A letter report issued by the Government Accountability Office with an abstract that begins "Medicare's payments for the costs physicians incur in operating their practices are based on two sets of estimates: total practice expenses and resource estimates for individual services. Total practice expense estimates were derived from American Medical Association (AMA) physician surveys, which the Centers for Medicare & Medicaid Services (CMS) refines with supplemental data submitted by medical specialty societies. Resource estimates for individual services were developed by expert panels and refined by CMS with recommendations from another expert panel. In response to a mandate in the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, GAO evaluated CMS's processes for updating total practice expense and resource estimates and whether CMS will have the data necessary to update the fee schedule at least every 5 years as mandated by law."

Testimony issued by the Government Accountability Office with an abstract that begins "The devastation and dislocation of individuals experienced throughout the Gulf Coast in Louisiana, Mississippi, Alabama, and Texas in the wake of Hurricanes Katrina and Rita has raised concern about both the charitable sector's and the government's abilities to effectively respond to such disasters. To strengthen future disaster response and recovery operations, the government needs to understand what went right and what went wrong, and to apply these lessons. The National Response Plan outlines the roles of federal agencies and charities in response to national disasters. Recognizing the historically large role of charities in responding to disasters, the plan included charities as signatories and gave them considerable responsibilities. In addition to carrying out the responsibilities outlined in the National Response Plan, charities served as partners to the federal government in providing both immediate and long-term assistance following Hurricanes Katrina and Rita. GAO was asked to provide an overview of lessons learned from charities' response to previous disasters as well as preliminary observations about the role of charities following the Gulf Coast hurricanes. As part of our ongoing work, GAO will continue to analyze federal and charitable efforts following the …

Correspondence issued by the Government Accountability Office with an abstract that begins "Until World War II U.S. Navy battleships provided an impressive show of force and outgunned and outmaneuvered their ocean-going enemies. From World War II until the Persian Gulf War in 1991, the Navy's Iowa class battleships provided Naval Surface Fire Support capabilities with their 16-inch guns. Naval Surface Fire Support, together with land- and air-based components, makes up the joint "fires triad", which is used to support Marine Corps amphibious assault operations. The last Iowa class battleship was decommissioned in 1992. In 1996, congressional authorizers became concerned that the Navy would not be able to produce a replacement Naval Surface Fire Support capability comparable to the battleships until well into the twenty-first century and directed the Secretary of the Navy to restore at least two Iowa class battleships to the naval vessel registry until the Secretary of the Navy certified that a capability had been developed equal to or greater than that provided by the battleships. Two Iowa class battleships--the U.S.S. Wisconsin and the U.S.S. Iowa--remain on the naval vessel registry in inactive status. Both ships are considered "in reserve", meaning they are being retained for reactivation in …

Correspondence issued by the General Accounting Office with an abstract that begins "This report provides information on (1) the structure and operations of the New Hampshire-Vermont Solid Waste Project; (2) how the project's structure and operations compare to those of other interstate waste management projects; and (3) issues that need to be addressed in the future, as the expiration of the incineration contract approaches and the districts consider their options. In addressing the second question, we were unable to identify any other congressionally approved interstate solid waste compacts. However, we identified 10 interstate compacts for the management of low-level radioactive waste and one solid waste agreement that was not congressionally approved and used them as a basis for comparison."

A letter report issued by the Government Accountability Office with an abstract that begins "Unmanned aircraft systems (UAS) consist of an unmanned aircraft; sensor, communications, or weapons, carried on board the aircraft, collectively referred to as payloads; and ground controls. UAS have been used successfully in recent operations, and are in increasingly high demand by U.S. forces. To meet the demand, the Department of Defense (DOD) is increasing its investment in and reliance on UAS, and often deploying them while still in development. GAO has previously found that DOD's approach to developing and fielding UAS risked interoperability problems which could undermine joint operations. GAO was asked to review (1) UAS performance in recent joint operations and (2) the soundness of DOD's approach to evaluating joint UAS operational performance."

A letter report issued by the Government Accountability Office with an abstract that begins "Certified registered nurse anesthetists (CRNA), registered nurses who have completed a master's degree program in nurse anesthesia, provide the majority of anesthesia care veterans receive in VA medical facilities. While the demand for CRNAs is anticipated to increase, many CRNAs employed by VA--VA CRNAs--are nearing retirement eligibility age. Concerns have been raised about the challenges VA may face in maintaining its VA CRNA workforce. GAO (1) identified VA CRNA workforce challenges that VA medical facilities may experience related to VA CRNAs, (2) identified the key mechanisms that VA medical facilities can use to recruit and retain VA CRNAs, and (3) determined the extent to which facilities use the key mechanisms. To identify VA CRNA workforce challenges, GAO analyzed Web-based surveys it sent to VA chief anesthesiologists, VA human resources officers, and VA CRNAs, with survey response rates of 92, 85, and 76 percent, respectively. GAO also identified the key mechanisms VA medical facilities can use to recruit and retain VA CRNAs and the extent that these mechanisms are used."

