DCPS: Attorneys' Fees for Access to Special Education Opportunities (open access)

DCPS: Attorneys' Fees for Access to Special Education Opportunities

Correspondence issued by the General Accounting Office with an abstract that begins "The District of Columbia Public Schools (DCPS) has been unable to meet the obligation to its special education students under the Individuals with Disabilities Education Act (IDEA). By 1998, DCPS was experiencing serious problems in conducting timely hearings requested by parents under IDEA and in issuing final decisions within the required timelines. This resulted in many complaints and law suits by parents. The amount of attorneys' fees awarded to parties who prevailed in the IDEA cases was costly to the District of Columbia. The District of Columbia Appropriations Acts for fiscal years 1999, 2000, and 2001 limited the amount of appropriated funds that could be paid to an attorney representing a prevailing party in an action brought against DCPS under IDEA. GAO reviewed DCPS's IDEA awards and payments for fiscal years 1999, 2000, and 2001 to determine if they exceeded the acts' limitations. GAO found that the limitations had little impact on the total amount awarded by the courts for the attorney's fees. The limitations apply only to the amount that the District of Columbia could pay to a prevailing party under IDEA and not the amount that …
Date: May 22, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Immigration Benefits: Eighth Report Required by the Haitian Refugee Immigration Fairness Act of 1998 (open access)

Immigration Benefits: Eighth Report Required by the Haitian Refugee Immigration Fairness Act of 1998

Correspondence issued by the General Accounting Office with an abstract that begins "The Haitian Refugee Immigration Fairness Act (HRIFA) of 1998 authorized certain Haitian nationals and their dependents to apply to adjust their status to legal permanent residence. Section 902(k) of the act requires the Comptroller General to report every six months on the number of Haitian nationals who have applied and been approved to adjust their status to legal permanent residence. The reports are to contain a breakdown of the numbers who applied and the number who were approved as asylum applicants, parolees, children without parents, orphaned children, or abandoned children; or as the eligible dependents of these applicants, including spouses, children, and unmarried sons or daughters. As of September 30, 2002, the Immigration and Naturalization Service had received a total of 36,774 HRIFA applications and had approved 8,410 of these applications. The Executive Office for Immigration Review had 339 applications filed and had approved 117 of them."
Date: October 22, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Aviation Security: Registered Traveler Program Policy and Implementation Issues (open access)

Aviation Security: Registered Traveler Program Policy and Implementation Issues

A letter report issued by the General Accounting Office with an abstract that begins "The aviation industry and business traveler groups have proposed the registered traveler concept as a way to reduce long waits in airport security lines caused by heightened security screening measures implemented after the September 11 terrorist attacks. In addition, aviation security experts have advocated this concept as a way to better target security resources to those travelers who might pose greater security risks. The Aviation and Transportation Security Act of November 2001 allows the Transportation Security Administration (TSA) to consider developing a registered traveler program as a way to address these two issues. GAO completed this review to inform Congress and TSA of policy and implementation issues related to the concept of a registered traveler program."
Date: November 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Money Laundering: Extent of Money Laundering through Credit Cards Is Unknown (open access)

Money Laundering: Extent of Money Laundering through Credit Cards Is Unknown

A letter report issued by the General Accounting Office with an abstract that begins "Money laundering is a serious issue; an estimated $500 billion are laundered annually. The extent to which money laundering through credit cards may be occurring, however, is unknown. Bank regulators, credit card industry representatives, and law enforcement officials interviewed by GAO indicated that credit card accounts were not likely to be used in the initial stage of money laundering, when illicit cash is first placed into the financial system, because the industry generally restricts cash payments. Industry representatives reported that, in their view, the banks' application screening processes, systems to monitor fraud, and policies restricting cash payments made credit cards less vulnerable to money laundering. At the time of GAO's review, the primary regulatory oversight mechanism to ensure the adequacy of anti-money laundering programs was the Bank Secrecy Act examination, which applies in the credit card industry to issuing and acquiring banks. The regulators said that the issuing banks' application screening process, fraud monitoring systems, and policies restricting cash payments lowered the risk of money laundering through credit cards."
Date: July 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Diffuse Security Threats: USPS Air Filtration Systems Need More Testing and Cost Benefit Analysis before Implementation (open access)

