Correspondence issued by the General Accounting Office with an abstract that begins "In a May 18, 2004 letter, the Chairman of the House Select Committee on Homeland Security observed that many management and integration challenges remain at the Department of Homeland Security (DHS) and to strengthen the departmentwide reforms and transformation underway at DHS the Select Committee is considering options such as the Chief Operating Officer (COO) concept to help address these challenges. This letter describes the roles and responsibilities of an effective COO and presents certain options that could serve to strengthen and streamline management functions in a department as large and diverse as DHS. As agreed, we have summarized our reports on the COO concept, organizational transformation, as well as DHS's management and transformation challenges."

A letter report issued by the Government Accountability Office with an abstract that begins "Since the Congress enacted welfare reform legislation in 1996, child care assistance has served as a key support for work efforts among low-income families. Researchers have found that reliable, high-quality child care is critical to sustaining parents' ability to work, while safeguarding their children's health and intellectual development. States have flexibility in determining which low-income families are provided child care subsidies funded by the Child Care and Development Fund (CCDF), Temporary Assistance for Needy Families (TANF), and related state resources. States must balance the funds available for subsidies with the number of families who want subsidized child care. In doing so, states may find it necessary to change child care policies that affect program access or the amount of subsidy that eligible families receive. As Congress considers reauthorizing CCDF and TANF, we updated our previous report "Child Care: Recent State Policy Changes Affecting the Availability of Assistance for Low-Income Families" by providing current information on (1) the choices states have made for providing child care assistance to (a) TANF families, (b) families transitioning off TANF, and (c) other lowincome families; (2) the extent to which states …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Child Support Enforcement (CSE) program, focusing on: (1) changes in CSE welfare collections since 1994; (2) the net savings/cost experiences of state and federal CSE programs; (3) those states that have experienced declines in CSE welfare collections and how these declines affected their state's CSE program funding; and (4) the future implications of caseload declines and welfare reform changes for the CSE program."

A letter report issued by the Government Accountability Office with an abstract that begins "On September 30, 2002, the most recent date for which Department of Health and Human Services (HHS) data were available, about 126,000 foster children were waiting to be adopted. Estimates suggest that a significant portion of these children had one or more special needs, such as a medical condition or membership in a minority group, that may discourage or delay their adoption. Federal support in the form of adoption subsidies and incentive payments to states is available to promote special needs adoption. This report (1) identifies the major challenges to placing and keeping special needs children in adoptive homes, (2) examines what states and HHS have done to facilitate special needs adoptions, and (3) assesses how well the Adoption Assistance Program and the Adoption Incentives Program have worked to facilitate special needs adoptions, and determines if changes might be needed."

A letter report issued by the Government Accountability Office with an abstract that begins "GAO estimates that under the 2010 Patient Protection and Affordable Care Act (PPACA), about three-quarters of approximately 7 million children who were uninsured in January 2009 would be eligible for Medicaid, the State Children’s Health Insurance Program (CHIP), or the new premium tax credit. The remaining children had family incomes too high to be eligible, were noncitizens, or would be ineligible for the premium tax credit because they would be considered to have access to affordable employer-sponsored insurance per the Internal Revenue Service’s (IRS) proposed affordability standard, in which IRS interpreted PPACA as defining affordability for an employee’s eligible family members based on the cost of an employee-only plan. Some commenters raised concerns that IRS’s interpretation was inconsistent with PPACA’s goal of increasing access to affordable health insurance as it does not consider the higher cost of family insurance and could result in some children remaining uninsured. Under PPACA, CHIP is not funded beyond 2015, and states may opt to reduce CHIP eligibility or eliminate programs in fiscal year 2020. Without CHIP, more children could become uninsured. In May 2012, IRS finalized its rule but deferred …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the chronic fatigue syndrome (CFS) research activities administered by the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH), focusing on: (1) the CFS activities that CDC and NIH have supported; (2) the funds and resources CDC and NIH have devoted to CFS research; and (3) how CDC and NIH coordinate research and involve patient organizations and external researchers in developing their CFS research programs."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO provided information on the Civil Air Patrol, focusing on the: (1) nature of the relationship between the Air Force and the Patrol; (2) Air Force's oversight of the Patrol; (3) Patrol's management and oversight of its own activities; and (4) plans to resolve identified problems."

