Specialty Hospitals: Information on National Market Share, Physician Ownership, and Patients Served (open access)

Specialty Hospitals: Information on National Market Share, Physician Ownership, and Patients Served

Correspondence issued by the General Accounting Office with an abstract that begins "Specialty hospitals represent a small but growing segment of the health care industry. These hospitals specialize in providing care for certain conditions, such as cardiac care, or performing certain procedures, such as orthopedic surgery. Specialty hospitals are not an entirely new phenomenon, as children's and other types of specialty hospitals have existed for decades. Consequently, it is challenging to distinguish between the old and new types of specialty hospitals. One aspect that sets apart the newer genre of specialty hospitals is that many are owned, in part, by the physicians who work in them. Advocates contend that, because of their focused mission, specialty hospitals can provide high-quality specialty services more efficiently than general hospitals. Because specialty hospitals can tailor their facilities and resources to best fit the needs of certain types of patients, individuals treated in such hospitals may enjoy relatively greater convenience and comfort. Specialty hospitals may also offer physicians financial and work environment advantages. Advocates have stated that the focused mission and dedicated resources of specialty hospitals allow physicians to treat more patients than they could in general hospitals. Physicians may gain financially from this increased …
Date: April 18, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Management Report: Improvements Are Needed in Internal Control Over Financial Reporting for the Troubled Asset Relief Program (open access)

Management Report: Improvements Are Needed in Internal Control Over Financial Reporting for the Troubled Asset Relief Program

Correspondence issued by the Government Accountability Office with an abstract that begins "The Emergency Economic Stabilization Act of 2008 (EESA) requires that we annually audit the financial statements of the Troubled Asset Relief Program (TARP), which is implemented by the Office of Financial Stability (OFS). On November 15, 2010, we issued our audit report including (1) an unqualified opinion on OFS's financial statements for TARP as of and for the fiscal years ended September 30, 2010, and 2009, and (2) an opinion that OFS maintained effective internal control over financial reporting as of September 30, 2010. We also reported that our tests of OFS's compliance with selected provisions of laws and regulations for the fiscal year ended September 30, 2010, disclosed no instances of noncompliance. Our November 2010 audit report concluded that although certain internal controls could be improved, OFS maintained, in all material respects, effective internal control over financial reporting as of September 30, 2010, that provided reasonable assurance that misstatements, losses, or noncompliance material in relation to the financial statements would be prevented or detected and corrected on a timely basis. Our audit report also identified a significant deficiency in OFS's internal control over its accounting and financial …
Date: April 18, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
DOD Personnel: DOD Comments on GAO's Report on DOD's Civilian Human Capital Strategic Planning (open access)

DOD Personnel: DOD Comments on GAO's Report on DOD's Civilian Human Capital Strategic Planning

Correspondence issued by the General Accounting Office with an abstract that begins "In response to a Congressional request, we issued a report in March 2003 on the Department of Defense's (DOD) strategic planning efforts for civilian personnel at DOD and selected defense components, including the four military services and two defense agencies. In that report we made recommendations to the Secretary of Defense to strengthen civilian human capital planning, including integration with military personnel and sourcing initiatives. DOD's response to our March 2003 report and recommendations were received too late to be included in that report. To provide our perspective on DOD's comments, we briefly summarize our March 2003 report's objectives, results, and recommendations and DOD's comments, along with our evaluation of the comments. DOD's civilian employees play key roles in such areas as defense policy, intelligence, finance, acquisitions, and weapon systems maintenance. Although downsized 38 percent between fiscal years 1989 and 2002, this workforce has taken on greater roles as a result of DOD's restructuring and transformation. Responding to congressional concerns about the quality and quantity of, and the strategic planning for, the civilian workforce, we determined the following for DOD, the military services, and selected defense agencies (the …
Date: April 18, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Elections: All Levels of Government Are Needed to Address Electronic Voting System Challenges (open access)

Elections: All Levels of Government Are Needed to Address Electronic Voting System Challenges

Testimony issued by the Government Accountability Office with an abstract that begins "Since the 2000 national elections, concerns have been raised by various groups regarding the election process, including voting technologies. Beginning in 2001, GAO published a series of reports examining virtually every aspect of the elections process. GAO's complement of reports was used by Congress in framing the Help America Vote Act of 2002, which, among other things, provided for replacement of older voting equipment with more modern electronic voting systems and established the Election Assistance Commission (EAC) to lead the nation's election reform efforts. GAO's later reports have raised concerns about the security and reliability of these electronic voting systems, examined the EAC's efforts to address these concerns, and surveyed state and local officials about practices used during the 2004 election, as well as plans for their systems for the 2006 election. Using its published work on electronic voting systems, GAO was asked to testify on (1) the contextual role and characteristics of electronic voting systems, (2) the range of security and reliability concerns that have been reported about these systems, (3) the experiences and management practices of states and local jurisdictions regarding these systems, and (4) the …
Date: April 18, 2007
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Bureau of the Public Debt: Areas for Improvement in Information Security Controls (open access)

