Influenza Pandemic: Federal Agencies Should Continue to Assist States to Address Gaps in Pandemic Planning (open access)

Influenza Pandemic: Federal Agencies Should Continue to Assist States to Address Gaps in Pandemic Planning

A letter report issued by the Government Accountability Office with an abstract that begins "The Implementation Plan for the National Strategy for Pandemic Influenza states that in an influenza pandemic, the primary response will come from states and localities. To assist them with pandemic planning and exercising, Congress has provided $600 million to states and certain localities. The Department of Homeland Security (DHS) established five federal influenza pandemic regions to work with states to coordinate planning and response efforts. GAO was asked to (1) describe how selected states and localities are planning for an influenza pandemic and who they involved, (2) describe the extent to which selected states and localities conducted exercises to test their influenza pandemic planning and incorporated lessons learned as a result, and (3) identify how the federal government can facilitate or help improve state and local efforts to plan and exercise for an influenza pandemic. GAO conducted site visits to five states and 10 localities."
Date: June 19, 2008
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Gulf Coast Disaster Recovery: Community Development Block Grant Program Guidance to States Needs to Be Improved (open access)

Gulf Coast Disaster Recovery: Community Development Block Grant Program Guidance to States Needs to Be Improved

A letter report issued by the Government Accountability Office with an abstract that begins "Almost 4 years after the 2005 Gulf Coast hurricanes, the region continues to face daunting rebuilding challenges. To date, $19.7 billion in Community Development Block Grant (CDBG) funds have been appropriated for Gulf Coast rebuilding assistance--the largest amount in the history of the program. GAO was asked to report on (1) how Louisiana and Mississippi allocated their shares of CDBG funds, (2) what difficulties Louisiana faced in administering its housing recovery program, and (3) what human capital challenges Louisiana and Mississippi encountered and the efforts taken to address those challenges. GAO interviewed federal and state officials and reviewed budget data, federal regulations, and state policies and planning documents."
Date: June 19, 2009
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Nuclear Security: NRC and DHS Need to Take Additional Steps to Better Track and Detect Radioactive Materials (open access)

Nuclear Security: NRC and DHS Need to Take Additional Steps to Better Track and Detect Radioactive Materials

A letter report issued by the Government Accountability Office with an abstract that begins "Concerns have grown that terrorists could use radioactive materials and sealed sources (materials sealed in a capsule) to build a "dirty bomb"-- a device using conventional explosives to disperse radioactive material. In 2003, GAO found weaknesses in the Nuclear Regulatory Commission's (NRC) radioactive materials licensing process and made recommendations for improvement. For this report, GAO assesses (1) the progress NRC has made in implementing the 2003 recommendations, (2) other steps NRC has taken to improve its ability to track radioactive materials, (3) Customs and Border Protection's (CBP) ability to detect radioactive materials at land ports of entry, and (4) CBP's ability to verify that such materials are appropriately licensed prior to entering the United States. To perform this work, GAO assessed documents and interviewed NRC and CBP officials in headquarters and in several field locations."
Date: June 19, 2008
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Cooperative Threat Reduction: DOD Has Adequate Oversight of Assistance, but Procedural Limitations Remain (open access)

Cooperative Threat Reduction: DOD Has Adequate Oversight of Assistance, but Procedural Limitations Remain

A letter report issued by the General Accounting Office with an abstract that begins "Since 1992, Congress has authorized more than $3 billion for the Cooperative Threat Reduction (CTR) program to help Russia, Belarus, Ukraine, Kazakhstan, Uzbekistan, Moldova, and Georgia secure and eliminate weapons of mass destruction. Concerned about proper oversight of equipment and services provided by the program, Congress required the Department of Defense (DOD) to report annually on whether the assistance was being used as intended. This report reviews (1) whether DOD's oversight procedures produce the necessary information to determine if the threat reduction assistance, including equipment provided and services furnished, is being used as intended and (2) whether DOD can improve its oversight. GAO found that DOD has procedures in place that reasonably ensure that at least 95 percent of the assistance is being used as intended and is adequately accounted for. Because of access restrictions imposed by the Russian government, a limited amount of equipment--less than five percent of the total value of assistance provided--is in locations where access by U.S. personnel is not permitted. DOD can enhance the quality of its program oversight by better targeting and expanding the scope of its formal audit and …
Date: June 19, 2001
Creator: United States. General Accounting Office.
Object Type: Report
System: The UNT Digital Library
Department of Energy: Information on Its Management of Costs and Liabilities for Contractors' Pension and Postretirement Benefit Plans (open access)

