Correspondence issued by the General Accounting Office with an abstract that begins "The terrorist attacks on the World Trade Center on September 11 caused enormous losses in New York City. These include the direct costs of the destruction to lives and property, as well as cleanup, and the indirect costs of lost income brought about by business closings and related spending reductions. It is expected that some of the losses will be covered by payments from private insurance, emergency federal relief funds, and charitable contributions. Other losses, however, may never be recovered because some individuals and businesses were uninsured or may not qualify for federal relief or charity. In reviewing eight studies from seven different organizations on the economic impact of the attacks, GAO found that they varied in the standard economic criteria used for analyzing economic impacts. In addition, the studies used different periods of time to estimate future costs that might be incurred. GAO found that the study by the New York City Partnership provided the most comprehensive estimates. The study estimated that the attacks on the two World Trade Center buildings cost $83 billion (in 2001 dollars) in total losses including both direct and indirect costs and …

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, John Cornyn, regarding a legal question submitted for clarification; Whether section 402.909 of the Local Government Code is applicable to the San Antonio Water System and Related Questions(RQ-0489-JC).

Testimony issued by the General Accounting Office with an abstract that begins "In its audit for year 2001, the Department of Health and Human Services' Office of Inspector General found that $12.1 billion was improperly paid to Medicare providers. GAO's February report (GAO-02-249) showed that physicians often do not receive complete, accurate, clear, or timely guidance on Medicare billing and payment policies. At the carriers studied, GAO found significant shortcomings in printed material, web sites, and telephone help lines used to provide information and respond to physicians' questions. GAO concluded the Centers for Medicare and Medicaid Services (CMS) needed to initiate a more centralized and coordinated approach and provide technical assistance to carriers to improve provider communications. In fiscal year 2001, CMS revised its policy on conducting medical reviews. The policy directs carriers to differentiate among levels of billing problems and tailor corrective actions accordingly. As a result of this and other medical review modifications, the highest overpayment amounts assessed a physician practice by a carrier dropped substantially."

Correspondence issued by the General Accounting Office with an abstract that begins "Between fiscal years 1996 and 2001, the United States provided $3.45 billion in direct contributions and $24.2 billion in voluntary or indirect contributions to 33 U.N. peacekeeping operations in such areas as the Congo, Sierra Leone, Kosovo, Bosnia, and, most recently, Afghanistan. The prospects for implementing peace agreements are enhanced if all major parties to the conflict participate in negotiating the agreements and if these agreements include specific authority and mechanisms for their enforcement. Peace operations are more likely to succeed if the military forces carrying out the operations have clear objectives, sufficient resources, and the authority to carry out their tasks. Military forces can help create a secure environment for civilian work to proceed. Moreover, the slow or late deployment of a peace operation's civil administrators might impede efforts to establish good governance. Finally, peace operations tend to be more successful when locals participate at every reasonable opportunity."

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, John Cornyn, regarding a legal question submitted for clarification: Whether the Smith County Commissioners Court violates the Open Meetings Act, chapter 551 of the Government Code, if it permits the Smith County Auditor to attend a meeting closed to consult with the county's attorney regarding pending litigation or settlement options, and related questions (RQ-0470-JC)

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, John Cornyn, regarding a legal question submitted for clarification: Clarification of Attorney General Opinion JC-0426: Whether a state university may contract with a bank that employs a member of the board of regents as an officer (RQ-0473-JC)

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, John Cornyn, regarding a legal question submitted for clarification: Whether a hospital is authorized to report information required by chapter 108, Health and Safety Code, without obtaining the written consent of the affected patient (RQ-0481-JC)

Testimony issued by the General Accounting Office with an abstract that begins "Preventive health care services can extend lives and promote the well being of the nation's seniors. Medicare now covers 10 preventive services--three types of immunizations and seven types of screenings--and legislation has been introduced to cover additional services. However, not all beneficiaries avail themselves of Medicare's preventive services. Some may simply choose not to use them, but others may be unaware that these services are covered by Medicare. Although the use of Medicare preventive service is growing, it varies from service to service and by state, ethnic group, income, and level of education. To ensure that preventive services are delivered to those who need them, the Centers for Medicare and Medicaid Services (CMS) sponsors activities to increase their use. CMS now funds interventions to increase the use of three services--breast cancer screening and immunizations against the flu and pneumonia--in each state. CMS also pays for interventions to increase use of services by minorities and low-income beneficiaries with low usage rates. CMS is evaluating the effectiveness of current efforts and expects to have the evaluation results later in 2002."

Correspondence issued by the General Accounting Office with an abstract that begins "This report discusses the variation in Medicare home health use across states. Using home health claims for the first 6 months of 2001 from the Centers for Medicare and Medicaid, GAO compiled statistics on home health users, home health visits, home health episodes, and the percentage of home health users with multiple episodes for each state. A home health episode, the basis for Medicare payment under the prospective payment system, is up to a 60-day period of care during which any number of visits may be provided."

Correspondence issued by the General Accounting Office with an abstract that begins "This report examines whether the National Aeronautics and Space Administration (NASA) had significant problems with overpayments to its contractors. GAO did not find that NASA had a significant or systemic problem with overpayments or underpayments during fiscal year 2001. The controls that NASA put in place to prevent and detect payment errors appeared to be properly designed."

