Medicaid Expansion: States' Implementation of the Patient Protection and Affordable Care Act (open access)

Medicaid Expansion: States' Implementation of the Patient Protection and Affordable Care Act

A letter report issued by the Government Accountability Office with an abstract that begins "Under PPACA, states are responsible for making a number of changes to their Medicaid programs by January 1, 2014, including expanding eligibility levels and streamlining their enrollment processes. Specifically, states must expand Medicaid eligibility to non-elderly individuals with incomes at or below 133 percent of FPL. Under the newly eligible category, states will provide Medicaid coverage to eligible low-income parents and childless adults. States must also begin determining income eligibility for Medicaid beneficiaries, including newly eligible adults, using a uniform methodology—MAGI, which is a tax-based definition of income. To implement these requirements, eligibility categories have been consolidated into four groups—adults, children, parents, and pregnant women. States may choose to expand Medicaid coverage to the newly eligible prior to January 1, 2014 (referred to as the early expansion option), but must cover lower income individuals before higher income individuals. These more uniform eligibility requirements will replace the current system where Medicaid eligibility and income rules may vary from state to state. Further, states must adopt a methodology for identifying the newly eligible in order to obtain the increased federal match. States will receive the enhanced federal match …
Date: August 1, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events (open access)

Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events

Correspondence issued by the Government Accountability Office with an abstract that begins "Through its policy and guidance, VHA has outlined processes that enable VAMCs to respond to reported adverse events that occur. VHA generally grants individual VAMCs discretion on choosing which process to use. Specifically, VAMCs conduct an initial review to determine how best to respond to an adverse event. According to VHA officials, if the circumstances that led to an adverse event are clear, based on a VAMC's initial review, VAMCs can take immediate corrective action. If the circumstances that led to an adverse event need to be examined further, VAMCs are given discretion to use one or more of the following four processes: (1) root cause analysis, (2) peer review, (3) clinical care review, and (4) administrative investigation board. Because VAMCs generally have discretion in which of these processes they use, different VAMCs that experience similar adverse events may not use the same processes to respond to them. Nonetheless, each process has certain purposes and limitations. For example, some of these processes may be used to examine a clinician's actions as they relate to an adverse event, while others may be used to examine whether a systems or …
Date: August 24, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Service-Disabled Veteran-Owned Small Business Program: Vulnerability to Fraud and Abuse Remains (open access)

Service-Disabled Veteran-Owned Small Business Program: Vulnerability to Fraud and Abuse Remains

Testimony issued by the Government Accountability Office with an abstract that begins "In summary, VA’s SDVOSB program remains vulnerable to fraud and abuse. VA has made inconsistent statements about its progress in verifying firms listed in VetBiz using the new, more-thorough process the agency implemented in response to the 2010 Act. In one communication, VA stated that as of February 2011, all new verifications would use the 2010 Act process going forward. According to the most-recent information provided by VA, there are 6,079 SDVOSBs and veteran-owned small businesses (VOSB) listed in VetBiz. Of these, 3,724 were verified under the more-through process implemented under the 2010 Act, and 2,355—over 38 percent—were verified under the less-rigorous 2006 Act process. The presence of firms that have only been subjected to the less-stringent process that VA previously used represents a continuing vulnerability. In 2011, VA’s Office of Inspector General (OIG) issued a report finding that VA’s document review process under the 2006 Act “ in many cases was insufficient to establish control and ownership [and] in effect allowed businesses to self-certify as a veteran-owned or service-disabled veteran-owned small business with little supporting documentation.”"
Date: August 2, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Federal Communications Commission: Regulatory Fee Process Needs to Be Updated (open access)

