This report discusses four federal programs which provide funds for the construction of nursing homes and their various provisions for funding.

This report discusses the National Commitments Act of 1969 which defined what a national commitment was and that they could only be undertaken with legislative consent not just a Presidential order. It was passed by the Senate in 1969. The legislative history of the bill is outlined in this report.

Correspondence issued by the Government Accountability Office with an abstract that begins "In August and September 2005, Hurricanes Katrina and Rita caused devastating damage to states along the Gulf Coast. In the aftermath of the storms, many questions were raised about the status of the thousands of children living in the affected areas. We prepared this preliminary information under the Comptroller General's authority to learn more about (1) the number of missing children and the challenges and lessons learned in locating them; (2) the number of foster and other children receiving child welfare services in Louisiana, in particular, who were affected by the storm, and the challenges and lessons learned in locating and serving them; and (3) the number of schoolchildren displaced by the storm, the damage to their schools, and the challenges and lessons learned for educating displaced school-aged children."

A letter report issued by the Government Accountability Office with an abstract that begins "Partnership programs allow individuals who purchase Partnership long-term care insurance policies to exempt at least some of their personal assets from Medicaid eligibility requirements. In response to a congressional request, GAO examined (1) the benefits and premium requirements of Partnership policies as compared with those of traditional long-term care insurance policies; (2) the demographics of Partnership policyholders, traditional long-term care insurance policyholders, and people without long-term care insurance; and (3) whether the Partnership programs are likely to result in savings for Medicaid. To examine benefits, premiums, and demographics, GAO used 2002 through 2005 data from the four states with Partnership programs--California, Connecticut, Indiana, and New York--and other data sources. To assess the likely impact on Medicaid savings, GAO (1) used data from surveys of Partnership policyholders to estimate how they would have financed their long-term care without the Partnership program, (2) constructed three scenarios illustrative of the options for financing long-term care to compare how long it would take for an individual to spend his or her assets on long-term care and become eligible for Medicaid, and (3) estimated the likelihood that Partnership policyholders would become …

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses the findings from our recent work on federal employment and training programs and our prior work on the Workforce Investment Act of 1998 (WIA). GAO has recently identified 47 federally-funded employment and training programs for fiscal year 2009, defining them as programs that are specifically designed to enhance the job skills of individuals in order to increase their employability, identify job opportunities, and/or help job seekers obtain employment. These programs, which are administered by nine separate federal agencies--including the Departments of Labor, Education, and Health and Human Services (HHS)--spent about $18 billion dollars in fiscal year 2009 to provide services such as job search assistance and job counseling to program participants. Seven programs accounted for about three-fourths of this spending, and two--Wagner- Peyser funded Employment Service (ES) and WIA Adult--together reported serving over 18 million individuals, or about 77 percent of the total number of participants served across all programs. Forty-four of the 47 programs we identified, including those with broader missions such as multipurpose block grants, overlap with at least one other program in that they provide at least one similar service to a …

A letter report issued by the General Accounting Office with an abstract that begins "The West Valley nuclear facility in western New York State was built in the 1960s to convert spent nuclear fuel from commercial reactors into reusable nuclear fuel. New York State, the owner of the site, and the Atomic Energy Commission--the predecessor of the Nuclear Regulatory Commission (NRC) and the Department of Energy (DOE)--jointly promoted the venture. However, the timing of the venture was poor because the market for reprocessed nuclear fuel was limited and because new, more restrictive health and safety standards raised concerns about the facility. West Valley was shut down in the 1970s, and Congress enacted the West Valley Demonstration Project Act in 1980, which brought DOE to West Valley to carry out cleanup activities. This report examines the: (1) status of the cleanup; (2) factors that may be hindering the cleanup; (3) degree of certainty in the Department's estimates of total cleanup costs and schedule; and (4) degree to which the West Valley cleanup may reflect, or have implications for, larger cleanup challenges facing DOE and the nation. DOE has almost completed solidifying the high-level wastes at West Valley, but major additional cleanup …

