Correspondence issued by the Government Accountability Office with an abstract that begins "Health care providers and members of Congress have raised concerns that consolidation in the private health insurance industry may be resulting in less competitive markets and contributing to rising health insurance rates paid by consumers and employers. However, measuring the extent of changes in market competition over time or the effects of changes is challenging. In particular, reliable, longitudinal data to measure concentration, that is, the number of competitors and their relative market share, are only available on health maintenance organizations (HMO) but not on preferred provider organizations (PPO) or other insurance products that may comprise the market. Further, data on health insurers are not available at all geographic levels. Despite these challenges, researchers have used the data available to study competition in health insurance markets, typically using one of two measures of competition: (1) HMO market concentration or (2) the number of HMOs in a market. Researchers acknowledge that market concentration and the number of competitors are not perfect measures of competition in private health insurance markets and that there are limits to the conclusions to be drawn from studies that rely on the available data. This …

Testimony issued by the Government Accountability Office with an abstract that begins "The American Recovery and Reinvestment Act of 2009 (Recovery Act) included more than $48 billion for the Department of Transportation's (DOT) investment in transportation infrastructure, including highways, rail, and transit. This testimony--based on GAO report GAO-09-829, issued on July 8, 2009 and updated with more recent data, in response to a mandate under the Recovery Act--addresses (1) the uses of Recovery Act transportation funding including the types of projects states have funded, (2) the steps states have taken to meet the act's requirements, and (3) GAO's other work on transportation funding under the Recovery Act. In GAO-09-829, GAO examined the use of Recovery Act funds by 16 states and the District of Columbia (District), representing about 65 percent of the U.S. population and two-thirds of the federal assistance available through the act. GAO also obtained data from DOT on obligations and reimbursements for the Recovery Act's highway infrastructure funds."

Testimony issued by the Government Accountability Office with an abstract that begins "A significantly greater proportion of African American children are in foster care than children of other races and ethnicities relative to their share of the general population. Given this situation, GAO was asked to analyze the (1) major factors influencing their proportion in foster care, (2) strategies states and localities have implemented that appear promising, and (3) ways in which federal policies may have influenced the proportion of African American children in foster care. This testimony is based on a GAO report issued in July 2007 (GAO-07-816), which included a nationwide survey; a review of research and policies; state site visits; analyses of child welfare data; and interviews with researchers, HHS officials, and other experts. It includes updates where possible."

Testimony issued by the Government Accountability Office with an abstract that begins "The U.S. Navy is about to begin construction of the first Zumwalt-class destroyer (DDG 1000) amid considerable uncertainties and a high likelihood of cost and schedule growth. Significant cost growth and schedule delays are persistent problems that continue to compromise the Navy's shipbuilding goals. This testimony focuses on (1) the challenges faced by the DDG 1000 program and (2) the strain such challenges portend for long term shipbuilding plans."

Guidance issued by the Government Accountability Office with an abstract that begins "This document has been superseded by GAO-09-232G. This letter transmits the exposure draft of the Government Accountability Office (GAO) Federal Information System Controls Audit Manual (FISCAM) for review and comment. The FISCAM presents a methodology for performing information system (IS) control audits of federal and other governmental entities in accordance with professional standards, and was originally issued in January 1999. We have updated the FISCAM for significant changes affecting IS audits."

Other written product issued by the Government Accountability Office with an abstract that begins "The United States and the international community have stressed that a coordinated response is required to address the global threat from transnational terrorism. Multilateral engagements provide opportunities to foster relationships with traditional and nontraditional partner countries. Partnerships also can raise common awareness of the threat and build the trust necessary to share information that could prevent and detect terrorist acts. GAO convened a forum on April 22, 2008, to advance the dialogue on how partnerships can mitigate the conditions that foster transnational terrorism and to identify potential strategies for overcoming challenges faced in engaging in such partnerships. Participants included representatives from U.S. government agencies, foreign embassies, nongovernmental and multilateral organizations, policy institutes, the private sector, and academia. The forum focused on (1) the partnership efforts and key practices of the U.S. government and its partners, (2) challenges to these efforts and practices, and (3) strategies to overcome the challenges. Comments expressed during the proceedings do not necessarily represent the views of all participants, the organizations they represent, or GAO. Participants reviewed a draft of this summary, and their comments were incorporated, as appropriate."

