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train_10300
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO reviewed the evaluations of numerous state welfare-to-work experiments completed since 1988, focusing on: (1) how these experiments resemble current welfare reforms; and (2) the approaches that have been effective in increasing employment and earnings or reducing benefits among ...
[ "The nation’s major cash assistance program to poor families, Aid to Families with Dependent Children (AFDC), provides cash benefits to needy families with children who lack support from one or both of their parents because of unemployment, incapacity, absence, or death. Funded with federal and state dollars, the p...
train_10301
Write a detailed summary of the following government report.
Telecommuting refers to work that is done at an employee's home or at a job site other than a traditional business office. Perhaps the biggest challenge to establishing and expanding telecommuting programs in both the public and private sectors is management's concerns about the types of positions and employees suitabl...
[ "Telecommuting in the public sector began about 10 years ago as a federal pilot project. Its goals were to save energy, improve air quality, reduce congestion and stress on our highways, and help employees better balance the competing demands of work and family obligations. Typically, formal telecommuting arrangeme...
train_10302
Write a detailed summary of the following government report.
In 1980, the Department of the Interior (Interior) established regulations to provide a uniform approach for taking land in trust. Trust status means the government holds title to the land in trust for tribes and individual Indians. Trust land is exempt from state and local taxes. The Secretary of the Interior has dele...
[ "The Secretary of the Interior is hereby authorized, in his discretion, to acquire through purchase, relinquishment, gift, exchange, or assignment, any interest in lands, water rights or surface rights to lands, within or without existing reservations … for the purpose of providing land for the Indians. … Title to ...
train_10303
Write a detailed summary of the following government report.
Drug effectiveness and adverse events can vary between children and adults and among racial and ethnic groups. The Food and Drug Administration (FDA) is authorized under the pediatric exclusivity provision to grant drug sponsors 6 months of additional exclusive marketing rights for conducting clinical drug studies in c...
[ "Congress passed the pediatric exclusivity provision as part of the Food and Drug Administration Modernization Act of 1997 to address a long- standing concern about the low percentage of prescription medications on the market that had been tested and approved for use in children. BPCA, which reauthorized the pediat...
train_10304
Write a detailed summary of the following government report.
The World Bank Group lends about $40 billion annually to developing countries. Critics have claimed that some projects have harmed the environment and the local population. Title XIII of the International Financial Institutions Act of 1977 outlines in part the U.S. government's requirements for reviewing potential envi...
[ "The World Bank Group’s member countries collectively determine policy and make investment decisions. Its board of directors is made up of 24 executive directors who represent all 185 member countries. The U.S. Executive Director is the main liaison between the United States and the World Bank Group. Treasury has t...
train_10305
Write a detailed summary of the following government report.
Mission-critical skills gaps both within federal agencies and across the federal workforce pose a high risk to the nation because they impede the government from cost-effectively serving the public and achieving results. GAO was asked to review progress OPM has made in closing government-wide skills gaps, achieving its...
[ "Mission-critical skills gaps within specific federal agencies as well as across the federal workforce pose a high risk to the nation because they impede the government from cost effectively serving the public and achieving results. We first designated strategic human capital management across the government as a h...
train_10306
Write a detailed summary of the following government report.
From 1987 through 2003, the United States provided more than $2 billion in economic assistance to the Federated States of Micronesia (FSM) and the RMI under a Compact of Free Association; approximately $579 million of this economic assistance went to the RMI. In 2003, the U.S. government approved an amended compact wit...
[ "In 1986, the United States, the FSM, and the RMI entered into the original Compact of Free Association. The compact provided a framework for the United States to work toward achieving its three main goals: (1) to secure self-government for the FSM and the RMI, (2) to ensure certain national security rights for all...
train_10307
Write a detailed summary of the following government report.
One-third of the 2.1 million cases of cash assistance provided under federal or state welfare programs in the fall of 2001 went to children. Because no adults in these families received either Temporary Assistance for Needy Families (TANF) or state maintenance-of-effort funds, work requirements and time limits did not ...
[ "PRWORA made sweeping changes to national welfare policy, creating TANF and ending the federal entitlement to assistance for eligible needy families with children under Aid to Families With Dependent Children (AFDC). The Department of Health and Human Services (HHS) administers the TANF block grant program, which p...
train_10308
Write a detailed summary of the following government report.
DOD's acquisition of major weapon systems has been on GAO's high risk list since 1990. Over the past 50 years, Congress and DOD have continually explored ways to improve acquisition outcomes, including reforms that have championed sound management practices, such as realistic cost estimating, prototyping, and systems e...
[ "There can be little doubt that we can—and must—get better outcomes from our weapon system investments. As seen in table 1, the value of these investments in recent years has been on the order of $1.5 trillion or more, making them a significant part of the Federal discretionary budget. As one can see, cost and sche...
train_10309
Write a detailed summary of the following government report.
GAO provided information on federal block grant programs, focusing on: (1) states' experiences operating block grants; and (2) lessons learned that could be useful to Congress as it considers new block grants. GAO found that: (1) 15 block grants with funding of $32 billion constituted a small portion of the total feder...
[ "Block grants are broader in scope and offer greater state discretion in the use of funds than categorical programs; in addition, block grants allocate funding on the basis of a statutory formula. Block grants have been associated with a variety of goals, including encouraging administrative cost savings, decentral...
train_10310
Write a detailed summary of the following government report.
The Advanced Technology Program (ATP) supports research that accelerates the development of high-risk technologies with the potential for broad-based economic benefits for the nation. Under the program, administrators at the National Institute of Standards and Technology are to ensure that they do not fund research tha...
[ "ATP, which began funding projects in fiscal year 1990, was intended to fund high-risk research and development (R&D) projects with broad commercial and societal benefits that would not be undertaken by a single company or group of companies, either because the risk was too high or because the economic benefits of ...
train_10311
Write a detailed summary of the following government report.
