Correspondence issued by the Government Accountability Office with an abstract that begins "Illicit drug use endangers public health and safety and depletes financial resources. According to the Office of National Drug Control Policy (ONDCP), each day in this country, an estimated 8,000 Americans illegally consume a drug for the first time and the risks posed by their drug use--like that of the estimated 20 million individuals that already use illicit drugs--will radiate to their families and the communities in which they live. Efforts to combat drug abuse and its consequences also represent a considerable financial investment. ONDCP, which is responsible for overseeing and coordinating the implementation of the national drug policy, reported that, for fiscal year 2010, about $22 billion was allocated for drug control programs and other related drug control activities across 49 federal agencies, departments, components, or programs. ONDCP was established by the Anti-Drug Abuse Act of 1988 to enhance national drug control planning and assist Congress in overseeing that effort. In this role, ONDCP provides advice and governmentwide oversight of drug programs and coordinates the development of the National Drug Control Strategy (Strategy). By statute, the Director of ONDCP is to annually (1) develop a National Drug …

Other written product issued by the Government Accountability Office with an abstract that begins "The sooner our nation acts to address Social Security's long-term financial challenges, the easier it will be to successfully meet them. Once explained, the choices we face are not difficult to understand, but they are difficult to make. They affect both how much Americans pay for Social Security and how much they receive from the program. They require changes that not only will affect us but have implications for future generations. They also are difficult because they involve deeply felt values, such as community, individualism, fairness, and human dignity. This guide tries to boil down the complexities of Social Security and the implications of reform to the basic choices we face as a nation."

Testimony issued by the Government Accountability Office with an abstract that begins "With the Omnibus Budget Reconciliation Act of 1987 (OBRA '87), Congress responded to growing concerns about the quality of care that nursing home residents received by requiring reforms in the federal certification and oversight of nursing homes. These reforms included revising care requirements that homes must meet to participate in the Medicare or Medicaid programs, modifying the survey process for certifying a home's compliance with federal standards, and introducing additional sanctions and decertification procedures for noncompliant homes. GAO's testimony addresses its work in evaluating the quality of nursing home care and the enforcement and oversight functions intended to ensure high-quality care, the progress made in each of these areas since the passage of OBRA '87, and the challenges that remain. GAO's testimony is based on its prior work; analysis of data from the Centers for Medicare & Medicaid Services' (CMS) On-Line Survey, Certification, and Reporting system (OSCAR), which compiles the results of state nursing home surveys; and evaluation of federal comparative surveys for selected states (2005-2007). Federal comparative surveys are conducted at nursing homes recently surveyed by each state to assess the adequacy of the state's surveys."

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Department of Defense's (DOD) authority to award severable service contracts in fiscal years 1998 and 1999 under section 801 of the National Defense Authorization Act for Fiscal Year 1998, focusing on: (1) the extent to which DOD used the authority in the last month of the fiscal year; and (2) whether contracts reportedly valued at about $1 million or more and whose work was performed entirely in the following fiscal year were abuses of section 801."

A letter report issued by the Government Accountability Office with an abstract that begins "The screening of airport passengers and their checked baggage is a critical component in securing our nation's commercial aviation system. Since May 2003, GAO has issued six products related to screener training and performance. This report updates the information presented in the prior products and incorporates results from GAO's survey of 155 Federal Security Directors--the ranking Transportation Security Administration (TSA) authority responsible for the leadership and coordination of TSA security activities at the nation's commercial airports. Specifically, this report addresses (1) actions TSA has taken to enhance training for passenger and checked baggage screeners and screening supervisors, (2) how TSA ensures that screeners complete required training, and (3) actions TSA has taken to measure and enhance screener performance in detecting threat objects."

Testimony issued by the Government Accountability Office with an abstract that begins "The Trilogy project--initiated in 2001--is the Federal Bureau of Investigation's (FBI) largest information technology (IT) upgrade to date. While ultimately successful in providing updated IT infrastructure and systems, Trilogy was not a success with regard to upgrading FBI's investigative applications. Further, the project was plagued with missed milestones and escalating costs, which eventually totaled nearly $537 million. This testimony focuses on (1) the internal controls over payments to contractors, (2) payments of questionable contractor costs, and (3) FBI's accountability for assets purchased with Trilogy project funds."