Testimony issued by the Government Accountability Office with an abstract that begins "In June 2007, GAO received information from a whistleblower through GAO's FraudNET hotline alleging millions of dollars in lost and stolen property and gross mismanagement of property at Indian Health Service (IHS), an operating division of the Department of Health and Human Services (HHS). GAO was asked to conduct a forensic audit and related investigations to (1) determine whether GAO could substantiate the allegation of lost and stolen property at IHS and identify examples of wasteful purchases and (2) identify the key causes of any loss, theft, or waste. GAO analyzed IHS property records from fiscal years 2004 to 2007, conducted a full physical inventory at IHS headquarters, and statistically tested inventory of information technology (IT) equipment at seven IHS field locations in 2007 and 2008. GAO also examined IHS policies, conducted interviews with IHS officials, and assessed the security of property."

Testimony issued by the Government Accountability Office with an abstract that begins "The federal government spends billons of dollars on information technology (IT) projects each year. Consequently, it is important that projects be managed effectively to ensure that public resources are wisely invested. To this end, the Office of Management and Budget (OMB), which plays a key role in overseeing the federal government's IT investments, identifies major projects that are poorly planned by placing them on a Management Watch List and requires agencies to identify high-risk projects that are performing poorly (i.e., have performance shortfalls). Having accurate and transparent project cost and schedule information is also essential to effective oversight. At times, changes to this information--called a rebaselining-- are made to reflect changed development circumstances. These changes can be done for valid reasons, but can also be used to mask cost overruns and schedule delays. GAO has previously testified on the Management Watch List and high risk projects. GAO was asked to (1) provide an update on these projects, (2) identify OMB's efforts to improve the identification and oversight of these projects, and (3) summarize the results of GAO's IT project rebaselining report being released today. In preparing this testimony, …

Testimony issued by the Government Accountability Office with an abstract that begins "In 2004, Congress directed the Department of Defense (DOD) to establish a comprehensive policy to prevent and respond to sexual assaults involving servicemembers. Though not required to do so, the Coast Guard has established a similar program. This statement addresses the extent to which DOD and the Coast Guard (1) have developed and implemented policies and programs to prevent, respond to, and resolve sexual assault incidents involving servicemembers; (2) have visibility over reports of sexual assault; and (3) exercise oversight over reports of sexual assault. This statement draws on GAO's preliminary observations from an ongoing engagement examining DOD's and the Coast Guard's programs to prevent and respond to sexual assault. In conducting its ongoing work GAO reviewed legislative requirements and DOD and Coast Guard guidance, analyzed sexual assault incident data, and obtained through surveys and interviews the perspective on sexual assault matters of more than 3,900 servicemembers stationed in the United States and overseas. The results of GAO's survey and interviews provide insight into the implementation of the programs but are nongeneralizable. GAO expects to issue its final report in August 2008 and to make a number of …

Correspondence issued by the Government Accountability Office with an abstract that begins "This report formally transmits the attached briefing in response to section 1307 of the Implementing Recommendations of the 9/11 Commission Act of 2007. The act requires the Comptroller General to report on the utilization of explosives detection canine teams to strengthen security and the capacity of the national explosives detection canine team program, which is administered by the Transportation Security Administration."