Department of Energy: Information on Its Management of Costs and Liabilities for Contractors' Pension and Postretirement Benefit Plans

Correspondence issued by the Government Accountability Office with an abstract that begins "For the past 60 years, the Department of Energy (DOE) and its predecessors have carried out their national security, environmental cleanup, and research and development missions through management and operating (M&O) contracts and other site contracts for operations at DOE-owned facilities. DOE currently has 43 such contracts with private companies and nonprofit organizations, including universities. Under the terms of these contracts, DOE reimburses contractors for the costs of providing pension and postretirement benefits--including health care, dental, and life insurance benefit plans--for current and former employees and their beneficiaries. DOE is ultimately responsible for reimbursing its contractors for allowable pension and postretirement benefit plan costs, and records a liability or asset in its financial statements for the funded status--plan obligations less plan assets--of these benefit plans. When these contracts are recompeted or expire, it is DOE's policy to ensure the continuation of these benefits--and the reimbursement of related costs--for incumbent contractor employees and eligible retirees by, for example, transferring benefit plan sponsorship responsibilities to a successor contractor or related company. DOE's contractors sponsor pension plans for their employees, including both traditional pension plans, known as "defined benefit" plans, and …
Date: June 19, 2008
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Faith-Based and Community Initiative: Improvements in Monitoring Grantees and Measuring Performance Could Enhance Accountability (open access)

Faith-Based and Community Initiative: Improvements in Monitoring Grantees and Measuring Performance Could Enhance Accountability

A letter report issued by the Government Accountability Office with an abstract that begins "The Administration's efforts to improve the federal government's provision of social services through its Faith-Based and Community Initiative have sparked considerable interest. GAO was asked to examine (1) the activities of the initiative-related centers in five federal agencies; (2) the grant award procedures for selected grants; (3) the extent to which selected federal and state agencies are providing information on and ensuring compliance with safeguards designed to protect faith-based organizations (FBO), beneficiaries, and the government; and (4) how the progress of the initiative is being measured. We interviewed government officials administering 10 grant programs and officials from 26 FBOs."
Date: June 19, 2006
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Food and Drug Administration: FDA Faces Challenges Meeting Its Growing Medical Product Responsibilities and Should Develop Complete Estimates of Its Resource Needs (open access)

Food and Drug Administration: FDA Faces Challenges Meeting Its Growing Medical Product Responsibilities and Should Develop Complete Estimates of Its Resource Needs

A letter report issued by the Government Accountability Office with an abstract that begins "Twenty years ago, GAO reported that the Food and Drug Administration (FDA) was concerned that it lacked resources to fulfill its mission, which includes oversight of the safety and effectiveness of medical products--human drugs, biologics, and medical devices--marketed for sale in the United States. Since then, FDA, GAO, and others have raised concerns regarding FDA's ability to meet its oversight responsibilities. GAO was asked to review the resources supporting FDA's medical product oversight responsibilities. GAO examined trends in (1) FDA's funding and staffing resources for its medical product oversight responsibilities from fiscal years 1999 through 2008, and (2) FDA's medical product oversight responsibilities during this same period. GAO analyzed FDA data on the agency's resources and workload, reviewed relevant federal laws, and interviewed FDA officials. GAO also examined more-detailed data on FDA's fiscal year 2004 through 2008 resources and workload in four key areas, representing a range of FDA's oversight responsibilities, both before and after a medical product is marketed in the United States."
Date: June 19, 2009
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Defense Management: Attention Is Needed to Improve Oversight of DLA Prime Vendor Program (open access)

Defense Management: Attention Is Needed to Improve Oversight of DLA Prime Vendor Program