As part of the No Child Left Behind Act (NCLBA) of 2001, the Congress authorized a 3-year, $17 million per year school-based mentoring grant program. For fiscal year 2004, Congress has increased funding to about $50 million to fund additional mentoring efforts. Congress requested that GAO provide information on the stu...
[ "According to a 1995 effectiveness study of the Big Brothers Big Sisters Program, children who participated in this mentoring program achieved higher grades in school, skipped school less frequently, developed closer relationships with parents and peers, and were less likely to initiate the use of drugs and alcohol...
train_10312
Write a detailed summary of the following government report.
DOD's military Tuition Assistance Program includes partnership agreements with about 3,000 schools through which service members can pursue a postsecondary education. Through this program, service members' tuition is paid directly to participating schools and in fiscal year 2013, the program spent $540 million. The pro...
[ "DOD’s military Tuition Assistance Program helps active duty service members—some of whom may regularly be reassigned to another location, including overseas—pursue an education. Through partnership agreements between DOD and more than 3,000 schools, during off-duty hours, service members are able to take undergrad...
train_10313
Write a detailed summary of the following government report.
GAO reviewed the Department of Veterans Affairs' (VA) provision of over-the-counter (OTC) medications, medical supplies, and dietary supplements to veterans, focusing on: (1) what OTC products VA pharmacies dispense; (2) how VA provision of OTC products compares with that of non-VA health care providers; (3) how much V...
[ "Under current law, marketed medical products are classified into two groups: one group has about 65,000 products that are safe for consumers to use only as prescribed by a physician; the other group has over 300,000 products that, according to U.S. Food and Drug Administration standards, are safe for use on the ba...
train_10314
Write a detailed summary of the following government report.
The Visa Waiver Program enables citizens of 27 countries to travel to the United States for tourism or business for 90 days or less without obtaining a visa. In fiscal year 2005, nearly 16 million people entered the country under the program. After the 9-11 terrorist attacks, the risk that aliens would exploit the prog...
[ "The Immigration Reform and Control Act of 1986 created the Visa Waiver Program as a pilot program. It was initially envisioned as an immigration control and economic promotion program, according to State. Participating countries were selected because their citizens had a demonstrated pattern of compliance with U.S...
train_10315
Write a detailed summary of the following government report.
The National Mall in Washington, D.C., encompasses some of our country's most treasured icons and serves as a public gathering place for millions of visitors each year. The National Air and Space Museum, for example, was the most visited museum worldwide in 2003, hosting 9.4 million visitors. Federal agencies with faci...
[ "The National Mall in Washington, D.C., traces its history in part to plans developed by Pierre Charles L’Enfant and the U.S. Senate’s Park Commission of the District of Columbia—commonly known as the McMillan Commission. The L’Enfant Plan of 1791 envisioned the National Mall as a grand avenue beginning at the U.S....
train_10316
Write a detailed summary of the following government report.
Unless the Department of Energy (DOE) revisits its disposal needs and its current option for disposing of wastes off-site, it could miss opportunities to reduce cleanup costs at the Fernald, Oak Ridge, and the Idaho National Engineering and Environmental Laboratory (INEEL) sites and at other sites, such as Paducah, tha...
[ "DOE manages the disposal of cleanup wastes that come from remediation, decontamination, and demolition at sites where operations have been discontinued. Cleanup wastes are primarily subject to three laws: the Atomic Energy Act of 1954, as amended; the Resource Conservation and Recovery Act of 1976 as amended (RCRA...
train_10317
Write a detailed summary of the following government report.
For years, VA has struggled with an increasing workload of disability compensation claims. The average time to complete a claim was 188 days in fiscal year 2011, and VA expects an increase in claims received as 1 million servicemembers leave military service over the next 5 years. As GAO and other organizations have pr...
[ "VA pays monthly disability compensation to veterans with service- connected disabilities (i.e., injuries or diseases incurred or aggravated while on active military duty) according to the severity of the disability. VA also pays additional compensation for certain dependent spouses, children, and parents of vetera...
train_10318
Write a detailed summary of the following government report.
Federal programs in the Federal Housing Administration (FHA), the Department of Veterans Affairs (VA), and the Rural Housing Service (RHS) promote mortgage financing for low-income, first-time, minority, veteran, and rural home buyers. Congress has also chartered private corporations--Fannie Mae and Freddie Mac--to pro...
[ "Established by the National Housing Act of 1934, the FHA single-family mortgage insurance program helps low- and moderate-income families, minorities, and first-time home buyers become homeowners by providing insurance on single-family mortgage loans. The mortgage insurance allows private lenders to provide qualif...
train_10319
Write a detailed summary of the following government report.
In February 2004 and again in June 2005, GAO testified that some Department of Defense (DOD) and civilian agency federal contractors abused the federal tax system with little consequence. Previous problems we identified with contractors with unpaid taxes have led to concerns over whether any interagency contractors, su...
[ "Over 3,800 GSA contractors had about $1.4 billion in unpaid federal taxes as of June 30, 2005. This represents approximately 10 percent of GSA contractors during fiscal year 2004 and the first 9 months of fiscal year 2005. We took a conservative approach to identifying the amount of tax debt owed by GSA contractor...
train_10320
Write a detailed summary of the following government report.
NOAA established the JPSS program in 2010 to replace aging polar satellites and provide critical environmental data used in forecasting weather and measuring variations in climate. However, program officials anticipate a gap in satellite data between the time that the S-NPP satellite reaches the end of its life and the...
[ "Since the 1960s, the United States has operated two separate operational polar-orbiting meteorological satellite systems: the Polar- orbiting Operational Environmental Satellite (POES) series, which is managed by NOAA, and the Defense Meteorological Satellite Program (DMSP), which is managed by the Air Force. Thes...
train_10321
Write a detailed summary of the following government report.
For over 60 years, the United States has provided assistance to food-insecure countries primarily in the form of food commodities procured in the United States and transported overseas. In recent years, the United States has joined other major donors in increasingly providing food assistance in the form of cash or vouc...