Correspondence issued by the Government Accountability Office with an abstract that begins "In October 2001, spores of the deadly bacterium anthrax were found in mail sent to members of the news media and congressional leaders. In all, 22 people were infected with anthrax and 5 people died, including 2 postal workers. The United States Postal Service (Service) took a variety of steps to protect people from biohazards in the mail. For example, the Service began contracting for the irradiation of mail to recipients at the Congress, the White House, and federal agencies with specific ZIP Codes (20201 through 20597) in the Washington, D.C., area (D.C. federal mail). The irradiation process uses either a high-energy electron beam or X-rays to penetrate pieces of mail (mailpieces) and kill harmful organisms, such as anthrax. The Service initially hired two contractors to irradiate the mail, one of which operated between November 2001 and April 2002. The other contractor has been irradiating mail since November 2001. In addition, the Service hired contractors to transport the mail for irradiation and to oversee the current irradiation contractor. Senate Report 110-129, dated July 13, 2007, directed GAO to report on the status of the Service's program for irradiating …

Testimony issued by the Government Accountability Office with an abstract that begins "The Veterans Health Administration (VHA) has been using miscellaneous obligations for over 60 years to record estimates of obligations to be incurred at a later time. The large percentage of procurements recorded as miscellaneous obligations in fiscal year 2007 raised questions about whether proper controls were in place over the authorization and use of billions of dollars. GAO's testimony provides preliminary findings related to (1) how VHA used miscellaneous obligations during fiscal year 2007, and (2) whether the Department of Veterans' Affairs (VA) policies and procedures were designed to provide adequate controls over their authorization and use. GAO recently provided its related draft report to the Secretary of Veterans Affairs for review and comment and plans to issue its final report as a follow-up to this testimony. GAO obtained and analyzed available VHA data on miscellaneous obligations, reviewed VA policies and procedures, and reviewed a nongeneralizable sample of 42 miscellaneous obligations at three case study locations. GAO's related draft report includes four recommendations to strengthen internal controls governing the authorization and use of miscellaneous obligations, in compliance with applicable federal appropriations law and internal control standards."

Correspondence issued by the Government Accountability Office with an abstract that begins "Five years after the terrorist attacks of September 11, 2001, concerns continue to be raised about the nation's system for protecting commercial aviation. Past disclosures of terrorists' plans for smuggling liquids onboard aircraft to construct a bomb in flight highlighted the continued need to examine this key aspect of homeland security. One layer of the aviation security system involves the ability of the federal government to respond to actual or potential security threats while a commercial aircraft is in flight. These security threats can include the following: (1) Passengers considered to be security risks to aviation are found to be onboard flights bound for or leaving the United States. (2) Situations develop while the aircraft is in flight--for example, a passenger becomes disruptive or acts suspiciously, a bomb threat is received, or an unidentified package is found onboard the aircraft. (3) A commercial aircraft transmits a signal designed to alert authorities that a hijacking is in process. Procedures for addressing these in-flight security threats involve a wide range of federal agencies and entities. The Department of Homeland Security (DHS) is responsible for taking much of the lead in …

Testimony issued by the Government Accountability Office with an abstract that begins "Since the June 27, 2007, Capitol Visitor Center (CVC) hearing, the project's construction has progressed, and according to the latest schedule, Architect of the Capitol (AOC) is still projecting a June 27, 2008, completion date and a September 22, 2008 opening date. Work has advanced on the project's heating, ventilation, and air-conditioning (HVAC) system, interior wall stone and ceiling installation, and other interior and exterior construction work. However, some delays have occurred in activities on the project's critical path (i.e., the work on the fire alarm system) and on most of its near-critical paths, and further delays are possible. AOC was able to mitigate the delay in the project's critical path by reducing the time available for future fire alarm testing. This action may not produce the desired results, though, given the complexity of the requirements for fire alarm testing. Delays in near-critical activities such as the ceiling close-ins and the House and Senate expansion spaces have reduced the time reserved for contingencies along those near-critical paths, but have not yet affected the critical path. Furthermore, a number of risks to the project's schedule remain. These include potential …

