Bahrain: Reform, Security, and U.S. Policy (open access)

Bahrain: Reform, Security, and U.S. Policy

This report discusses the current state of Bahrain, which has undergone substantial political reforms since the late 1990s, but which still suffers from tension between the Shiite majority and the Sunni-led government. It focuses particularly on Bahrain's relationship with Iran and with the United States.
Date: April 1, 2013
Creator: Katzman, Kenneth
Object Type: Report
System: The UNT Digital Library
Nigeria: Current Issues and U.S. Policy (open access)

Nigeria: Current Issues and U.S. Policy

This report covers the recent economical and political development in Nigeria; elections, development challenges, reform initiatives, social issues, security concerns, and international relations in Nigeria. The report ends with some concerns for Congress, including U.S.-Nigerian trade issues, Nigerian counter-terrorism efforts, and U.S. assistance to Nigeria.
Date: April 24, 2013
Creator: Ploch, Lauren
Object Type: Report
System: The UNT Digital Library
Critical Infrastructure Protection: DHS Efforts to Assess Chemical Security Risk and Gather Feedback on Facility Outreach Can Be Strengthened (open access)

Critical Infrastructure Protection: DHS Efforts to Assess Chemical Security Risk and Gather Feedback on Facility Outreach Can Be Strengthened

A letter report issued by the Government Accountability Office with an abstract that begins "Since 2007, the Department of Homeland Security's (DHS) Infrastructure Security Compliance Division (ISCD) has assigned about 3,500 high-risk chemical facilities to risk-based tiers under its Chemical Facility Anti-Terrorism Standards (CFATS) program, but it has not fully assessed its approach for doing so. The approach ISCD used to assess risk and make decisions to place facilities in final tiers does not consider all of the elements of consequence, threat, and vulnerability associated with a terrorist attack involving certain chemicals. For example, the risk assessment approach is based primarily on consequences arising from human casualties, but does not consider economic consequences, as called for by the National Infrastructure Protection Plan (NIPP) and the CFATS regulation, nor does it consider vulnerability, consistent with the NIPP. ISCD has begun to take some actions to examine how its risk assessment approach can be enhanced, including commissioning a panel of experts to assess the current approach, identify strengths and weaknesses, and recommend improvements. ISCD will need to incorporate the various results of these efforts to help them ensure that the revised risk assessment approach includes all elements of risk. After ISCD has …
Date: April 5, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Securities And Exchange Commission: Continued Management Attention Would Strengthen Internal Supervisory Controls (open access)

Securities And Exchange Commission: Continued Management Attention Would Strengthen Internal Supervisory Controls

A letter report issued by the Government Accountability Office with an abstract that begins "After the passage of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) in 2010, the Securities and Exchange Commission's (SEC) Office of Compliance Inspections and Examinations, Division of Corporation Finance, and Division of Enforcement (herein "the offices") established a working group that developed an internal supervisory control framework. Internal supervisory controls include the processes established by management to help ensure that procedures applicable to staff are performed completely, consistent with applicable policies and procedures, and remain current. The overall control framework is generally consistent with federal internal control standards, which includes identifying and assessing risks, identifying and assessing internal controls, and reporting the results of testing to management and Congress."
Date: April 18, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Defense Health Care: TRICARE Multiyear Surveys Indicate Problems with Access to Care for Nonenrolled Beneficiaries (open access)

Defense Health Care: TRICARE Multiyear Surveys Indicate Problems with Access to Care for Nonenrolled Beneficiaries