A letter report issued by the Government Accountability Office with an abstract that begins "The President has emphasized the importance of safety, efficiency, and accountability in U.S. government staffing overseas by designating the achievement of a rightsized overseas presence as a part of the President's Management Agenda. One of the elements of rightsizing involves relocating certain administrative support functions from overseas posts to the United States or regional centers overseas, which can provide cheaper, safer, or more effective support. This report (1) reviews State's efforts in providing administrative support from remote locations, (2) identifies the challenges it faces in doing so, and (3) outlines the potential advantages and concerns associated with providing support remotely."

Correspondence issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs' (VA) information technology (IT) program faces many challenges, including filling its chief information officer position, improving computer security, and refining its process for selecting, controlling, and evaluating its information technology investments. This correspondence answers several questions from Congress on these and other challenges facing VA's IT program."

Guidance issued by the Government Accountability Office with an abstract that begins "This publication supersedes GAO-05-739SP, Performance Measurement and Evaluation: Definitions and Relationships, June 2005. Both the executive branch and congressional committees need evaluative information to help them make decisions about the programs they oversee--information that tells them whether, and why, a program is working well or not. In enacting the Government Performance and Results Act of 1993 (GPRA), Congress expressed frustration that executive and congressional decisionmaking was often hampered by the lack of good information on the results of federal program efforts. To promote improved federal management and greater efficiency and effectiveness, GPRA instituted a governmentwide requirement that agencies set goals and report annually on performance. Many analytic approaches have been employed over the years by the agencies and others to assess the operations and results of federal programs, policies, activities, and organizations. Most federal agencies now use performance measures to track progress towards goals, but few seem to regularly conduct indepth program evaluations to assess their programs' impact or learn how to improve results. Individual evaluation studies are designed to answer specific questions about how well a program is working, and GPRA explicitly encourages a complementary role for …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed efforts to collect environmental health data, focusing on the: (1) extent to which states, the Department of Health and Human Services (HHS), and the Environmental Protection Agency (EPA) collect human exposure data on potentially harmful chemicals, including data to identify at-risk populations; and (2) main barriers hindering further progress in such efforts."

A statement of record issued by the General Accounting Office with an abstract that begins "This testimony discusses the Veterans Health Administration's (VHA) efforts to improve veterans' access to health care through its Community-Based Outpatient Clinics Initiative. Overall, through its clinics, VHA is steadily making primary care more available within reasonable proximity of patients who have used VHA's system in the past. However, the uneven distribution of patients living more than 30 miles from a VHA primary care facility suggests that access inequities across networks may exist. Also, the improvements likely to result from VHA's planned clinics indicate that achieving equity of access may be difficult. In addition, GAO's assessment suggests that new clinics may have contributed to, but are not primarily responsible for, the marked rise in the number of higher-income patients who have sought health care through VHA in recent years. Although the clinics have undoubtedly attracted some new patients to VHA, GAO's analysis suggests that new patients would have sought care at other VHA facilities in the absence of the clinics. Enhanced benefits and access improvements afforded by eligibility reform may have attracted more new patients, including those with higher incomes."

A letter report issued by the Government Accountability Office with an abstract that begins "Few things generate more attention and anxiety among American consumers than the price of gasoline. Periods of price increases are accompanied by high levels of media attention and consumer questioning about the causes and impacts of the price changes. The most recent upsurge in prices is no exception. Between January 3 and April 11, 2005, gasoline prices increased nearly every week, and during this time the average U.S. price for regular unleaded gasoline jumped 50 cents per gallon, adding about $7.8 billion to consumers' total gasoline bill, or about $58 for each passenger car in the United States. Spending billions more on gasoline pinched consumer budgets, leaving less money available for other purchases. Beyond having concerns over price increases, consumers find it difficult to understand how prices can vary so much across the country or even from neighborhood to neighborhood. For example, consumers in San Francisco paid an average of $2.63 per gallon during the week of April 11, 2005, while consumers in Chicago paid $2.33 per gallon; in Denver, $2.25; in New York, $2.19; and in Houston, $2.12. Within the city of Washington, D.C., pump …