Correspondence issued by the General Accounting Office with an abstract that begins "As part of its involvement with the Navy Personal Property Working Group, GAO reviewed the Department of the Navy's implementation of the Defense Property Accountability System (DPAS). As requested by the working group, GAO visited six Navy activities to evaluate DPAS implementation at those selected locations. GAO found that (1) physical wall-to-wall inventories of personal property were not being done properly; (2) personal property items were not being included in DPAS at a component level to ensure accountability; and (3) policies, procedures, and training were not in place to ensure the sustainability of the property database."

A letter report issued by the Government Accountability Office with an abstract that begins "GAO has previously reported that the lack of control over inventory shipments increases the Department of Defense's (DOD) vulnerability to undetected loss or theft. GAO evaluated the Army's effectiveness in maintaining accountability of inventory shipped to repair contractors. To conduct its review, GAO analyzed shipment data for fiscal year 2004, surveyed repair contractors that were recipients of inventory shipments, and assessed the Army's adherence to internal control procedures. Inventory shipments included both secondary repair items--components, assemblies, and subassemblies, other than major end items, which may be sent to commercial facilities for repair, alteration, or modification--and government-furnished materiel--assemblies, parts, and other items provided in support of this work."

A letter report issued by the General Accounting Office with an abstract that begins "In 1998, the State Department stockpiled anthrax vaccine and antibiotics at several diplomatic posts near Iraq. In the event of an anthrax attack by Iraq, this stockpile was to be used for post-exposure immunization and treatment. In 1999, the State announced that it was starting a voluntary Anthrax Immunization Program for U.S. government employees, their dependents, and other personnel overseas. According to the Food and Drug Administration (FDA), full pre-exposure protection from anthrax requires six vaccinations given over an 18-month period, followed by an annual booster. Because the supplies of vaccines approved by FDA were insufficient, State decided to suspend plans to expand the program beyond the pilot site until more vaccine was available. GAO found that both the State Department's prepositioning of anthrax vaccine at diplomatic missions and the voluntary anthrax immunization program have been poorly implemented. Specifically, the vaccine was not properly stored or refrigerated, requirements for the voluntary program were not accurately estimated, and surveillance procedures used in the pilot program to monitor reactions to the vaccine were inadequate."

A letter report issued by the General Accounting Office with an abstract that begins "The Economic Growth and Tax Relief Reconciliation Act of 2001 directed the Treasury to issue advance 2001 tax refunds to individual taxpayers who filed a tax year 2000 return. As a result, the Internal Revenue Service (IRS) had to identify eligible taxpayers so that checks could be sent to these taxpayers by December 31, 2001. The Department of the Treasury's Financial Management Service was to issue the checks on behalf of IRS, with the first checks to be received during the week of July 23, 2001. As of September 30, 2001, 84 million taxpayers were to have received $36 billion in advance tax funds. IRS offset about $2.1 billion from these advance tax refunds to recover delinquent federal taxes. IRS spent $104 million to run the program through September 2001, which included IRS staffing costs as well as the costs associated with contracts, postage, and printing. The Treasury Inspector General for Tax Administration identified two initial problems that affected either the accuracy or timeliness of the advance refund notices. One involved computer programming errors that resulted in 523,000 taxpayers receiving notices indicating that they would receive …

A letter report issued by the General Accounting Office with an abstract that begins "In 1998, the Transportation Equity Act for the 21st Century (TEA-21), authorized the states to retain the federal share of proceeds from the sale or lease of real property that had been purchased with federal-aid funds. It also required the states to use the federal share on other highway projects eligible for funding under the federal-aid highway program. GAO determined (1) the extent to which states are selling, leasing, or disposing of real property purchased with federal-aid funds and (2) how the proceeds generated from the sale or lease of real property are being used, including whether they are being used in accordance with TEA-21. GAO issued a related legal opinion in September 2002."

A letter report issued by the General Accounting Office with an abstract that begins "Government purchase cards have streamlined the process of acquiring goods and services by allowing employees to purchase directly from merchants rather than going through the regular procurement process. The government spent $13.8 billion using purchase cards in fiscal year 2001. However, the government does not know how purchase card spending impacts small businesses and other socioeconomic categories, such as woman-owned small businesses, and small disadvantaged businesses. Because of these uncertainties, the General Services Administration (GSA), which administers the purchase card program, has begun to collect socioeconomic data on merchants doing business with the federal government through purchase cards. This report assesses GSA's efforts and identifies the challenges to collecting and reporting this data."

A letter report issued by the General Accounting Office with an abstract that begins "In connection with fulfilling our requirement to audit the financial statements of the U.S. government, we audit the Schedules of Federal Debt Managed by the Bureau of the Public Debt, which includes testing compliance with the debt ceiling. To assist us in this testing and because of the nature of and sensitivity towards actions taken during a debt issuance suspension period, we (1) developed a chronology of significant events, (2) analyzed the financial aspects of Treasury's actions taken during the debt issuance suspension periods and assessed the legal basis of these actions, and (3) analyzed the impact of the policies and procedures used by Treasury to manage the debt during the debt issuance suspension periods."

