Correspondence issued by the Government Accountability Office with an abstract that begins "The Indian Health Service (IHS), an agency in the Department of Health and Human Services (HHS), provides health care services to American Indians and Alaskan Natives. For fiscal year 2009, Congress appropriated approximately $3.6 billion for health care services to be made available through IHS. The agency provides direct medical care, including primary care services, ancillary services, and some specialty services, through its network of facilities, including hospitals, health centers, and clinics. IHS also provides funding to direct care facilities that are operated by tribes. IHS headquarters oversees 12 area offices that cover 161 service units in 35 states. The Indian Health Care Improvement Act of 1976, as amended, authorizes IHS to collect reimbursement for services provided at IHS facilities from third-party insurers, including Medicare, the federal health insurance program for elderly and disabled individuals; Medicaid, a joint federal and state health financing program for certain low-income families and individuals; and private health insurers. IHS is allowed to retain funds collected from these insurers without a corresponding offset against its appropriations, so that all revenue collected by a facility remains with that facility, supplementing its appropriations. For fiscal …

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses our report to this committee on climate change adaptation and the role strategic federal planning could play in government decision making. Changes in the climate attributable to increased concentrations of greenhouse gases may have significant impacts in the United States and internationally. For example, climate change could threaten coastal areas with rising sea levels. In recent years, climate change adaptation--adjustments to natural or human systems in response to actual or expected climate change--has begun to receive more attention because the greenhouse gases already in the atmosphere are expected to continue altering the climate system into the future, regardless of efforts to control emissions. According to a recent report by the National Research Council (NRC), however, individuals and institutions whose futures will be affected by climate change are unprepared both conceptually and practically for meeting the challenges and opportunities it presents. In this context, adapting to climate change requires making policy and management decisions that cut across traditional economic sectors, jurisdictional boundaries, and levels of government. This testimony is based on our October 2009 report, which is being publicly released today, and addresses three issues: (1) …

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses taxpayers' use of the First-time Homebuyer Credit (FTHBC) and the Internal Revenue Service's (IRS) implementation and compliance challenges. As an important part of the recent economic stimulus efforts, Congress enacted the FTHBC to assist the struggling real estate market and encourage taxpayers to purchase their first home. The credit initially was enacted by the Housing and Economic Recovery Act of 2008 (Housing Act) and revised by the American Recovery and Reinvestment Act of 2009 (Recovery Act). The 2008 FTHBC provided taxpayers a credit of up to $7,500 that must be paid back over 15 years. The Recovery Act increased the maximum credit for the 2009 FTHBC to $8,000, with no payback required unless the home ceases to be the taxpayer's principal residence within 3 years. This $8,000 credit is a refundable tax credit that is paid out even if there is no tax liability or the credit exceeds the amount of any tax due. The 2009 FTHBC was enacted into law on February 17, 2009, but eligibility was made retroactive for homes purchased beginning January 1, 2009. This testimony today, based on on-going work, describes …

A concept for a new fusion-fission hybrid technology is being developed at Lawrence Livermore National Laboratory. The primary application of this technology is base-load electrical power generation. However, variants of the baseline technology can be used to 'burn' spent nuclear fuel from light water reactors or to perform selective transmutation of problematic fission products. The use of a fusion driver allows very high burn-up of the fission fuel, limited only by the radiation resistance of the fuel form and system structures. As a part of this process, integrated process models have been developed to aid in concept definition. Several models have been developed. A cost scaling model allows quick assessment of design changes or technology improvements on cost of electricity. System design models are being used to better understand system interactions and to do design trade-off and optimization studies. Here we describe the different systems models and present systems analysis results. Different market entry strategies are discussed along with potential benefits to US energy security and nuclear waste disposal. Advanced technology options are evaluated and potential benefits from additional R&D targeted at the different options is quantified.

International Atomic Energy Agency (IAEA) inspectors currently perform periodic inspections at uranium enrichment plants to verify UF6 cylinder enrichment declarations. Measurements are typically performed with handheld high-resolution sensors on a sampling of cylinders taken to be representative of the facility's entire product-cylinder inventory. Pacific Northwest National Laboratory (PNNL) is developing a concept to automate the verification of enrichment plant cylinders to enable 100 percent product-cylinder verification and potentially, mass-balance calculations on the facility as a whole (by also measuring feed and tails cylinders). The Integrated Cylinder Verification System (ICVS) could be located at key measurement points to positively identify each cylinder, measure its mass and enrichment, store the collected data in a secure database, and maintain continuity of knowledge on measured cylinders until IAEA inspector arrival. The three main objectives of this FY09 project are summarized here and described in more detail in the report: (1) Develop a preliminary design for a prototype NDA system, (2) Refine PNNL's MCNP models of the NDA system, and (3) Procure and test key pulse-processing components. Progress against these tasks to date, and next steps, are discussed.

