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Surface Transportation: Competitive Grant Programs Could Benefit from Increased Performance Focus and Better Documentation of Key Decisions (open access)

Surface Transportation: Competitive Grant Programs Could Benefit from Increased Performance Focus and Better Documentation of Key Decisions

A letter report issued by the Government Accountability Office with an abstract that begins "In February 2009, the American Recovery and Reinvestment Act (Recovery Act) appropriated $1.5 billion for discretionary grants for capital investments in surface transportation projects of national and regional significance, including highways, transit, rail, ports, and others. The act required the Department of Transportation (DOT) to develop criteria to award these grants--known as the Transportation Investment Generating Economic Recovery (TIGER) grants--and to meet several statutory requirements. GAO was asked to review (1) the criteria and process used to evaluate applications and award grants, (2) the outcome of the process, and (3) the extent to which DOT communicated information to applicants and the public. GAO reviewed documentation of the award process and selection documentation and interviewed key DOT officials."
Date: March 30, 2011
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Defense Logistics: DOD Input Needed on Implementing Depot Maintenance Study Recommendations (open access)

Defense Logistics: DOD Input Needed on Implementing Depot Maintenance Study Recommendations

Correspondence issued by the Government Accountability Office with an abstract that begins "This report responds to section 322 of the Duncan Hunter National Defense Authorization Act for Fiscal Year 2009. Section 322 required the Secretary of Defense to contract for a study on the capability and efficiency of the depots of the Department of Defense (DOD) to provide the logistics capabilities and capacity necessary for national defense. DOD placed a task order under an existing contract with LMI, Inc. (LMI) to complete the study, which was to address a range of issues specified in section 322. As required by section 322, the task order specified that the contractor submit an interim report on its study to the Senate and House Committees on Armed Services not later than 1 year after the commencement of the study and a final report not later than 22 months after the date on which the Secretary of Defense enters into the contract. LMI submitted its interim report, containing background information and summary data on the DOD depot maintenance enterprise, to the Committees on Armed Services in December 2009. The final report, containing conclusions and recommendations, was provided to the Committees on Armed Services in February …
Date: June 30, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
DOD Financial Management: Reported Status of Department of Defense's Enterprise Resource Planning Systems (open access)

DOD Financial Management: Reported Status of Department of Defense's Enterprise Resource Planning Systems

Correspondence issued by the Government Accountability Office with an abstract that begins "The following is a list of the specific data elements that we requested DOD provide an updated status as of December 31, 2011, for each of the ERPs."
Date: March 30, 2012
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
District of Columbia Opportunity Scholarship Program: Actions Needed to Address Weaknesses in Administration and Oversight (open access)

District of Columbia Opportunity Scholarship Program: Actions Needed to Address Weaknesses in Administration and Oversight

A letter report issued by the Government Accountability Office with an abstract that begins "The DC Children and Youth Investment Trust Corporation (the Trust) provides information to prospective and current families of children participating in the District of Columbia (the District) Opportunity Scholarship Program (OSP) through a variety of outreach activities. To reach prospective OSP families, the Trust advertises through print, radio, and bus ads, as well as in newspapers and flyers posted in neighborhood libraries, recreation centers, and local government service centers. However, the Trust provides incomplete and untimely information about participating schools to OSP families. The participating school directory, which is published by the Trust, lacks key information about tuition, fees, and accreditation. The Trust published the directory 9 months after the start of the 2012-13 school year, too late to assist families in selecting a school for that year. Without such information, parents cannot make fully informed school choices. Additionally, the Trust awarded scholarships to students several months after many schools completed their admissions and enrollment processes, limiting the amount of time and choice in selecting schools. Most families GAO spoke with were generally happy with OSP but some were concerned about the availability of program information."
Date: September 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Border Security: DHS Progress and Challenges in Securing the U.S. Southwest and Northern Borders (open access)

Border Security: DHS Progress and Challenges in Securing the U.S. Southwest and Northern Borders