A letter report issued by the General Accounting Office with an abstract that begins "The Coast Guard is in the final stages of planning the largest procurement project in its history-the modernization or replacement of more than 90 cutters and 200 aircraft used for missions more than 50 miles from shore. This project, called the Deepwater Capability Replacement Project, is expected to cost more than $10 billion and take 20 years or longer to complete. Congress and the Coast Guard are at a major crossroads with the project. Planning is essentially complete, and Congress will soon be asked to commit to a multibillion-dollar project that will define the way the Coast Guard performs many of its missions for decades to come. The deepwater acquisition strategy is unique and untried for a project of this magnitude. It carries many risks that could potentially cause significant schedule delays and cost increases. The project faces risks in the following four areas: (1) planning the project around annual funding levels far above what the administration has told the Coast Guard it can expect to receive, (2) keeping costs under control in the contract's later years, (3) ensuring that procedures and personnel are in place …

A letter report issued by the General Accounting Office with an abstract that begins "This report assesses the licensing process of the Federal Energy Regulatory Commission (FERC). Specifically, GAO examines (1) why the licensing process now takes longer and costs more than it did when FERC issued most original licenses several decades ago; (2) whether participants in the licensing process agree on the need for, and type of, further reforms to reduce time and costs; and (3) whether available time and cost data are sufficient to allow informed decisions on the effectiveness of recent reforms and the need for further reforms. GAO found that since 1986, FERC has been required to give "equal consideration" to, and make tradeoffs among, hydropower generation and other competing resource needs. Additional environmental and land management laws have also placed additional requirements on other federal and state agencies participating in the licensing process to address specific resource needs. GAO found no agreement between FERC, federal and state land resource agencies, licensees, environmental groups, and other participants in the licensing process on the need for further reforms to reduce process-related time and costs. Finally, available time and cost data are insufficient to allow informed decisions on …

Testimony issued by the General Accounting Office with an abstract that begins "The Army's decision to issue black berets to all of its forces in just eight months placed enormous demands on the military's procurement system. To meet this challenge, the Department of Defense (DOD) increased the domestic supplier's production, awarded contracts to known foreign sources, and procured berets from additional sources. This testimony discusses DOD's contracting strategy, including (1) the contracting procedures DOD used to buy the berets and (2) the circumstances surrounding waivers to the Berry Amendment, a statutory requirement to buy clothing from domestic suppliers. The Defense Logistics Agency (DLA) took several steps to expedite award of the contracts. However, DLA failed to (1) provide for full and open competition as required by the Competition in Contracting Act of 1984 or (2) obtain a review of these contract actions from the Small and Disadvantaged Business Utilization Office for possible small business participation. GAO also found that authority to waive the Berry Amendment was delegated to DLA's Director and Senior Procurement Executive by the Principal Deputy Under Secretary of Defense (Acquisition, Technology, and Logistics), but later canceled to ensure that any request for a waiver to the Berry …

A letter report issued by the General Accounting Office with an abstract that begins "Agencies are increasingly asked to demonstrate results, but many programs lack credible performance information and the capacity to rigorously evaluate program results. To assist agency efforts to provide credible information, GAO examined the experiences of five agencies that demonstrated evaluation capacity in their performance reports: the Administration for Children and Families (ACF), the Coast Guard, the Department of Housing and Urban Development (HUD), the National Highway Traffic Safety Administration (NHTSA), and the National Science Foundation (NSF)."

Testimony issued by the Government Accountability Office with an abstract that begins "The 31 million children enrolled in Medicaid are particularly vulnerable to tooth decay, which, if untreated, may lead to more serious health conditions and, on rare occasion, result in death. Congress established a comprehensive health benefit for children enrolled in Medicaid to cover Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services, which include dental services. The Centers for Medicare & Medicaid Services (CMS) is responsible for oversight of these services. States are responsible for administering their state Medicaid programs in accordance with federal requirements, including requirements to report certain data on the provision of EPSDT services. GAO was asked to address the data that CMS requires states to submit on the provision of EPSDT dental services and the extent to which these data are sufficient for CMS oversight of the provision of these services. This testimony is based on reports GAO issued from 2000 through 2003. GAO updated relevant portions of its earlier work through interviews conducted in April 2007 with officials from CMS; state Medicaid programs in California, Illinois, Minnesota, New York, and Washington (states contacted for GAO's 2001 study or referred to GAO by another …