A letter report issued by the Government Accountability Office with an abstract that begins "The Environmental Protection Agency's (EPA) most recent data indicate that 95 percent of all Americans face an increased likelihood of developing cancer as a result of breathing air toxics--pollutants such as benzene and asbestos that may cause cancer or other serious health problems. Sources of air toxics include large industrial facilities, smaller facilities such as dry cleaners, and cars and trucks. The 1990 Clean Air Act Amendments required EPA to regulate 190 pollutants from these sources through a multifaceted regulatory program. While EPA issues federal standards, state and local agencies generally administer these standards, and some develop their own rules to complement the federal standards. In this context, GAO was asked to assess (1) EPA's progress and challenges in implementing the air toxics program, (2) available information on the program's costs and benefits, and (3) practices of state and local air toxics programs."

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the economic and compliance issues associated with two proposed Environmental Protection Agency (EPA) regulations to clean up polluted waters, focusing on: (1) the reasonableness of EPA's economic analyses for the two proposed regulations; and (2) whether EPA's determinations under the Unfunded Mandated Reform Act of 1995 and the Regulatory Flexibility Act were adequately supported."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed proposed revisions to Environmental Protection Agency (EPA) regulations to clean up polluted waters, focusing on: (1) the reasonableness of EPA's economic analyses for the Unfunded Mandates Reform Act of 1995 and the Regulatory Flexibility Act; and (2) whether EPA's determinations under the two proposed regulations were adequately supported."

A letter report issued by the Government Accountability Office with an abstract that begins "Spills of oil and hazardous substances in the St. Clair-Detroit River corridor have degraded this border area between the United States and Canada and are a potential threat to local drinking water supplies. Within the United States such spills are reported to the National Response Center (NRC), and in Canada to the Ontario Spills Action Centre. This report discusses (1) how many oil and hazardous substance spills greater than 50 gallons (or of an unknown volume) were reported in the corridor from 1994 to 2004, and how accurately reported spills reflect the extent of actual spills; (2) what processes are used to notify parties of spills, and if they contain explicit requirements for reporting times and spill magnitude; and (3) the extent of Environmental Protection Agency (EPA) and the Coast Guard's spill prevention efforts and enforcement activities in the corridor from 1994 to 2004."

A letter report issued by the Government Accountability Office with an abstract that begins "Communities will need hundreds of billions of dollars in coming years to construct and upgrade wastewater treatment facilities, sewer systems, and other water infrastructure. To finance these efforts, they will rely heavily on low-interest loans from the Environmental Protection Agency's (EPA) Clean Water State Revolving Fund (CWSRF) program to supplement their own funds. Through fiscal year 2005, states have used their CWSRFs to provide communities over $52 billion for a variety of water quality projects. The Clean Water Act allows states to use their CWSRFs to (1) construct or improve conventional wastewater infrastructure, (2) control diffuse (nonpoint) sources of pollution such as agricultural runoff and leaking septic systems, and (3) protect federally-designated estuaries. Given the states' flexibility in determining how to spend CWSRF dollars, GAO was asked to examine (1) the extent to which states use their CWSRF dollars to support conventional wastewater treatment infrastructure versus other qualifying expenses, (2) the strategies states use to allocate their CWSRF dollars among qualifying expenses, and (3) the measures states use to ensure that their allocation strategies result in the most efficient and effective use of CWSRF dollars. EPA …

Correspondence issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO provided information on the Environmental Protection Agency's (EPA) March 2000 climate change report, focusing on: (1) the agency's climate change programs for fiscal year (FY) 2001; (2) the programs' goals, strategies, and procedures to verify and validate performance information; (3) EPA's justification for requested funding increases; and (4) how the programs are justified independently of the Kyoto Protocol agreement."

A letter report issued by the Government Accountability Office with an abstract that begins "The Clinical Laboratory Improvement Amendments of 1988 (CLIA) strengthened and extended quality requirements for labs that perform tests to diagnose or treat disease. About 36,000 labs that perform certain complex tests must be surveyed biennially by either a state or one of six private accrediting organizations. CMS oversees implementation of CLIA requirements and the activities of survey organizations. GAO was asked to examine (1) the quality of lab testing; (2) the effectiveness of surveys, complaint investigations, and enforcement actions in detecting and addressing lab problems; and (3) the adequacy of CMS's CLIA oversight."