Federal Communications Commission: Regulatory Fee Process Needs to Be Updated

A letter report issued by the Government Accountability Office with an abstract that begins "The Federal Communications Commission (FCC) assesses regulatory fees among industry sectors and fee categories based on obsolete data, with limited transparency. The Communications Act requires FCC to base its regulatory fees on the number of full-time equivalents (FTE) that perform regulatory tasks in certain bureaus, among other things. FCC based its fiscal year 2011 regulatory fee assessments on its fiscal year 1998 division of FTEs among fee categories. It has not updated the FTE analysis on which it bases its regulatory fees, in part to avoid fluctuations in fees from year to year. FCC officials stated that the agency has complied with its statutory authority by dividing fees among fee categories based on FTE data—although the data is from fiscal year 1998—since the statute does not prescribe a specific time for FCC to update its FTE analysis. As a result, after 13 years in a rapidly changing industry, FCC has not validated the extent to which its fees correlate to its workload. Major changes in the telecommunications industry include the increasing use of wireless and broadband services and a convergence of telecommunications industries. Moreover, FCC’s practice …
Date: August 10, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Military Disability System: Improved Monitoring Needed to Better Track and Manage Performance (open access)

Military Disability System: Improved Monitoring Needed to Better Track and Manage Performance

A letter report issued by the Government Accountability Office with an abstract that begins "Case processing times under the Integrated Disability Evaluation System (IDES) have increased over time, and measures of servicemember satisfaction have shortcomings. Since 2008, annual average processing times for IDES cases have steadily climbed, while the percentage of cases meeting established timeliness goals declined. Average case processing times reached 394 and 420 days for active and reserve component members in fiscal year 2011--compared to goals of 295 and 305 days, respectively, and just 19 percent of active duty and 18 percent of guard or reserve servicemembers completed the process and received benefits within established goals. Of the four phases comprising IDES, the medical evaluation board phase increasingly fell short of timeliness goals, while the physical evaluation board phase, although meeting goals, was taking increasingly more time to complete. With respect to servicemember satisfaction with the IDES process, GAO found shortcomings in how these data are collected and reported, such as unduly limiting who is eligible to receive a survey and computing average satisfaction scores in a manner that may overstate them. Department of Defense (DOD) officials told GAO they are considering alternatives for gauging satisfaction with the …
Date: August 28, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Ensuring Drug Quality in Global Health Programs (open access)

Ensuring Drug Quality in Global Health Programs

Correspondence issued by the Government Accountability Office with an abstract that begins "U.S.-funded global health programs have put regulatory and policy requirements in place to help prevent procurement of substandard drugs. USAID, for example, reviews quality assurance information for all drugs before they are procured. Specifically, USAID requires implementing partners to obtain written approval from the agency before purchasing drugs. Through its approval process, USAID determines whether there is sufficient information available to assure that the drug is of acceptable quality. Although USAID’s review process varies for some drugs, the type of information USAID reviews generally includes prior FDA approval of the drug or approval by a comparable stringent regulatory authority, as well as results of prior testing of the drug by an independent laboratory. As an additional quality assurance measure, USAID prequalifies selected wholesalers to procure drugs for U.S.-funded global health programs based on factors such as site visits to the wholesaler’s facility and a review of the wholesaler’s quality assurance practices and procedures. According to CDC officials, CDC requires its implementing partners to follow program-specific quality assurance requirements. For example, CDC’s implementing partners must follow the same requirements as the USAID/PMI program when procuring malaria drugs and as …
Date: August 1, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Medical Devices: FDA Should Expand Its Consideration of Information Security for Certain Types of Devices (open access)

Medical Devices: FDA Should Expand Its Consideration of Information Security for Certain Types of Devices

A letter report issued by the Government Accountability Office with an abstract that begins "Several information security threats exist that can exploit vulnerabilities in active implantable medical devices, but experts caution that efforts to mitigate information security risks may adversely affect device performance. Threats to active devices—that is, devices that rely on a power source to operate—that also have wireless capability can be unintentional, such as interference from electromagnetic energy in the environment, or intentional, such as the unauthorized accessing of a device. Several experts consider certain threats to be of greater concern than others; for example, experts noted less concern about interference from electromagnetic energy than other threats. Incidents resulting from unintentional threats have occurred, such as a malfunction resulting from electromagnetic interference, but have since been addressed. Although researchers have recently demonstrated the potential for incidents resulting from intentional threats in two devices—an implantable cardioverter defibrillator and an insulin pump—no such actual incidents are known to have occurred, according to the Food and Drug Administration (FDA). Medical devices may have several such vulnerabilities that make them susceptible to unintentional and intentional threats, including untested software and firmware and limited battery life. Information security risks resulting from certain threats …
Date: August 31, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Community Reinvestment Act: Challenges in Quantifying Its Effect on Low-Income Housing Tax Credit Investment (open access)