A letter report issued by the General Accounting Office with an abstract that begins "Information technology (IT) will play a critical role in strengthening our nation's homeland security against potential future attacks. Specifically, IT will help enable the nation to identify potential threats, share information more readily, provide mechanisms to protect our homeland, and develop response capabilities. The Permanent Subcommittee on Investigations of the Senate Committee on Governmental Affairs requested that we identify, for fiscal years 2002 and 2003, IT funding targeted for purposes related to homeland security in those departments and agencies that play a key role in this mission area and, using our prior work, report on the IT management issues facing these organizations. In commenting on a draft of this report, agencies provided technical comments that were incorporated in the report, as appropriate."

A letter report issued by the General Accounting Office with an abstract that begins "About one-third of terrorist attacks worldwide target transportation systems, and transit systems are the mode most commonly attacked. In light of the history of terrorism against mass transit and the terrorist attacks on September 11, GAO was asked to examine challenges in securing transit systems, steps transit agencies have taken to improve safety and security, and the federal role in transit safety and security. To address these objectives, GAO visited 10 transit agencies and surveyed a representative sample of transit agencies, among other things."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO assessed agencies' validation of data submitted by prime contractors on their subcontracting achievements. Of $77 billion in subcontracting reported in fiscal year 2000, $31 billion went to small businesses, such as women-owned, and small disadvantaged businesses, as well as those located in historically underutilized business zones. Both civilian and defense agencies follow a similar process to validate subcontracting data--one that involves visiting contractors, assessing compliance with subcontracting plans, and evaluating accounting systems as well as management support of the subcontracting program. Most contractors GAO reviewed are making good faith efforts to comply with their subcontracting plans. However, these reviews could be improved to enhance the validation and use of subcontracting data."

Contains notes and research (NMC13-Base Input) Naval Station Great Lakes, IL.

Contains General Base Input (SAMMC)San Antonio Military Medical Center-Texas.

Contains notes and research (General) Community Meeting-July 18, 2005 with New Hampshire Delegation.

Contains notes and research (Draft Final Deliberations Slides) Various States-by Syd Carroll of the Joint Cross Service Team.

Contains May 17, 2005 hearing testimony of Michael Dominguez, Acting Secretary of the Air Force and General John Jumper, Chief of Staff of the Air Force, Washington, DC.

We introduce a simple polar fluid model for the thermodynamics of dense supercritical water based on a Buckingham (exp-6) core and point dipole representation of the water molecule. The proposed exp6-polar thermodynamics, based on ideas originally applied to dipolar hard spheres, performs very well when tested against molecular dynamics simulations. Comparisons of the model predictions with experimental data available for supercritical water yield excellent agreement for the shock Hugoniot, isotherms and sound speeds, and are also quite good for the self-diffusion constant and relative dielectric constant. We expect the present approach to be also useful for other small polar molecules and their mixtures.

LLNL proposes to obtain soil samples from the following areas: (1) Four areas downwind of the Explosives Waste Treatment Facility (EWTF) Burn Units (i.e., Thermal Treatment Unit and Burn Pan); (2) One area upwind of the Burn Units and Detonation Pad; (3) Two areas downwind of the EWTF Detonation Pad; and (4) Three areas unaffected (representing ambient conditions) by EWTF operations approximately 7000-8000 feet upwind of the facility. The purpose of the sampling in areas 1, 2, and 3 is to detect if operations cause increases in concentrations of materials downwind of the Burn Units or downwind of the Detonation Pad. The purpose of the sampling in area 4 is to determine if previously developed background screening levels can be applied to EWTF operations. A 20 foot diameter circle will define each sample area. Soil samples will be obtained from four random locations inside each 20 foot circle. The samples will be obtained immediately below the surface, free of any organic matter (e.g., roots) and other surface and subsurface material (e.g., rocks) that is not conducive to analysis. The random identification of four discrete sample locations in each circle will allow the variability between sample locations and areas, if present, …

Ion-optics calculations were performed for a new ion source and injection beam line. This source, which can accept both solid and gaseous targets, will be installed onto the 1-MV BioAMS spectrometer at the Center for Accelerator Mass Spectrometry, located at Lawrence Livermore National Laboratory and will augment the current LLNL cesium-sputter solid sample ion source. The ion source and its associated injection beam line were designed to allow direct quantification of {sup 14}C/{sup 12}C and {sup 3}H/{sup 1}H isotope ratios from both solid and gaseous targets without the need for isotope switching. Once installed, this source will enable the direct linking of a nanoflow LC system to the spectrometer to provide for high-throughput LC-AMS quantitation from a continuous flow. Calculations show that, for small samples, the sensitivity of the gas-accepting ion source could be precision limited but zeptomole quantitation should be feasible.