Testimony issued by the Government Accountability Office with an abstract that begins "As part of its mission, the Department of Homeland Security (DHS), through its U.S. Customs and Border Protection (CBP) component, is to secure U.S borders against threats of terrorism; the smuggling of drugs, humans, and other contraband; and illegal migration. At the end of fiscal year 2010, DHS investments in border security had grown to $11.9 billion and included more than 40,000 personnel. To secure the border, DHS coordinates with federal, state, local, tribal, and Canadian partners. This testimony addresses DHS (1) capabilities to enforce security at or near the border, (2) interagency coordination and oversight of information sharing and enforcement efforts, and (3) management of technology programs. This testimony is based on related GAO work from 2007 to the present and selected updates made in February and March 2011. For the updates, GAO obtained information on CBP performance measures and interviewed relevant officials."
Date: March 30, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Nonproliferation and Disarmament Fund: State Should Better Assure the Effective Use of Program Authorities (open access)

Nonproliferation and Disarmament Fund: State Should Better Assure the Effective Use of Program Authorities

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of State's (State) Nonproliferation and Disarmament Fund (NDF) has several key authorities that provide it significant operational flexibility; however, it has not determined its needed carryover balances and it has taken years to close out many of its projects in the absence of guidance for closing them. Annual appropriations bills have consistently provided NDF with three key authorities that it has used to carry out its activities. First, NDF has the authority to undertake projects notwithstanding any other provision of law. NDF has used this authority to fund projects in countries, such as North Korea, where U.S. assistance is prohibited by U.S. sanctions and other legal restrictions. Second, NDF has the authority to undertake projects globally. NDF has used this authority to fund projects in numerous regions around the world, in contrast with other U.S. nonproliferation programs, which have historically focused on countries in the former Soviet Union. Third, NDF's appropriations do not expire within a particular time period, enabling NDF to carry over balances from year to year not designated for specific projects. However, NDF has not determined appropriate levels for these balances, …
Date: November 30, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
DOD Components Are Not Sending Required Information on Contract Awards to the Office of Public Affairs (open access)

DOD Components Are Not Sending Required Information on Contract Awards to the Office of Public Affairs

Correspondence issued by the Government Accountability Office with an abstract that begins "During the course of a recent engagement reviewing noncompetitive contracting, we found that departments and agencies in the Department of Defense (DOD) are not submitting complete information, as required, to the Office of the Assistant Secretary of Defense for Public Affairs (OASD[PA]), which then posts the information on its Web site as a public announcement. President Obama has emphasized transparency and openness in how the government spends taxpayer dollars. We are bringing this issue to the attention of the Defense Department's Defense Procurement and Acquisition Policy due to its responsibility for acquisition and procurement policy matters in DOD. The Federal Acquisition Regulation (FAR) requires contracting officers to make information on a contract action over a certain dollar amount publicly available on the same day the contract is awarded. The Defense Federal Acquisition Regulation Supplement (DFARS) further specifies that for contract actions over $5.5 million, departments and agencies are to submit certain information to the OASD(PA) by the close of business the day before the date of the proposed award, including, "as a minimum" (1) contract data, for example, contract number, face value of the action and total cumulative …
Date: November 30, 2010
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Child Welfare: States Use Flexible Federal Funds, But Struggle to Meet Service Needs (open access)

Child Welfare: States Use Flexible Federal Funds, But Struggle to Meet Service Needs

A letter report issued by the Government Accountability Office with an abstract that begins "The four states GAO selected used funds provided under Title IV-B of the Social Security Act for a variety of child welfare services and other activities, and had different strategies for spending these funds. For instance, in fiscal year 2011 Virginia provided funding to all local child welfare agencies to spend on their own priorities, such as parenting classes. New Mexico targeted certain counties for services, such as intensive in-home services for families at risk of foster care."
Date: January 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Prescription Drugs: FDA Has Met Most Performance Goals for Reviewing Applications (open access)

Prescription Drugs: FDA Has Met Most Performance Goals for Reviewing Applications