Community Reinvestment Act: Challenges in Quantifying Its Effect on Low-Income Housing Tax Credit Investment

Correspondence issued by the Government Accountability Office with an abstract that begins "While CRA should increase investor demand for LIHTCs, quantifying the extent of any effect of CRA on LIHTC equity contributions is difficult given data and methodological challenges. In part because of the qualitative nature of the CRA investment test, regulatory ratings cannot be systematically linked to banks' LIHTC investments. Although a bank's overall rating and the associated narrative of its CRA examination are publicly available, the performance evaluation report does not individually list qualified investments and how they were considered for that examination. Furthermore, quantifying potential bank demand for LIHTCs in specific geographic areas is complicated because not every bank assessment area is considered to the same degree in a CRA examination. Although one way to assess demand for LIHTCs is by examining how much equity investors are willing to contribute, the common LIHTC price measure--the ratio of investors' equity contribution to the total amount of LIHTCs in nominal dollars--is subject to misinterpretation. Specifically, an investor's equity contribution reflects the value of not just the LIHTCs, but also any other tax and regulatory benefits--such as higher CRA ratings--plus project risks. Such other tax benefits include deductions for depreciation …
Date: August 28, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Review of FAA's Collegiate Training Initiative as Mandated in the FAA Modernization and Reform Act of 2012 (open access)

Review of FAA's Collegiate Training Initiative as Mandated in the FAA Modernization and Reform Act of 2012

Correspondence issued by the Government Accountability Office with an abstract that begins "The cost effectiveness of the alternative training approach depends on several cost elements that are currently unknown, such as the up-front costs to develop the new controller training curriculum for CTI schools and the duration of the new orientation session at the Academy. However, some direct cost savings to FAA are possible and may be realized under the alternative training approach. These savings include avoiding the cost of pay (salary and per diem) for Academy trainees and not incurring the cost of providing Academy courses for each assigned air traffic control specialization. However, any cost savings could be offset by a number of additional costs that FAA could incur related to the alternative training approach; because some of these costs are unknown at this time, it is unclear whether the alternative approach would be more cost effective. These additional costs would depend primarily on how FAA implements the new training. Also unknown are recurring costs for any additional evaluations FAA would have to undertake to check the accreditation status of CTI schools and to assess graduates' proficiency in the initial specialization coursework. The cost of the mandate's proposed …
Date: August 24, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Iraq and Afghanistan: State and DOD Should Ensure Interagency Acquisitions Are Effectively Managed and Comply with Fiscal Law (open access)

Iraq and Afghanistan: State and DOD Should Ensure Interagency Acquisitions Are Effectively Managed and Comply with Fiscal Law

A letter report issued by the Government Accountability Office with an abstract that begins "To help the Department of State (State) meet its requirements for critical goods and services in Iraq and Afghanistan, the Department of Defense (DOD) supported State on 22 acquisitions. On State's behalf, DOD awarded and manages 20 acquisitions, known as assisted interagency acquisitions, under the authority of the Economy Act with an estimated value of almost $1 billion for basic support goods and services and security services. DOD also supported two of State's acquisitions for medical services and unmanned aerial vehicles. Across the 22 acquisitions, DOD has been involved in one or more aspects of the acquisition cycle, including planning, award, management, and oversight. GAO identified at least 128 DOD personnel with contracting and subject matter expertise who provided support for these acquisitions."
Date: August 2, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Federal Protective Service: Actions Needed to Assess Risk and Better Manage Contract Guards at Federal Facilities (open access)

