Testimony issued by the General Accounting Office with an abstract that begins "Until the 2001 flu season, the production and distribution of influenza vaccine generally went smoothly. Last year, however, several people reported that they wanted but could not get flu shots. In addition, physicians and public health departments could not provide shots to high-risk patients in their medical offices and clinics because they had not received vaccine they ordered many months in advance, or because they were being asked to pay much higher prices for vaccine in order to get it right away. At the same time, there were reports that providers in other locations, even grocery stores and restaurants, were offering flu shots to everyone--including younger, healthier people who were not at high risk. This testimony discusses the delays in production, distribution, and pricing of the 2000-2001 flu vaccine. GAO found that manufacturing difficulties during the 2000-2001 flu season resulted in an overall delay of about six to eight weeks in shipping vaccine to most customers. This delay created an initial shortage and temporary price spikes. There is no system in place to ensure that high-risk people have priority for receiving flu shots when supply is short. Because …

Correspondence issued by the General Accounting Office with an abstract that begins "The Federal Acquisition Streamlining Act of 1994 allows the use of performance-based payment (PBP) as an alternative to other forms of contract financing. According to the Department of Defense (DOD), the paying office processed about one million invoices for 363,000 major contracts. In fiscal year 1999, only 195 of these contracts contained performance-based provisions. These contracts are so few in number because they are a relatively new form of contracting within DOD. In November 2000, however, DOD indicated that performance-based financing will be military's preferred contract financing method for future fixed-price contracts. This report reviews the C-17 aircraft production program as a case study of the business processes used to make investment expenditures during the production phase of a major weapons system. GAO chose this contract because it is mature, stable, and is performance-based rather than cost-based. GAO found internal control weaknesses in the C-17 program affecting compliance with regulations, policies, and procedures over (1) establishing withhold amounts by the Air Force contracting officer for conditionally accepted items, (2) processing by the Administrative Contracting Officer for performance-based payment requests, (3) processing by the Administrative Contracting Officer of invoices …

Testimony issued by the General Accounting Office with an abstract that begins "Concerns have been growing about the air quality, visibility, and respiratory illnesses around the Great Smoky Mountains National Park, which straddles the border between North Carolina and Tennessee. This testimony analyzes recent trends in and contributing factors to (1) visibility impairments, (2) ground-level ozone, and (3) respiratory illnesses. This testimony also examines the Tennessee Valley Authority's (TVA) plans to reduce its emission of regulated pollutants. Visibility impairments and ozone are largely attributable to the following three types of emissions: sulfur dioxide, nitrogen oxides, and volatile organic compounds. The counties that border the park generally have slightly higher mortality rates from two types of respiratory illness. The three types of emissions interact in the atmosphere to form ozone gas and sulfate particles, which are linked to respiratory illnesses. In response to federal laws and other factors, TVA is making substantial environment-related investments and expects to reduce its annual emissions of sulfur dioxide by 36 percent and its "ozone-season" emissions of nitrogen oxides by 68 percent between 1999 and 2005. This testimony summarizes a May report, (GAO-01-658)."

Correspondence issued by the General Accounting Office with an abstract that begins "This report discusses the Emergency Steel Loan Program, which provides loan guarantees to qualified steel producing companies. GAO found that there has been only one guaranteed loan disbursed by a private lender for $110 million. With an 85 percent guarantee, the federal government's potential loss is $93.5 million, assuming no repayments and no recovery from property pledged as collateral. The financial condition of program applicants is not strong, and repayments of loans depend upon many future factors. Economic analysis indicates a flat demand for steel, moderate prices, and static imports of foreign steel forecasted for 2002 and 2003. Because of the low loan amount, the program has had a minimal overall effect on the U.S. steel industry through March 2001."

Correspondence issued by the General Accounting Office with an abstract that begins "This report identifies U.S. locations where beryllium was used in workplace processes or detected as present in the workplace. Data show that beryllium was used or detected at locations in 45 of 50 states, plus the District of Columbia. However, the number of locations varied by state. For example, 30 states and the District of Columbia were reported as having from one to 10 locations, while 15 states were reported as having from 11 to 41 locations. The states without reported beryllium use were Alaska, Delaware, Minnesota, Vermont, and Wyoming."