A letter report issued by the Government Accountability Office with an abstract that begins "In its analysis of the 2008-2011 beneficiary survey data, GAO found that nearly one in three nonenrolled beneficiaries experienced problems finding a civilian provider who would accept TRICARE and that nonenrolled beneficiaries' access to civilian primary care and specialty care providers differed by type of location. Specifically, a higher percentage of nonenrolled beneficiaries in Prime Service Areas (PSA), which are areas with civilian provider networks, experienced problems finding a civilian primary care or specialty care provider compared to those in non-Prime Service Areas (non-PSA), which do not have civilian provider networks. GAO found that the top reasons reported by nonenrolled beneficiaries for why they experienced access problems--regardless of type of provider--were that the providers were either not accepting TRICARE payments or new TRICARE patients. Additionally, GAO's comparison of the Department of Defense's (DOD) beneficiary survey data to related data from a Department of Health and Human Services survey showed that nonenrolled beneficiaries' satisfaction ratings for primary and specialty care providers were consistently lower than those of Medicare fee-for-service beneficiaries."
Date: April 2, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Foreclosure Review: Lessons Learned Could Enhance Continuing Reviews and Activities under Amended Consent Orders (open access)

Foreclosure Review: Lessons Learned Could Enhance Continuing Reviews and Activities under Amended Consent Orders

Testimony issued by the Government Accountability Office with an abstract that begins "GAO found the following:"
Date: April 17, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Management Report: Improvements Needed in SEC's Internal Controls and Accounting Procedures (open access)

Management Report: Improvements Needed in SEC's Internal Controls and Accounting Procedures

Correspondence issued by the Government Accountability Office with an abstract that begins "GAO’s audit of U.S. Securities and Exchange Commission’s (SEC) fiscal years 2012 and 2011 financial statements identified two areas of deficiency in SEC’s internal control that GAO determined represented significant deficiencies. Specifically, as briefly discussed in GAO’s November 2012 audit report, the aggregation of both continuing and new deficiencies in SEC’s financial reporting controls over (1) budgetary resources and (2) property and equipment transactions each constituted significant deficiencies. These significant control deficiencies may adversely affect the accuracy and completeness of information used and reported by SEC’s management. GAO is making a total of nine new recommendations to address these significant internal control deficiencies."
Date: April 4, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Tax Expenditures: IRS Data Available for Evaluations Are Limited (open access)

Tax Expenditures: IRS Data Available for Evaluations Are Limited

A letter report issued by the Government Accountability Office with an abstract that begins "Internal Revenue Service (IRS) data are not sufficient for identifying who claims a tax expenditure and how much they claim for $492 billion or almost half the dollar value of all tax expenditures that GAO examined. Such basic data are not available at IRS for tax expenditures because they do not have their own line item on a tax form. This included $102 billion of tax expenditures that were not on tax forms, such as the exclusion of interest on life insurance savings, and $390 billion of tax expenditures that were on tax forms but did not have their own line items, such as the credit for holding clean renewable energy bonds which is aggregated with other credits on a single line item."
Date: April 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
The Federal Government's Long-Term Fiscal Outlook: Spring 2013 Update (open access)

The Federal Government's Long-Term Fiscal Outlook: Spring 2013 Update

Other written product issued by the Government Accountability Office with an abstract that begins "Since 1992, GAO has published long-term fiscal simulations showing federal deficits and debt under different sets of policy assumptions."
Date: April 11, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Automated Teller Machines: Some Consumer Fees Have Increased (open access)

Automated Teller Machines: Some Consumer Fees Have Increased

A letter report issued by the Government Accountability Office with an abstract that begins "Automated teller machine (ATM) operators include financial institutions--banks and credit unions--as well as independent firms. Industry representatives GAO spoke with estimate there are approximately 420,000 ATMs in the United States. They estimate that financial institutions operate and set the fees for about half of the market, and independent operators work together with merchants to operate the remainder and to determine the fees incurred by consumers. ATM operators have differing business models that affect the way they set ATM fees for consumers. Financial institutions operate ATMs as a convenience to their own account holders, who generally do not pay fees to use these ATMs, while non-account-holding customers do. At independent ATMs, most consumers incur a surcharge fee, although there are some exceptions, such as when the ATM is part of a surcharge-free ATM network."
Date: April 11, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Science, Technology, Engineering, and Mathematics Education: Governmentwide Strategy Needed to Better Manage Overlapping Programs (open access)