[ "USAID’s cash-based food assistance program started in 2008 under the management of its Office of Foreign Disaster Assistance. In June 2010, management of the program was transferred to FFP. In 2014, FFP provided funding for cash and voucher programs in 28 countries as shown on the map in figure 1. EFSP projects ar...
train_10322
Write a detailed summary of the following government report.
Recently, concerns have arisen about the use of certain financial derivatives to avoid or evade tax obligations. As requested, this report (1) identifies and evaluates how financial derivatives can be used to avoid or evade tax liability or achieve differing tax results in economically similar situations, (2) evaluates...
[ "Financial derivatives are globally used financial products that unbundle exposure to an underlying asset and transfer risks—the exposure to financial loss caused by adverse changes in the values of assets or liabilities—from entities less able or willing to manage them to those more willing or able to do so. The v...
train_10323
Write a detailed summary of the following government report.
State and federal officials are concerned that as Internet cigarette sales continue to grow and as states' cigarette taxes increase, so will the amount of lost state tax revenue due to noncompliance with the Jenkins Act. The act requires any person who sells and ships cigarettes across a state line to a buyer, other th...
[ "Each state, and the District of Columbia, imposes an excise tax on the sale of cigarettes, which vary from state to state. As of January 1, 2002, the state excise tax rates for a pack of 20 cigarettes ranged from 2.5 cents in Virginia to $1.425 in Washington (see fig.1). The liability for these taxes generally ari...
train_10324
Write a detailed summary of the following government report.
The Department of the Interior is responsible for diverse and complex missions ranging from managing America's public lands, mineral and water resources, and wildlife to providing satellite data to the military and scientific communities. To fulfill these responsibilities, Interior invests over $850 million annually--a...
[ "The Department of the Interior, created by Congress in 1849, is a multitiered organization that currently employs approximately 70,000 people in about 2,400 locations throughout the United States. The Secretary of the Interior heads the agency, which comprises approximately 30 offices and committees and eight bure...
train_10325
Write a detailed summary of the following government report.
The multibillion dollar Airport and Airway Trust Fund (Trust Fund) provides most of the funding for the Federal Aviation Administration (FAA). The Trust Fund relies on revenue from 10 taxes, including passenger ticket, fuel, and cargo taxes. Concerns about the financial outlook of the Trust Fund have emerged recently g...
[ "The Trust Fund was established by the Airport and Airway Revenue Act of 1970 (P.L. 91-258) to help fund the development of a nationwide airport and airway system and to fund FAA investments in air traffic control facilities. It provides all of the funding for the Airport Improvement Program (AIP), which provides g...
train_10326
Write a detailed summary of the following government report.
Given today's unprecedented terrorism threat environment and the resulting widespread congressional and public interest in the security of our nation's borders, GAO conducted an investigation testing whether radioactive sources could be smuggled across U.S. borders. Most travelers enter the United States through the na...
[ "As part of our undercover investigation, we produced counterfeit documents before sending our two teams of investigators out to the field. We found two NRC documents and a few examples of the documents by searching the Internet. We subsequently used commercial, off-the-shelf computer software to produce two counte...
train_10327
Write a detailed summary of the following government report.
Pursuant to a legislative requirement, GAO reviewed the first joint report issued by the Department of Justice (DOJ) and the Department of Health and Human Services (HHS) on the fiscal year (FY) 1997 deposits to the Federal Hospital Insurance Trust Fund and the allocation of the Health Care Fraud and Abuse Control Prog...
[ "As reported in our high-risk series, as much as 10 percent of health expenditures nationwide are lost to fraud and abuse. In this regard, the HHS Office of the Inspector General (HHS/OIG) reported that in fiscal year 1997, an estimated 11 percent, or $20 billion of Medicare fee-for-service payments were improper. ...
train_10328
Write a detailed summary of the following government report.
The Department of Defense (DOD) and Congress both recognize that Defense technology innovations sometimes move too slowly from the lab to the field. Three new programs have been recently created in DOD to help speed and enhance the transition of new technologies. A report accompanying the fiscal year 2003 National Defe...
[ "DOD relies on its research laboratories and test facilities as well as industry and academia to develop new technologies and systems that improve and enhance military operations and ensure technological superiority over adversaries. Yet, historically, DOD has experienced problems in bringing technologies out of th...
train_10329
Write a detailed summary of the following government report.
The Department of Defense (DOD) is developing a new unmanned combat air vehicle (UCAV) that can suppress enemy air defenses and conduct other air-to-ground attacks, particularly against heavily defended targets. Because it may perform these missions at a relatively low cost, the UCAV could be used to replace some of DO...
[ "DOD has been successfully using unmanned air vehicles such as the Global Hawk and Predator to gather intelligence and perform surveillance and reconnaissance missions for military purposes. Beginning in the mid-1990s, DOD began to conceive of a different type of unmanned air vehicle—the unmanned combat air vehicle...
train_10330
Write a detailed summary of the following government report.
Since 2002, MDA has spent approximately $105 billion, and it plans to spend about $38 billion more by 2019, to defend against enemy ballistic missiles. MDA is developing a BMDS comprised of a command and control system, sensors that identify incoming threats, and intercepting missiles. For over a decade, GAO has report...
[ "The BMDS is designed to defend the United States homeland and our regional friends and allies against attacks from ballistic missiles of all ranges—short, medium, intermediate, and intercontinental. Since ballistic missiles have different ranges, speeds, sizes, and performance characteristics, MDA is developing a ...
train_10331
Write a detailed summary of the following government report.
FCC has regulatory authority over many complex telecommunications issues. To obtain expert advice on these issues, FCC often calls upon its federal advisory committees, comprised mostly of members from industry, private consulting, advocacy groups, and government. These committees must follow the Federal Advisory Commi...
[ "Enacted by Congress in 1972, FACA responded to concerns that federal advisory committees were proliferating without adequate review, oversight, or accountability. Congress included measures in FACA intended to ensure that advisory committees responded to valid needs, that the committees’ proceedings were as open a...
train_10332
Write a detailed summary of the following government report.