Congress established the Census Monitoring Board to observe and monitor all aspects of the preparation and implementation of the 2000 decennial census. After the completion of the 200 census, many thoughtful parties continue a sincere debate over the implementation of statistical adjustment as a means of increasing the accuracy of the census and for its use in redistricting and the allocation of government funds and services. On March 1, 2001, the Census Bureau's Executive Steering Committee overseeing the post-census evaluation phase, the Accuracy and Coverage Evaluation (A.C.E.), recommended against adjusting the count. Reasonable people, including leading statisticians, have reviewed the statistical adjustment methodology and have raised legitimate questions. This report attempts to put that methodology into perspective and add to what will be further debate and discussion on how all of us as shareholders can continue to work together to ensure the most accurate census possible.

Testimony issued by the General Accounting Office with an abstract that begins "At the federal level the Department of Health and Human Services (HHS) is seeking to better protect human subjects in biomedical research by enhancing the visibility of its human subjects protection activities, improving its monitoring of compliance with relevant regulations by institutions and investigators, and strengthening enforcement of those regulations. HHS has also issued new guidance and is collecting information to improve oversight and monitoring at the institutional level. HHS activities directed at the investigator level consist largely of educational efforts to heighten investigators' awareness of and compliance with ethical policies and practices in conducting research. Overall, HHS' actions appear promising, but GAO has some concerns about the pace and scope of HHS' efforts to ensure the safety and protection of participants in clinical trials."

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 licensed acupuncturist may perform "spinal manipulation" (RQ-0308-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 district attorney subject to the Professional Prosecutors Act may serve as a legal officer in the Air Force Reserve and related questions (RQ-0326-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 an "optometric glaucoma specialist" may use that designation as his sole professional title(RQ-0329-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 without violating article 3 section 53 of the Texas Constitution a county may pay group-health-insurance premiums for retirees for whom ,at the time they retired , the county did not provide such benefits and related questions.(RQ-0334-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 "joint clerk" who performs the duties of both the district clerk and the county clerk is entitled to complete the term of office to which elected when the county population exceeds eight thousand persons after the release of the 2000 United States Census of Population(RQ-0339-JC).

Testimony issued by the General Accounting Office with an abstract that begins "Federal agencies spend billions of tax dollars each year to buy services--from clerical support to information technology assistance to the management of national laboratories. The federal government spent more than $87 billion in services--a 24 percent increase in real terms from fiscal year 1990. Some service procurements are not being done efficiently, putting taxpayer dollars at risk. In particular, agencies are not clearly defining their requirements, fully considering alternative solutions, performing vigorous price analyses, and adequately overseeing contractor performance. This testimony (1) describes service contracting trends and the changing acquisition environment, (2) discusses the challenges confronting the government in acquiring services, and (3) highlights some efforts underway to address these challenges. GAO found that purchases of services now account for about 43 percent of federal contracting expenses--the largest single spending category. The growth of services has been driven largely by the government's increased purchases of information technology services and professional, administrative, and management support services. Poor contract management has undermined the government's ability to obtain good value for the money and continues to be a major problem for the two biggest service purchasers-the Departments of Defense and Energy. …

Testimony issued by the General Accounting Office with an abstract that begins "To better protect the nation's critical computer-dependent infrastructures from computer-based attacks and disruption, the President issued a directive in 1998 that established the National Infrastructure Protection Center as a national focal point for gathering information on threats and facilitating the federal government's response to computer-based incidents. This testimony discusses the center's progress in (1) developing national capabilities for analyzing cyber threat and vulnerability data and issuing warnings, (2) enhancing its capabilities for responding to cyber attacks, and (3) developing outreach and information-sharing initiatives with government and private-sector entities. GAO found that although the center has taken some steps to develop analysis and warning capabilities, the strategic capabilities described in the presidential directive have not been achieved. By coordinating investigations and providing technical assistance the center has provided important support that has improved the Federal Bureau of Investigations' ability to investigate computer crimes. The center has also developed crisis management procedures and drafted an emergency law enforcement sector plan, which is now being reviewed by sector members. The center's information-sharing relationships are still evolving and will probably have limited effectiveness until reporting procedures and thresholds are defined and trust …