Testimony issued by the Government Accountability Office with an abstract that begins "Today's hearing focuses on oversight of clinical labs. The Clinical Laboratory Improvement Amendments of 1988 (CLIA) strengthened quality requirements for labs that perform tests to diagnose or treat disease. About 36,000 labs that perform certain complex tests must be surveyed biennially by a state survey agency, a state CLIA-exempt program, or a private accrediting organization. CMS oversees implementation of CLIA requirements, which includes determining the CLIA equivalency of the inspection requirements used by exempt states and accrediting organizations. GAO was asked to discuss (1) the quality of lab testing and (2) the adequacy of CLIA oversight. To examine these issues, GAO analyzed data on lab performance and reviewed the procedures used by CMS and survey organizations to implement CLIA and oversee lab performance. This testimony is based on the GAO report, Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened, GAO-06-416 (June 16, 2006)."

A letter report issued by the Government Accountability Office with an abstract that begins "Coal power plants generate about half of the United States' electricity and are expected to remain a key energy source. Coal power plants also account for about one-third of the nation's emissions of carbon dioxide (CO2 ), the primary greenhouse gas that experts believe contributes to climate change. Current regulatory efforts and proposed legislation that seek to reduce CO2 emissions could affect coal power plants. Two key technologies show potential for reducing CO2 emissions: (1) carbon capture and storage (CCS), which involves capturing and storing CO2 in geologic formations, and (2) plant efficiency improvements that allow plants to use less coal. The Department of Energy (DOE) plays a key role in accelerating the commercial availability of these technologies and devoted more than $600 million to them in fiscal year 2009. Congress asked GAO to examine (1) the maturity of these technologies; (2) their potential for commercial use, and any challenges to their use; and (3) possible implications of deploying these technologies. To conduct this work, GAO reviewed reports and interviewed stakeholders with expertise in coal technologies."

A letter report issued by the Government Accountability Office with an abstract that begins "The United States Coast Guard's Administrative Law Judge (ALJ) program is designed to, among other things, promote safety at sea while protecting mariners' rights and is composed of judges whose duties include presiding over cases involving mariners' credentials. If a mariner does not meet certain requirements related to safety and security at sea, Coast Guard investigative officers are to serve the mariner with a complaint that lists the allegation(s) and initiate proceedings that can result in the mariner's credential being suspended or revoked. GAO was asked to review elements of the ALJ program and this report addresses (1) the extent to which the ALJ program contains elements designed to foster the decisional independence of ALJs, (2) the extent to which the ALJ program includes protections for mariners and whether complaints and decisions include elements required by program regulations, and (3) the outcome of mariner suspension and revocation cases in recent years. To conduct this study, GAO analyzed the laws, regulations, and policies governing the ALJ program. GAO also reviewed all suspension and revocation cases opened and closed from November 10, 2005, through September 30, 2008, to …

A letter report issued by the Government Accountability Office with an abstract that begins "The U.S. Coast Guard's Deepwater program was designed to replace aging vessels and aircraft and information capabilities with new and upgraded assets and equipment. GAO's prior work raised concerns about the Coast Guard's efforts to upgrade or acquire assets on schedule and manage the Deepwater prime contractor. This report responds to congressional direction contained in a conference report accompanying the Department of Homeland Security (DHS) fiscal year 2007 appropriations bill. GAO addressed two objectives: (1) What is the status of key Deepwater assets and how is the Coast Guard addressing any asset-related challenges that have been encountered? (2) What is the status of the Coast Guard's overall management of the Deepwater contract? GAO's work is based on reports, memorandums, and data on the plans and management of the Deepwater program and interviews with key officials. GAO is not making any new recommendations. DHS and the Coast Guard reviewed a draft of this report and concurred with our findings."

A letter report issued by the Government Accountability Office with an abstract that begins "The Coast Guard's Deepwater Program, under the Department of Homeland Security (DHS), has experienced serious performance and management problems. Deepwater is intended to replace or modernize Coast Guard vessels, aircraft, and the communications and electronic systems that link them together. As of fiscal year 2008, over $4 billion has been appropriated for Deepwater. The Coast Guard awarded a contract in June 2002 to a lead system integrator, Integrated Coast Guard Systems (ICGS), to execute the program using a system-of-systems approach. In response to a Senate report accompanying a Department of Homeland Security appropriations bill, 2008, this GAO report assesses whether the changes the Coast Guard is making to its management and acquisition approach to Deepwater will put it in a position to realize better outcomes. GAO reviewed key program documents and interviewed Coast Guard and contractor personnel."