Correspondence issued by the Government Accountability Office with an abstract that begins "In fiscal year 2005, prime vendor sales accounted for approximately $9 billion of the Defense Logistics Agency's (DLA) total sales and service of $32 billion. Under the prime vendor concept, the Department of Defense (DOD) relies on a distributor of a commercial product line, who provides that product line and incidental services to customers in an assigned region or area of responsibility. Products or services are to be delivered within a specified period of time after order placement. Since 1991, we have identified the use of prime vendors as a best commercial practice for inventory management. Nonetheless, media reports in October 2005, and a hearing before the House Armed Services Committee on November 9, 2005, raised concerns about the use of the prime vendor concept and the prices that DLA was paying for items acquired through a prime vendor. The use of prime vendor contracts is governed by the Federal Acquisition Regulation (FAR) and the Defense Federal Acquisition Regulation Supplement. DLA manages the program and the Director of DLA reports to the Under Secretary of Defense for Acquisition, Technology and Logistics through the Deputy Under Secretary of Defense …
Date: June 19, 2006
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Hurricanes Gustav and Ike Disaster Assistance: FEMA Strengthened Its Fraud Prevention Controls, but Customer Service Needs Improvement (open access)

Hurricanes Gustav and Ike Disaster Assistance: FEMA Strengthened Its Fraud Prevention Controls, but Customer Service Needs Improvement

A letter report issued by the Government Accountability Office with an abstract that begins "GAO's previous work on Hurricanes Katrina and Rita identified fraud, waste, and abuse resulting from a lack of fraud-prevention controls within the Federal Emergency Management Agency's (FEMA) assistance programs. For example, FEMA did not verify the identities or addresses of individuals applying for aid under its Individuals and Households Program (IHP). FEMA also did not verify the eligibility of individuals seeking shelter in FEMA-paid-for hotels and made duplicate payments to individuals who applied multiple times. GAO made numerous recommendations designed to improve these controls. To follow up on this work, GAO conducted undercover tests of the IHP process during the response to Hurricanes Gustav and Ike. This report discusses (1) whether FEMA's controls have improved since Katrina and Rita and (2) issues GAO identified related to the customer service that FEMA provided. GAO submitted bogus applications for disaster assistance, met with FEMA officials, and contacted actual disaster victims to determine their experiences applying for aid."
Date: June 19, 2009
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Serving the Congress and the Nation: Strategic Plan 2002-2007 (open access)

Serving the Congress and the Nation: Strategic Plan 2002-2007

Other written product issued by the General Accounting Office with an abstract that begins "This report updates GAO's strategic plan for serving Congress from fiscal year 2002-2007. Although the overall framework of the old plan is still valid, greater emphasis is being placed in a number of areas to reflect the altered agenda of policymakers. Recognizing that Congress and the federal government will focus considerable effort and resources on homeland security, GAO is proposing to increasing its emphasis on overseeing the efficiency and effectiveness of effort across the public and private sectors to protect against and respond to various forms of terrorism. In light of the changing public expectations and needs as well as fiscal pressures, GAO has redefined one of its strategic goals to focus on transforming the federal government's role to meet the challenges of the 21st century--what it does and how it does business. Because of the far reaching demographic and fiscal trends that will affect the United States, GAO excepts to add greater long-range focus to its work to support Congress in addressing program priorities and budget decisions."
Date: June 19, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Higher Education: United States' and Other Countries' Strategies for Attracting and Funding International Students (open access)

Higher Education: United States' and Other Countries' Strategies for Attracting and Funding International Students

Testimony issued by the Government Accountability Office with an abstract that begins "In the years following September, 11, 2001, the United States experienced its first drop in the number of international students coming to the United States in over 30 years. The United States tightened its immigration policy during this time, which may have made it more difficult for foreign nationals, including international students, to apply for a visa and, subsequently may have fueled the perception that the United States is unwelcoming. While enrollment numbers have started to rebound, they have not returned to pre-September 11 levels. This testimony is based on ongoing and published GAO work. It includes themes from a June 2007 testimony on challenges in attracting international students. It also includes ongoing work to review other countries' efforts to attract and fund international students."
Date: June 19, 2008
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Military Training: DOD Needs a Strategic Plan and Better Inventory and Requirements Data to Guide Development of Language Skills and Regional Proficiency (open access)

Military Training: DOD Needs a Strategic Plan and Better Inventory and Requirements Data to Guide Development of Language Skills and Regional Proficiency

