Testimony issued by the General Accounting Office with an abstract that begins "A safe and secure civil aviation system is a critical component of the nation's overall security, physical infrastructure, and economic foundation. Billions of dollars and a myriad of programs and policies have been devoted to achieving such a system. Although it is not fully known at this time what actually occurred or what all the weaknesses in the nation's aviation security apparatus are that contributed to the horrendous terrorist acts of Semptember 11, 2001, it is clear that serious weaknesses exist in the nation's aviation security system and that their impact can be far more devastating than previously imagined. There are security concerns with (1) airport access controls, (2) passenger and carry-on baggage screening, and (3) alternatives to current screening practices, including practices in selected other countries. Controls for limiting access to secure areas, including aircraft, have not always worked as intended. In May of 2000, special agents used counterfeit law enforcement badges and credentials to gain access to secure areas at two airports, bypassing security checkpoints and walking unescorted to aircraft departure gates. In June 2000, testing of screeners showed that significant, long-standing weaknesses--measured by the screeners' …

Testimony issued by the General Accounting Office with an abstract that begins "In recent years, the Washington Metropolitan Area Transit Authority's (WMATA) public transit system has experienced safety and reliability problems, including equipment breakdowns, delays in scheduled service, unprecedented crowding on trains, and accidents and tunnel fires. WMATA is examining ways to ease crowding on the systems rail cars and determining whether and how to expand Metrorail maintenance and repair shop capacity as WMATA acquires nearly 200 new rail cars. WMATA has also undertaken a comprehensive program for infrastructure renewal, and it is now studying improvements or modifications to accommodate the goal of doubling ridership by the year 2025. WMATA's safety program has evolved since the mid-1990s, when a series of accidents and incidents led to several independent reviews citing the need for program improvements. WMATA monitors safety and crime statistics and has several ongoing targeted efforts to reduce safety incidents and deter crime on its transit systems. WMATA has adopted several of the best capital investment practices used by leading public and private sector organizations, but it could benefit by establishing a more formal, disciplined framework for its capital decision-making process. WMATA has used a wide variety of innovative …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Department of Veterans Affairs' (VA) information technology (IT) program, focusing on VA's efforts to: (1) improve its process for selecting, controlling, and evaluating IT investments; (2) fill the chief information officer (CIO) position; (3) develop an overall strategy for reengineering its business processes; (4) complete a departmentwide integrated systems architecture; (5) track its IT expenditures; (6) implement the Veterans Health Administration's (VHA) Decision Support System and the Veterans Benefits Administration's (VBA) compensation and pension replacement project; and (7) improve the department's computer security."

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO investigated alleged contracting irregularities at the Pension Benefit Guaranty Corporation (PBGC), focusing on allegations that PBGC's Director of Insurance Operations, Bennie Hogan, improperly influenced the award of two contracts to Myrna Cooks."

Testimony issued by the General Accounting Office with an abstract that begins "The pricing of Medicare's part B-covered prescription drugs--largely drugs that cannot be administered by patients themselves--has been under scrutiny for years. Most of the part B drugs with the highest Medicare payments and billing volume fall into three categories: those that are billed for by physicians and typically provided in a physician office setting, those that are billed for by pharmacy suppliers and administered through a durable medical equipment (DME) item, and those that are also billed by pharmacy suppliers but are patient-administered and covered explicitly by statute. Studies show that Medicare sometimes pays physicians and other providers significantly more than their actual costs for the drugs. In September 2000, the Health Care Financing Administration's (HCFA)--now the Centers for Medicare and Medicaid Services--took steps to reduce Medicare's payment for part B-covered drugs by authorizing Medicare carriers, the contractors that pay part B claims, to use prices obtained in the Justice Department investigations of providers' drug acquisition costs. HFCA retracted this authority in November 2000 after providers raised concerns. GAO found that Medicare's method for establishing drug payments is flawed. Medicare pays 95 percent of the average wholesale price …