A letter report issued by the General Accounting Office with an abstract that begins "In 2002, the Coast Guard began its $17 billion, 20-year Integrated Deepwater System acquisition program to replace or modernize its cutters, aircraft, and communications equipment for missions generally beyond 50 miles from shore. During fiscal years 2002-03, Deepwater received about $125 million less than the Coast Guard had planned. In fiscal year 2004, Congress appropriated $668 million, $168 million more than the President's request. GAO has raised concern recently about the Coast Guard's initial management of Deepwater and the potential for escalating costs. GAO was asked to review the status of the program against the initial acquisition schedule and determine the impact of the additional $168 million in fiscal year 2004 funding on this schedule."

Testimony issued by the Government Accountability Office with an abstract that begins "The Coast Guard's fiscal year 2007 budget request total $8.4 billion, an increase of 4 percent ($328 million) over the approved budget for fiscal year 2006 and a slowing of the agency's budget increases over the past 2 fiscal years. This testimony, which is based on both current and past GAO work, synthesizes the results of these reviews as they pertain to meeting performance goals, adjusting to added responsibilities, acquiring new assets (especially the Deepwater program--to replace or upgrade cutters and aircraft, and the Rescue 21 program--to modernize rescue communications), and meeting other future challenges."

Correspondence issued by the Government Accountability Office with an abstract that begins "The U.S. Coast Guard is currently undertaking a major effort to update its command structure, support systems, and business practices. This effort, referred to as the modernization program, is intended to better position the service to fulfill not only traditional missions--such as ensuring the safety and security of commercial shipping, safeguarding U.S. fisheries, interdicting the smuggling of illicit drugs, and conducting search and rescue operations--but also homeland security responsibilities that expanded after September 11, 2001 (9/11). The modernization program is specifically focused on modifying the Coast Guard's command and control structure--including the establishment of four new organizational entities--as well as updating mission support systems, such as maintenance, logistics, financial management, human resources, acquisitions, and information technology. The proposed changes will have a major impact on a variety of functions servicewide, including management of Deepwater--the long-term, multibillion-dollar program to upgrade the Coast Guard's aging fleet of water vessels and aircraft. The conceptual framework for the modernization program is reflected in 10 Commandant Intent Action Orders, which were issued by the Commandant of the Coast Guard in 2006. Subsequently, congressional direction accompanying the Coast Guard's fiscal year 2008 appropriations required …

Testimony issued by the Government Accountability Office with an abstract that begins "In 2002, the Coast Guard began a multiyear, $19 billion to $24 billion acquisition program to replace or modernize its fleet of deepwater aircraft and cutters, so called because they are capable of operating many miles off the coast. For several years now, the Coast Guard has been warning that the existing fleet--especially cutters--was failing at an unsustainable rate, and it began studying options for replacing or modernizing the fleet more rapidly. Faster replacement is designed to avoid some of the costs that might be involved in keeping aging assets running for longer periods. This testimony, which is based both on current and past GAO work, addresses several issues related to these considerations: (1) changes in the condition of deepwater legacy assets during fiscal years 2000 through 2004; (2) actions the Coast Guard has taken to maintain and upgrade deepwater legacy assets; and (3) management challenges the Coast Guard faces in acquiring new assets, especially if a more aggressive schedule is adopted."

A letter report issued by the Government Accountability Office with an abstract that begins "The Coast Guard has been pursing a replacement vessel for its aging and deteriorating patrol boats as part of the Integrated Deepwater System (or Deepwater) acquisition. Originally, all 49 of the Coast Guard's 110-foot patrol boats were to be converted into 123-foot patrol boats as a bridging strategy until a replacement vessel, the 140-foot Fast Response Cutter (FRC) came on line beginning in 2018. The initial conversions of the 110-foot patrol boats proved unsuccessful, though, and this prompted the Coast Guard to cancel further patrol boat conversions and accelerate the design and delivery of the FRC from 2018 to 2007. Early design efforts called for the FRC's hull, decks, and bulkheads to be made from composite materials rather than steel. Recently, design problems with the FRC's hull shape and weight have raised questions about the viability of the FRC design and use of composite materials. This report examines (1) the factors that went into the decision to use composite materials for the FRC hull, (2) the types of composite materials that have been selected for the FRC hull, (3) the extent of contingency plans developed for …