Testimony issued by the Government Accountability Office with an abstract that begins "To ensure that essential government services are available in emergencies, federal agencies are required to develop continuity of operations (COOP) plans. The Federal Emergency Management Agency (FEMA), within the Department of Homeland Security (DHS), is responsible for providing guidance to agencies on developing such plans. Its guidance states that in their continuity planning, agencies should consider the use of telework--that is, work performed at an employee's home or at a work location other than a traditional office. The Office of Personnel Management (OPM) recently reported that 43 agencies have identified staff eligible to telework, and that more than 140,000 federal employees used telework in 2004. OPM also reported that many government operations can be carried out in emergencies using telework. For example, telework appears to be an effective strategy for responding to a pandemic--a global outbreak of disease that spreads easily from person to person and causes serious illness and death worldwide. In previous work, GAO identified steps that agencies should take to effectively use telework during an emergency. GAO was asked to testify on how agencies are addressing the use of telework in their continuity planning, which …

A letter report issued by the Government Accountability Office with an abstract that begins "Many servicemembers supporting Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) have engaged in intense and prolonged combat, which research has shown to be strongly associated with the risk of developing post-traumatic stress disorder (PTSD). GAO, in response to the Ronald W. Reagan National Defense Authorization Act for Fiscal Year 2005, (1) describes DOD's extended health care benefit and VA's health care services for OEF/OIF veterans; (2) analyzes DOD data to determine the number of OEF/OIF servicemembers who may be at risk for PTSD and the number referred for further mental health evaluations; and (3) examines whether DOD can provide reasonable assurance that OEF/OIF servicemembers who need further mental health evaluations receive referrals."

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Social Security Administration's (SSA) efforts to prepare its workforce to meet future service delivery challenges, focusing on: (1) SSA's reasons for the 7-year delay in developing a service delivery vision; (2) what SSA's decision not to issue a detailed service delivery plan means for customer service; (3) the differences between a service vision and a service delivery plan; (4) effect the absence of a detailed plan will have on SSA's information technology and its workforce; (5) benefits from SSA's investments in its computer modernization; (6) special challenges SSA will face as a result of the changing needs of its customers; (7) reasons why customers cannot apply for Social Security benefits on-line and the effect on-line applications for benefits will have on SSA's service delivery; and (8) various technology initiatives being implemented."

A letter report issued by the Government Accountability Office with an abstract that begins "The Omnibus Budget Reconciliation Act of 1993 (the fees legislation) required the National Park Service to begin collecting fees from operators that conduct air tours over national park units that meet certain criteria. Currently, only Grand Canyon, Haleakala, and Hawaii Volcanoes National Parks meet the criteria to charge air tour fees. The Federal Aviation Administration (FAA), in cooperation with the Park Service, also regulates air tours over park units pursuant to the National Parks Overflights Act of 1987 and the National Parks Air Tour Management Act of 2000. GAO was asked to (1) assess the Park Service's collection of air tour fees and (2) identify what factors, if any, hinder the collection of air tour fees. GAO is also providing information on the possible expansion of air tour fees to additional park units."

A letter report issued by the Government Accountability Office with an abstract that begins "Since the 1980s, the V-22, developed to transport combat troops, supplies, and equipment for the U.S. Marine Corps and to support other services' operations, has experienced several fatal crashes, demonstrated various deficiencies, and faced virtual cancellation--much of which it has overcome. Although until recently deployed in Iraq and regarded favorably, it has not performed the full range of missions anticipated, and how well it can do so is in question. In view of concerns about the V-22 program, you asked us to determine if the V-22 will perform as promised, and if it will, at what cost. GAO reviewed (1) current MV-22 operations in Iraq; (2) strengths and deficiencies in terms of the capabilities expected of the V-22; and (3) past, current, and future costs. GAO reviewed a range of program documents and data, interviewed program officials, operators and others; and observed MV-22 operations in Iraq and shipboard."

A letter report issued by the Government Accountability Office with an abstract that begins "Some of the Department of Defense's (DOD) weapon systems remain in the inventory for decades. Therefore, decisions that program officials make during the acquisition process to acquire or not acquire rights to technical data, which may cost $1 billion, can have far-reaching implications for DOD's ability to sustain and competitively procure parts and services for those systems. DOD needs access to technical data to control costs, maintain flexibility in acquisition and sustainment, and maintain and operate systems. In response to a congressional request, GAO reviewed the extent to which: (1) DOD has updated its acquisition and procurement policies to reflect a 2007 law and 2006 GAO recommendations; (2) selected acquisition programs adhered to requirements to document technical-data needs; and (3) DOD took actions to improve technical-data decisions by program managers. GAO interviewed DOD officials, reviewed acquisition strategies and acquisition plans from 12 programs, and compared those documents to relevant DOD policies."

