clinical centers in the NYC area for responders in that area and through a nationwide network of providers …
Date:
August 4, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Small Business Administration: Progress Continues in Addressing Reforms to the Disaster Loan Program
Testimony issued by the Government Accountability Office with an abstract that begins "After the Small Business Administration (SBA) was widely criticized for its performance following the 2005 Gulf Coast hurricanes, the agency took steps to reform its Disaster Loan Program. Congress also enacted the Small Business Disaster Response and Loan Improvements Act of 2008 (Act), which places new requirements on SBA to better ensure it is prepared to respond to catastrophic disasters. This testimony discusses SBA's progress in addressing certain requirements of the Act and recommendations in a 2009 GAO report to improve the Disaster Loan Program. In completing this statement, GAO reviewed and updated, as appropriate, the July 2009 report, Small Business Administration: Additional Steps Should Be Taken to Address Reforms to the Disaster Loan Program and Improve the Application Process for Future Disasters (GAO-09-755). In that report, GAO recommended that SBA should fulfill the Act's region-specific marketing and outreach requirements; complete its annual report to Congress; issue an updated Disaster Recovery Plan; develop an implementation plan for remaining requirements; and develop procedures to further improve the application process for the Disaster Loan Program. SBA generally agreed with the recommendations and stated the agency's plan to incorporate them into …
Date:
November 30, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Defense Management: Perspectives on the Involvement of the Combatant Commands in the Development of Joint Requirements
Correspondence issued by the Government Accountability Office with an abstract that begins "At a time when the military is supporting ongoing operations in many places around the world, the Department of Defense (DOD) faces challenges balancing the strategic capability needs of the military services with the more immediate joint warfighting needs of the combatant commands (COCOM). Given concerns that the military service-dominated system for developing capabilities was not meeting the most essential warfighter needs, in 2003, DOD created the Joint Capabilities Integration and Development System (JCIDS) to guide the development of capabilities from a joint perspective. DOD's Joint Requirements Oversight Council (JROC) oversees JCIDS and participates in the development of joint requirements, which includes the identification and analysis and synthesis of capability gaps and the JROC's subsequent validation of capability needs through JCIDS. Following stakeholder collaboration and deliberations, the JROC makes recommendations to the Chairman of the Joint Chiefs of Staff, who advises the Secretary of Defense about which capabilities to invest in as part of DOD's budget process. Before making investment decisions, the services consider the validated capabilities during their planning, programming, and budgeting processes and make decisions among competing investments. In the Weapon Systems Acquisition Reform Act of …
Date:
May 20, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Defined Benefit Pension Plans: Plans Face Challenges When Investing in Hedge Funds and Private Equity
A statement of record issued by the Government Accountability Office with an abstract that begins "Millions of Americans rely on retirement savings plans for their financial well-being in retirement. Plan sponsors are increasingly investing in assets such as hedge funds (privately administered pooled investment vehicles that typically engage in active trading strategies) and private equity funds (privately managed investment pools that typically make long-term investments in private companies). Given ongoing market challenges, it is important that plan fiduciaries apply best practices, and choose wisely when investing plans assets to ensure that plans are adequately funded to meet future promised benefits. This statement addresses (1) what is known about the extent to which defined benefit plans have invested in hedge funds and private equity, (2) challenges that such plans face in investing in hedge funds and private equity, (3) steps that plan sponsors can take to address these challenges, and (4) the implications of these challenges for plan sponsors and the federal government."