A letter report issued by the General Accounting Office with an abstract that begins "Recent operations in Afghanistan demonstrated the dangers of providing air support close to troops on the ground. Such close air support requires timely, well-practiced procedures and communication between ground and air elements. While most close air support operations in Afghanistan were successful, "friendly fire" incidents have resulted from mistakes made while conducting the mission. At the request of the Ranking Minority Members of the Subcommittees on Total Force and Readiness, House Committee on Armed Services, GAO reviewed Department of Defense (DOD) efforts to provide adequate close air support training, as well as efforts to enhance the equipment used to support this mission."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed issues relating to the District of Columbia government's mismanagement of two building leases, focusing on: (1) whether the person or persons who approved the leases were authorized to do so; (2) the status of properties, leases, costs, and utilization; and (3) the steps the District has taken or is taking to ensure that leased properties, in general, are effectively managed and utilized."

Other written product issued by the Government Accountability Office with an abstract that begins "This publication is superceded by GAO-11-646SP, Performance Measurement and Evaluation: Definitions and Relationships, May 2011. Both the executive branch and congressional committees need evaluative information to help them make decisions about the programs they oversee--information that tells them whether, and in what important ways, a program is working well or poorly, and why. In enacting the Government Performance and Results Act of 1993 (GPRA), Congress expressed frustration that executive branch and congressional decisionmaking was often hampered by the lack of good information on the results of federal program efforts. Seeking to promote improved federal management and the increased efficiency and effectiveness of federal programs, GPRA instituted a governmentwide requirement for agencies to set goals and report annually on program performance. Many analytic approaches have been employed over the years by the agencies and others to assess the operations and results of federal programs, policies, activities, and organizations. Periodically, individual evaluation studies are designed to answer specific questions about how well a program is working, and thus such studies may take several forms. GPRA explicitly recognizes and encourages a complementary role for these types of program assessment: …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the withdrawal of health maintenance organizations (HMO) from the Federal Employees' Health Benefits Program (FEHBP), focusing on: (1) changes in the number of HMOs participating in FEHBP from plan years 1994 to 2000; (2) reasons why HMOs withdrew from FEHBP in plan years 1999 and 2000; and (3) FEHBP enrollment experiences for HMOs that withdrew from the program in 2000."

Testimony issued by the General Accounting Office with an abstract that begins "The Federal Information Security Management Act of 2002 reauthorizes and expands the information security, evaluation, and reporting requirements enacted in the National Defense Authorization Act for Fiscal Year 2001. Concerned that pervasive information security weaknesses place federal operations at significant risk of disruption, tampering, fraud, and inappropriate disclosures of sensitive information, Congress enacted the Government Security Reform Act (GISRA) for more effective oversight. The Federal Information Security Management Act also changes and clarifies information security issues noted in the first-year implementation of GISRA. In particular, the bill requires the development, promulgation of, and compliance with minimum mandatory management controls for securing information and information systems; requires annual agency reporting to both the Office of Management and Budget and the Comptroller General; and defines the evaluation responsibilities for national security systems. To ensure that information security receives appropriate attention and resources and that known deficiencies are addressed, it will be necessary to delineate the roles and responsibilities of the numerous entities involved; obtain adequate technical expertise to select, implement, and maintain controls; and allocate enough agency resources for information security."

Testimony issued by the General Accounting Office with an abstract that begins "The Social Security Administration (SSA) provided $450 billion in benefits to 50 million recipients in fiscal year 2001. Since 1995, when SSA became an independent agency, GAO has called for effective leadership and sustained management attention to several unresolved management challenges, including the redesign of its disability claims process, management and oversight problems with its SSI program, future service delivery demands, and implementing its information technology and research and policy development capacity. SSA has much more to do and will need to take bolder action or make more fundamental changes to existing programs."

Testimony issued by the General Accounting Office with an abstract that begins "Last year, President Bush proposed that the World Bank and other development banks replace half of all future loans to the world's poorest countries with grants. The goal of the proposal was to relieve poor countries' long term debt burdens. The World Bank estimates that the proposal would result in a financial loss of $100 billion dollars to it during the next 40 years. GAO found that the proposal would help poor countries reduce their debt burdens and that the World Bank would lose only $15.6 billion, which could be financed through relatively small increases in donor contributions. This testimony is based on an April report. (See GAO-02-593.)"