Diffuse Security Threats: USPS Air Filtration Systems Need More Testing and Cost Benefit Analysis before Implementation

A letter report issued by the General Accounting Office with an abstract that begins "Following the anthrax attacks of October 2001, the United States Postal Service (USPS) has started to look at various technologies that could be implemented in the event of another bioterror attack. The high-efficiency particulate air (HEPA) filtration system is being used as a prototype at two facilities and is planned for implementation throughout the country. HEPA filtering technology is the state-of-the-art technology for the removal of particulate biohazards and other particles of micron-sized range. USPS has not adequately tested the HEPA filtration system to confirm that it will meet its intended purpose of trapping anthrax spores and its secondary purpose of cleaning the mail processing equipment. USPS's testing has not shown conclusively (1) the HEPA filtration system's ability to trap released hazards and other contaminants, and (2) what level of hazards or contaminants could be released into the mail processing environment as a result of the air filtration system's design. Furthermore, USPS has not verified through testing that the air filtration system will not interfere with the air sampling and detection equipment. Even though HEPA filtration systems could reduce the risk of exposure to biohazards, they …
Date: August 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Debt Collection Improvement Act of 1996: HHS's Centers for Medicare & Medicaid Services Faces Challenges to Fully Implement Certain Key Provisions (open access)

Debt Collection Improvement Act of 1996: HHS's Centers for Medicare & Medicaid Services Faces Challenges to Fully Implement Certain Key Provisions

A letter report issued by the General Accounting Office with an abstract that begins "The Debt Collection Improvement Act (DCIA) of 1996 requires that agencies refer eligible debts delinquent more than 180 days that they have been unable to collect to the Department of the Treasury for payment and offset and to Treasury or a Treasury-designated debt collection center for cross-servicing. The Centers for Medicare and Medicaid Services (CMS) made progress in referring eligible delinquent debts for collection during fiscal year 2001. Much of the referral volume was late in the year, however, and substantial unreferred balances remained at the end of the fiscal year. Inadequate procedures and controls hampered prompt identification and referral of both eligible non-Medicare Secondary Payer (MSP) and MSP debts. The delayed referral of non-MSP debts resulted from problems with the CMS debt-referral system and insufficient CMS monitoring of contractor referrals. The low level of MSP debt referrals resulted primarily from limited contractor efforts and insufficient CMS monitoring of contractor performance. Although GAO did not test whether selected CMS debts had been reasonably excluded from referral and reached no overall conclusion about the appropriateness of CMS exclusions, GAO found that CMS did not report reliable Medicare …
Date: February 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Electronic Government: Selection and Implementation of the Office of Management and Budget's 24 Initiatives (open access)

Electronic Government: Selection and Implementation of the Office of Management and Budget's 24 Initiatives

A letter report issued by the General Accounting Office with an abstract that begins "In the President's Management Agenda, a key element for reforming the federal government is the expansion of electronic government (e-government)--that is, the use of technology, particularly the Internet, to enhance access to government information and services. Accordingly, the Office of Management and Budget (OMB) established a task force to select and manage strategic e-government initiatives. GAO was asked to review the completeness of information used for choosing and overseeing these initiatives."
Date: November 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Internal Revenue Service: Efforts to Identify and Combat Abusive Tax Schemes Have Increased, but Challenges Remain (open access)

Internal Revenue Service: Efforts to Identify and Combat Abusive Tax Schemes Have Increased, but Challenges Remain

A letter report issued by the General Accounting Office with an abstract that begins "The Internal Revenue Service (IRS) characterizes an abusive tax scheme as any plan or arrangement created and used to obtain tax benefits not allowable by law. According to IRS, abusive tax schemes fall into four categories: frivolous returns, frivolous refunds, abusive domestic trusts, and offshore schemes. IRS estimates the potential revenue loss from abusive tax schemes to be in the tens of billions of dollars annually. Developing accurate estimates is difficult because of the limited numbers of cases examined and investigated. IRS identifies and examines abusive tax scheme promoters and participants through its Small Business and Self-Employed Division and Criminal Investigation. In fiscal year 2000, IRS created a program that focuses on false and frivolous schemes. IRS has also created new offices that focus exclusively on abusive tax schemes that use legal structures like domestic and offshore trusts and partnerships. IRS coordinates with federal agencies to identify, monitor, and prosecute promoters and participants in abusive tax schemes. These activities range from sharing information and detection techniques with agencies such as the Securities and Exchange Commission and the Federal Trade Commission to assisting in the prosecution of …
Date: May 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Information Technology: Justice Plans to Improve Oversight of Agency Projects (open access)