Pursuant to a legislative requirement, GAO provided information on: (1) the status of the Department of Labor's efforts to improve the Davis-Bacon Act wage determination process; and (2) whether the changes Labor is making are likely to address the timeliness and accuracy of wage determinations. GAO noted that: (1) in ...
[ "The Davis-Bacon Act, enacted in 1931, and related legislation require employers on federally funded construction projects valued at more than $2,000, or on federally assisted projects, to pay their workers, at a minimum, wages that the Secretary of Labor has determined to be “prevailing” for corresponding classes ...
train_10333
Write a detailed summary of the following government report.
The timely collection of relevant medical evidence from providers, such as physicians and psychologists, is key to the Social Security Administration (SSA) process for deciding whether an estimated 2.5 million new claimants each year have impairments that qualify them to receive disability benefits. The initial determi...
[ "SSA administers two programs under the Social Security Act that provide benefits to people with disabilities who are unable to work: Disability Insurance (DI) and Supplemental Security Income (SSI). According to SSA policy, to be eligible for either DI or SSI, an adult must be unable to engage in “substantial gain...
train_10334
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO reviewed the Food and Drug Administration's (FDA) efforts to correct problems identified in earlier evaluations of its foreign drug inspection program, focusing on FDA's efforts to: (1) prepare inspection reports and take enforcement actions against foreign pharmaceutical manufa...
[ "FDA is responsible for the safety and quality of domestic and imported pharmaceutical products under the Federal Food, Drug, and Cosmetic Act. Specifically, FDA’s Center for Drug Evaluation and Research (CDER) establishes standards for the safety, effectiveness, and manufacture of prescription pharmaceutical produ...
train_10335
Write a detailed summary of the following government report.
According to the Department of Homeland Security (DHS), there are thousands of facilities in the United States that if destroyed by a disaster could cause casualties, economic losses, or disruptions to national security. The Homeland Security Act of 2002 gave DHS responsibility for leading and coordinating the nation's...
[ "The NIPP provides the framework for developing, implementing, and maintaining a coordinated national effort to bring together government at all levels, the private sector, nongovernmental organizations, and international partners to manage the risks to CIKR. In addition to the Homeland Security Act, various statut...
train_10336
Write a detailed summary of the following government report.
GFOs are the elite leaders of the U.S. military. In August 2013 Congress raised questions about costs associated with GFOs as the size of the military forces decreases. GAO was mandated to assess the trends in costs of the active duty GFO population from FY 2001 through FY 2013. This report (1) identifies changes in th...
[ "GFOs are officers in the four ranks of brigadier general and above (for the Navy, rear admiral and above). GFOs are senior officers with high-level interagency, intergovernmental, and multinational responsibilities. These officers plan and implement military operations by integrated military forces across the doma...
train_10337
Write a detailed summary of the following government report.
Cloud computing is a means for delivering computing services via IT networks. When executed effectively, cloud-based services can allow agencies to pay for only the IT services used, thus paying less for more services. An important element of acquiring cloud services is a service level agreement that specifies, among o...
[ "The federal government spends more than $80 billion dollars on IT annually, with more than $2 billion of that amount spent on acquiring cloud-based services. This amount is expected to rise in coming fiscal years, according to OMB. A goal of these investments is to improve federal IT systems by replacing aging and...
train_10338
Write a detailed summary of the following government report.
The U.S. Department of Agriculture's (USDA) Natural Resources Conservation Service (NRCS), working with state and local partners, provides landowners with technical assistance for multiple programs to plan and implement conservation measures that protect soil, water, and wildlife. For years, the Congress has been seeki...
[ "In 1994, the Congress established NRCS and gave it jurisdiction over programs of the former Soil Conservation Service, as well as other USDA financial or technical assistance programs for natural resource conservation and rural development. With more than 12,000 employees nationwide—about three-fourths located in ...
train_10339
Write a detailed summary of the following government report.
Scientists at the Plum Island Animal Disease Center are responsible for protecting the nation against animal diseases that could be accidentally or deliberately introduced into the country. Questions about the security of Plum Island arose after the 2001 terrorist attacks and when employees of the contractor hired to o...
[ "Plum Island is a federally owned 840-acre island off the northeastern tip of Long Island, New York. It is about 1.5 miles from Orient Point, New York (see fig. 1), and about 12 miles from New London, Connecticut. Access to Plum Island is by a ferry service operated by a contractor that transports employees from Or...
train_10340
Write a detailed summary of the following government report.
In fiscal year 2008, the Foreign Military Sales (FMS) program sold over $36 billion dollars in defense articles and services to foreign governments. The Departments of State, Defense (DOD), and Homeland Security (DHS) all have a role in the FMS program. In 2003, GAO identified significant weaknesses in FMS control mech...
[ "The Arms Export Control Act authorizes the sale of defense articles and services to eligible foreign customers under the FMS program. Under the program, the purchased items must be used and secured properly by the customer and cannot be sold to third parties. Also, the FMS program must be administered at no cost t...
train_10341
Write a detailed summary of the following government report.
The Temporary Assistance for Needy Families (TANF) program introduced specific work requirements and benefit time limits. However, the Family Violence Option (FVO) requires states that adopt the FVO to screen TANF clients for domestic violence and grant waivers from program requirements for clients in domestic violence...
[ "The TANF program was established by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), and was designed to provide cash assistance to needy families with children, while at the same time ending the dependence of needy families on government benefits by promoting job preparation, ...
train_10342
Write a detailed summary of the following government report.
The Project BioShield Act of 2004 (BioShield Act) increased the federal government's ability to procure needed countermeasures to address threats from chemical, biological, radiological, and nuclear agents. Under the BioShield Act, the Department of Health and Human Services (HHS) was provided with new contracting auth...
[ "HHS’ ability to use the Special Reserve Fund for the procurement of countermeasures is predicated on a six-step process involving coordination with DHS and approval by the Director of the Office of Management and Budget (OMB). As provided in the BioShield Act, the process requires: 1. the DHS Secretary, in consult...
train_10343
Write a detailed summary of the following government report.