Testimony issued by the General Accounting Office with an abstract that begins "The United States now faces increasingly diverse threats that put great destructive power into the hands of small states, groups, and individuals. These threats range from cyber attacks on critical infrastructure to terrorist incidents involving weapons of mass destruction or infectious diseases. Efforts to combat this threat will involve federal agencies as well as state and local governments, the private sector, and private citizens. GAO believes that the federal government must address three fundamental needs. First, the government needs clearly defined and effective leadership with a clear vision carry out and implement a homeland security strategy and the ability to marshal the necessary resources to get the job done. Second, a national homeland security strategy should be based on a comprehensive assessment of national threats and risks. Third, the many organizations that will be involved in homeland security must have clearly articulated roles, responsibilities, and accountability mechanisms. Any strategy for homeland security must reduce risk where possible, assess the nation's vulnerabilities, and identify the critical infrastructure most in need of protection. To be comprehensive, the strategy should include steps to use intelligence assets or other means to identify …

Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Pension Benefit Guaranty Corporation's (PBGC) management of its contracting responsibilities, focusing on: (1) the basis for PBGC's decisions regarding the use of contractors versus government personnel to address its workloads; (2) PBGC's processes and procedures for selecting contractors; and (3) how effective PBGC has been in monitoring the performance of its contractors."

A letter report issued by the General Accounting Office with an abstract that begins "The U.S. military assistance programs provided $74 billion in military equipment, services, and training to countries in the Middle East from fiscal years 1991 through 2000. The Foreign Military Sales and Foreign Military Financing programs account for about 96 percent of the value of military items in the U.S. delivered to the region. The U.S. weapon systems delivered include F-16 and F/A-18 fighter aircraft; Apache and Cobra helicopters; M1A1 Tanks; and AMRAAM, ATACMS, and Stinger missiles. Conditions on the use of U.S. military equipment, services, and training delivered to countries in the Middle East, with few exceptions, are limited to standard conditions that the U.S. government places on all transfers of U.S. military items. By law, the U.S. may provide military items to foreign governments only for internal security, legitimate self-defense, participation in collective agreements that are consistent with the United Nations' charter, or civic action."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Department of Agriculture's (USDA) efforts to implement the Packers and Stockyards Act, focusing on: (1) the number and status of investigations conducted by the Grain Inspection, Packers and Stockyards Administration (GIPSA) in response to complaints and concerns about anticompetitive activity involving the marketing of cattle and hogs; and (2) factors that affect GIPSA's ability to investigate concerns about anticompetitive practices."

A chapter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed foreign assistance, focusing on the: (1) use of the Compact of Free Association funding by the Federated States of Micronesia (FSM) and the Republic of the Marshall Islands (RMI) between fiscal years 1987 and 1998; (2) progress both nations have made in advancing economic self-sufficiency; (3) role of Compact funds in supporting economic progress; and (4) extent of accountability by the two nations and the United States over Compact expenditures."

A letter report issued by the General Accounting Office with an abstract that begins "The Export Enhancement Act of 1992 created the Trade Promotion Coordinating Committee to coordinate the delivery of federal export promotion services and to eliminate the areas of overlap and duplication among federal export promotion programs. The Export Enhancement Act of 1999 reiterated that eliminating duplication was a primary objective. In 1993, Congress recommended that three agencies co-locate their staffs at a domestic network of 19 "one-stop shops" called U.S. Export Assistance Centers. These centers were to provide coordinated export training, as well as trade leads, export finance, and counseling to U.S. firms interested in becoming exporters. GAO found that the Department of Commerce did not coordinate closely with the Small Business Administration in introducing its export training program. As a result, Commerce and the SBA provide separate and duplicative training programs for potential small business exporters. Neither Commerce nor SBA systematically collect outcome data for their export training programs. Instead, both agencies track the number of clients trained and Commerce identifies export successes for its clients overall, but not for training participants. Staff at Commerce and SBA do not systematically follow up with training participants to …

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Department of Defense's use of withdrawn land near Hawthorne, Nevada, focusing on: (1) the status of the Bureau of Land Management's (BLM) proposal to reduce the amount of withdrawn land near Hawthorne; and (2) possible approaches for addressing the use of this land."