Bureau of the Public Debt: Areas for Improvement in Information Security Controls

Correspondence issued by the Government Accountability Office with an abstract that begins "In connection with fulfilling our requirement to audit the financial statements of the U.S. government, we audited and reported on the Schedules of Federal Debt Managed by the Bureau of the Public Debt (BPD) for the fiscal years ended September 30, 2004 and 2003. As part of these audits, we performed a review of the general and application information security controls over key BPD financial systems. As we reported in connection with our audit of the Schedules of Federal Debt for the fiscal years ended September 30, 2004 and 2003, BPD maintained, in all material respects, effective internal control, including general and application information security controls, relevant to the Schedule of Federal Debt related to financial reporting and compliance with applicable laws and regulations as of September 30, 2004, that provided reasonable assurance that misstatements, losses, or noncompliance material in relation to the Schedule of Federal Debt would be prevented or detected on a timely basis. We found matters involving information security controls that we do not consider to be reportable conditions, but that nevertheless warrant BPD management's attention and action. This report presents the results of our …
Date: April 18, 2005
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
DOD Financial Management: Challenges in Attaining Audit Readiness and Improving Business Processes and Systems (open access)

DOD Financial Management: Challenges in Attaining Audit Readiness and Improving Business Processes and Systems

Testimony issued by the Government Accountability Office with an abstract that begins "GAOÂ’s recent work highlights the types of challenges facing the Department of Defense (DOD) as it strives to attain audit readiness and reengineer its business processes and systems. The urgency in addressing these challenges has been increased by the goals of an auditable DOD Statement of Budgetary Resources (SBR) by the end of fiscal year 2014 and a complete set of auditable financial statements by the end of fiscal year 2017. For example, GAOÂ’s 2011 reporting highlights difficulties the DOD components experienced in attempting to achieve an auditable SBR. These include:"
Date: April 18, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Food and Drug Administration: Employee Performance Standards for the Timely Review of Medical Product Applications (open access)

Food and Drug Administration: Employee Performance Standards for the Timely Review of Medical Product Applications

Correspondence issued by the Government Accountability Office with an abstract that begins "Employee Performance Standards for the Timely Review of Medical Product Applications:"
Date: April 18, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
No Child Left Behind Act: Education Actions May Help Improve Implementation and Evaluation of Supplemental Educational Services (open access)

No Child Left Behind Act: Education Actions May Help Improve Implementation and Evaluation of Supplemental Educational Services

Testimony issued by the Government Accountability Office with an abstract that begins "The No Child Left Behind Act (NCLBA) requires districts with schools that receive Title I funds and that have not met state performance goals for 3 consecutive years to offer low-income students supplemental educational services (SES), such as tutoring. This testimony discusses early implementation of SES, including how (1) SES participation changed in recent years; (2) providers work with districts to deliver services; (3) states monitor and evaluate SES; and (4) the U.S. Department of Education (Education) monitors and supports SES implementation. This testimony is based on an August 2006 report (GAO-06-758) and also provides information on actions Education has taken that respond to our recommendations. For the report, GAO surveyed all states and a nationally representative sample of districts with schools required to offer SES, visited four school districts, and interviewed SES providers."
Date: April 18, 2007
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Immigration Benefits: Seventh Report Required by the Haitian Immigration Fairness Act of 1998 (open access)

Immigration Benefits: Seventh Report Required by the Haitian 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, and unmarried sons or daughters. As of March 31, 2002, the Immigration and Naturalization Service had received a total of 36,420 HRIFA applications and had approved 7,351 of these applications. The Executive Office for Immigration Review had 198 applications filed and had approved 98 of them."
Date: April 18, 2002
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Air Emissions and Electricity Generation at U.S. Power Plants (open access)