Science, Technology, Engineering, and Mathematics Education: Governmentwide Strategy Needed to Better Manage Overlapping Programs

Testimony issued by the Government Accountability Office with an abstract that begins "In fiscal year 2010, 13 federal agencies invested over $3 billion in 209 programs designed to increase knowledge of science, technology, engineering, and mathematics (STEM) fields and attainment of STEM degrees. The number of programs within agencies ranged from 3 to 46, with the Department of Health and Human Services, Department of Energy, and the National Science Foundation administering more than half of the 209 programs. Almost a third of all programs had obligations of $1 million or less, while some had obligations of over $100 million. Beyond programs specifically focused on STEM education, agencies funded other broad efforts that contributed to enhancing STEM education."
Date: April 10, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Internal Revenue Service: 2013 Tax Filing Season Performance to Date and Budget Data (open access)

Internal Revenue Service: 2013 Tax Filing Season Performance to Date and Budget Data

Correspondence issued by the Government Accountability Office with an abstract that begins "In summary, so far in the 2013 filing season, GAO found the following:"
Date: April 15, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Federal Employees' Compensation Act: Case Examples Illustrate Vulnerabilities That Could Result in Improper Payments or Overlapping Benefits (open access)

Federal Employees' Compensation Act: Case Examples Illustrate Vulnerabilities That Could Result in Improper Payments or Overlapping Benefits

A letter report issued by the Government Accountability Office with an abstract that begins "GAO found examples of improper payments and indicators of potential fraud in the Federal Employees' Compensation Act (FECA) program, which could be attributed, in part, to oversight and data-access issues. GAO found examples of claimants' receiving overlapping FECA and unemployment insurance (UI) benefits, which may be allowable under certain circumstances, but could also be erroneous. GAO also found that FECA program requirements allow claimants to receive earnings, and earnings increases, without necessarily resulting in adjustment of FECA compensation. For example, of the 32 FECA case files reviewed, GAO found five instances where an individual's wage-earning capacity (WEC), which is used to determine FECA benefits, was not adjusted even though the individual earned substantially more than the wage that was originally used to calculate the WEC. In addition, two FECA claimants continued to receive privateemployment salaries that were not subject to their WEC calculation. This is because, as currently written, program procedures allow claimants to receive increases in earnings, in certain circumstances, without adjustments to FECA compensation, and current law allows for claimants' earnings from dissimilar concurrent private employment at the time of injury to be exempt …
Date: April 3, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
NASA: Assessments of Selected Large-Scale Projects (open access)

NASA: Assessments of Selected Large-Scale Projects

A letter report issued by the Government Accountability Office with an abstract that begins "The performance of the National Aeronautics and Space Administration’s (NASA) portfolio of major projects has improved in the areas of cost and schedule growth since GAO’s first assessment in 2009. Average development cost growth and schedule delay for the current portfolio have decreased to about a third of their 2009 levels."
Date: April 17, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
F-35 Joint Strike Fighter: Program Has Improved in Some Areas, but Affordability Challenges and Other Risks Remain (open access)

F-35 Joint Strike Fighter: Program Has Improved in Some Areas, but Affordability Challenges and Other Risks Remain

Testimony issued by the Government Accountability Office with an abstract that begins "The new F-35 acquisition baseline reflects positive restructuring actions taken by the Department of Defense (DOD) since 2010, including more time and funding for development and deferred procurement of more than 400 aircraft to future years. Overall, the program progressed on several fronts during 2012 to further improve the current outlook. The program achieved 7 of 10 key management objectives and made substantial progress on one other. Two objectives on aircraft deliveries and a corrective management plan were not met. The F-35 development test program substantially met expectations with some revisions to flight test plans and made considerable progress addressing key technical risks. Software management practices and some output measures improved, although deliveries to test continued to lag behind plans. Manufacturing and supply processes also improved--indicators such as factory throughput, labor efficiency, and quality measures were positive. While initial F-35 production overran target costs and delivered aircraft late, the latest data shows labor hours decreasing and deliveries accelerating."
Date: April 17, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Grants Management: Oversight of Selected States' Disbursement of Federal Funds Addresses Timeliness and Administrative Allowances (open access)