Date:
August 31, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Incapacitated Adults: Improving Oversight of Federal Fiduciaries and Court-appointed Guardians
A publication issued by the Government Accountability Office with an abstract that begins "Today's hearing is on the appointment and oversight of guardians. As people age, they often reach a point when they are no longer capable of handling their own finances or have difficulty making other decisions for themselves. To ensure that federal cash payments received by incapacitated adults are used in their best interest, the Social Security Administration (SSA), Department of Veterans Affairs (VA), and other federal agencies assign a responsible third party or fiduciary to oversee these benefits. SSA and VA can designate spouses, other family members, friends, and organizations to serve as fiduciaries. Similarly, when state courts determine that adults are incapacitated, they have the authority to grant other persons or entities--guardians--the authority and responsibility to make financial and other decisions for them. Incapacitated adults are vulnerable to financial exploitation by fiduciaries and guardians, so these arrangements are not without risk. In 2010, we identified hundreds of allegations of abuse, neglect, and exploitation by guardians in 45 states and the District of Columbia between 1990 and 2010. At that time, we reviewed 20 of these cases and found that guardians had stolen or otherwise improperly obtained …
Date:
September 22, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Factors for Evaluating the Cost Share of Manufacturing Extension Partnership Program to Assist Small and Medium-Sized Manufacturers
Correspondence issued by the Government Accountability Office with an abstract that begins "U.S. manufacturing plays an important role in the nation's economy, producing about $1.6 trillion of value each year--11.5 percent of the U.S. gross domestic product (GDP)--and accounting for over 13 million jobs in the United States in 2008, according to the Department of Commerce. However, over the past decade, increased competition abroad and the migration of manufacturing overseas have led to declines in U.S. manufacturing. To support the manufacturing sector, the federal government has undertaken efforts, including creating programs that are partly funded by the federal government and partly funded by nonfederal entities such as state and local governments. However, according to the Bureau of Labor Statistics, from 2008 to 2009, following the beginning of the recent economic downturn, the United States lost 1.5 million manufacturing jobs. One federal effort aimed at helping manufacturers is the Hollings Manufacturing Extension Partnership (MEP) program. The MEP program was established in 1988 through Commerce's National Institute of Standards and Technology (NIST) to enhance productivity and technological performance, and strengthen the global competitiveness of small and medium-sized U.S. manufacturers, helping them create and retain jobs. Under this program, NIST has established relationships …
Date:
April 4, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Polar Satellites: Agencies Need to Address Potential Gaps in Weather and Climate Data Coverage
A publication issued by the Government Accountability Office with an abstract that begins "Environmental satellites provide critical data used in weather forecasting and measuring variations in climate over time. In February 2010, the White House's Office of Science and Technology Policy disbanded the National Polar-orbiting Operational Environmental Satellite System (NPOESS)--a tri-agency satellite acquisition that had encountered continuing cost, schedule, and management problems--and instructed the National Oceanic and Atmospheric Administration (NOAA) and the Department of Defense (DOD) to undertake separate acquisitions. Both agencies have begun planning their respective programs--the Joint Polar Satellite System (JPSS) and the Defense Weather Satellite System (DWSS)--including creating program offices and transitioning contracts. GAO was asked to summarize the status of ongoing work assessing (1) NOAA's and DOD's plans for their separate acquisitions and (2) the key risks in transitioning from NPOESS to these new programs. In preparing this statement, GAO relied on the work supporting previous reports, attended monthly program management meetings, reviewed documentation on both programs, and interviewed agency officials."