A letter report issued by the Government Accountability Office with an abstract that begins "FDA met most performance goals for priority and standard NDAs and BLAs received from FY 2000 through FY 2010. FDA meets its performance goals by completing its review and issuing an action letter—such as an approval or a response detailing deficiencies that are preventing the application from being approved—for a specified percentage of applications within a designated period of time. FDA designates NDAs and BLAs as either priority—if the product would provide significant therapeutic benefits when compared to available drugs—or standard. FDA met the performance goals for both priority and standard NDAs and BLAs for 10 of the 11 fiscal years GAO examined; FDA did not meet either of the goals for FY 2008. Although FDA had not yet issued an action letter for all of the applications it received in FY 2011 and results are therefore preliminary, FDA was meeting the goals for both priority and standard NDAs and BLAs on which it had taken action. Meanwhile, FDA review time for NDAs and BLAs—the time elapsed between FDA’s receipt of an application and issuance of an action letter—increased slightly from FY 2000 through FY 2010. …
Date: March 30, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
National Preparedness: Efforts to Address the Medical Needs of Children in a Chemical, Biological, Radiological, or Nuclear Incident (open access)

National Preparedness: Efforts to Address the Medical Needs of Children in a Chemical, Biological, Radiological, or Nuclear Incident

A letter report issued by the Government Accountability Office with an abstract that begins "According to the Department of Health and Human Services (HHS), about 60 percent of the chemical, biological, radiological, and nuclear (CBRN) medical countermeasures in the Strategic National Stockpile (SNS) have been approved for children, but in many instances approval is limited to specific age groups. In addition, about 40 percent of the CBRN countermeasures have not been approved for any pediatric use. Furthermore, some of the countermeasures have not been approved to treat individuals for the specific indications for which they have been stockpiled. For example, ciprofloxacin is stockpiled in the SNS for the treatment of anthrax, plague, and tularemia, but is not approved for these indications. Countermeasures may be used to treat unapproved age groups or indications under an emergency use authorization (EUA) or an Investigational New Drug (IND) application submitted to the Food and Drug Administration (FDA)."
Date: April 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Centers for Disease Control and Prevention: Lobbying Policies and Monitoring for Program to Reduce Obesity and Tobacco Use (open access)

Centers for Disease Control and Prevention: Lobbying Policies and Monitoring for Program to Reduce Obesity and Tobacco Use

Correspondence issued by the Government Accountability Office with an abstract that begins "CDC has administered and provided oversight of the CPPW program, which includes the monitoring of award recipients. CDC required recipients to use their CPPW funds to support efforts to improve nutrition, increase physical activity, or reduce tobacco use and exposure to secondhand smoke. In addition, CDC suggested possible strategies for achieving these results, such as working to establish smoke-free zones or to implement zoning changes that promote physical activity. CDC policy prohibited CPPW award recipients from using funds for specific types of activities, including lobbying, which generally meant certain activities designed to influence action in regard to a particular piece of pending legislation."
Date: April 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Military Uniforms: Issues Related to the Supply of Flame Resistant Fibers for the Production of Military Uniforms (open access)

Military Uniforms: Issues Related to the Supply of Flame Resistant Fibers for the Production of Military Uniforms

Correspondence issued by the Government Accountability Office with an abstract that begins "Prior to Operation Enduring Freedom and Operation Iraqi Freedom, Department of Defense (DOD) personnel with flame resistant (FR) uniforms were mainly aviators, fuel handlers, and tank crews. With the growing prevalence of the improvised explosive device (IED) threat, all ground forces serving in Iraq and Afghanistan have been exposed to the possibility of fire-related injuries. The Ike Skelton National Defense Authorization Act for Fiscal Year 2011 extended to 2015 the authority to procure fire resistant rayon fiber for the production of uniforms from certain foreign countries, provided by section 829 of the National Defense Authorization Act for Fiscal Year 2008 and originally set to expire in 2013. This letter discusses the briefing developed in response to the requirement in the Ike Skelton National Defense Authorization Act for Fiscal Year 2011 to report on the supply chain for FR fiber for the production of military uniforms. Specifically, the act required GAO to analyze several elements of the supply chain, including the current and anticipated sources of FR rayon fiber; actions DOD has taken to identify alternatives to FR rayon fiber; impediments to the use of such alternatives; and the …
Date: June 30, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Border Security: Opportunities Exist to Ensure More Effective Use of DHS's Air and Marine Assets (open access)

Border Security: Opportunities Exist to Ensure More Effective Use of DHS's Air and Marine Assets