Grants Management: Oversight of Selected States' Disbursement of Federal Funds Addresses Timeliness and Administrative Allowances

A letter report issued by the Government Accountability Office with an abstract that begins "As pass-through grant funds flow to subrecipients, they are subject to government-wide and program-specific policies, two of which are particularly relevant to disbursement issues for states as they pass funds on to subrecipients. Pass-through grants are typically first awarded to states, local governments, or other entities and then further awarded to subrecipients. The Cash Management Improvement Act governs the exchange of funds between the federal government and the states and is applicable to timeliness in the grant disbursement process. In addition, the Office of Management and Budget's (OMB) Circular No. A-133, Audits of States, Local Governments, and Non-Profit Organizations, provides general guidance on the roles and responsibilities of the federal awarding agencies and primary recipients of government funds regarding audit requirements of grantees. Specific program policies can provide additional requirements for individual grant programs related to disbursement of funds. For example, as with the programs we reviewed, authorizing legislation may contain statutory limits on the amount of funds that states and local governments can withhold from the grant awards for their own administrative expenses. To ensure states comply with federal requirements and agency regulations for disbursing …
Date: April 16, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Patient Protection and Affordable Care Act: Enrollment and Spending in the Early Retiree Reinsurance and Pre-existing Condition Insurance Plan Programs (open access)

Patient Protection and Affordable Care Act: Enrollment and Spending in the Early Retiree Reinsurance and Pre-existing Condition Insurance Plan Programs

A letter report issued by the Government Accountability Office with an abstract that begins "The Center for Consumer Information and Insurance Oversight (CCIIO) discontinued enrollment in the Early Retiree Reinsurance Program (ERRP) in early 2011 and stopped most program reimbursements the following year to keep spending within the $5 billion ERRP appropriation. Specifically, anticipating exhaustion of funds, CCIIO stopped ERRP enrollment in May 2011. According to CCIIO officials, CCIIO suspended making reimbursements to plan sponsors in September 2012, as reimbursements had reached the $4.7 billion cap established for paying claims under the original appropriation, and the remainder was reserved for administrative expenses. When the cap was reached, significant demand for the program remained with 5,699 ERRP reimbursement requests left outstanding that accounted for about $2.5 billion in unpaid claims. CCIIO officials told GAO that they planned to pay some of the outstanding reimbursement requests by redistributing any overpayments recovered from plan sponsors--when, for example a plan receives a rebate that lowers the total cost of a prior claim--as well as money recovered from program audits. As of January 2013, officials told GAO that CCIIO had recovered a total of $54 million and redistributed $20.7 million of this amount."
Date: April 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Missile Defense: Opportunity to Refocus on Strengthening Acquisition Management (open access)

Missile Defense: Opportunity to Refocus on Strengthening Acquisition Management

A letter report issued by the Government Accountability Office with an abstract that begins ""
Date: April 26, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Medicare: Legislative Modifications Have Resulted in Payment Adjustments for Most Hospitals (open access)

Medicare: Legislative Modifications Have Resulted in Payment Adjustments for Most Hospitals

A letter report issued by the Government Accountability Office with an abstract that begins "Over time, Congress has modified how Medicare reimburses certain hospitals under the inpatient prospective payment system (IPPS), which pays hospitals a flat fee per stay, set in advance, with different amounts for each type of condition. GAO identified numerous statutory provisions that individually increased Medicare payments to a subset of hospitals."
Date: April 17, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
VA and IHS: Further Action Needed to Collaborate on Providing Health Care to Native American Veterans (open access)

VA and IHS: Further Action Needed to Collaborate on Providing Health Care to Native American Veterans