A letter report issued by the Government Accountability Office with an abstract that begins "Violent extremist movements and ongoing military operations have prompted the Department of Defense (DOD) to place greater emphasis on improving language and regional proficiency, which includes cultural awareness. GAO was asked to assess the extent to which DOD has (1) developed a strategic plan to guide its language and regional proficiency transformation efforts and (2) obtained the information it needs to identify potential language and regional proficiency gaps and assess risk. To conduct this assessment, GAO analyzed DOD's Defense Language Transformation Roadmap, reviewed the military services' strategies for transforming language and regional proficiency capabilities, and assessed the range of efforts intended to help identify potential gaps."
Date: June 19, 2009
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Defense Contracting: Use of Undefinitized Contract Actions Understated and Definitization Time Frames Often Not Met (open access)

Defense Contracting: Use of Undefinitized Contract Actions Understated and Definitization Time Frames Often Not Met

A letter report issued by the Government Accountability Office with an abstract that begins "To meet urgent needs, the Department of Defense (DOD) can issue undefinitized contract actions (UCA), which authorize contractors to begin work before reaching a final agreement on contract terms. The contractor has little incentive to control costs during this period, creating a potential for wasted taxpayer dollars. Pursuant to the House of Representatives report on the National Defense Authorization Act for Fiscal Year 2007, we assessed (1) the level of insight DOD has into its use of UCAs, (2) how and when DOD is using UCAs, (3) whether DOD is definitizing UCAs in a timely fashion, and (4) whether contracting officers are documenting the basis for negotiated profit or fee. GAO reviewed 77 randomly-selected contracts at seven locations and interviewed DOD officials."
Date: June 19, 2007
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
Immigration Enforcement: Weaknesses Hinder Employment Verification and Worksite Enforcement Efforts (open access)

Immigration Enforcement: Weaknesses Hinder Employment Verification and Worksite Enforcement Efforts

Testimony issued by the Government Accountability Office with an abstract that begins "The opportunity for employment is one of the most important magnets attracting illegal immigrants to the United States. The Immigration Reform and Control Act (IRCA) of 1986 established an employment eligibility verification process and a sanctions program for fining employers for noncompliance. Few modifications have been made to the verification process and sanctions program since 1986, and immigration experts state that a more reliable verification process and a strengthened worksite enforcement capacity are needed to help deter illegal immigration. This testimony is based on GAO's August 2005 report on the employment verification process and worksite enforcement efforts. In this testimony, GAO provides observations on (1) the current employment verification process and (2) U.S. Immigration and Customs Enforcement's (ICE) priorities and resources for the worksite enforcement program and the challenges it faces in implementing that program."
Date: June 19, 2006
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Border Patrol: Costs and Challenges Related to Training New Agents (open access)

Border Patrol: Costs and Challenges Related to Training New Agents

Testimony issued by the Government Accountability Office with an abstract that begins "In May 2006, the President called for comprehensive immigration reform that included strengthening control of the country's borders by, among other things, adding 6,000 new agents to the U.S. Border Patrol by the end of December 2008. This unprecedented 48 percent increase over 2 years raises concerns about the ability of the Border Patrol's basic training program to train these new agents. This testimony is based on a recent report for the ranking member of this subcommittee on the content, quality, and cost of the Border Patrol's basic training program for new agents and addresses (1) the extent to which the Border Patrol's basic training program exhibits the attributes of an effective training program and the changes to the program since September 11, 2001; (2) the cost to train a new agent and how this compares to the costs of other similar law enforcement basic training programs; and (3) any plans the Border Patrol has developed or considered to improve the efficiency of its basic training program. To address these issues, GAO reviewed relevant documents; observed classroom training and exercises at the Border Patrol Academy in Artesia, New …
Date: June 19, 2007
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Unemployment Insurance: Survey of State Administrators and Contacts with Companies Promoting Tax Avoidance Practices (open access)

Unemployment Insurance: Survey of State Administrators and Contacts with Companies Promoting Tax Avoidance Practices

Testimony issued by the General Accounting Office with an abstract that begins "GAO appeared before Subcommittees on Oversight and Human Resources, House Committee on Ways and Means to discuss the results of our investigation of the extent to which states have found that companies manipulate state unemployment tax rates through a variety of methods in order to lower their unemployment taxes, a practice known as "SUTA dumping," and of the extent to which some consulting firms promote SUTA dumping methods. We conducted our investigation from March 2003 through June 2003 in accordance with quality standards for investigations as set forth by the President's Council on Integrity and Efficiency. To obtain an overview of the extent of the problem, we conducted a survey of unemployment insurance administrators, in the 50 states, the District of Columbia, U.S. Virgin Islands and Puerto Rico. Additionally, one of our agents, posing as a business owner who was looking for ways to reduce state unemployment insurance taxes, placed telephone calls to four consulting firms we identified through the Internet to determine whether they promote SUTA dumping techniques. We also interviewed officials of the Office of Workforce Security, Department of Labor to determine how the federal-state unemployment …
Date: June 19, 2003
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Rural Housing Service: Opportunities to Improve Management (open access)

