A letter report issued by the Government Accountability Office with an abstract that begins "In the face of growing demand for veterans' health care, GAO and the Department of Veterans Affairs Office of Inspector General (OIG) have raised concerns about the Veterans Health Administration's (VHA) ability to maximize its third-party collections to supplement its medical care appropriation. GAO has testified that inadequate patient intake procedures, insufficient documentation by physicians, a shortage of qualified billing coders, and insufficient automation diminished VA's collections. In turn, the OIG reported that VA missed opportunities to bill, had billing backlogs, and did inadequate follow-up on bills. While VA has made improvements in these areas, GAO was asked to review internal control activities over third-party billings and collections at selected medical centers to assess whether they were designed and implemented effectively."

A letter report issued by the Government Accountability Office with an abstract that begins "In 1986, an explosion at the Chernobyl nuclear power plant in Ukraine destroyed the reactor building and released massive amounts of radioactive contamination. A temporary shelter was built over the damaged reactor to prevent further contamination. The United States is a major donor to an international project to build a new shelter to replace the existing one, which is badly deteriorating. GAO was asked to (1) assess the progress toward completing the new shelter, (2) review the cost estimates to complete the project, and (3) assess the U.S. role in overseeing and funding the project. To carry out its work, GAO analyzed program documents, interviewed U.S. and international program officials, and visited the Chernobyl nuclear power plant."

Correspondence issued by the Government Accountability Office with an abstract that begins "The Americans with Disabilities Act (ADA) of 1990 seeks to ensure equal opportunity for persons with disabilities in employment, transportation, and other matters. ADA sets minimum standards for the accessibility of public transportation systems. For example, for persons unable to use a fixed-route bus or rail system due to disability, transit systems must provide service within three-quarters of a mile of the fixed-route service and during the same hours as the fixed-route service. In February 2001, the Bush Administration announced the New Freedom Initiative, a comprehensive program intended to extend and enhance efforts begun under ADA to help bring Americans with disabilities into mainstream life. According to the U.S. Census Bureau, in 2005 there were about 40 million noninstitutionalized persons over the age of 5 with one or more disabilities. In August 2005, the Safe, Accountable, Flexible, Efficient Transportation Equity Act--A Legacy for Users (SAFETEA-LU) authorized the New Freedom program, to be administered by the Department of Transportation's Federal Transit Administration (FTA). This program is designed to support new public transportation services and public transportation alternatives beyond those required by ADA. Congress appropriated $77.2 million for the New …

Correspondence issued by the Government Accountability Office with an abstract that begins "This letter responds to Congress' request of June 22, 2005, that we provide answers to questions relating to our June 14 testimony on the Paperwork Reduction Act (PRA). At the June hearing, we discussed the estimates of government paperwork burden provided in the annual PRA report (known as the Information Collection Budget) that the Office of Management and Budget (OMB) recently released, as well as results from our report on agencies' PRA processes and compliance."

Correspondence issued by the General Accounting Office with an abstract that begins "Section 127a, title 10 of the United States Code provides the Department of Defense (DOD) with two options for funding nontraining deployments and operations when Congress has not provided funds in advance. These options involve waiving reimbursements for support services and transferring amounts from other DOD accounts. Section 127a prescribes specific procedures to be followed by DOD when these funding options are used; requires DOD to notify Congress of and report on certain new contingency operations; and states that the Comptroller General of the United States shall from time to time, and when requested by a Committee of Congress, conduct a review to determine whether DOD is complying with the statutory requirements and limitations. GAO found that DOD has complied with the requirements contained in section 127a. Since the current notification and reporting requirements of section 127a were enacted in 1996, DOD has provided congressional notification for four operations, involving Bosnia, Kosovo, hurricane relief in Central America, and East Timor. DOD has rarely used the funding options provided in section 127a. It used the section 127a funding option allowing waiver of reimbursement for units providing support once, for …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO evaluated the Department of Defense's (DOD) efforts to protect U.S. forces stationed overseas from terrorist attacks, focusing on: (1) the extent to which DOD has made improvements to its antiterrorism/force protection program overseas; (2) changes in DOD's process for assessing and reporting vulnerability at overseas installations; and (3) the adequacy of antiterrorism/force protection funding and staff."