Federal Protective Service: Actions Needed to Assess Risk and Better Manage Contract Guards at Federal Facilities

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Homeland Security’s (DHS) Federal Protective Service (FPS) is not assessing risks at federal facilities in a manner consistent with standards such as the National Infrastructure Protection Plan’s (NIPP) risk management framework, as FPS originally planned. Instead of conducting risk assessments, since September 2011, FPS’s inspectors have collected information, such as the location, purpose, agency contacts, and current countermeasures (e.g., perimeter security, access controls, and closed-circuit television systems). This information notwithstanding, FPS has a backlog of federal facilities that have not been assessed for several years. According to FPS’s data, more than 5,000 facilities were to be assessed in fiscal years 2010 through 2012. However, GAO was unable to determine the extent of FPS’s facility security assessment (FSA) backlog because the data were unreliable. Multiple agencies have expended resources to conduct risk assessments, even though the agencies also already pay FPS for this service. FPS received $236 million in basic security fees from agencies to conduct FSAs and other security services in fiscal year 2011. Beyond not having a reliable tool for conducting assessments, FPS continues to lack reliable data, which has hampered the …
Date: August 10, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Cancellation of the Army's Autonomous Navigation System (open access)

Cancellation of the Army's Autonomous Navigation System

Correspondence issued by the Government Accountability Office with an abstract that begins "Almost all ANS hardware and most software development were completed prior to its cancellation, according to the Army and GDRS. The software for the most advanced capabilities was not completed, which potentially presented the greatest complexities. GDRS had demonstrated many of ANS’s capabilities to some extent, including its capability to avoid obstacles and follow a leading vehicle through varying terrain. ANS had not yet progressed to the independent testing phase, however. In cancelling ANS and MM-UGV, the Army estimated that approximately $2.5 billion in planned funding for fiscal years 2013 to 2017 could be made available for other Army efforts. According to Army officials, the government owns the work completed on ANS to date."
Date: August 2, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Critical Infrastructure: DHS Needs to Refocus Its Efforts to Lead the Government Facilities Sector (open access)

Critical Infrastructure: DHS Needs to Refocus Its Efforts to Lead the Government Facilities Sector

A letter report issued by the Government Accountability Office with an abstract that begins "The Federal Protective Service (FPS) has not been effective as the lead agency for the government facilities sector, which includes facilities at the federal, state, local, tribal and territorial level. Under the National Infrastructure Protection Plan (NIPP) and the 2010 sector-specific plan, FPS is responsible for establishing a risk management approach and developing effective partnerships for the sector. However, FPS has not implemented a risk management approach. According to FPS, it has not identified or obtained data on facilities at the federal, state, local, tribal and territorial level, which are fundamental for employing a risk management approach. In addition, despite providing information on the principles of threat, vulnerability, and consequence, FPS has not coordinated or assessed risk across government facilities, another key element of risk management. FPS also lacks effective metrics and performance data to track progress toward implementing a risk management approach and for the overall resilience or protection of government facilities. Consequently, FPS does not have a risk management approach for prioritizing and safeguarding critical government facilities. Furthermore, FPS has not built effective partnerships across different levels of government. While FPS chairs the Government …
Date: August 13, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Entrepreneurial Assistance: Opportunities Exist to Improve Programs' Collaboration, Data-Tracking, and Performance Management (open access)

Entrepreneurial Assistance: Opportunities Exist to Improve Programs' Collaboration, Data-Tracking, and Performance Management