Rural Housing Service: Opportunities to Improve Management

Testimony issued by the General Accounting Office with an abstract that begins "Federal housing assistance in rural America dates back to the 1930s, when most rural residents worked on farms. Without electricity, telephone service, or good roads connecting residents to population centers, residents were comparatively isolated and their access to credit was generally poor. These conditions led Congress to authorize separate housing assistance for rural residents, to be administered by USDA. Over time, the quality of the housing stock has improved and credit has become more readily available in rural areas. Also, advances in transportation, computer technology, and telecommunications have diminished many of the distinctions between rural and urban areas. These changes call into question whether rural housing programs still need to be maintained separately from urban housing programs, and whether RHS is adapting to change and managing its resources as efficiently as possible."
Date: June 19, 2003
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Water Quality: EPA Should Improve Guidance and Support to Help States Develop Standards That Better Target Cleanup Efforts (open access)

Water Quality: EPA Should Improve Guidance and Support to Help States Develop Standards That Better Target Cleanup Efforts

Testimony issued by the General Accounting Office with an abstract that begins "Water quality standards comprise designated uses and water quality criteria. These standards are critical in making accurate, scientifically based determinations about which of the nation's waters are most in need of cleanup. GAO examined the extent to which (1) states are changing designated uses when necessary, (2) EPA is assisting states toward that end, (3) EPA is updating the "criteria documents" states use to develop the pollutant limits needed to measure whether designated uses are being attained, and (4) EPA is assisting states in establishing criteria that can be compared with reasonably obtainable monitoring data."
Date: June 19, 2003
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Nuclear Regulatory Commission: Preliminary Observations on Its Process to Oversee the Safe Operation of Nuclear Power Plants (open access)

Nuclear Regulatory Commission: Preliminary Observations on Its Process to Oversee the Safe Operation of Nuclear Power Plants

Testimony issued by the Government Accountability Office with an abstract that begins "The Nuclear Regulatory Commission (NRC) has the responsibility to provide oversight to ensure that the nation's 103 commercial nuclear power plants are operated safely. While the safety of these plants has always been important, since radioactive release could harm the public and the environment, NRC's oversight has become even more critical as the Congress and the nation consider the potential resurgence of nuclear power in helping to meet the nation's growing energy needs. Prior to 2000, NRC was criticized for having a safety oversight process that was not always focused on the most important safety issues and in some cases, was overly subjective. To address these and other concerns, NRC implemented a new oversight process--the Reactor Oversight Process (ROP). NRC continues to modify the ROP to incorporate feedback from stakeholders and in response to other external events. This testimony summarizes information on (1) how NRC oversees nuclear power plants, (2) the results of the ROP over the past several years, and (3) the aspects of the ROP that need improvement and the status of NRC's efforts to improve them. This testimony discusses preliminary results of GAO's work. GAO …
Date: June 19, 2006
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Health Information Technology: Efforts Continue but Comprehensive Privacy Approach Needed for National Strategy (open access)

Health Information Technology: Efforts Continue but Comprehensive Privacy Approach Needed for National Strategy

Testimony issued by the Government Accountability Office with an abstract that begins "In April 2004, President Bush called for the Department of Health and Human Services (HHS) to develop and implement a strategic plan to guide the nationwide implementation of health information technology (IT). The plan is to recommend methods to ensure the privacy of electronic health information. GAO was asked to summarize its January 2007 report. The report describes the steps HHS is taking to ensure privacy protection as part of its national health IT strategy and identifies challenges associated with protecting electronic health information exchanged within a nationwide health information network."
Date: June 19, 2007
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Homeland Security: The Federal Protective Service Faces Several Challenges That Raise Concerns About Protection of Federal Facilities (open access)