Information Technology: Justice Plans to Improve Oversight of Agency Projects

A letter report issued by the General Accounting Office with an abstract that begins "To help carry out its mission to protect the public from criminal activity, the Department of Justice invests about $2 billion annually in information technology (IT). In particular, the Immigration and Naturalization Service (INS), a Justice agency, invested about $459 million in IT in fiscal year 2002. GAO was asked to determine, for key INS IT system investments, whether Justice's oversight has been effective, ensuring that these systems deliver promised capabilities and benefits on time and within budget."
Date: November 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Agricultural Conservation: State Advisory Committees' Views on How USDA Programs Could Better Address Environmental Concerns (open access)

Agricultural Conservation: State Advisory Committees' Views on How USDA Programs Could Better Address Environmental Concerns

A letter report issued by the General Accounting Office with an abstract that begins "Private landowners own more than two-thirds of the continental United States' 1.9 billion acres. Recognizing the critical role that private landowners play in managing soil, water, and wildlife habitat, Congress directed the U.S. Department of Agriculture (USDA) to improve stewardship practices on these lands. USDA currently has more than 70 million acres of privately-owned land enrolled in programs that offer landowners financial incentives to implement conservation practices to protect or improve soil and water quality and wildlife habitat. USDA's conservation efforts address specific environmental concerns, target funding toward state and local environmental priority areas, and promote partnerships with state or local entities to leverage limited funding. State technical committee members indicated that although USDA's conservation programs are generally effective, some targeted programs are more effective than others. Committee members cited several elements of the current programs that hinder achievement of environmental objectives and indicated a preference for more flexibility in new or existing programs. More than two-thirds of members considered program provisions that prohibit landowners from receiving compensation for maintaining previously implemented landowner-financed conservation practices to be a hindrance. Members would like to be able to …
Date: February 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Drinking Water: Revisions to EPA's Cost Analysis for the Radon Rule Would Improve Its Credibility and Usefulness (open access)

Drinking Water: Revisions to EPA's Cost Analysis for the Radon Rule Would Improve Its Credibility and Usefulness

A letter report issued by the General Accounting Office with an abstract that begins "The Safe Drinking Water Act requires the Environmental Protection Agency (EPA) to set a drinking water standard for radon. In a proposed rule issued in November 1999, EPA presented a unique and complex drinking water regulation for radon. GAO found that EPA's analysis of the costs to implement the proposed radon rule has several strengths. EPA's estimates of the typical costs for water systems to buy and install radon removal technologies--a key determinant of total national costs--are reasonable for estimating national compliance costs. Moreover, EPA used recommendations from an expert panel to estimate the costs to install and maintain radon removal equipment. EPA also developed a range of annual cost estimates, rather than a single estimate, to account for uncertainty about the extent to which the less costly alternative standard will be adopted by states. EPA's analysis of the national annual costs to comply with its proposed radon drinking water rule has several limitations that, if corrected, would likely increase EPA's best estimate of these costs. EPA made two errors in estimating the various costs associated with programs to reduce radon levels in indoor air under …
Date: February 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Combating Terrorism: Actions Needed to Improve Force Protection for DOD Deployments through Domestic Seaports (open access)

Combating Terrorism: Actions Needed to Improve Force Protection for DOD Deployments through Domestic Seaports