A letter report issued by the Government Accountability Office with an abstract that begins "Federal efforts to support entrepreneurs are fragmented--including among 52 programs at the Department of Agriculture (USDA), Commerce, and Housing and Urban Development (HUD) and the Small Business Administration (SBA). All overlap with at least one other program in terms of the type of assistance they are authorized to offer, such as financial (grants and loans) and technical (training and counseling), and the type of entrepreneur they are authorized to serve. Some entrepreneurs struggle to navigate the fragmented programs that provide technical assistance. For example, some entrepreneurs and technical assistance providers GAO spoke with said the system can be confusing and that some entrepreneurs do not know where to go for assistance. Collaboration could reduce some negative effects of overlap and fragmentation, but field staff GAO spoke with did not consistently collaborate to provide training and counseling services to entrepreneurs. The agencies have taken initial steps to improve how they collaborate by entering into formal agreements, but they have not pursued a number of other good collaborative practices GAO has previously identified. For example, USDA and SBA entered into a formal agreement in 2010 to coordinate their …
Date: August 23, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Home Energy Assistance for Low-Income Occupants of Manufactured Homes (open access)

Home Energy Assistance for Low-Income Occupants of Manufactured Homes

Correspondence issued by the Government Accountability Office with an abstract that begins "In 2005, the most recent year for which complete data were available, occupants of older manufactured homes paid over twice as much on average per square foot for energy---$1.75 per square foot as compared with $0.87---as was paid by occupants of detached homes. Annual energy expenditures for older manufactured homes--about 906 square feet on average--were about $1,369, compared with detached homes--about 2,919 square feet on average--were about $2,060. Energy expenditures--both per square foot and annually--varied significantly by region reflecting regional differences in the types and costs of fuels commonly used to heat and cool homes, income levels, and climate, among other things. In 2005, LIHEAP provided more assistance on a per square foot basis--about $0.33 per square foot--to occupants of older manufactured homes than to those of detached homes--about $0.20 per square foot. However, this assistance covers slightly less of the annual energy expenditures of occupants of older manufactured homes than occupants of detached homes--15 and 17 percent, respectively. Based on our analysis of EIA's RECS data, we estimate that about 3 percent of LIHEAP funds--about $57 million--spent in 2005 were used to assist occupants of older manufactured …
Date: August 24, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Ownership by Minority, Female, and Disadvantaged Firms in the Pipeline Industry (open access)

Ownership by Minority, Female, and Disadvantaged Firms in the Pipeline Industry

Correspondence issued by the Government Accountability Office with an abstract that begins "Minority- or female-owned, minority-owned, and female-owned firms represented 15 percent, 6 percent and 10 percent, respectively, of firms in the U.S. pipeline industry in 2007. In terms of market share, minority- or female-owned firms are estimated to have accounted for a total of 13 percent of industry receipts, with minority-owned firms having accounted for 3 percent and female-owned firms having accounted for 11 percent of receipts."
Date: August 2, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Housing Assistance: Opportunities Exist to Increase Collaboration and Consider Consolidation (open access)

Housing Assistance: Opportunities Exist to Increase Collaboration and Consider Consolidation

A letter report issued by the Government Accountability Office with an abstract that begins "Housing assistance is fragmented across 160 programs and activities. Overlap exists for some products offered, service delivery, and geographic areas served by selected programs—particularly in the Department of Agriculture’s (USDA) Rural Housing Service (RHS) and Department of Housing and Urban Development’s (HUD) Federal Housing Administration (FHA). For instance, RHS, FHA, and the Department of Veterans Affairs (VA) all guarantee mortgage loans for homeowners. According to fiscal year 2009 data (the most recent available), FHA served a larger number of households than RHS in all areas, including a larger number of low- and moderate-income households in rural areas. Although selected HUD, USDA, and Department of the Treasury (Treasury) multifamily programs had overlapping purposes, the products, areas served, and delivery methods differed. For example, HUD, RHS, and Treasury provide financing for development and rehabilitation of multifamily housing for low- and moderate-income households, but RHS-financed properties were more concentrated in rural areas and HUD’s and Treasury’s tax credit properties were more concentrated in urban and suburban areas."
Date: August 16, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Defense Logistics: DOD Has Taken Actions to Improve Some Segments of the Materiel Distribution System (open access)

Defense Logistics: DOD Has Taken Actions to Improve Some Segments of the Materiel Distribution System