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This document is the annual report for fiscal year 2009 (FY09) for the project called Facilitation of the Estuary/Ocean Subgroup (EOS). The EOS is part of the research, monitoring, and evaluation (RME) effort developed by the Action Agencies (Bonneville Power Administration [BPA], U.S. Army Corps of Engineers [Corps or USACE], U.S. Bureau of Reclamation) in response to obligations arising from the Endangered Species Act as a result of operation of the Federal Columbia River Power System (FCRPS).

The paper examines the pressure increase resulting from injection of CO2 into a 1D radial system with closed boundaries. The finding is that unacceptably high pressures are obtained when only 1% or less of the pore volume is occupied by injected CO2. These results are used to make the general conclusion that large-scale CCS is not feasible.

The Department of Defense (DOD) is placing an increased planning and budgeting emphasis on irregular warfare (IW) operations, such as counterinsurgency operations. In addition, counterterrorism (CT) operations have been a DOD area of emphasis since the terrorist attacks of September 11, 2001. The Navy for several years has carried out a variety of IW and CT activities, and has taken some steps in recent years to strengthen its ability to conduct such activities. This report discusses these activities and potential oversight issues raised by them.

Known for its scale, China is the most populous country with the world’s third largest economy. In the context of rising living standards, a relatively lower share of household consumption in its GDP, a strong domestic market and globalization, China is witnessing an unavoidable increase in household consumption, related energy consumption and carbon emissions. Chinese policy decision makers and researchers are well aware of these challenges and keen to promote green lifestyles. China has developed a series of energy policies and programs, and launched a wide‐range social marketing activities to promote energy conservation.

This report addresses the Proposed Employment Regulations of the Americans with Disabilities Act (ADA).

This issue has the following articles: (1) Shock-Ignition Experiments on OMEGA at NIF-Relevant Intensities; (2) Laser-Driven Magnetic-Flux Compression in High-Energy-Density Plasmas; (3) Lorentz Mapping of Magnetic Fields in Hot, Dense Plasmas; (4) Characterization and Optimization of Yb-Doped Photonic-Crystal Fiber Rod Amplifiers Using Spatially Resolved Spectral Interferometry; (5) Optical Differentiation and Multimillijoule {approx}150-ps Pulse Generation in a Regenerative Amplifier with a Temperature-Tuned Intracavity Volume Bragg Grating; (6) Slow Crack Growth During Radiatiave Cooling of LHG8 and BK7 Plates; and (7) Finite Element Simulation of Metal-Semiconductor-Metal Photoconductor.

This report covers issues for Congress regarding text and multimedia messaging. The increasing use of text and multimedia messaging has raised several policy issue, such as distracted driving, SMS spam, the inability of consumers to disable text messaging, text messaging price fixing, carrier blocking of common short code messages, deceptive and misleading common short code programs, protecting children from inappropriate content on wireless devices.

This report summarizes the FY2010 budget request for research & development (R&D) funding, including comparisons to R&D funding requests in the FY2009 budget. This report breaks down in detail the various aspects of the President's FY2010 R&D funding request.

This report discusses the changing role and finance of sea-based systems in U.S. ballistic missile defense (BMD). Decisions that Congress reaches on this issue could affect U.S. BMD capabilities and funding requirements; the size, capabilities, and operational patterns of the Navy and the other services; and the shipbuilding industrial base.

The Navy has begun a multi-billion dollar program to modernize its 84 existing Aegis cruisers and destroyers over a period of more than 20 years. This report explores this program in detail, including the reasons for the program and the oversight issues it poses for Congress.

This report considers the possibility of modifying spectrum policy: (1) to support national goals for broadband deployment by placing more emphasis on attracting new providers of wireless broadband services; and (2) to accommodate the wireless broadband needs of industries that are considered by many to be the economic drivers of the future, not only communications, but also areas such as energy, health care, transportation, and education.

This report discusses issues Congress faces regarding the Navy's proposed FY2010 budget, particularly as relating to destroyer procurement plans and programs.

This report provides background information and potential issues for Congress on the Littoral Combat Ship (LCS), a relatively inexpensive Navy surface combatant equipped with modular "plug-and-fight" mission packages. The Navy's proposed FY2012 budget requests funding for the procurement of four LCSs.

This report discusses the history of Sudan's civil unrest and the subsequent crisis in Darfur, as well as United Nations and United States aid and peacekeeping efforts, and current related policy under the Obama Administration.