DHS's BioWatch program aims to detect the presence of biological agents considered to be at a high risk for weaponized attack in major U.S. cities. Initially, development of a next generation technology (Gen-3) was led by DHS S&T, with the goal of improving upon currently deployed technology (Gen-2). Gen-3 would have p...
[ "We have highlighted DHS acquisition management issues in our high-risk list since 2005. Over the past several years, our work has identified significant shortcomings in the department’s ability to manage an expanding portfolio of major acquisitions. We have also reported that while DHS acquisition policy reflects ...
train_10344
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO reviewed the modernization blueprint that the Internal Revenue Service (IRS) prepared pursuant to the conference report accompanying the fiscal year 1997 Omnibus Consolidated Appropriations Act. GAO noted that: (1) IRS' May 15, 1997, modernization blueprint is a good first step ...
[ "IRS envisions a future in which its tax processing environment will be virtually paper-free and taxpayer information will be readily available to IRS employees to update taxpayer accounts and respond to taxpayer inquiries. To accomplish this, IRS embarked on an ambitious systems modernization program, called Tax S...
train_10345
Write a detailed summary of the following government report.
Consistently classifying, defining, and distinguishing among the range of medical services provided today--from diagnoses to treatments--is critical for reimbursing providers and analyzing health care utilization, outcomes, and cost. Codes serve this role by assigning each distinct service a unique identifier. Health c...
[ "Health-related information from medical records and claims is used throughout the health care industry for the analysis of health-related services and payment. To facilitate the processing and analysis of these data, alphabetic or numeric codes are assigned to identify individual heath-related services. Coding pro...
train_10346
Write a detailed summary of the following government report.
In addition to external security threats, our nation is threatened from within by growing fiscal imbalances. The combination of additional demands for national and homeland security resources, the long-term rate of growth of entitlement programs, and rising health care costs create the need to make difficult choices ab...
[ "The federal government’s financial condition and long-term fiscal outlook present enormous challenges to the nation’s ability to respond to emerging forces reshaping American society, the place of the United States in the world, and the future role of DOD as well as the rest of the federal government. The near-ter...
train_10347
Write a detailed summary of the following government report.
The importance of prepositioned stocks to the U.S. military was highlighted during recent operations in Iraq, as much of the equipment and supplies stored at land sites in the region and aboard prepositioning ships were used to support operations. Long-standing problems in the Department of Defense's (DOD) prepositioni...
[ "Prepositioning is an important part of DOD’s overall strategic mobility framework. It allows DOD to field combat-ready forces in days rather than the weeks it would take if the forces and all necessary equipment and supplies had to be brought from the United States to the location of the conflict. The U.S. militar...
train_10348
Write a detailed summary of the following government report.
In America, breast cancer is reported as the second leading cause of cancer deaths among women. Given this statistic, the importance of finding a cure cannot be overemphasized. To supplement the billions of federal dollars being spent on breast cancer research, Congress passed legislation creating the Breast Cancer Res...
[ "The Stamp Out Breast Cancer Act (Pub. L. No. 105-41, Aug. 13, 1997) required that the Postal Service issue its first-ever semipostal—the BCRS. The Service issued the BCRS on July 29, 1998. The act required that the BCRS be available for sale for 2 years, but Congress has since extended the sales period through Dec...
train_10349
Write a detailed summary of the following government report.
The Food and Drug Administration (FDA) within the Department of Health and Human Services (HHS) is responsible for oversight of medical devices sold in the United States. Regulations place devices into three classes, with class III including those with the greatest risk to patients. Unless exempt by regulation, new dev...
[ "The Medical Device Amendments of 1976 established three classes of medical devices. Under current law, these three device classes are defined as follows: Class I devices are those for which compliance with general controls, such as good manufacturing practices specified in FDA’s quality system regulation, are suff...
train_10350
Write a detailed summary of the following government report.
The National Weather Service's (NWS) weather products are a vital component of the Federal Aviation Administration's (FAA) air traffic control system. In addition to providing aviation weather products developed at its own facilities, NWS also provides on-site staff at each of FAA's en route centers--the facilities tha...
[ "FAA is responsible for ensuring safe, orderly, and efficient air travel in the national airspace system. NWS supports FAA by providing aviation-related forecasts and warnings at air traffic facilities across the country. Among other support and services, NWS provides four meteorologists at each of FAA’s 21 en rout...
train_10351
Write a detailed summary of the following government report.
A rigorous testing and evaluation program is a critical component of the census planning process because it helps the U.S. Census Bureau (Bureau) assess activities that show promise for a more cost-effective head count. The Bureau conducted a field test in 2004, and we were asked to (1) assess the soundness of the test...
[ "Congress, GAO, the Department of Commerce Inspector General, and even the Bureau itself have all noted that the 2000 Census was marked by poor planning, which unnecessarily added to the cost, risk, and controversy of the national head count. In January 2003, we named the 2010 Census a major performance and account...
train_10352
Write a detailed summary of the following government report.
The Federal Motor Carrier Safety Administration (FMCSA) has the primary federal responsibility for reducing crashes involving large trucks and buses. FMCSA uses its "SafeStat" tool to target carriers for reviews of their compliance with the agency's safety regulations based on their crash rates and safety violations. A...
[ "The interstate commercial motor carrier industry, primarily the trucking industry, is an important part of the nation’s economy. Trucks transport over 11 billion tons of goods, or about 60 percent of the total domestic tonnage shipped. Buses also play an important role, transporting an estimated 860 million passen...
train_10353
Write a detailed summary of the following government report.
In 2001, the Department of Health and Human Services' (HHS) Administration for Children and Families (ACF) implemented the Child and Family Services Reviews (CFSR) to increase states' accountability. The CFSR uses states' data profiles and statewide assessments, as well as interviews and an on-site case review, to meas...