A letter report issued by the Government Accountability Office with an abstract that begins "Over the years, the Department of Defense's (DOD) military compensation system has become an increasingly complex and piecemeal accretion of pays, allowances, benefits, and special tax preferences. DOD leaders have expressed concern that rising compensation costs may not be sustainable in the future and could crowd out other important investments needed to recapitalize equipment and infrastructure. Given the looming fiscal challenges facing the nation in the 21st century, GAO believes it is time for a baseline review of all federal programs to ensure that they are efficiently meeting their objectives. Under the Comptroller General's authority, GAO (1) assessed whether DOD's approach to compensation provides adequate transparency over costs; (2) identified recent trends in active duty compensation, and how costs have been allocated to cash and benefits; and (3) reviewed how active duty servicemembers perceive their compensation and whether DOD has effectively explained the value of the military compensation package to its members."

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO examined the the Department of Defense's (DOD) initiatives to change export and procurement policies and procedures that relate to the transfer or sale of defense articles and services that may have national security implications."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO has shown that cross-matching or data sharing can be a valuable management and oversight practice. The Office of Workers' Compensation Programs (OWCP) already has the right to access Social Security Administration's (SSA) data. However, such access is subject to SSA's approval--the Code of Federal Regulations provides that "OWCP may verify the earnings reported by the employee through a variety of means, including by not limited to computer matches with the Office of Personnel Management and inquiries to SSA." Prior GAO work has demonstrated the importance of, and potential savings from, checking applicants' and beneficiaries' initial and continuing eligibility for federal benefits by verifying the economic information they provide with independent, third-party sources."

A letter report issued by the Government Accountability Office with an abstract that begins "In its contingency operations since the early 1990s, the Department of Defense (DOD) has relied extensively on logistics support contractors to provide many of the supplies and services needed by deployed U.S. forces. As requested, GAO assessed DOD's planning in its use of logistics support contracts in contingency operations; determined whether DOD has had contract oversight processes that are adequate to ensure that quality services were provided in an economical and efficient manner; and assessed the extent to which DOD provided trained personnel qualified to oversee its contractors. GAO focused its efforts on four logistics support contracts chosen because of their size and chosen to represent more than one military service--the Army's Logistics Civil Augmentation Program (LOGCAP) and Balkans Support Contract, the Navy's Construction Capabilities Augmentation Program, and the Air Force's Contract Augmentation Program."

A letter report issued by the Government Accountability Office with an abstract that begins "In October 2003, an envelope marked "Caution: Ricin Poison" was discovered at an airmail facility in Greenville, South Carolina. Ricin is a poison that, in certain forms, can cause death. The U.S. Postal Service has emphasized to its employees to be on the alert for "suspicious mail" that may pose a threat and has developed guidance for them on how to identify and respond to such mail, in order to protect them from harm. Postal inspectors and emergency responders help in the responses to suspicious mail by performing an initial assessment of the threat it poses. This report describes (1) actions taken by various agencies, in responding to the incident, to protect the health of postal employees and the public; (2) Postal Service guidance related to suspicious mail in place in October 2003 and the extent to which it was followed during the incident; and (3) subsequent changes made in this guidance and the extent to which current guidance addresses issues raised by the incident."

A letter report issued by the Government Accountability Office with an abstract that begins "Missing among the Department of Defense's (DOD) portfolio of systems is a capability to track stationary and moving enemy vehicles on land or at sea in any type of weather, day or night, from space. To meet this need, DOD and the intelligence community are collaborating on the ambitious Space-Based Radar (SBR) program. By leveraging the newest generation of radar technologies, the SBR concept promises to deliver high-quality data to a wide array of users. DOD intends to start product development in 2006 and to field SBR satellites as quickly as possible so that warfighters, the intelligence community, and national decision makers can gain a better understanding of what adversaries are doing in specific locations around the world. GAO reviewed the SBR program to assess DOD's progress in attaining the knowledge it needs by 2006 in terms of customer needs (or requirements) and resources."