Air Emissions and Electricity Generation at U.S. Power Plants

Correspondence issued by the Government Accountability Office with an abstract that begins "Older electricity generating units—those that began operating in or before 1978—provided 45 percent of electricity from fossil fuel units in 2010 but produced a disproportionate share of emissions, both in aggregate and per unit of electricity generated. Overall, in 2010 older units contributed 75 percent of sulfur dioxide emissions, 64 percent of nitrogen oxides emissions, and 54 percent of carbon dioxide emissions from fossil fuel units. For each unit of electricity generated, older units collectively emitted about 3.6 times as much sulfur dioxide, 2.1 times as much nitrogen oxides, and 1.3 times as much carbon dioxide as newer units. The difference in emissions between older units and their newer counterparts may be attributed to a number of factors. First, 93 percent of the electricity produced by older fossil fuel units in 2010 was generated by coal-fired units. Compared with natural gas units, coal-fired units produced over 90 times as much sulfur dioxide, twice as much carbon dioxide and over five times as much nitrogen oxides per unit of electricity, largely because coal contains more sulfur and carbon than natural gas. Second, fewer older units have installed emissions controls, …
Date: April 18, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Managerial Cost Accounting Practices: Department of Health and Human Services and Social Security Administration (open access)

Managerial Cost Accounting Practices: Department of Health and Human Services and Social Security Administration

Correspondence issued by the Government Accountability Office with an abstract that begins "Authoritative bodies have promulgated laws, accounting standards, information system requirements, and related guidance to emphasize the need for cost information and cost management in the federal government. For example, the Chief Financial Officers (CFO) Act of 1990, contains several provisions related to managerial cost accounting, one of which states that an agency's CFO should develop and maintain an integrated accounting and financial management system that provides for the development and reporting of cost information. Statement of Federal Financial Accounting Standards No. 4, Managerial Cost Accounting Concepts and Standards for the Federal Government, and the Joint Financial Management Improvement Program's (JFMIP) Framework for Federal Financial Management Systems established accounting standards and system requirements for managerial cost accounting (MCA) information at federal agencies. The Federal Financial Management Improvement Act of 1996 built on this foundation and required, among other things, CFO Act agencies to comply substantially with federal accounting standards and federal financial management systems requirements. In light of the requirements for federal agencies to prepare MCA information, Congress asked us to determine the extent to which federal agencies develop cost information and use it for managerial decision making. The …
Date: April 18, 2006
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Department of Energy: Budget Trends and Oversight (open access)

Department of Energy: Budget Trends and Oversight

Testimony issued by the Government Accountability Office with an abstract that begins "Recent GAO work found that funding increases have expanded or created Department of Energy (DOE) programs with varying results. For example:"
Date: April 18, 2012
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Deepwater Horizon Oil Spill: Update on Federal Financial Risks and Claims Processing (open access)

Deepwater Horizon Oil Spill: Update on Federal Financial Risks and Claims Processing

Correspondence issued by the Government Accountability Office with an abstract that begins "On April 20, 2010, an explosion occurred on BP America Production Company's (BP) leased mobile offshore drilling unit Deepwater Horizon. The total cost to clean up the massive and unprecedented oil spill in the Gulf of Mexico following the Deepwater Horizon explosion (including costs to help pay for the spill's adverse impact on businesses and individuals in the region) are yet unknown, but have been estimated in the tens of billions of dollars. The extent to which the federal government will ultimately be required to pay costs associated with the Deepwater Horizon oil spill remains unclear. The complex legal framework in place for oil spill liability and response funding will play an integral role in determining who is responsible and will ultimately pay the costs associated with the Deepwater Horizon oil spill. In this regard, the Oil Pollution Act of 1990, as amended (OPA), which Congress enacted after the Exxon Valdez spill in 1989, authorized use of the Oil Spill Liability Trust Fund (Fund) to pay for certain oil spill cleanup costs and damages using federal tax revenues for immediate response costs and when the responsible parties cannot …
Date: April 18, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Coast Guard: Observations on the Fiscal Year 2008 Budget, Performance, Reorganization, and Related Challenges (open access)

Coast Guard: Observations on the Fiscal Year 2008 Budget, Performance, Reorganization, and Related Challenges

Testimony issued by the Government Accountability Office with an abstract that begins "The U. S. Coast Guard is a multimission agency responsible for maritime safety, security, and stewardship. It performs these missions, relating to homeland security and non-homeland security in U.S. ports and inland waterways, along the coasts, and on international waters. The President's budget request, including the request for the Coast Guard, was transmitted to Congress on February 5, 2007. This testimony, which is based on current and past GAO work, synthesizes the results of this work as it pertains to the following: budget requests and performance goals, organizational changes and related management initiatives, current acquisition efforts and challenges, and challenges related to performing traditional legacy missions."
Date: April 18, 2007
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Nuclear Waste: Uncertainties About the Yucca Mountain Repository Project (open access)