Correspondence issued by the Government Accountability Office with an abstract that begins "DOD incorporated results-oriented management practices into the planning and development of the four ongoing DSO improvement efforts. Additionally, it appears that DOD is incorporating those practices into its planning for the fifth effort—strategic network optimization—which is still under development. On the basis of our assessment of DOD’s key planning documents and other information for the process improvement, surface optimization, air optimization, and supply alignment efforts, we found that DOD addressed the six characteristics found in the framework. For example, DOD identified the main purpose of the improvement efforts, their scope, and the resources needed to execute individual efforts. Preliminary observations of DOD's planning for strategic network optimization indicate that agency officials are also incorporating results-oriented management practices for this effort. For example, DOD has developed a mission statement and established mechanisms to coordinate with stakeholders. However, because planning is still underway for strategic network optimization, we were unable to fully assess the extent to which DOD has used result-oriented management practices to develop and implement this improvement effort. For example, DOD has not yet decided how to implement the effort nor developed specific performance measures to assess progress."
Date: August 3, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
L.A. Courthouse: Initial Project Justification Is Outdated and Flawed (open access)

L.A. Courthouse: Initial Project Justification Is Outdated and Flawed

Testimony issued by the Government Accountability Office with an abstract that begins "Because of delays and cost increases, the General Services Administration (GSA) canceled the authorized 41-courtroom Los Angeles (L.A.), California, courthouse project in 2006. Since then, GSA and the judiciary have been slow to agree upon how to proceed with the project, for which about $366 million in appropriated funds remains available. In 2012, with the judiciary’s support, GSA issued a request for proposal for contractors to design and build a 24-courtoom, 32-chamber courthouse, which would be used in conjunction with 25 existing courtrooms in the Roybal Courthouse. However, this new plan will not address one of the principal justifications for the original project—that the L.A. Court be centralized at one site. Instead, it would increase the distance between the Roybal Courthouse and the planned second court location and the distance to the federal detention center from which prisoners must be transported."
Date: August 17, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Department of Defense's Waiver of Competitive Prototyping Requirement for Enhanced Polar System Program (open access)

Department of Defense's Waiver of Competitive Prototyping Requirement for Enhanced Polar System Program

Correspondence issued by the Government Accountability Office with an abstract that begins "DOD's rationale for waiving WSARA's competitive prototyping requirement for CAPS covered both bases provided in the statute; however, DOD did not provide complete information about the potential benefits of competitive prototyping or support for its conclusion that prototyping would result in schedule delays. In the waiver, DOD found reasonable the Air Force's conclusion that the additional $49 million cost of producing competing prototypes exceeded the negligible expected life-cycle benefits because minimal opportunities exist to increase CAPS technological and design maturity through competitive prototyping. The Air Force's conclusions about CAPS technical and design risk are supported by its market research, but its cost-benefit analysis was incomplete because neither the waiver nor the business case analysis supporting it provided an estimated dollar value for the expected benefits. Further, the Air Force's cost estimate of competitively prototyping CAPS was based on a program office estimate, which has not been independently reviewed by DOD's Office of Cost Assessment and Performance Evaluation. DOD also did not provide support in the waiver for its conclusion that implementing competitive prototyping will delay EPS's initial operational capability and result in DOD being unable to meet critical …
Date: August 23, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Medicare: Action Needed to Remove Social Security Numbers from Medicare Cards (open access)

Medicare: Action Needed to Remove Social Security Numbers from Medicare Cards

Testimony issued by the Government Accountability Office with an abstract that begins "In its November 2011 report, CMS presented three options for removing SSNs from Medicare cards. One option would truncate the SSN so that only the last four digits would appear on the card. However, the full SSN would continue to be used by both beneficiaries and providers for all Medicare business transactions. The other two options would replace the display of the SSN on the Medicare card with a newly developed identifier that CMS calls the Medicare Beneficiary Identifier (MBI). In one of these options, this new identifier would be used by the beneficiary in their interactions with CMS; however, the provider would continue to use the SSN to interact with CMS. In the other, both the beneficiary and provider would use the new identifier printed on the Medicare card and the SSN would be entirely excluded from the transaction. CMS, SSA, and RRB reported that all three options would generally require similar efforts, including coordinating with stakeholders; converting information-technology (IT) systems; conducting provider and beneficiary outreach and education; conducting training of business partners; and issuing new cards. While the level and type of modifications required to IT …
Date: August 1, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Federal Fleets: Overall Increase in Number of Vehicles Masks That Some Agencies Decreased Their Fleets (open access)