A letter report issued by the Government Accountability Office with an abstract that begins "Autism is a developmental disorder involving communication and social impairment. It has no known cause or cure, and its prevalence is unknown. The Children's Health Act of 2000 required the Department of Health and Human Services (HHS) and HHS agencies to conduct activities related to autism research, surveillance, and coordination. This report provides information on (1) the National Institutes of Health's (NIH) and the Centers for Disease Control and Prevention's (CDC) autism activities and these agencies' funding of autism activities, (2) programs that federal agencies have under way to support services for people with autism and concerns related to providing services, and (3) coordination of federal autism activities."

A letter report issued by the Government Accountability Office with an abstract that begins "When the Department of Homeland Security (DHS) began operations in March 2003, it faced the daunting task of bringing together 22 diverse agencies. This transformation poses significant management and leadership challenges, including integrating a myriad of redundant financial management systems and addressing the existing weaknesses in the inherited components, as well as newly identified weaknesses. This review was performed to (1) identify the financial management systems' weaknesses DHS inherited from the 22 component agencies, (2) assess DHS's progress in addressing those weaknesses, (3) identify plans DHS has to integrate its financial management systems, and (4) review whether the planned systems DHS is developing will meet the requirements of relevant financial management improvement laws."

Testimony issued by the Government Accountability Office with an abstract that begins "In April 2002, the Department of the Navy launched the DD(X) Destroyer program to develop a stealthy, multi-mission ship that would provide advanced land attack capability to support forces ashore and contribute to military dominance in shallow coastal waters. Numbers and costs for the DD(X) have changed since the inception of the program. According to the program's official cost estimate, the first ship is expected to cost $3.3 billion, with per unit costs decreasing as production progresses. DD(X) is approaching Milestone B and critical design review--two key decision points that will shape the future of both the program and the Navy itself. This testimony focuses on (1) the challenges the DD(X) program is expected to encounter, (2) the program's approach and progress in managing attendant risks, and (3) potential consequences if program progress falls short of expectations."

A letter report issued by the General Accounting Office with an abstract that begins "Congress authorized the Pilot Mentor Protege Program to boost the participation of small disadvantaged businesses as subcontractors and suppliers under Department of Defense (DOD) contracts. The program provides incentives for major defense contractors (mentors) to assist small disadvantaged businesses (proteges) in strengthening their ability to compete for work. However, DOD has been criticized for not establishing compelling evidence about the program's overall effectiveness. This report reviews (1) the relationship between the results of the Mentor-Protege Program and the statutory goal of awarding five percent of the total dollar amount contracted by DOD and subcontracted by DOD prime contractors to small disadvantaged businesses; (2) whether the Mentor-Protege Program enhanced the business competitiveness, financial independence, and business development of protege firms; and (3) whether program funds had been used as an effective incentive for mentor firms to participate in the program. GAO found that DOD lacks data integral to assessing the success of the Mentor-Protege Program. DOD lacks enough information to determine the relationship between the program and the goal of awarding five percent of the total dollar amount contracted to small disadvantaged businesses. Although DOD has consistently …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the National Park Service's (NPS) structural fire safety efforts, focusing on: (1) whether the parks were meeting their structural fire safety responsibilities; (2) if the parks were not meeting their responsibilities, why not; and (3) what efforts were underway to address any identified problems."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the effects of recent Medicare payment reforms, focusing on the Balanced Budget Act of 1997 (BBA) payment reforms affecting home health agencies, skilled nursing facilities (SNF), and the health plans in Medicare's managed care program, known as Medicare Choice."