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) and the Indian Health Service (IHS) have developed mechanisms to implement and monitor their memorandum of understanding (MOU); however, the performance metrics developed to assess its implementation do not adequately measure progress made toward its goals. VA and IHS have defined common goals for implementing the MOU and developed strategies to achieve them. They have also created two mechanisms to implement the MOU--12 workgroups with members from both agencies to address the goals of the MOU, and a Joint Implementation Task Force, comprised of VA and IHS officials, to oversee the MOU's implementation. These steps are consistent with practices that GAO has found enhance and sustain agency collaboration. The agencies have also developed three metrics aimed at measuring progress toward the MOU's goals. However, two of the three metrics are inadequate because their connection to any specific MOU goal is not clear and, while they include quantitative measures that tally the number of programs and activities increased or enhanced as a result of the MOU, they lack qualitative measures that would allow the agencies to assess the degree to which …
Date: April 26, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
National Preparedness: Efforts to Address the Medical Needs of Children in a Chemical, Biological, Radiological, or Nuclear Incident (open access)

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

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

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

Correspondence issued by the Government Accountability Office with an abstract that begins "CDC has administered and provided oversight of the CPPW program, which includes the monitoring of award recipients. CDC required recipients to use their CPPW funds to support efforts to improve nutrition, increase physical activity, or reduce tobacco use and exposure to secondhand smoke. In addition, CDC suggested possible strategies for achieving these results, such as working to establish smoke-free zones or to implement zoning changes that promote physical activity. CDC policy prohibited CPPW award recipients from using funds for specific types of activities, including lobbying, which generally meant certain activities designed to influence action in regard to a particular piece of pending legislation."
Date: April 30, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Federal Courthouses: Most Recommended New Construction Projects Do Not Qualify Under Improved Capital-Planning Process (open access)

Federal Courthouses: Most Recommended New Construction Projects Do Not Qualify Under Improved Capital-Planning Process

Testimony issued by the Government Accountability Office with an abstract that begins "The AMP process, which the judiciary has applied to about 67 percent of its courthouses, represents progress by the judiciary in aligning its capital-planning process with leading capital-planning practices, but the document the judiciary uses to request courthouse construction projects from Congress lacks transparency and key information. For example, the AMP process better aligns with leading practices for identifying real property needs by establishing a comprehensive, nationwide 328-factor analysis of every courthouse, whereas the previous process only assessed courthouses when requested by a local judicial district. However, the AMP process does not fully align with several leading practices due to, for example, its lack of linkage to the judiciary's strategic plan. Two courthouse projects illustrate how the AMP process has changed the way the judiciary evaluates its need for new courthouses. Specifically, two projects listed on a previous 5-year plan (covering fiscal years 2012 through 2016) were re-evaluated under AMP--San Jose, California, and Greenbelt, Maryland. Both had ranked among the top 15 most urgent projects nationwide under the previous capital-planning process, and as such, the judiciary prioritized them for new construction in 2010. However, after the judiciary evaluated …
Date: April 17, 2013
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
President's Emergency Plan For AIDS Relief: Drug Supply Chains Are Stronger, but More Steps Are Needed to Reduce Risks (open access)

President's Emergency Plan For AIDS Relief: Drug Supply Chains Are Stronger, but More Steps Are Needed to Reduce Risks

A letter report issued by the Government Accountability Office with an abstract that begins "The President's Emergency Plan for AIDS Relief (PEPFAR) has worked with U.S. implementing agencies, international donors, and partner countries to increase the efficiency and reliability of antiretroviral (ARV) drug supply chains. It has done so by improving drug supply planning and procurement as well as incountry distribution of drugs. First, PEPFAR has consolidated supply chains for ARV drug procurement for more than 20 partner countries to enhance efficiency and reduce costs and has begun further consolidation with other U.S. global health programs. Second, PEPFAR has improved coordination among donors by creating an information-sharing network to help detect and resolve supply gaps and other supply chain weaknesses and by developing an emergency drug procurement mechanism. Third, PEPFAR has provided partner countries with technical assistance, such as assessment tools and training, to help them better manage drug supply planning, procurement, and distribution."
Date: April 26, 2013
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library