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."

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."

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."

Correspondence issued by the General Accounting Office with an abstract that begins "In the wake of anthrax incidents and mounting concerns about the potential for another bioterrorism attack, we assessed the Centers for Disease Control and Prevention's (CDC) oversight of the Department of Health and Human Services' (HHS) Laboratory Registration/ Select Agent Transfer Program. We brought program weaknesses we identified to the immediate attention of CDL and HHS officials, who agreed that improvements were warranted. The purpose of this report is to summarize our findings."

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."

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."

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."

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."

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 …

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."

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."

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 …

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 …

A letter report issued by the General Accounting Office with an abstract that begins "Eighty-eight percent of children nationwide have private or public health insurance that, to varying degrees, covers mental health services, including those that may be needed to help children recover from traumatic events, such as natural disasters, school shootings, or family violence. Despite the widespread prevalence of health insurance coverage for children, depending on their type of insurance coverage and where they live, children may face certain limitations in coverage or other barriers that could affect their access to needed services. The 16 percent of children who are enrolled in Medicaid and the State Children's Health Insurance Program public insurance programs generally have coverage for a wide range of mental health benefits, and those enrolled in Medicaid are not subject to day or visit restrictions. Beyond providing insurance that can give children access to mental health services, a range of federal programs can help children who have experienced trauma obtain needed services. GAO identified over 50 programs that can be used by grantees to provide mental health and other needed services to children who have never experienced trauma, although many of these programs have a broader focus …

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."

A letter report issued by the General Accounting Office with an abstract that begins "According to the American Association of Blood Banks, every year about 8 million individuals donate 14 million pints of blood, and 4.5 million patients receive life saving blood transfusions. The available data indicate that the blood supply has increased in the last 5 years and that growth has kept pace with the rise in demand. Blood suppliers received a high volume of blood donations immediately after the September 11 attacks. However, the small amount of blood needed to treat survivors of the attacks resulted in a nationwide surplus. The nation's blood supply can compensate for donors lost because of new donor restrictions designed to further reduce the risk of variant Creutzfeldt-Jakob Disease transmission. The average price of blood has risen over 50 percent since 1998. Although blood is primarily collected from volunteers, blood suppliers incur costs by collecting, processing, and testing donated blood."

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 …

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 …

A letter report issued by the General Accounting Office with an abstract that begins "At federal offices of inspectors general (IG), criminal investigators can make warrantless arrests, obtain and execute search warrants, and carry firearms. Because IGs lack permanent statutory law enforcement authority, most presidentially appointed IGs have to request temporary deputation from the Department of Justice (DOJ). However, presidentially appointed IGs at the U.S. Department of Agriculture, Department of Defense, and Department of the Treasury possess permanent statutory law enforcement authority and do not need to obtain DOJ's approval. IG criminal investigators who are deputized do not differ in terms of their scope of law enforcement authority, supervision, and training from their counterparts who have statutory law enforcement authority. Deputized IGs receive additional oversight over their law enforcement authority. Fifteen of the 23 deputized IGs report that statutory authority would improve their criminal investigative practices and enhance their recognition as fully authorized officers in the law enforcement community. DOJ is now considering its position on ways to provide law enforcement authority to deputized IGs."

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 …

A letter report issued by the General Accounting Office with an abstract that begins "In the late 1980s and early 1990s, the Health Care Financing Administration (HCFA), now called the Centers for Medicare and Medicaid Services (CMS), became concerned that some suppliers were improperly billing Medicare for items that attach to wheelchairs and other equipment. Some suppliers were billing for such items using codes for orthodic devices, including arm, back, and neck braces that provide support for or immobilize weak or injured limbs, while others were billing using codes for durable medical equipment, which includes equipment such as wheelchairs and crutches that can withstand repeated use and is appropriate for home use. Whether an item is billed as an orthotic or DME device can affect whether such claims are paid. To clarify Medicare's payment policy on orthotics, HCFA issued a ruling stating that Medicare considered such items to be durable medical equipment rather than orthotics. HCFA issued Ruling 96-1 to clarify the circumstances under which certain items would be classified as orthotics or as DME for Medicare part B payment purposes. A federal appellate court found that HFCA had followed appropriate procedures to issue the rule as an interpretation of …

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 …

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 …

Correspondence issued by the General Accounting Office with an abstract that begins "Concerns have been raised about the effects of heightened security at two border crossings in Detroit--the Ambassador Bridge and the Detroit-Windsor Tunnel. In the wake of September 11, the U.S. Customs Service and the Immigration and Naturalization Service (INS) increased the number and thoroughness of inspections and questioned all bridge and tunnel travelers, leading to truck wait times that exceeded 10 hours. To decrease wait times, Customs and INS extended shifts, curtailed vacations, brought in more staff, and obtained help from the National Guard and local law enforcement. The U.S. and Canadian governments have agreed in principle to a plan to make the border more secure without impeding traffic flow and trade. In addition to increasing personnel and improving technology, officials are considering pre-approval of low-risk traffic and reverse inspections."