[ "ACF’s Children’s Bureau administers and oversees federal funding to states for child welfare services under Titles IV-B and IV-E of the Social Security Act, and states and counties provide these child welfare services, either directly or indirectly through contracts with private agencies. Among other activities, A...
train_10354
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO provided information on the Department of Energy's (DOE) Nuclear Weapons Stockpile Surveillance program, focusing on DOE efforts to get the testing program on schedule. GAO found that: (1) DOE is behind schedule in conducting flight tests, nonnuclear system laboratory tests, and...
[ "The purpose of DOE’s stockpile surveillance program is to ensure, primarily through three types of tests, that the safety and reliability of nuclear weapons are maintained. Flight tests involve the actual dropping or launching of a weapon, which has had the nuclear components removed. Nonnuclear systems laboratory...
train_10355
Write a detailed summary of the following government report.
During GAO's recent work on services available for women veterans (GAO-10-287), several clinicians expressed concern about the physical safety of women housed in mental health programs at a Department of Veterans Affairs (VA) medical facility. GAO examined (1) the volume of sexual assault incidents reported in recent y...
[ "VHA Central Office has responsibility for monitoring and overseeing both VISN and medical facility operations, including security precautions. Day- to-day management of medical facilities, including residential and mental health treatment units, is the responsibility of the VISNs. VA has 237 residential programs a...
train_10356
Write a detailed summary of the following government report.
Colorectal cancer is the second leading cause of cancer deaths in the United States. Its mortality can be reduced through early detection and treatment. Four key tests are used to detect the cancer--fecal occult blood test (FOBT), flexible sigmoidoscopy, double-contrast barium enema (DCBE), and colonoscopy. Private hea...
[ "Surviving colorectal cancer is greatly enhanced when the disease is detected and treated early; however, only 38 percent of colorectal cancer cases are diagnosed at an early stage, according to ACS. To facilitate early diagnosis, ACS recommends regular colorectal cancer screening for certain individuals using at l...
train_10357
Write a detailed summary of the following government report.
From fiscal years 2009 through 2014, DHS apprehended more than 200,000 UAC, and the number of UAC apprehended in fiscal year 2014 (about 74,000) was more than four times larger than that for fiscal year 2011 (about 17,000). On the journey to the United States, many UAC have traveled thousands of miles under dangerous c...
[ "Interviewing and screening. After Border Patrol, OFO, or ICE apprehends UAC, a CBP or ICE official interviews each child and collects personal information such as the child’s name, country of nationality, and age. DHS officials evaluate each child to determine if he or she meets certain criteria signifying that ad...
train_10358
Write a detailed summary of the following government report.
As the demand for and the cost of prescription drugs rise, many consumers have turned to the Internet to purchase drugs. However, the global nature of the Internet can hinder state and federal efforts to identify and regulate Internet pharmacies to help assure the safety and efficacy of products sold. Recent reports of...
[ "Three general types of Internet pharmacies sell prescription drugs directly to consumers. First, some Internet pharmacies operate much like traditional drugstores, selling a wide range of prescription drugs and requiring consumers to submit a prescription from their physicians before their orders are filled. In so...
train_10359
Write a detailed summary of the following government report.
The Department of Veterans Affairs (VA) is engaged in an ongoing effort to share electronic medical information with the Department of Defense (DOD), which is important in helping to ensure high-quality health care for active duty military personnel and veterans. Also important, in the face of current military response...
[ "VA’s mission is to promote the health, welfare, and dignity of all veterans in recognition of their service to the nation by ensuring they receive medical care, benefits, social support, and lasting memorials. The information technology programs that I will be discussing today are primary concerns of two of VA’s m...
train_10360
Write a detailed summary of the following government report.
Since 1974, GAO has examined personnel security clearance processes and acquired a historical view of key factors to consider in reform efforts. GAO placed the Department of Defense's (DOD) personnel security clearance program, which represents 80 percent of federal government clearances, on its high-risk list in 2005 ...
[ "Military servicemembers, federal workers, and industry personnel must generally obtain security clearances to gain access to classified information. The three clearance level categories are: top secret, secret, and confidential. The level of classification denotes the degree of protection required for information ...
train_10361
Write a detailed summary of the following government report.
After the 1998 bombings of two U.S. embassies in Africa, the State Department embarked on a multibillion-dollar, multiyear program to build new, secure facilities on compounds at posts around the world. The Secure Embassy Construction and Counterterrorism Act of 1999 generally requires that all U.S. agencies, including...
[ "In the wake of the 1998 bombings at the U.S. embassies in Nairobi, Kenya, and Dar es Salaam, Tanzania, State has received increased funding for the construction of new, secure facilities overseas. Funding from fiscal year 1999 to 2004 totaled about $3.4 billion. In addition, Congress passed the Secure Embassy Cons...
train_10362
Write a detailed summary of the following government report.
Much is at stake when it comes to Medicare reform--not only the program's future but also the nation's fiscal flexibility to pursue other important national goals and programs in the future. A comprehensive effort to reform Medicare and put it on a sustainable path would help fulfill this generation's stewardship respo...
[ "As I have previously testified before this Committee, Medicare as currently structured is fiscally unsustainable. While many people have focused on the improvement in the HI Trust Fund’s shorter-range solvency status, the real news is that Medicare’s long-term outlook has worsened significantly during the past yea...
train_10363
Write a detailed summary of the following government report.
This testimony discusses our work on the Making Home Affordable (MHA) program, including the Home Affordable Modification Program (HAMP). Since the Department of the Treasury (Treasury) first announced the framework for its MHA program over 2 years ago, the number of homeowners facing potential foreclosure has remained...
[ "In March 2009, Treasury issued the first HAMP guidelines for modifying first-lien mortgages in an effort to help homeowners avoid foreclosure. The goal of the first-lien mortgage modification program is to reduce struggling homeowners’ mortgage payments to more affordable levels— specifically to 31 percent of the ...
train_10364
Write a detailed summary of the following government report.