A letter report issued by the General Accounting Office with an abstract that begins "The October 12, 2000, attack against the Navy destroyer U.S.S. Cole in the port of Aden illustrated the danger of unconventional threats to U.S. ships in seaports. The September 11, 2001, attacks further heightened the need for a significant change in conventional antiterrorist thinking, particularly regarding threats to the U.S. homeland. The new security paradigm assumes that all U.S. forces, be they abroad or at home, are vulnerable to attack, and that even those infrastructures traditionally considered of little interest to terrorists, such as commercial seaports in the continental United States, are now commonly recognized as highly vulnerable to potential terrorist attack. Of the more than 300 seaports in the United States, the Departments of Defense (DOD) and Transportation have designated 17 as "strategic," because in the event of a large-scale military deployment, DOD would need to transport more than 95 percent of all equipment and supplies needed for military operations by sea. If the strategic ports were attacked, not only could massive civilian casualties be sustained, but DOD could also lose precious cargo and time and be forced to rely heavily on its overburdened airlift …
Date: October 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Women in Management: Analysis of Current Population Survey Data (open access)

Women in Management: Analysis of Current Population Survey Data

Testimony issued by the General Accounting Office with an abstract that begins "This testimony is based on a GAO report (GAO-02-156) that analyzed key characteristics of women and men in management positions, identified the representation of women in management positions in specific industries, and identified salary differences between men and women in full-time management jobs. Female managers in the 10 industries GAO examined were younger, less educated, were more likely to work part-time, and were less likely to be married than were male managers. In five of these industries, GAO found no statistically significant differences between the percent of industry positions filled by women and the percent of management positions filled by women. In four of the industries, women were less represented in management positions. In one of these industries, women were represented in management positions to a greater degree than they were in all positions in the industry. Full-time female managers earned less than full-time male managers in all 10 industries, after controlling for education, age, marital status, and race. GAO was unable to take years of experience into account."
Date: April 22, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Homeland Security: Effective Intergovernmental Coordination is Key to Success (open access)

Homeland Security: Effective Intergovernmental Coordination is Key to Success

Testimony issued by the General Accounting Office with an abstract that begins "The challenges posed by homeland security exceed the capacity and authority of any one level of government. Protecting the nation against these threats calls for a truly integrated approach, bringing together the resources of all levels of government. The proposed Department of Homeland Security will clearly have a central role in efforts to enhance homeland security. The proposed consolidation of homeland security programs has the potential to reduce fragmentation, improve coordination, and clarify roles and responsibilities. Realistically, the challenges that the new department faces will clearly require substantial time and effort, and it will take additional resources to make it effective. Moreover, formation of a department should not be considered a replacement for the timely issuance of a national homeland security strategy to guide implementation of the complex mission of the department. Appropriate roles and responsibilities within and between the levels of government and with the private sector are evolving and need to be clarified. New threats are prompting a reassessment and shifting of long-standing roles and responsibilities, but these shifts are being considered on a piecemeal basis without benefit of an overarching framework and criteria to guide …
Date: August 22, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Workplace Safety and Health: OSHA Can Strengthen Enforcement through Improved Program Management (open access)

Workplace Safety and Health: OSHA Can Strengthen Enforcement through Improved Program Management

A letter report issued by the General Accounting Office with an abstract that begins "The United States has made great progress in improving working conditions since the construction of the Empire State Building. Yet, since the early 1990s, over 50,000 workers have died from work-related accidents and millions experience work-related injuries or illnesses each year. The Occupational Safety and Health Administration (OSHA) is the primary federal agency responsible for protecting workplace safety and health. GAO was asked to assess how well OSHA was able to target its enforcement resources on hazardous worksites, measure its accomplishments, and ensure inspection staff quality."
Date: November 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Border Security: Implications of Eliminating the Visa Waiver Program (open access)

Border Security: Implications of Eliminating the Visa Waiver Program

A letter report issued by the General Accounting Office with an abstract that begins "Since the terrorist attacks of September 11, 2001, the U.S. Congress, the administration, law enforcement officials, and the public have questioned the effectiveness of U.S. visa programs in protecting national security. Some have voiced concern that terrorists or other criminals may exploit one of these programs--the Visa Waiver Program--to enter the United States. The program enables citizens of 28 participating countries to travel to the United States for tourism or business for 90 days or less without first obtaining a visa. It was created, in part, to promote the effective use of government resources and to facilitate international travel without threatening U.S. security. GAO was asked to review the Visa Waiver Program, including the process for assessing countries' eligibility to participate in the program. GAO was also asked to determine the implications--specifically those affecting national security, foreign relations, tourism, and State Department resources--of eliminating the program. GAO analysts traveled to several visa waiver countries, including Belgium, Italy, Slovenia, Spain, and Uruguay, as well as to Argentina, whose participation in the program was recently revoked."
Date: November 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Tax Administration: IRS Needs to Further Refine Its Tax Filing Season Performance Measures (open access)