Nuclear Waste: Uncertainties About the Yucca Mountain Repository Project

Testimony issued by the General Accounting Office with an abstract that begins "As required by law, the Department of Energy (DOE) has been investigating a site at Yucca Mountain, Nevada, to determine its suitability for disposing of highly radioactive wastes in a mined geologic repository. If the site is approved, DOE must apply to the Nuclear Regulatory Commission (NRC) for authorization to construct a repository. If the site is not approved for a license application, or if NRC denies a license to construct a repository, the administration and Congress will have to consider other options for the long-term management of existing and future nuclear wastes. DOE is not prepared to submit an acceptable license application to the NRC within the statutory limits that would take effect if the site is approved. DOE is unlikely to achieve its goal of opening a repository at Yucca Mountain by 2010. Sufficient time would not be available for DOE to obtain a license from NRC and construct enough of the repository to open it in 2010. Another key factor is whether DOE will be able to obtain the increases in annual funding that would be required to open the repository by 2010. DOE currently …
Date: April 18, 2002
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Federal Real Property: Views on Real Property Reform Issues (open access)

Federal Real Property: Views on Real Property Reform Issues

Testimony issued by the General Accounting Office with an abstract that begins "The Federal Property Asset Management Reform Act of 2002, will enhance federal real and personal property management and bring the policies and business practices of federal agencies into the 21st century. Available data show that the federal government owns hundreds of thousands of properties worldwide, including military installations, office buildings, laboratories, courthouses, embassies, postal facilities, national parks, forests, and other public lands, estimated to be worth billions of dollars. Most of this government-owned real property is under the custody and control of eight agencies--the Department of Agriculture, Defense, Energy, the Interior, and Veterans Affairs; General Services Administration; the Tennessee Valley Authority; and the U.S. Postal Service. Federal property managers have a large deferred maintenance backlog, obsolete and underutilized properties, and changing facility needs due to rapid advances in technology. It is important that real property-holding agencies link their real property strategic plans to their missions and related capital management and performance plans; ensure that senior real property officers have the knowledge, skills, and expertise needed to effectively perform their duties; are accountable for the reliability, usefulness, and timeliness of their data; and adopt an effective process to monitor …
Date: April 18, 2002
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Texas Attorney General Opinion: JM-1158 (open access)

Texas Attorney General Opinion: JM-1158

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Jim Mattox, regarding a legal question submitted for clarification: Whether the purchase of fuel by a company that provides transportation services for a school district is exempt from taxation (RQ-1807)
Date: April 18, 1990
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: GA-0423 (open access)

Texas Attorney General Opinion: GA-0423

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification; Whether a physician, psychiatrist, licensed professional counselor, licensed marriage and family therapist, or social worker must be licensed by the Council on Sex Offender Treatment to provide rehabilitation services or act as a sex offender treatment provider (RQ-0405-GA)
Date: April 18, 2006
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: DM-383 (open access)

Texas Attorney General Opinion: DM-383

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Dan Morales, regarding a legal question submitted for clarification; Whether a jail facility is subject to ad valorem taxes when a county occupies it for county purposes under a lease-purchase contract with a private entity (RQ-711)
Date: April 18, 1996
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: M-60 (open access)

Texas Attorney General Opinion: M-60

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Crawford Martin, regarding a legal question submitted for clarification; Whether, under the stated facts, the five year provision of Act 7519a, V.C.S., precludes entry of an order cancelling permit No. 313.
Date: April 18, 1967
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: M-61 (open access)

Texas Attorney General Opinion: M-61

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Crawford Martin, regarding a legal question submitted for clarification; Whether the State Building Commission can enter into a legally binding contract with a contractor for construction of a collection station, when construction thereof is to commence prior to the construction site being transferred by Mexico to the United States under existing agreements.
Date: April 18, 1967
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: C-662 (open access)

Texas Attorney General Opinion: C-662

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Waggoner Carr, regarding a legal question submitted for clarification: Whether inheritance tax is due the State where deceased Veteran’s estate passed to the United States pursuant to Section 5220, Title 38, U.S.C.A.
Date: April 18, 1966
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: M-377 (open access)

Texas Attorney General Opinion: M-377

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Crawford Martin, regarding a legal question submitted for clarification; Construction of Article 7.15, Subdivision 11(b)(1) of the Texas Election Code.
Date: April 18, 1969
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: M-219 (open access)

Texas Attorney General Opinion: M-219

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Crawford Martin, regarding a legal question submitted for clarification; Construction of rider in appropriation to Parks Wildlife Department, Article III, Senate Bill 15, Acts 60th Legislature, 1967, Chapter 784, p. 2208, and related question.
Date: April 18, 1968
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History