Homeland Security: The Federal Protective Service Faces Several Challenges That Raise Concerns About Protection of Federal Facilities

Testimony issued by the Government Accountability Office with an abstract that begins "The Federal Protective Service (FPS) is responsible for providing physical security and law enforcement services to about 9,000 General Services Administration (GSA) facilities. To accomplish its mission of protecting GSA facilities, FPS currently has an annual budget of about $1 billion, about 1,100 employees, and 15,000 contract guards located throughout the country. GAO was asked to provide information and analysis on challenges FPS faces including ensuring that it has sufficient staffing and funding resources to protect GSA facilities and the over one million federal employees as well as members of the public that work in and visit them each year. GAO discusses (1) FPS's operational challenges and actions it has taken to address them, (2) funding challenges, and (3) how FPS measures the effectiveness of its efforts to protect GSA facilities. This testimony is based on our recently issued report (GAO-08-683) to this Subcommittee."
Date: June 19, 2008
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Immigration Enforcement: Challenges to Implementing the INS Interior Enforcement Strategy (open access)

Immigration Enforcement: Challenges to Implementing the INS Interior Enforcement Strategy

Testimony issued by the General Accounting Office with an abstract that begins "The Immigration and Naturalization Service (INS) developed strategies in the 1990s to control illegal immigration across U.S. borders and to address enforcement priorities within the country. In 1994, INS's Border Patrol issued a strategy to deter illegal entry through "prevention through deterrence;" that is, to raise the risk of being apprehended for illegal aliens to where they would consider it futile to try to enter. The plan called for targeting resources in a phased approach, starting in areas with the greatest illegal activity. In 1999, INS issued its Interior Enforcement Strategy to focus resources on areas that would have the greatest impact on reducing the size and annual growth of the illegal resident population. The strategy established the following five areas: (1) identify and remove criminal aliens and minimize recidivism; (2) deter, dismantle, and diminish smuggling or trafficking of aliens; (3) respond to community reports and complaints about illegal immigration; (4) minimize immigration benefit fraud and other document abuse; and (5) block and remove employers' access to undocumented workers. For these to be effective, INS needs better data to determine staff needs, reliable information technology, clear and consistent …
Date: June 19, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Social Security: Long-Term Financing Shortfall Drives Need for Reform (open access)

Social Security: Long-Term Financing Shortfall Drives Need for Reform

Testimony issued by the General Accounting Office with an abstract that begins "Social Security not only represents the foundation of our retirement income system; it also provides millions of Americans with disability insurance and survivor's benefits. Although the Social Security Trustees now project that under the intermediate or "best estimate" assumptions the combined Social Security Trust Funds will be exhausted 3 years later than in last year's estimates, the magnitude of the long-term funding shortfall is virtually unchanged. Without reform, Social Security, Medicare, and Medicaid are unsustainable, and the long-term impact of these entitlement programs on the federal budget and the economy will be dramatic. Social Security reform is part of a larger and significant fiscal and economic challenge. Absent reform, the nation will ultimately have to choose between persistent, escalating federal deficits, significant tax increases, or dramatic budget cuts. Focusing on trust fund solvency alone is not sufficient. Aiming for sustainable solvency would increase the chance that future policymakers would not have to face, on a recurring basis, the difficult questions of whether the government will have the capacity to pay future claims or what else will have to be squeezed to pay those claims. Comparing the beneficiary impact …
Date: June 19, 2002
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Medicare Management: Current and Future Challenges (open access)

Medicare Management: Current and Future Challenges

Testimony issued by the General Accounting Office with an abstract that begins "Medicare is a popular program that millions of Americans depend on for covering their essential health needs. However, the management of the program has fallen short of expectations because it has not always appropriately balanced or satisfied the needs of beneficiaries, providers, and taxpayers. For example, stakeholders expect that Medicare will price services prudently; that providers will be treated fairly and paid accurately; and that beneficiaries will clearly understand their program options and will receive services that meet quality standards. In addition, there are expectations that the agency will be prepared to implement restructuring or added benefits in the context of Medicare reform. Today's Medicare, although successful in some areas, may not be able to meet these expectations effectively without further congressional attention to its multiple missions, capacity, and flexibility. The program will also need to do its part by implementing a performance-based approach that articulates priorities, documents resource needs, and holds managers accountable for accomplishing program goals."
Date: June 19, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library