GAO discussed actions needed to bring about lasting solutions to serious and long-standing federal government management problems. GAO noted that: (1) its mission is helping the Congress in its efforts to improve management of our national government; (2) one approach has entailed identifying critical management proble...
[ "One of the six major categories in our high risk series is obtaining an adequate return on multibillion dollar investments in information technology. We added this category in 1995 because we continued to find major system development projects that greatly exceed estimated costs, fall years behind schedule, and fa...
train_10365
Write a detailed summary of the following government report.
According to the World Health Organization, infectious diseases account for more than 13 million deaths every year, including nearly two-thirds of all deaths among children under age 5. Infectious diseases present a substantial threat to people in all parts of the world, and this threat has grown in volume and complexi...
[ "Dramatic increases in the volume and speed of international travel and trade in recent years have increased opportunities for diseases to spread across international boundaries. The global reach of the ongoing HIV/AIDS pandemic and the recent appearance in the United States of West Nile virus—a pathogen never befo...
train_10366
Write a detailed summary of the following government report.
PPACA, as of 2014, changed how insurers determine health insurance premiums and how consumers shop for individual market health insurance plans. For example, PPACA prohibited insurers from denying coverage or varying premiums based on consumer health status or gender. At the same time, PPACA required health plans to be...
[ "Beginning January 1, 2014, PPACA required that health insurance plans, whether sold on or off an exchange, offer a comprehensive package of items and services—known as essential health benefits. At the same time, PPACA required most individuals to maintain minimum essential coverage for themselves and their depend...
train_10367
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO reviewed the federal government's liability when the Forest Service and the Bureau of Land Management (BLM) suspend or cancel timber sale contracts to protect threatened or endangered species, focusing on what: (1) amounts and types of damages have been awarded to purchasers and...
[ "The Forest Service, through its 9 regional offices, and BLM, through its 12 state offices, award contracts to individuals or companies to harvest and remove timber from the federal lands under their jurisdiction. The contracts set forth specific terms and provisions of the sale, including the estimated volume of t...
train_10368
Write a detailed summary of the following government report.
Strategic workforce planning can help DOD determine whether it has the civilian personnel with the necessary skills and competencies to perform a wide variety of duties and responsibilities, including mission-essential combat-support functions, such as logistics and maintenance, that traditionally have been performed b...
[ "Section 115b requires that the Secretary of Defense submit to the congressional defense committees, in every even-numbered year, a strategic workforce plan to shape and improve the civilian employee workforce of DOD. The statute assigns overall responsibility for developing and implementing the plan to the Under S...
train_10369
Write a detailed summary of the following government report.
GAO reviewed the Army's plans for acquiring the Enhanced Fiber Optic Guided Missile (EFOG-M) system. GAO found that: (1) the Army lacks a formal requirement for EFOG-M and has not prepared comprehensive comparative cost studies because requirements documents and analyses are not normally required for Advanced Concept T...
[ "The EFOG-M is being designed to engage armored combat vehicles, other high value ground targets (such as command, control, and communication centers), and helicopters beyond the line of sight at ranges up to 15 kilometers. The system will consist of a gunner’s station and eight missiles mounted on a High Mobility ...
train_10370
Write a detailed summary of the following government report.
NASA historically has experienced cost growth and schedule slippage in its portfolio of major projects and has taken actions to improve in this area, including adopting the use of EVM. EVM is a tool developed to help project managers monitor risks. GAO was asked to examine (1) the extent to which NASA is using EVM to m...
[ "EVM is a project management tool that, when properly used, can provide accurate assessments of project progress, produce early warning signs of impending schedule delays and cost overruns, and provide unbiased estimates of anticipated costs at completion. Pulling together essential cost, schedule, and technical in...
train_10371
Write a detailed summary of the following government report.
Congress passed the Sarbanes-Oxley Act to help protect investors and restore investor confidence. While the act has generally been recognized as important and necessary, some concerns have been expressed about the cost for small businesses. In this report, GAO (1) analyzes the impact of the Sarbanes-Oxley Act on smalle...
[ "Responding to corporate failures and fraud that resulted in substantial financial losses to institutional and individual investors, Congress passed the Sarbanes-Oxley Act in 2002. As shown in table 1, the act contains provisions affecting the corporate governance, auditing, and financial reporting of public compan...
train_10372
Write a detailed summary of the following government report.
DOD acknowledges that malicious cyber intrusions of its networks have negatively affected its information technology systems, and that adversaries are gaining capability over time. In 2010, the President re-designated the director of the NSA as CYBERCOM's commander, establishing a dual-hat leadership arrangement for th...
[ "“Dual-hatting” is a term used to describe a position in which an incumbent officer has responsibilities in two organizations simultaneously—usually to that officer’s particular military service, and to a joint, combined, or international organization or activity. DOD officials told us that dual- hatting senior lea...
train_10373
Write a detailed summary of the following government report.
The U.S. Department of the Interior's Bureau of Land Management (BLM), Fish and Wildlife Service, and National Park Service, and the U.S. Department of Agriculture's Forest Service manage about 628 million acres of public land, mostly in the 11 western states and Alaska. Under the Federal Land Transaction Facilitation ...
[ "FLTFA, commonly called the “Baca Act,” provides for the use of revenue from the sale or exchange of BLM land identified for disposal under land use plans in effect as of the date of its enactment—July 25, 2000. The act does not apply to land identified for disposal after its enactment, such as through a land use p...
train_10374
Write a detailed summary of the following government report.
Over 50 million low-income adults and children receive health insurance coverage through Medicaid and the State Children's Health Insurance Program (SCHIP). Federal law allows states to require beneficiary contributions, such as premiums and cost sharing (coinsurance, copayments, and deductibles), for at least some Med...
[ "Health insurance coverage often includes beneficiary contributions, which require an insured individual to pay some portion of medical expenses. The medical expenses charged to an individual—particularly for certain types of beneficiary contributions—can vary depending on the amount and type of services used. The ...
train_10375
Write a detailed summary of the following government report.