Correspondence issued by the General Accounting Office with an abstract that begins "This is the third in a series of GAO reports evaluating the military services' efforts to reduce weapons systems operating and support costs. GAO previously reported on Army and Air Force efforts. This report evaluates the Navy and Marine Corps pilot programs. GAO found that the Navy and Marine Corps have begun several efforts to reduce weapon system operating and support costs. For example, they are using an open architecture design method that reduces the cost of component replacement and changes later in system life. In addition, the Navy has other related objectives and initiatives that could significantly reduce operating and support costs. Through these and other initiatives, the Navy and Marine Corps have reported progress in reducing operating and support cost in its pilot programs."

Testimony issued by the General Accounting Office with an abstract that begins "All the military services extensively use cannibalization--the removal of a working component from one aircraft to install it on another--as a routine aircraft maintenance strategy. However, neither the Department of Defense nor the services know the overall magnitude of this practice. Cannibalizations increase maintenance costs by increasing workloads, may affect morale and the retention of personnel, and sometimes result in the unavailability of expensive aircraft for long periods of time. Cannibalizations also can create unnecessary mechanical problems for maintenance personnel. With the exception of the Navy, the services do not consistently track the specific reasons for cannibalizations. In the broadest sense, cannibalizations are done because of pressures to meet readiness and operational needs and the shortcomings of the supply system. In addition, a Navy study found that cannibalizations are sometimes done because mechanics are not trained well enough to diagnose problems or because testing equipment is either not available or not working. Although the services have undertaken some initiatives to reduce cannibalizations, none of them have developed a specific strategy to reduce the maintenance hours associated with cannibalizations. Because they view cannibalization as a symptom of spare parts …

Other written product issued by the General Accounting Office with an abstract that begins "GAO reviewed violation of the Federal Vacancies Reform Act of 1998 and noted that, during the last administration, the acting Director of the Institute of Museum and Library Services (Institute) had served longer than the 210-day period allowed under the Act. However, with the recent Presidential transition, an acting Director may, as of January 20, 2001, once again temporarily serve for the time period allowed under the Presidential inaugural transition provision. Therefore, no action need be taken at this time since there is no current violation of the Act."

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses lessons learned from the Department of Defense's (DOD) TRICARE contracts and their implications for the future. TRICARE's successes and maturity reflect the ability of the DOD and its contractors to work within the current contract structure. However, it has not been easy, and there are important lessons from current contract shortcomings that need to be addressed in designing future TRICARE contracts. Most, including DOD, believe that the current contracts are too large, complex, and prescriptive in nature, limiting innovation and competition. Also, numerous adjustments to these contracts have created an unstable program, and program costs have been difficult to predict, contributing to annual funding shortfalls. Additionally, financial incentives, accountability, and data quality need to be strengthened to achieve greater efficiencies. To address these weaknesses, DOD redesigned its solicitation for the next round of TRICARE contracts; however, the initial issuance was withdrawn because of internal concerns and reservations about its costs and specifications. DOD is now reassessing how to structure the TRICARE contracts and is considering the views and recommendations of the Defense Medical Oversight Committee, a group formed to oversee TRICARE."

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the U.S. government's rule of law assistance efforts in the new independent states of the former Soviet Union. GAO found that these efforts have had limited impact so far, and results may not be sustainable in many cases. U.S. agencies have had some success in introducing innovative legal concepts and practices in these countries. However, the U.S. assistance has not often had a major, long-term impact on the evolution of the rule of law in these countries. In some cases, countries have not widely adopted the new concepts and practices that the United States has advocated. In other cases, continuation or expansion of the innovations depends on further funding from the U.S. or other donors. In fact, the rule of law appears to have actually deteriorated in recent years in several countries, including Russia and Ukraine, according to the data used to measure the results of U.S. development assistance in the region and a host of U.S. government and foreign officials. This testimony summarizes an April 2001 report (GAO-01-354)."

