Correspondence issued by the Government Accountability Office with an abstract that begins "Beginning in the 1990s, there was a substantial increase in the number of short-term acute care hospitals that primarily treat patients with specific medical conditions or who need surgical procedures. Advocates of such hospitals, commonly referred to as specialty hospitals, contend that their focused missions and dedicated resources can both improve quality and reduce health care costs. Critics contend that specialty hospitals siphon off the most profitable procedures and patient cases, typically without providing emergency care or other vital community services, and thus erode the financial health of neighboring general hospitals. Critics also contend that the ability of physicians to invest in a specialty hospital and then refer patients to that hospital creates financial incentives that may inappropriately affect physicians' clinical and referral behavior. In 2003, we issued two reports on the growth, characteristics, and performance of specialty hospitals. More than two-thirds of the 100 specialty hospitals we identified as being in existence in June 2003 had opened their doors since the beginning of 1990. The specialty hospitals in existence in fiscal year 2000, the most recent year for which we then had data, accounted for about 1 …

Testimony issued by the Government Accountability Office with an abstract that begins "The purpose of the Endangered Species Act is to conserve endangered and threatened species and the ecosystems upon which they depend. This law currently protects more than 1,260 animal and plant species. Within the Department of the Interior, the Fish and Wildlife Service implements and enforces the act. In addition, all federal agencies, such as the Department of Defense and the Bureau of Land Management, must ensure that their activities do not jeopardize a protected species' continued existence or adversely modify or destroy habitat that has been designated as critical to its survival. The Endangered Species Act and its implementation can be controversial when there are conflicting uses for a natural resource as, for example, when timber on federal lands is both habitat for endangered and threatened species and a valuable commodity to be harvested. Conflicts also occur over the adequacy or interpretation of scientific information in making species protection decisions. GAO has issued numerous reports on the implementation of the Endangered Species Act. This testimony is based primarily on four of these reports and addresses (1) collaboration among federal agencies to conserve threatened and endangered species and …

Testimony issued by the Government Accountability Office with an abstract that begins "Since the passage of the IRS Restructuring and Reform Act of 1998 (RRA 98), the Internal Revenue Service (IRS) has faced the challenge of managing its resources to simultaneously improve service to taxpayers, assure taxpayers' compliance with the tax laws, and modernize its antiquated information systems. As requested, this statement provides our assessment of IRS's current performance in the areas of taxpayer service, tax law enforcement, and systems modernization. Looking ahead, this statement also describes the challenges that IRS faces in addressing resource constraints as well as realizing efficiency and information systems improvements."

Testimony issued by the Government Accountability Office with an abstract that begins "Since the onset of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), the Department of Defense (DOD) reported that more than 12,000 servicemembers have been injured in combat. While many return to active duty, others with more serious injuries are likely to be discharged from the military. To ensure the continuity of medical care and access to all other Department of Veterans Affairs' (VA) benefits, such as vocational rehabilitation, VA formed its Seamless Transition Task Force. In January 2005, GAO reported that VA had given high priority to OEF/OIF servicemembers, but faced challenges in identifying, locating, and following up with seriously injured servicemembers. GAO recommended that VA and DOD reach an agreement for VA to obtain systematic data from DOD, and the departments concurred. However, DOD raised privacy concerns. GAO was asked to review VA's efforts to expedite vocational rehabilitation services to seriously injured servicemembers and to determine the status of an agreement between DOD and VA to share health data. GAO relied on its prior work; interviewed VA and DOD officials; and reviewed the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the HIPAA …

Correspondence issued by the Government Accountability Office with an abstract that begins "A Congressional letter, dated June 30, 2004, to the Comptroller General expressed concern that the federal government may not have a uniform approach to protecting its facilities from lightning strikes. As a result, Congress requested a GAO study on issues related to whether the federal government should adopt a uniform standard for lightning protection systems. We selected four agencies for this study--the General Services Administration (GSA), the Veterans Health Administration (VHA), the U.S. Postal Service (USPS), and the Department of Defense (DOD). These agencies hold over 80 percent (in terms of square footage) of the government's owned and leased property. The objectives of this study were to determine (1) to what extent these selected federal agencies use applicable lightning protection standard(s) to help protect buildings they own from lightning strikes; (2) how these selected federal agencies assess the need for lightning protection systems on their buildings; (3) what practices and lightning protection standard(s) the General Services Administration uses when leasing privately owned buildings; and (4) what data exist related to the financial impact of lightning protection and damage to the federal government, such as the number of buildings …