Tax Administration: IRS Needs to Further Refine Its Tax Filing Season Performance Measures

A letter report issued by the General Accounting Office with an abstract that begins "The tax-filing season, roughly January 1 through April 15, is when most taxpayers file their returns, receive refunds, and call or visit IRS offices or the IRS Web site with questions. To provide better information about the quality of filing season services, IRS is revamping its suite of filing season performance measures. Because the new measures are part of a strategy to improve service and because filing season service affects so many taxpayers, GAO was asked to assess whether the new measures have the four characteristics of successful performance measures graphically depicted below."
Date: November 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Contract Management: DOD Needs Better Guidance on Granting Waivers for Certified Cost or Pricing Data (open access)

Contract Management: DOD Needs Better Guidance on Granting Waivers for Certified Cost or Pricing Data

A letter report issued by the General Accounting Office with an abstract that begins "Although most federal contracts are awarded through competition, the government also buys unique products and services, including sophisticated weapons systems, for which it cannot always rely on competition to get the best prices and values. Instead, it uses a single source for its procurements. In these cases, contractors and subcontractors provide the government with cost or pricing data supporting their proposed prices and certify that the data submitted are accurate, complete, and current, as required by the Truth in Negotiations Act. This ensures that the government has the data it needs to effectively negotiate with the contractor and avoid paying inflated prices. The government can waive the requirement for certified data in exceptional cases. In these instances, contracting officers use other techniques to arrive at fair and reasonable prices. Using the Department of Defense's (DOD) contract database, GAO found 20 waivers, each valued at more than $5 million, in fiscal year 2000. The total value of these waivers was $4.4 billion. In each case, the contract pricing or waiver documents stated that sufficient information was available to determine the price to be fair and reasonable without …
Date: April 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Workforce Investment Act: States' Spending Is on Track, but Better Guidance Would Improve Financial Reporting (open access)

Workforce Investment Act: States' Spending Is on Track, but Better Guidance Would Improve Financial Reporting

A letter report issued by the General Accounting Office with an abstract that begins "The administration has twice proposed reducing the Workforce Investment Act's (WIA) budget, citing large amounts of states' unspent funds carried over from the prior year. However, in light of current economic conditions, state and local workforce officials have expressed a need for more funds, not less. GAO was asked to assess whether the Department of Labor's spending information is a true reflection of states' available funds. GAO examined the spending rate for states, what Labor does to determine how states are managing their spending, and what factors affect states' WIA expenditure rates."
Date: November 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Invasive Species: Clearer Focus and Greater Commitment Needed to Effectively Manage the Problem (open access)

Invasive Species: Clearer Focus and Greater Commitment Needed to Effectively Manage the Problem

A letter report issued by the General Accounting Office with an abstract that begins "Harmful invasive species--nonnative plants and animals that are spreading throughout the United States--have caused billions of dollars in damage to natural areas, businesses, and consumers. In 2001, the federal government issued a National Invasive Species Management Plan to focus attention on invasive species and coordinate a national control effort involving the 20 or so federal agencies that are responsible for managing them. This report discusses the economic impacts of invasive species, implementation of the management plan, and coordination of U.S. and Canadian efforts to control invasive species, including those introduced to the Great Lakes via the ballast water of ships."
Date: October 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Tax Administration: Impact of Compliance and Collection Program Declines on Taxpayers (open access)

Tax Administration: Impact of Compliance and Collection Program Declines on Taxpayers