A letter report issued by the Government Accountability Office with an abstract that begins "GAO’s analysis of the Office of Air and Marine (OAM) data found that OAM met 73 percent of the 38,662 air support requests and 88 percent of the 9,913 marine support requests received in fiscal year 2010. The level of support differed by location, customers, and type of mission. For example, in its northern region OAM met air support requests 77 percent of the time and in its southeast region, it met these requests 60 percent of the time. The main reasons for unmet air and marine support requests were maintenance and adverse weather, respectively. OAM has taken actions, such as developing an aircraft modernization plan and purchasing all-weather vessels, to address these issues."
Date: March 30, 2012
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Medicare Part D Formularies: CMS Conducts Oversight of Mid-Year Changes; Most Mid-Year Changes Were Enhancements (open access)

Medicare Part D Formularies: CMS Conducts Oversight of Mid-Year Changes; Most Mid-Year Changes Were Enhancements

Correspondence issued by the Government Accountability Office with an abstract that begins "The Medicare voluntary outpatient prescription drug insurance program, known as Medicare Part D, provided prescription drug coverage for about 23 million beneficiaries--eligible individuals 65 years and older and eligible individuals with disabilities--enrolled in the program in 2010. Under Part D, Medicare beneficiaries may enroll in prescription drug plans offered by private companies, known as sponsors, that contract with the Department of Health and Human Services (HHS) Centers for Medicare & Medicaid Services (CMS), the agency that administers the Medicare program. Sponsors may have multiple contracts with CMS to provide drug coverage, with each contract offering one or more distinct Part D plans. Sponsors compete for beneficiary enrollment on the basis of plan premiums and benefit designs. Sponsors also vary in the content of their formularies--the list of covered drugs and associated utilization management (UM) requirements. UM requirements include (1) step therapy, which requires that a beneficiary try lower-cost drugs before a sponsor will cover a more costly drug; (2) prior authorization, which requires a beneficiary to obtain the sponsor's approval before a drug is covered for that individual; and (3) quantity limits, which restrict the dosage or number …
Date: June 30, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Department of Veterans Affairs: Available Data Not Sufficiently Reliable to Describe Use of Consulting Services (open access)

Department of Veterans Affairs: Available Data Not Sufficiently Reliable to Describe Use of Consulting Services

Correspondence issued by the Government Accountability Office with an abstract that begins "Because data were not readily available to identify how the Department of Veterans Affairs (VA) uses consulting services and what is known about their costs, this report discusses the limitations on data concerning consulting services and provides information on some of the uses of consultant contracts. Two primary factors limited GAO's ability to identify a list of consulting contracts that was sufficiently accurate and complete for identifying the types and costs of consulting services used by VA. First, there is no consistently used definition for consultant or consulting services across VA that GAO could apply for our intended purposes. Second, there are data limitations associated with identifying consulting services at VA. Since there is no means for contracting officers to track obligations for consulting services in the Federal Procurement Data System-New Generation, GAO used North American Industrial Classification Codes (NAICS) to identify contracts that could be for consulting. However, GAO could not use the NAICS codes to consistently identify consulting contracts because a single NAICS code can be used to classify both consulting and nonconsulting services and VA contracting officers sometimes reported that they had applied the wrong …
Date: July 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Veterans Administration Procurement: Protests Concerning Service-Disabled Veteran-Owned Small Business Preferences Sustained (open access)

Veterans Administration Procurement: Protests Concerning Service-Disabled Veteran-Owned Small Business Preferences Sustained

Testimony issued by the Government Accountability Office with an abstract that begins "Under the Competition in Contracting Act of 1984, GAO is required to consider protests filed by interested parties concerning the terms of solicitations or contract awards. In deciding protests, GAO makes a determination of whether the agency's actions complied with procurement statutes and regulations. Aldevera, an SDVOSB concern, argued that two solicitations issued by the Veterans Administration should have been set aside for SDVOSB concerns."
Date: November 30, 2011
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Health Care Fraud and Abuse Control Program: Indicators Provide Information on Program Accomplishments, but Assessing Program Effectiveness is Difficult (open access)

Health Care Fraud and Abuse Control Program: Indicators Provide Information on Program Accomplishments, but Assessing Program Effectiveness is Difficult