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the budget process established by the Budget Enforcement Act, which will expire in fiscal year 2002. Because the goal of achieving zero deficits has been achieved, the focus of the budget process has shifted to to the allocation of surpluses among debt reduction, spending increases, and tax cuts. The budget process should be designed to avoid what has been described as the year-end "train wreck." A year-end "train wreck" results from a failure to reach agreement--or at least a compromise acceptable to all parties--earlier in the year. Although it is possible that early agreement on some broad parameters could facilitate a smoother process, it is not clear that such an agreement will always prevent gridlock--it may just come earlier. Two ideas that have been proposed to avert the year-end disruption caused by an inability to reach agreement on funding the government include joint budget resolutions and biennial budgeting. In discussing alternatives for improving the budget process, there is a broad consensus among observers and budget analysts that the spending constraints established by the act are necessary even with the advent of actual and projected surpluses. …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the improper trafficking of food stamp benefits, focusing on: (1) federal efforts to identify storeowners who engage in trafficking; (2) the amount of penalties assessed and collected against these storeowners; and (3) the extent to which states with statewide electronic benefit transfer (EBT) systems are identifying and disqualifying recipients who engage in trafficking."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Department of State's progress in addressing the challenges it faces in its efforts to achieve a more secure, efficient, and effective network of operations."

Testimony issued by the Government Accountability Office with an abstract that begins "Scientific evidence links exposure to particulate matter--a widespread form of air pollution--to serious health problems, including asthma and premature death. Under the Clean Air Act, the Environmental Protection Agency (EPA) periodically reviews the appropriate air quality level at which to set national standards to protect the public against the health effects of six pollutants, including particulate matter. EPA proposed revisions to the particulate matter standards in January 2006 and issued a regulatory impact analysis of the revisions' expected costs and benefits. The estimated benefits of air pollution regulations have been controversial in the past, and a 2002 National Academies report to EPA made recommendations aimed at improving the estimates for particulate matter and other air pollution regulations. This testimony is based on GAO's July 2006 report Particulate Matter: EPA Has Started to Address the National Academies' Recommendations on Estimating Health Benefits, but More Progress Is Needed (GAO-06-780). GAO determined whether and how EPA applied the National Academies' recommendations in its estimates of the health benefits expected from the January 2006 proposed revisions to the particulate matter standards."

Testimony issued by the Government Accountability Office with an abstract that begins "The U.S. rail transit system is a vital component of the nation's transportation infrastructure, carrying millions of people daily. Unlike most transportation modes, safety and security oversight of rail transit is the responsibility of state-designated oversight agencies following Federal Transit Administration (FTA) requirements. In addition, in 2001, Congress passed the Aviation and Transportation Security Act, giving the Transportation Security Administration (TSA) authority for security over all transportation modes, including rail transit. This testimony is based on ongoing work for this subcommittee's committee--the House Committee on Transportation and Infrastructure. I describe (1) how the State Safety Oversight program is designed; (2) what is known about the impact of the program on rail safety and security; and (3) challenges facing the program. I also provide information about oversight of transit systems that cross state boundaries. To address these issues, we reviewed program documents and interviewed stakeholders including officials from FTA, TSA, the National Transportation Safety Board, and the American Public Transportation Association. We also surveyed state oversight and transit agencies covered by FTA's program, interviewing 24 of the 25 oversight agencies and 37 of 42 transit agencies across the country."

Testimony issued by the Government Accountability Office with an abstract that begins "Following the 1991 Persian Gulf War, research and investigations into the causes of servicemembers' unexplained illnesses were hampered by a lack of servicemember health and deployment data, including inadequate occupational and environmental exposure data. In 1997, the Department of Defense (DOD) developed a militarywide health surveillance framework that includes occupational and environmental health surveillance (OEHS)--the regular collection and reporting of occupational and environmental health hazard data by the military services. This testimony is based on GAO's report, entitled Defense Health Care: Improvements Needed in Occupational and Environmental Health Surveillance during Deployment to Address Immediate and Long-term Heath Issues (GAO-05-632). The testimony presents findings about how the deployed military services have implemented DOD's policies for collecting and reporting OEHS data for Operation Iraqi Freedom (OIF) and the efforts under way to use OEHS reports to address both immediate and long-term health issues of servicemembers deployed in support of OIF."