A letter report issued by the General Accounting Office with an abstract that begins "For several years, Congress and others have been concerned about declines in the Internal Revenue Service's (IRS) compliance and collection programs. Taxpayers' willingness to voluntarily comply with the tax laws depends in part on their confidence that their friends, neighbors, and business competitors are paying their share of taxes. GAO found large and pervasive declines in five of the six compliance programs and in both collection programs between fiscal years 1996 and 2001. Factors contributing to the declines in the program and in collection coverage include declines in IRS staffing, increased workloads, and increased procedural controls mandated by Congress to better safeguard taxpayer interests. The declines in IRS's compliance and collection programs had several impacts. The likelihood that taxpayer noncompliance would be detected and pursued by IRS declined and the length of time that taxpayers owed back taxes at the time that they were assigned to collection increased between 1996 and 2001. The amount of penalties and interest continued to accumulate on deferred collection cases, making future payment increasingly demanding if subsequently pursued by IRS. Strategic assessments, which were prepared to provide a basis for decisions …
Date: May 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Information Resources Management: Comprehensive Strategic Plan Needed to Address Mounting Challenges (open access)

Information Resources Management: Comprehensive Strategic Plan Needed to Address Mounting Challenges

A letter report issued by the General Accounting Office with an abstract that begins "Congress passed the Paperwork Reduction Act (PRA) to establish a single, overarching policy framework for the management of government information resources. The act established information resources management (IRM) as an approach governing the collection, dissemination, security, privacy, and management of information. The act also created the Office of Information and Regulatory Affairs (OIRA) to provide leadership, policy direction, and oversight of governmentwide IRM. It further required OIRA to develop and maintain a governmentwide strategic IRM plan and charged that office with responsibilities for general IRM policy and information technology. Although OIRA designated the Chief Information Officers Council's strategic plan for fiscal years 2001-2002 as the governmentwide strategic IRM plan required by the PRA, this does not constitute an effective and comprehensive strategic vision. OIRA has issued policy and implementing guidance, conducted oversight activities, and taken various steps in each of the functional areas. GAO found that the documents cited by OMB during it's review did not, separately or collectively, meet the requirements for a governmentwide strategic IRM plan established by PRA."
Date: February 22, 2002
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Combating Terrorism: Intergovernmental Partnership in a National Strategy to Enhance State and Local Preparedness (open access)

Combating Terrorism: Intergovernmental Partnership in a National Strategy to Enhance State and Local Preparedness

Testimony issued by the General Accounting Office with an abstract that begins "Federal, state, and local governments share responsibility for terrorist attacks. However, local government, including police and fire departments, emergency medical personnel, and public health agencies, is typically the first responder to an incident. The federal government historically has provided leadership, training, and funding assistance. In the aftermath of September 11, for instance, one-quarter of the $40 billion Emergency Response Fund was earmarked for homeland security, including enhancing state and local government preparedness. Because the national security threat is diffuse and the challenge is highly intergovernmental, national policymakers must formulate strategies with a firm understanding of the interests, capacity, and challenges facing those governments. The development of a national strategy will improve national preparedness and enhance partnerships between federal, state, and local governments. The creation of the Office of Homeland Security is an important and potentially significant first step. The Office of Homeland Security's strategic plan should (1) define and clarify the appropriate roles and responsibilities of federal, state, and local entities; (2) establish goals and performance measures to guide the nation's preparedness efforts; and (3) carefully choose the most appropriate tools of government to implement the national strategy …
Date: March 22, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
VA and DOD Health Care: Factors Contributing to Reduced Pharmacy Costs and Continuing Challenges (open access)

VA and DOD Health Care: Factors Contributing to Reduced Pharmacy Costs and Continuing Challenges

Testimony issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) and the Department of Defense (DOD) pharmacy expenditures have risen significantly, reflecting national trends. The increase in pharmacy costs would have been even greater if not for the efforts taken by VA and DOD. GAO identified four important factors that have contributed to reduced pharmacy spending by VA and DOD. First, the two departments have used formularies to encourage the substitution of a lower-cost drug that is determined to be just as effective as a higher-cost drug. Second, VA and DOD have been able to effectively employ different arrangements to pay for or purchase prescription drugs at substantial discounts. Third, VA has significantly reduced the cost of dispensing prescription refills by using highly automated and less expensive consolidated mail outpatient pharmacy (CMOP) centers to handle a majority of the pharmacy workload instead of VA hospital and clinic pharmacies. Fourth, VA and DOD have reduced costs by leveraging their combined purchasing power by jointly buying prescription drugs. Nevertheless, one of the most important challenges is the joint procurement of brand name drugs. Although brand name drugs account for the bulk of prescription drug …
Date: July 22, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library