Testimony issued by the Government Accountability Office with an abstract that begins "The Federal Emergency Management Agency (FEMA) within the Department of Homeland Security (DHS) faces the simultaneous challenges of preparing for the season and implementing the reorganization and other provisions of the Post-Katrina Emergency Management Reform Act of 2006. The Act stipulated major changes to FEMA that were intended to enhance its preparedness for and response to catastrophic and major disasters. As GAO has reported, FEMA and DHS face continued challenges, including clearly defining leadership roles and responsibilities, developing necessary disaster response capabilities, and establishing accountability systems to provide effective services while protecting against waste, fraud, and abuse. This testimony (1) summarizes GAO's findings on these challenges and FEMA's and DHS's efforts to address them; and (2) discusses several disaster management issues for continued congressional attention."

Correspondence issued by the Government Accountability Office with an abstract that begins "In September 2004, the Air National Guard (ANG) discovered inaccuracies in its personnel strength data for recruits with no prior service assigned to pay groups F (attending Initial Active Duty Training, or IADT) and P (awaiting IADT). Specifically, these data did not reflect an accurate accounting of the number of recruits in pay groups F and P. Those recruits attending IADT work full-time and are paid accordingly (pay group F), while recruits waiting to attend IADT receive pay on a part-time basis at the rate of four drills per month (pay group P). The pay for those attending IADT is much higher than for those waiting to attend IADT, so the effect of miscoding the pay groups on ANG's budget estimates can be considerable. In May 2007, we reported to Congress that although ANG has taken reasonable steps to correct the errors in its personnel strength data, some problems still exist with a key quality assurance tool (the Status Report Card process) and with the reliability of the alternate data being reported while the inaccuracies are addressed. The purpose of this correspondence is to inform Congress of the …

Testimony of Steve Simmons of the TxDOT before the House Transportation and Infrastructure Committee, dealing with the congestion of I-35 and the proposed Trans-Texas Corridor 35 and I-69/Trans-Texas Corridor.

Correspondence issued by the Government Accountability Office with an abstract that begins "About 111,000 women covered by the Department of Defense's (DOD) TRICARE program gave birth during 2006. During their pregnancies, about half of these women received obstetric care from physicians and other providers practicing at military hospitals and clinics called military treatment facilities (MTF), while half received their care from civilian physicians and other civilian providers. In recent years, the use of civilian obstetric care has increased among TRICARE beneficiaries. In 2004, 51 percent of TRICARE beneficiaries delivered their babies at civilian hospitals; by 2006, 54 percent delivered at civilian hospitals. However, through 2005, some TRICARE beneficiaries reported difficulties obtaining obstetric care from civilian physicians. At the same time, some civilian physicians contended that TRICARE payment rates for obstetric care were too low. TRICARE reimburses physicians for most obstetric care using two global payments, one for uncomplicated vaginal delivery and the other for uncomplicated cesarean delivery, each of which is a single amount that covers a defined set of related services. In the case of obstetrics, these global payments cover a woman's prenatal visits, the physician's assistance at delivery of the baby, and postnatal care after the delivery of …

Base Visit Input - Command Brief for Commissioner Gehman dated 16 June Naval Station Pascagoula

BRAC Visit to Lackland AFB - Briefing provided to Commission - Air Education and Training Command (AETC) "Sustaining the Combat Capability of America's Air Force

Collection of BRAC related news clippings and articles. Prepared for Commission staff review

CD - Final Environmental Impact Statement (FEIS) for the Introduction of the F/A-18 E/F (Super Hornet) Aircraft to the East Coast of the United States dated July 2003 - Not available electronically via E-Library -

Postcards that were created in response to the Commission's BRAC Report released May 13,2005 requesting that the Commission not move defense agencies away from Metro stations and the National Capital Region.

Briefing Presented to the Commission 28 July 2005 - Surgeon General Infrastructure Overview