A letter report issued by the Government Accountability Office with an abstract that begins "The 2003 Roadmap for Peace process sponsored by the United States and other nations obligates the Palestinian Authority (PA) and the Government of Israel to undertake security efforts as a necessary precursor for achieving the long-standing objective of establishing a Palestinian state as part of the two-state solution for peace in the Middle East. In 2005 the Department of State (State) created the office of the United States Security Coordinator (USSC) to help the parties meet these obligations. GAO was asked to (1) describe the nature and extent of U.S. security assistance to the PA since 2007; (2) assess State's efforts to measure the effectiveness of its security assistance; and (3) describe factors that may affect the implementation of U.S. security assistance programs. GAO analyzed documents; interviewed officials and regional experts; and conducted fieldwork in Jerusalem, the West Bank, Israel, and Jordan."

Correspondence issued by the Government Accountability Office with an abstract that begins "In response to a Congressional request, we issued a report in April 2005 on the Department of Defense's (DOD) efforts to address personal financial management (PFM) issues encountered by its servicemembers and their families. In that report, we made recommendations to the Secretary of Defense to enhance servicemembers' financial conditions and the effectiveness of DOD's PFM programs and training. On March 17, 2005, we provided a draft of that report to DOD for review and comment. DOD did not provide comments in time to incorporate them in the final GAO report that went to printing on April 22, 2005. To present DOD's comments and provide our perspective on them, this report briefly summarizes our April 2005 report's objectives, results, and recommendations, along with DOD's comments and our evaluation of the comments. We answered three questions in our April 2005 report: (1) To what extent does deployment impact the financial conditions of active duty servicemembers and their families? (2) Does DOD have an oversight framework for evaluating military programs that assist both deployed and non-deployed servicemembers in managing their personal finances? And (3) To what extent are junior enlisted …

A letter report issued by the Government Accountability Office with an abstract that begins "Tall smokestacks--stacks of 500 feet or higher, which are primarily used at coal power plants--release air pollutants such as sulfur dioxide (SO2) and nitrogen oxides (NOx) high into the atmosphere to help limit the impact of these emissions on local air quality. Tall stacks can also increase the distance these pollutants travel in the atmosphere and harm air quality and the environment in downwind communities. The 1977 amendments to the Clean Air Act encourage the use of pollution control equipment over dispersion techniques, such as tall stacks, to meet national air standards. Section 123 of the Act does not limit stack height, but prohibits sources of emissions from using the dispersion effects of stack heights in excess of a stack's good engineering practice (GEP) height to meet emissions limitations. GAO was asked to report on (1) the number and location of tall stacks of 500 feet or higher at coal power plants and when they began operating; (2) what is known about such stacks' contribution to the interstate transport of air pollution and the pollution controls installed at plants with these stacks; and (3) the number …

Correspondence issued by the General Accounting Office with an abstract that begins "GAO's January 2001 Performance and Accountability Series provides an overview of management issues at the Department of Housing and Urban Development (HUD). In the series, GAO made several recommendations to improve HUD's programs and operations. This report reviews the status of nine key recommendations. GAO found that HUD has taken important steps toward addressing some of its management deficiencies; however, significant weaknesses persist in some major areas, including single-family mortgage insurance, rental housing assistance, information and financial management systems, and human capital."

A letter report issued by the Government Accountability Office with an abstract that begins "To ensure that essential government services are available in emergencies, federal agencies are required to develop continuity of operations (COOP) plans. The Federal Emergency Management Agency (FEMA), within the Department of Homeland Security (DHS), is responsible for overseeing and assessing the status of COOP capabilities of federal executive branch agencies. It has developed guidance stating that agency COOP plans must designate alternate facilities and prepare personnel for unannounced relocation to these facilities. The guidance also states that agencies should consider the use of telework in their continuity plans. GAO was asked to follow up on its previous work on COOP planning and determine, among other things, to what extent (1) 6 selected agencies prepared their alternate facilities and (2) 23 major agencies made preparations necessary to effectively use telework in emergency situations."

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the National Aeronautics and Space Administration's (NASA) space station program's prime contract changes during fiscal years 1998 and 1999, focusing on: (1) the number of changes made to the original contract, how many added capability or revised initial designs, and the total estimated cost of the changes; (2) the number of changes that either added capability or revised initial designs and for which work began before NASA and the contractor agreed on a cost estimate and their total estimated cost; (3) the difference between the proposed and final negotiated costs of changes for which work began before NASA and the contractor agreed on a cost; and (4) instances in which NASA spent funds for space station enhancements that were not called for in the original contract's baseline design and are not currently included in NASA's space station program budget."