Federal Fleets: Overall Increase in Number of Vehicles Masks That Some Agencies Decreased Their Fleets

A letter report issued by the Government Accountability Office with an abstract that begins "Since fiscal year 2005, the number of federal non-postal civilian and non-tactical military vehicles has increased about 7 percent, from about 420,000 to 449,000 vehicles. However, from fiscal year 2005 to 2011, some agencies decreased their fleets, and the change in fleet size from agency to agency varied considerably. For example, one-third of the agencies (8 of 24) with the largest number of vehicles decreased their fleets by at least 2 percent during this period. Of the 4 agencies GAO selected for review, the Departments of Agriculture (USDA) and Veterans Affairs (VA) increased their fleets 5 and 49 percent, respectively since fiscal year 2005; the U.S. Air Force and Department of the Interior (Interior) decreased their fleets 7 and 9 percent, respectively. Overall, federal agencies increased the portion of their fleets made up of alternative fuel vehicles (e.g., vehicles that operate using ethanol or batteries) from about 14 percent to 33 percent from fiscal years 2005 to 2011. In addition, GAO found that 8 agencies accounted for almost 80 percent of total federal vehicles in fiscal year 2011, while 35 other agencies held the remaining vehicles."
Date: August 2, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Mine Safety: Reports and Key Studies Support the Scientific Conclusions Underlying the Proposed Exposure Limit for Respirable Coal Mine Dust (open access)

Mine Safety: Reports and Key Studies Support the Scientific Conclusions Underlying the Proposed Exposure Limit for Respirable Coal Mine Dust

Correspondence issued by the Government Accountability Office with an abstract that begins "Our evaluation of the reports MSHA used to support its proposal and the key scientific studies on which the reports were based shows that they support the conclusion that lowering the PEL from 2.0 mg/m3 to 1.0 mg/m3 would reduce miners’ risk of disease. The reports and key studies concluded that miners’ cumulative exposure to coal mine dust at the current PEL over their working lives places them at an increased risk of developing CWP, progressive massive fibrosis, and decreased lung function, among other adverse health outcomes. To mitigate the limitations and biases in the data, the researchers took reasonable steps, such as using multiple x-ray specialists to reduce the risk of misclassifying disease and making adjustments to coal mine dust samples where bias was suspected. In addition to addressing the limitations and biases in the data, researchers used appropriate analytical methods to conclude that lowering the existing PEL would decrease miners’ risk of developing black lung disease. For example, in addition to taking steps to precisely estimate a miner’s cumulative exposure, the researchers accounted for several factors in their analyses—such as the age of the miners, the …
Date: August 17, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Solar Energy: Federal Initiatives Overlap but Take Measures to Avoid Duplication (open access)

Solar Energy: Federal Initiatives Overlap but Take Measures to Avoid Duplication

A letter report issued by the Government Accountability Office with an abstract that begins "Sixty-five solar-related initiatives with a variety of key characteristics were supported by six federal agencies. Over half of these 65 initiatives supported solar projects exclusively; the remaining initiatives supported solar and other renewable energy technologies. The 65 initiatives exhibited a variety of key characteristics, including multiple technology advancement activities ranging from basic research to commercialization by providing funding to various types of recipients including universities, industry, and federal laboratories and researchers, primarily through grants and contracts. Agency officials reported that they obligated about $2.6 billion for the solar projects in these initiatives in fiscal years 2010 and 2011, an amount higher than in previous years, in part, because of additional funding from the 2009 American Recovery and Reinvestment Act."
Date: August 30, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library