Date:
September 23, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Financial Management: Audit of the Senate Stationery Room Revolving Fund for Fiscal Year 2010
Correspondence issued by the Government Accountability Office with an abstract that begins "In a letter dated July 22, 2010, Congress requested that we conduct an audit of the Senate Stationery Room's cash receipts and cash disbursements recorded in the Senate Stationery Room Revolving Fund for the fiscal year ended September 30, 2010. In the letter, Congress also requested that we review the inventory accounting procedures of the Stationery Room. The Senate Stationery Room provides for the sale of stationery to members of the Senate, Senate offices, and other Senate committees and authorized organizations. This includes the sale of office and administrative supplies, personalized stationery, flags, and special order items such as business cards. All sales receipts are taken to the Senate Disbursing Office for deposit into the Senate Stationery Room Revolving Fund in the U.S. Treasury. The Stationery Room then uses the cash receipts to purchase inventory items and emergency supplies for resale, and to pay for other services expenses. The Senate Disbursing Office maintains the money and makes payments on behalf of the Senate Stationery Room Revolving Fund. Salaries and benefits of Senate employees who work in the Stationery Room are not paid from the revolving fund; rather, they …
Date:
April 6, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Environmental Protection Agency: Actions Needed to Improve Planning, Coordination, and Leadership of EPA Laboratories
Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses the research and development activities of the Environmental Protection Agency (EPA) and the findings of our recent report on the agency's laboratory enterprise. EPA was established in 1970 to consolidate a variety of federal research, monitoring, standard-setting, and enforcement activities into one agency for ensuring the joint protection of environmental quality and human health. Scientific research, knowledge, and technical information are fundamental to EPA's mission and inform its standard-setting, regulatory, compliance, and enforcement functions. The agency's scientific performance is particularly important as complex environmental issues emerge and evolve, and controversy continues to surround many of the agency's areas of responsibility. Unlike other primarily science-focused federal agencies, such as the National Institutes of Health or the National Science Foundation, EPA's scientific research, technical support, and analytical services underpin the policies and regulations the agency implements. Therefore, the agency operates its own laboratory enterprise. This enterprise is made up of 37 laboratories that are housed in about 170 buildings and facilities located in 30 cities across the nation. Specifically, EPA's Office of Research and Development (ORD) operates 18 laboratories with primary responsibility for research and development. Four …
Date:
November 17, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
NASA Needs to Better Assess Contract Termination Liability Risks and Ensure Consistency in Its Practices
Correspondence issued by the Government Accountability Office with an abstract that begins "The National Aeronautics and Space Administration (NASA) procures most of its goods and services through contracts, and it terminates very few of them. In fiscal year 2010, for example, NASA's procurements, ranging from small contracts for human resources consulting services to multimillion dollar contracts to build and operate spacecraft, totaled approximately $17.4 billion, representing about 83.4 percent of the agency's obligations that year. That same year, it terminated 28 of 16,343 active contracts and orders--a termination rate of about .17 percent. This rate is about the same--less than 0.2 percent--for each of the past 5 fiscal years. NASA contract terminations--the complete or partial cancellation of work under a contract before the contract's period of performance ends--are rare but could become more common in the future. The federal government is facing real fiscal limitations and will have to make difficult choices about upcoming priorities. This reality makes it more important than ever that NASA manage its projects as efficiently and effectively as possible and within its budget. This is a struggle for NASA. Our work has shown that NASA's large-scale projects tend to cost more and take longer to …
Date:
July 12, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library
Foster Children: HHS Guidance Could Help States Improve Oversight of Psychotropic Prescriptions
Testimony issued by the Government Accountability Office with an abstract that begins "Foster children have often been removed from abusive or neglectful homes and tend to have more mental health conditions than other children. Treatment may include psychotropic drugs but their risks to children are not well understood. Medicaid, administered by states and overseen by the Department of Health and Human Services (HHS), provides prescription drug coverage to foster children. This testimony examines (1) rates of psychotropic prescriptions for foster and nonfoster children in 2008 and (2) state oversight of psychotropic prescriptions for foster children through October 2011. GAO selected Florida, Maryland, Massachusetts, Michigan, Oregon, and Texas primarily based on their geographic diversity and size of the foster care population. Results cannot be generalized to other states. In addition, GAO analyzed Medicaid fee-for-service and foster care data from selected states for 2008, the most recent year of prescription data available at the start of the audit. Maryland's 2008 foster care data was unreliable. GAO also used expert child psychiatrists to provide a clinical perspective on its methodology and analysis, reviewed regulations and state policies, and interviewed federal and state officials."
Date:
December 1, 2011
Creator:
United States. Government Accountability Office.
System:
The UNT Digital Library