A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2012, the Department of Health and Human Services (HHS), HHS Office of Inspector General (HHS-OIG), and the Department of Justice (DOJ) obligated approximately $583.6 million to fund Health Care Fraud and Abuse Control (HCFAC) program activities. About 78 percent of obligated funds were from mandatory HCFAC appropriations (budgetary resources provided in laws other than appropriation acts), 11 percent of obligated funds were from discretionary HCFAC appropriations (budgetary resources provided in appropriation acts), and 12 percent were obligated funds from other appropriations that HHS, HHS-OIG, and DOJ used to support HCFAC activities. HCFAC funds were obligated to support a variety of activities, including interagency Medicare Fraud Strike Force Teams--which provide additional investigative and prosecutorial resources in geographic areas with high rates of health care fraud--located in 9 cities nationwide."
Date: September 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Transportation Security: TSA Could Strengthen Monitoring of Allegations of Employee Misconduct (open access)

Transportation Security: TSA Could Strengthen Monitoring of Allegations of Employee Misconduct

A letter report issued by the Government Accountability Office with an abstract that begins "According to Transportation Security Administration (TSA) employee misconduct data that GAO analyzed, TSA investigated and adjudicated approximately 9,600 cases of employee misconduct from fiscal years 2010 through 2012. From fiscal years 2010 through 2012, the annual number of TSA misconduct cases increased from 2,691 to 3,408. In that same period, TSA's workforce of Office of Security Operations employees at the airport level grew by about 3,200 employees. Two offense categories accounted for about half of all cases--(1) attendance and leave, which accounted for 32 percent, and (2) screening and security, which accounted for 20 percent. Charges for screening and security related incidents pertain to violating standard operating procedures, including not conducting security or equipment checks, and allowing patrons or baggage to bypass screening. TSA's guidance delineates common employee charges, along with a suggested range of penalties. Forty-seven percent of the cases that GAO analyzed resulted in letters of reprimand, which describe unacceptable conduct that is the basis for a disciplinary action; 31 percent resulted in suspensions of a definite duration; and 17 percent resulted in the employee's removal from TSA. The remaining cases covered a variety …
Date: July 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
VA Health Care: Spending for and Provision of Prosthetic Items (open access)

VA Health Care: Spending for and Provision of Prosthetic Items

A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2009, the Department of Veterans Affairs (VA) provided more than 59 million prosthetic items to more than 2 million veterans. After VA physicians and other clinicians prescribe prosthetic items, VA's Prosthetic and Sensory Aids Service (PSAS) is responsible for processing prescriptions and providing prosthetic items to veterans. PSAS is also responsible for managing VA's spending for prosthetic items--more than $1.6 billion in fiscal year 2009. In fiscal year 2008, this spending exceeded VA's budget estimates. Each year, VA makes an initial funding allocation for prosthetic items, and may reallocate by increasing or decreasing the funding available for prosthetic items during the fiscal year. GAO was asked to examine (1) how, for fiscal years 2005 through 2009, VA's spending for prosthetic items compared to budget estimates, and the extent to which VA reallocated funding for prosthetic items; (2) how PSAS monitors its performance in processing and providing prosthetic items to veterans; and (3) the efforts VA has undertaken to improve PSAS's performance. GAO reviewed VA's spending and funding allocation data for fiscal years 2005 through 2009. GAO also reviewed documents and interviewed VA officials …
Date: September 30, 2010
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Quadrennial Defense Review: 2010 Report Addressed Many but Not All Required Items (open access)

Quadrennial Defense Review: 2010 Report Addressed Many but Not All Required Items

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) is facing the complex challenge of simultaneously supporting continuing operations in Iraq and Afghanistan and preparing its military forces to meet emerging threats of the new security environment. Congress appropriated $626 billion for DOD's fiscal year 2010 budget and to support current operations. As we have emphasized in previous reports, the federal government is facing serious long-term fiscal challenges, and DOD may confront increased competition over the next decade for federal discretionary funds. The 2010 Quadrennial Defense Review (QDR), the fourth since 1997 and the second since the start of operations in Afghanistan and Iraq, articulates DOD's strategic plan to rebalance capabilities in order to prevail in current operations and develop capabilities to meet future threats. The QDR acknowledged that the country faces fiscal challenges and that DOD must make difficult trade-offs where warranted. Also, the QDR results are intended to guide the services in making resource allocation decisions when developing future budgets. This letter provides our assessment of the degree to which DOD addressed each of these items in its 2010 report on the QDR and the supplemental information provided to the …
Date: April 30, 2010
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Imminent Danger Pay: Actions Needed Regarding Pay Designations in the U.S. Central Command Area of Responsibility (open access)