Other written product issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Federal Communications Commission's (FCC) new rule on competitive bidding procedures. GAO noted that: (1) the rule would amend FCC's general competitive bidding rules for all auctionable services; and (2) with the exception of the rule's effective date, FCC complied with applicable requirements in promulgating the rule."

A letter report issued by the General Accounting Office with an abstract that begins "Although physicians and other health care providers acknowledge that they can buy drugs for prices lower than Medicare payments, they contend that they need drug payments in excess of their actual costs to compensate for inadequate or nonexistent Medicare payments for administrating the drugs. Physicians are able to obtain Medicare-covered drugs at prices significantly below current Medicare payments, which are set at 95 percent of average wholesale prices (AWP). The prices paid by wholesalers and group purchasing organizations that would be generally available to physicians were considerably less than AWPs used to establish the Medicare payment for these drugs. The difference between these prices and AWP for physician-administered drugs in GAO's sample varied by drug. For most physician-administered drugs, the average discount from AWP ranged from 13 percent to 34 percent; two physician-administered drugs had discounts of 65 percent and 86 percent. Other suppliers are also able to buy drugs at prices that are considerably less than the AWP used to establish the applicable Medicare payment. Pharmacy suppliers were predominant billers for 10 of the high-expenditure and high-volume Medicare-covered drugs GAO analyzed. These suppliers generally provide …

Testimony issued by the Government Accountability Office with an abstract that begins "In the past 15 years, a number of laws, accounting standards, system requirements, and related guidance have emphasized the need for cost information in the federal government, establishing requirements and accounting standards for managerial cost accounting (MCA) information. Among them was the Federal Financial Management Improvement Act of 1996 (FFMIA), which required Chief Financial Officers Act agencies' systems to comply substantially with federal financial management systems requirements and federal accounting standards, including managerial cost accounting standards. In light of these requirements, the Chairman asked GAO to determine how federal agencies generate MCA information and how government managers use that information to support their decision making and provide accountability. GAO briefed subcommittee staff on its work at the Departments of Labor (DOL) and Veterans Affairs (VA) on July 15 and issued a report on its findings that included recommendations on September 2, 2005 (GAO-05-1013R)."

Other written product issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Federal Emergency Management Agency's (FEMA) new rule on disaster assistance for victims of the Cerro Grand, New Mexico fire. GAO noted that: (1) the rule would set out the procedures for applicants to obtain assistance for injuries and property damage resulting from the Cerro Grande fire; and (2) FEMA complied with applicable requirements in promulgating the rule."

Testimony issued by the Government Accountability Office with an abstract that begins "Preventive care depends on identifying health risks and on taking steps to control these risks. In contrast, Medicare, the federal health program insuring almost 35 million beneficiaries age 65 or older, was established largely to help pay beneficiaries' health care costs when they became ill or injured. Congress has broadened Medicare coverage over time to include specific preventive services, such as flu shots and certain cancer-screening tests, and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) added coverage for several preventive services, including a one-time preventive care examination for new enrollees, which will start in 2005. GAO's work, done before MMA, included analyzing data from four national health surveys to examine the extent to which Medicare beneficiaries received preventive services through physician visits. GAO also interviewed officials from the Centers for Medicare & Medicaid Services (CMS) and other experts and reviewed the results of past demonstrations and studies to assess expected benefits and limits of different delivery options for preventive care, including a one-time preventive care examination."

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony's aim is to assist the Senate Committee on Appropriations, Subcommittee on the Legislative Branch in monitoring progress on the Capitol Visitor Center (CVC) project. Our remarks will focus on (1) the Architect of the Capitol's (AOC) progress in achieving selected project milestones and in managing the project's schedule since the Subcommittee's August 2, 2006, hearing on the project; (2) our assessment of the project's currently scheduled completion date; and (3) an update on the project's expected cost at completion and funding situation. As part of this discussion, we will address a number of key challenges and risks that continue to face the project, as well as actions we believe that AOC will need to take to meet its currently scheduled completion date. This testimony is based on our review of schedules and financial reports for the CVC project and related records maintained by the AOC and its construction management contractor, Gilbane Building Company; our observations on the progress of work at the CVC construction site; and our discussions with the CVC team (AOC and its major CVC contractors), AOC's Chief Fire Marshal, and representatives from the …