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the recruitment and the retention of nursing staff, including both nurses and nurses aides, and concerns about the future supply of these workers. The health and long-term care systems in the United States rely heavily on the services of both nurses and nurses aides, the two largest groups of health care workers. GAO found that the recruitment and the retention of both nurses and nurses aides are major concerns for health care providers. Experts and providers have reported a shortage of nurses, partly as a result of patients' increasingly complex care needs. This shortage is expected to become more serious as the population ages and the demand for nurses increases. Several factors combine to constrain the current and future supply of nurses. Like the population in general, the nurse workforce is aging; the average age of a registered nurse rose from 37 years in 1983 to 42 years in 1998. Enrollments in nursing programs have declined during the last five years, shrinking the pool of new workers available to replace those who are retiring. Many studies also report less job satisfaction among nurses, which could …

Testimony issued by the General Accounting Office with an abstract that begins "To ensure that people claiming disability insurance program benefits can obtain legal representation at a fair price, the Social Security Administration (SSA) is required to regulate the fees that attorneys charge people to represent their disability claims before the agency. Balancing the needs of the claimants with those of their attorneys, the law limits the amount of fees that attorneys can charge claimants, but also guarantees that those fees will be paid from the claimants' past-due benefits. Inefficiencies in the current process increase both the time it takes to pay the attorney fees and the cost of administration. One segment of attorney fee processing--the fee approval process--was substantially simplified in 1991. Systems support could streamline the second segment of the processing--the fee payment--thus lowering the annual administrative costs and cutting processing time. Automation of this final segment of the fee process could help improve customer service for both claimants and their attorneys."

Correspondence issued by the General Accounting Office with an abstract that begins "The District of Columbia Appropriations Act of 2001 provided $250,000 for a contract to study and develop a plan to simplify the compensation systems, schedules, and work rules for DC government employees. The act placed several conditions on the appropriation, one of which was that GAO review the proposed solicitation for the contract to ensure that it adequately addressed all of the elements stipulated in the act. Government officials initially told GAO that they planned to apply the $250,000 payment to existing contracts that were being used in the District's independent effort to reform its classification and compensation systems--and therefore would not carry out the conditions that Congress had set for receipt of the funds. More recently, however, the officials said that they no longer plan to use the funds because doing so would delay the District's reform effort."

Testimony issued by the General Accounting Office with an abstract that begins "The District of Columbia has taken various steps to implement a performance management process, and Congress has continued to provide oversight to strengthen the District's ability to efficiently and effectively deliver results to its taxpayers. This testimony discusses GAO's (1) ongoing review of the District's fiscal year 2000 performance report; (2) report issued in April 2001 on the implementation of the District's new financial management system; and (3) report being issued in May 2001 on the District's decision not to use money that Congress provided to help simplify the District's compensation systems, schedules, and work rules. GAO found that although the fiscal year 2000 report more fully met statutory requirements than did the 1999 report, performance planning, measurement and reporting is still a work in progress in the District. The District continues to face significant challenges in its efforts to put in place a financial management framework that ensures timely and reliable data on the cost of the District's operations. Finally, the District no longer plans to use the $250,000 appropriated by Congress for reform of the District's classification and compensation systems because doing so would delay their …

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the Department of Agriculture's (USDA) farm loan programs, which are run by the Farm Service Agency (FSA). GAO (1) provides an overview of the financial condition of FSA's farm loan portfolio as of September 30, 2000 and (2) explains its decision to remove the farm programs from its high-risk list. GAO found that FSA had more than $16.6 billion in outstanding farm loans as of September 30, 2000; direct loans accounted for slightly more than half of this amount and guaranteed loans for slightly less than half. Of the $16.6 billion, about $2.1 billion was owed by borrowers who were delinquent on repaying their FSA loans. Most (87 percent) of the $2.1 billion was owed on direct farm loans. Although the total amount due on the problem loans remains high, this financial position reflects improvement in FSA's direct loan portfolio in recent years as well as a continuation of a relatively healthy guaranteed loan portfolio. In January 2001, GAO removed FSA's farm loan programs from its high-risk list. Several actions taken by Congress and USDA, many of which GAO recommended, have significantly improved the operation …