Testimony issued by the General Accounting Office with an abstract that begins "The Department of Energy (DOE) has been investigating Yucca Mountain, Nevada, as a possible repository for highly radioactive nuclear waste. In February, the Secretary of Energy endorsed the Yucca Mountain site, and the President recommended that Congress approve the site. If the site is approved, DOE must apply to the Nuclear Regulatory Commission (NRC) for authorization to build a repository. If the site is not approved for a license application, or if NRC denies a construction license, the administration and Congress will have to consider other options. GAO concludes that DOE is unprepared to submit an acceptable license application to NRC within the statutory deadlines if the site is approved. On the basis of a reassessment done by DOE's managing contractor in September 2001, GAO believes that DOE would not have enough time to obtain a license from NRC and build and open the repository by 2010. DOE lacks a reliable estimate of when, and at what cost, a license application can be submitted or a repository can be opened."

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 …

Testimony issued by the General Accounting Office with an abstract that begins "To help limit air pollution, about a third of the states use gasoline that contains methyl tertiary butyl ether (MTBE), which burns cleaner. However, MTBE has migrated into wells and groundwater from leaking underground tanks used to store gasoline. The Environmental Protection Agency (EPA) has the responsibility through the Underground Storage Tank Program and works through the states to ensure that tanks do not leak and, if they do, that the contamination is cleaned up. To help states cover the program costs, Congress annually provides grants from a trust fund it created in 1986. Most of the 50 states have reported finding MTBE when they discover gasoline contamination in their tank sites and increasingly, in their groundwater, surface water, and drinking water. States have made progress in addressing the releases they have discovered, including MTBE contamination, but face a continuing and substantial cleanup workload. States typically depend on tank owners or operators to pay some of the cleanup costs and cover the remainder with their own funding programs and depend on relatively small federal trust fund grants to pay staff to oversee cleanups and administer their programs."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit report covering the financial statements of the Former Members of Congress for fiscal years 2000 and 1999. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with general accounting principles."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the financial statement audit reports for the National Academy of Public Administration for fiscal year 2000. GAO found no reportable instances of noncompliance. The audit report included the auditor's opinion that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit report covering the financial statements of the National Mining Hall of Fame and Museum for fiscal year 2000. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with general accounting principles."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit report covering the financial statements of the National Tropical Botanical Garden for fiscal years 2000 and 1999. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit report covering the financial statements of the Non Commissioned Officers Association of the United States of America, Incorporated, for fiscal years 2000 and 1999. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with general accounting principles."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the audit reports covering the financial statements of the Foundation of the Federal Bar Association for fiscal years 2000 and 1999. GAO found no reportable instances of noncompliance. The audit reports included the auditors' opinions that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO reviewed the financial statement audit reports for the Naval Sea Cadet Corps for fiscal years 2000 and 1999. GAO found no reportable instances of noncompliance. The audit report included the auditor's opinion that the financial statements of the corporation were presented fairly in accordance with generally accepted accounting principles."

Testimony issued by the General Accounting Office with an abstract that begins "The following eight "encroachment" issues are hampering the military's ability to carry out realistic training: endangered species' critical habitat, unexploded ordnance and munitions, competition for radio frequency spectra, protected marine resources, competition for airspace, air pollution, noise pollution, and urban growth around military installations. Officials at all the installations and major commands GAO visited in the continental United States reported that encroachment had affected some of their training range capabilities, requiring work-arounds that are unrealistic. Service officials believe that population growth is responsible for current encroachment problems in the United States and is likely to cause more training range losses in the future. Despite concerns about encroachment, military readiness reports do not indicate the extent to which encroachment is harming training. Improvements in readiness reporting can better reveal shortfalls in training, but the ability to fully assess training limitations and their impact on capabilities and readiness will be limited without (1) more complete baseline data on training range capabilities, limitations, and requirements and (2) consideration of how live training capabilities may be complemented by training devices and simulations. Progress in addressing individual encroachment issues has been made, but …

Testimony issued by the General Accounting Office with an abstract that begins "A central focus of welfare reform has been to help needy adults with children find and keep jobs. The Workforce Investment Act of 1998 (WIA) unifies a fragmented employment and training system. Despite its similar fundamental focus, the Temporary Assistance for Needy Families (TANF) program was not required to participate in the one-stop system, although many states are coordinating their TANF services through one-stop centers. GAO found that coordination between TANF programs and WIA's one-stop centers has risen since WIA was first implemented in the spring of 2000. WIA funds may not be readily used to serve TANF clients in the one-stops because WIA's performance measures may be discourage serving clients who may not be successful. Moreover, when TANF clients need training to achieve self sufficiency, WIA funds may be unavailable because the amount of training provided under WIA has been reduced. Some local areas have found innovative ways to provide TANF services in the one-stops, often focusing on resolving the issues that had plagued the fragmented employee training system."

Correspondence issued by the General Accounting Office with an abstract that begins "GAO addressed the Air Force's plan to replace a portion of its KC-135 aerial refueling tanker fleet with leased Boeing 767 aircraft. Although the Air Force has a long term requirement to replace its aging fleet of KC-135 tankers, the urgency of the need in the short term is unclear. The Air Force stated that the leasing arrangement would allow it to acquire new tankers three years earlier than through its most recent procurement plan. This would allow the Air Force to retire old, less capable KC-135s, thus saving maintenance costs on those aircraft. Because the Air Force is still negotiating the lease details, it could not provide information on the cost effectiveness of leasing aircraft instead of purchasing them. Although GAO has not taken a position on the overall policy of leasing versus purchasing defense equipment, it found that, from a cost standpoint, leasing is more expensive in the long run. Because the 767 aircraft is larger than the KC-135, there will be some infrastructure improvement costs, such as for building or modifying hangars, taxiways, and runway aprons. Additional costs would likely include simulators and project management. …

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, John Cornyn, regarding a legal question submitted for clarification: Whether a county may maintain a road that has not been officially established as a public road but which has been accessible to and regularly used by the public (RQ-0469-JC)