Testimony issued by the Government Accountability Office with an abstract that begins "The No Child Left Behind Act (NCLBA) requires districts with schools receiving Title I funds that have not met state performance goals for 3 consecutive years to offer low-income students enrolled in these schools supplemental educational services (SES), such as tutoring. This testimony discusses early implementation of SES, including (1) how SES participation changed in recent years; (2) how providers work with districts to deliver services; (3) how states monitor and evaluate SES; and (4) how the Department of Education (Education) monitors and supports SES implementation. This testimony is based on an August 2006 report (GAO-06-758). For this report, GAO used the best available data on participation and obtained more recent information on other SES implementation issues through a state survey and a district survey, as well as visits to four school districts and interviews with providers."

Testimony issued by the Government Accountability Office with an abstract that begins "Ongoing operations in Iraq and Afghanistan have required the deployment of large numbers of Army National Guard and Army Reserve personnel. The Department of Defense (DOD) faces the unprecedented challenge of sustaining large-scale, long-duration operations with an all-volunteer military force. In addition, DOD's homeland defense missions have taken on higher priority, and National Guard forces have state responsibilities for homeland security activities as well as their traditional roles in responding to natural disasters. Over the past few years, GAO has examined the effects of ongoing military operations and domestic missions on the Army National Guard and Army Reserve. This statement, which draws on prior GAO work, focuses on (1) challenges in sustaining Army reserve component equipment and personnel readiness while supporting ongoing operations and (2) the extent to which the Army's planned transformation initiatives will alleviate equipment and personnel shortages and enhance readiness."

A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on 10 federal agencies' efforts to implement National Partnership for Reinventing Government (NPR0 recommendations, focusing on the: (1) factors influencing NPR's reform efforts; (2) implementation status of NPR recommendations to the 10 agencies; and (3) effects the 10 agencies reported they achieved by implementing these recommendations."

Testimony issued by the Government Accountability Office with an abstract that begins "Soaring retail gasoline prices have garnered extensive media attention and generated considerable public anxiety in recent months, particularly in the aftermath of Hurricane Katrina. Prices in many areas hit by the hurricane saw retail gasoline prices increase to over $3.00 per gallon, and in one reported case to almost $6.00 per gallon, with some gasoline stations running out of gasoline entirely. The availability of relatively inexpensive gasoline over past decades has helped foster economic growth and prosperity in the United States, so large price increases, especially if sustained over a long period, pose long-term challenges to the economy and consumers. This testimony, as requested, addresses factors that help explain how gasoline prices are determined and what key factors will likely influence trends in future gasoline prices."

Testimony issued by the Government Accountability Office with an abstract that begins "The Congress has required annual reports on federal climate change spending. The Office of Management and Budget (OMB) reports funding for: technology (to reduce greenhouse gas emissions), science (to better understand the climate), international assistance (to help developing countries), and tax expenditures (to encourage emissions reduction). The Climate Change Science Program (CCSP), which coordinates many agencies' activities, also reports on science funding. This testimony is based on GAO's August 2005 report Climate Change: Federal Reports on Climate Change Should Be Clearer and More Complete (GAO-05-461). GAO examined federal climate change funding for 1993 through 2004, including (1) how total funding and funding by category changed and whether funding data are comparable over time and (2) how funding by individual agencies changed and whether funding data are comparable over time."

A letter report issued by the Government Accountability Office with an abstract that begins "Diversity visas provide an immigration opportunity to aliens from countries with low rates of immigration to the United States. Diversity visa applicants must apply online, be selected by lottery, be interviewed, and be determined to be eligible before obtaining a diversity visa. GAO was asked to review (1) the extent to which the Diversity Visa Program (DV program) is diversifying the U.S. immigrant pool, (2) areas of the DV program that are vulnerable to fraud, (3) whether there are security implications associated with these vulnerabilities, and (4) what steps the Department of State (State) has taken to address the vulnerabilities. We reviewed laws, regulations, and other documentation, and interviewed numerous State officials both at headquarters and in the field."