A letter report issued by the Government Accountability Office with an abstract that begins "In the early 1980s, volatile organic compounds (VOCs) were discovered in some of the water systems serving housing areas on Marine Corps Base Camp Lejeune. Exposure to certain VOCs may cause adverse health effects, including cancer. In 1999, the Department of Health and Human Services' (HHS) Agency for Toxic Substances and Disease Registry (ATSDR) began a study to examine whether individuals who were exposed in utero to the contaminated drinking water are more likely to have developed certain childhood cancers or birth defects. ATSDR has projected a December 2007 completion date for the study. The National Defense Authorization Act of Fiscal Year 2005 required GAO to report on past drinking water contamination and related health effects at Camp Lejeune. In this report GAO describes (1) efforts to identify and address the past contamination, (2) activities resulting from concerns about possible adverse health effects and government actions related to the past contamination, and (3) the design of the current ATSDR study, including the study's population, time frame, selected health effects, and the reasonableness of the projected completion date. GAO reviewed documents, interviewed officials and former residents, and …

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO followed up on its report on the General Services Administration's (GSA) building repairs and alterations program."

Correspondence issued by the Government Accountability Office with an abstract that begins "In November 2006, we issued our report on the results of our audit of the Internal Revenue Service's (IRS) financial statements as of, and for the fiscal years ending, September 30, 2006, and 2005, and on the effectiveness of its internal controls as of September 30, 2006. We also reported our conclusions on IRS's compliance with significant provisions of selected laws and regulations and on whether IRS's financial management systems substantially comply with requirements of the Federal Financial Management Improvement Act of 1996. A separate report on the implementation status of recommendations from our prior IRS financial audits and related financial management reports, including this one, will be issued shortly. The purpose of this report is to discuss issues identified during our audit of IRS's financial statements as of, and for the fiscal year ending September 30, 2006, regarding internal controls that could be improved for which we do not currently have any recommendations outstanding. Although not all of these issues were discussed in our fiscal year 2006 audit report, they all warrant management's consideration. This report contains 21 recommendations that we are proposing IRS implement to improve …

A letter report issued by the Government Accountability Office with an abstract that begins "The Transportation Security Administration's (TSA) efforts to evaluate the security of foreign airports and air carriers that service the United States are of great importance, particularly considering that flights bound for the United States from foreign countries continue to be targets of coordinated terrorist activity, as demonstrated by the alleged August 2006 liquid explosives terrorist plot. For this review, GAO evaluated the results of foreign airport and air carrier evaluations; actions taken and assistance provided by TSA when security deficiencies were identified; TSA's oversight of its foreign airport and air carrier evaluation programs; and TSA's efforts to address challenges in conducting foreign airport and air carrier evaluations. To conduct this work, GAO reviewed foreign airport and air carrier evaluation results and interviewed TSA officials, foreign aviation security officials, and air carrier representatives."

A letter report issued by the Government Accountability Office with an abstract that begins "Decisions by the military services on where to base their force structure can have significant strategic, socioeconomic, and cost implications for the Department of Defense (DOD) and the communities surrounding the bases. Each service uses its own process to make basing decisions. The House Committee on Armed Services directed GAO to review the services' basing decision processes. GAO examined the extent to which (1) the services have comprehensive processes in place that are designed to result in well-informed basing decisions and (2) DOD exercises management control of these processes. GAO reviewed and analyzed DOD and service guidance, studies, and relevant documents on implementation and oversight of the services' basing processes."

A letter report issued by the Government Accountability Office with an abstract that begins "In 1995, GAO first designated the Department of Defense's (DOD) business systems modernization program as "high-risk," and continues to do so today. In 2004, Congress passed legislation reflecting prior GAO recommendations for DOD to adopt a corporate approach to information technology (IT) business system investment management. To support GAO's legislative mandate to review DOD's efforts, GAO assessed whether the department's corporate investment management approach comports with relevant federal guidance. In doing so, GAO applied its IT Investment Management framework and associated methodology, focusing on the framework's stages related to the investment management provisions of the Clinger-Cohen Act of 1996."