Imminent Danger Pay: Actions Needed Regarding Pay Designations in the U.S. Central Command Area of Responsibility

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) obligated more than $1 billion in imminent danger pay from fiscal years 2010 through 2013 in the U.S. Central Command's area of responsibility, excluding Afghanistan, according to data from the military services. In June 2011, the Office of the Under Secretary of Defense for Personnel and Readiness requested the geographic Combatant Commands to assess existing imminent danger pay areas. The last such review had been completed in 2007. In January 2013, the U.S. Central Command recommended terminating imminent danger pay designations in many locations within its area of responsibility. However, the Office of the Under Secretary of Defense for Personnel and Readiness had not completed its current review or made a decision as of December 20, 2013, when we transmitted a draft of our report to DOD. DOD's guidance on imminent danger pay requires a periodic review but neither specifies the frequency with which periodic reviews must be completed, nor stipulates a time frame by which the Office of the Under Secretary of Defense for Personnel and Readiness should render a final decision regarding the findings of the review. The Standards for Internal …
Date: January 30, 2014
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Federal User Fees: Fee Design Options and Implications for Managing Revenue Instability (open access)

Federal User Fees: Fee Design Options and Implications for Managing Revenue Instability

A letter report issued by the Government Accountability Office with an abstract that begins "GAO identified six key fee design decisions related to how fees are set, used, and reviewed that, in the aggregate, enable Congress to design fees that strike the desired balance between agency flexibility and congressional control. For example, narrowly limiting the activities for which fees may be used heightens congressional control over the funds; however, doing so can also reduce an agency's flexibility to reallocate resources as needs change and may increase administrative costs. Design decisions also have program management implications. For example, the frequency of fee reviews and adjustments affects the alignment between collections and costs. Failing to review fees regularly has sometimes resulted in large increases when fees are eventually updated, creating costly challenges. Understanding the implications of fee design is important to avoid such unintended consequences."
Date: September 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Air Ambulance: Effects of Industry Changes on Services Are Unclear (open access)

Air Ambulance: Effects of Industry Changes on Services Are Unclear

A letter report issued by the Government Accountability Office with an abstract that begins "Changes in the air ambulance industry's size and structure have led to differences of opinion about the implications for air ambulance use, safety, and services. Some industry stakeholders believe that greater state regulation would be good for consumers. While states can regulate the medical aspects of air ambulances, the Airline Deregulation Act (ADA) preempts states from economic regulation--i.e., regulating rates, routes, and services--of air ambulances. Other stakeholders view the industry changes as having been beneficial to consumers and see no need for a regulatory change. Asked to review the U.S. air ambulance industry, GAO examined (1) changes in the industry in the last decade and the implications of these changes on the availability of air ambulances and patient services and (2) the relationship between federal and state oversight and regulation of the industry. GAO analyzed available data about the industry; synthesized empirically based literature on the industry; visited four air ambulance providers with differing views on the industry changes; and interviewed federal and industry officials."
Date: September 30, 2010
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Aviation Safety: Status of Recommendations to Improve FAA's Certification and Approval Processes (open access)

Aviation Safety: Status of Recommendations to Improve FAA's Certification and Approval Processes

Testimony issued by the Government Accountability Office with an abstract that begins "In 2010, GAO reported that industry stakeholders and experts believed that the Federal Aviation Administration's (FAA) certification and approval processes contribute positively to the safety of the national airspace system. However, stakeholders and experts also noted that negative certification and approval experiences--such as duplication of approvals--although infrequent, can result in delays that industry says are costly. GAO made two recommendations requiring, among other things, that FAA develop a continuous evaluative process and a method to track submission approvals. FAA addressed one recommendation and partially addressed the other. An FAA-industry committee established in response to the FAA Modernization and Reform Act of 2012 (the Act) made six recommendations to improve the certification and approval processes, including establishing a performance measurement process. In response to recommendations from the certification process committee, FAA developed an implementation plan with 14 initiatives, but the initiatives do not contain some elements essential to a performance measurement process, such as performance measures. Without performance measures, FAA will be unable to evaluate current and future programs."
Date: October 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library