Millions of U.S. households have invested in mutual funds whose value exceeds $6 trillion. The fees and other costs that these investors pay as part of owning mutual funds can significantly affect their investment returns. Recent press reports suggest that mutual fund fees have increased during the market downturn in t...
[ "Data from others and our own analysis indicates that mutual fund fees may have increased recently. Studies by SEC and ICI found that expense ratios for mutual funds overall have increased since 1980. Our own analysis finds that average expense ratios for large stock funds have increased since 1998, but those for l...
train_10376
Write a detailed summary of the following government report.
To prevent pollutants from entering storm water runoff, the Clean Water Act's National Pollutant Discharge Elimination System Storm Water Program requires controls for construction activities that disturb land. Phase I of this program requires permitting for construction activities that disturb 5 acres or more, while P...
[ "According to EPA, polluted storm water runoff is a leading cause of impairment to the nearly 40 percent of surveyed U.S. water bodies that do not meet water quality standards. Pollutants in storm water can significantly impact the environmental quality of U.S. waters by destroying aquatic habitat and elevating pol...
train_10377
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO reviewed various aspects of the Bureau of Alcohol, Tobacco, and Firearms' (ATF) operations, focusing on ATF compliance in meeting specific legislative restrictions in 18 U.S.C. 926(a) regarding federal firearms licensee data. GAO found that: (1) ATF identified and described 14 n...
[ "ATF, a criminal and regulatory enforcement agency within the Department of the Treasury, is responsible for providing industry regulation; collecting revenue; and enforcing federal statutes regarding firearms, explosives, alcohol, tobacco, and arson. A critical component of ATF’s criminal enforcement mission is th...
train_10378
Write a detailed summary of the following government report.
The U.S. Patent and Trademark Office (USPTO) is responsible for issuing U.S. patents that protect new ideas and investments in innovation and creativity. Recent increases in both the complexity and volume of patent applications have increased the time it takes to process patents and have raised concerns about the valid...
[ "USPTO administers U.S. patent and trademark law to encourage innovation and advance science and technology in two ways. First, USPTO grants to inventors exclusive rights to their inventions for a limited period of time, usually 20 years. During this time, the inventor can exclude others from making, using, selling...
train_10379
Write a detailed summary of the following government report.
In November 2001, the World Trade Organization launched a new set of multilateral negotiations at its ministerial conference in Doha, Qatar. The ministerial conference was important because it laid out an ambitious agenda for a broad set of new multilateral trade negotiations, set forth in the Doha Ministerial Declarat...
[ "The Uruguay Round, the seventh in a series of multilateral negotiations known as “rounds,” established the World Trade Organization (WTO) on January 1, 1995, as the successor to the General Agreement on Tariffs and Trade (GATT). This round resulted in over a dozen separate agreements that, among others, covered in...
train_10380
Write a detailed summary of the following government report.
This testimony discusses the E-Verify program, which provides employers a tool for verifying an employee's authorization to work in the United States. The opportunity for employment is one of the most powerful magnets attracting immigrants to the United States. According to the Pew Hispanic Center, in early 2009 approx...
[ "USCIS has reduced TNCs from 8 percent for the period June 2004 through March 2007 to almost 2.6 percent in fiscal year 2009. As shown in figure 1, in fiscal year 2009, about 2.6 percent or over 211,000 of newly hired employees received either a SSA or USCIS TNC, including about 0.3 percent who were determined to b...
train_10381
Write a detailed summary of the following government report.
The federal government manages about 650 million acres, or 29 percent, of the 2.27 billion acres of U.S. land. Four land management agencies—the Bureau of Land Management (BLM), the Fish and Wildlife Service (FWS), the National Park Service (NPS) in the Department of the Interior (Interior), and the Forest Service, in ...
[ "The four major federal land management agencies—BLM, the Forest Service, FWS, and NPS—manage their land and resources in accordance with their respective missions and authorities. BLM and the Forest Service are responsible for managing about 69 percent of federal land for a variety of uses, including recreation, t...
train_10382
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO discussed the Internal Revenue Service's (IRS) year 2000 efforts and the remaining challenges IRS faces in making its information systems year 2000 compliant, focusing on: (1) the extent to which IRS monitors the year 2000 status of its mission-critical systems in their entirety...
[ "IRS’ Year 2000 status reports do not provide a complete picture of the status of IRS’ mission-critical systems because IRS does not monitor Year 2000 status for its mission-critical systems in their entirety. Instead, IRS monitors the Year 2000 status of the components of an information system, such as the applica...
train_10383
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO reviewed: (1) the environmental management approaches used in Massachusetts, New York, and New Jersey; (2) state and industry experiences with these integrated management approaches; and (3) the Environmental Protection Agency's (EPA) role in state efforts to reduce pollution. G...
[ "The Pollution Prevention Act of 1990 established the national policy that pollution prevention, as opposed to pollution control, is the preferred method of addressing the nation’s pollution problems. The act also specified that reduction of pollution at its source (source reduction) is the preferred method to prev...
train_10384
Write a detailed summary of the following government report.
This testimony discusses internal controls weaknesses that left two Navy units in San Diego, California, vulnerable to purchase card fraud and abuse. GAO found a proliferation of purchase cards at the two units in San Diego--the Space and Naval Warfare Systems Command and the Navy Public Works. In the end, more than 1,...
[ "We conducted our audit work from August 2000 through June 2001 in accordance with generally accepted U.S. government auditing standards, and we performed our investigative work in accordance with standards prescribed by the President’s Council on Integrity and Efficiency. We briefed DOD managers, including officia...
train_10385
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO provided information on managed care plans' decisions to leave the Medicare program or to reduce the geographic areas that they serve, focusing on: (1) plans that receive capitated payments; (2) the patterns of plan and beneficiary participation in managed care; (3) factors asso...
[ "Medicare is the nation’s health insurance program for those aged 65 and older and certain disabled individuals. All beneficiaries may receive health care through Medicare’s traditional FFS arrangement. Alternatively, a beneficiary may enroll in a Medicare managed care plan if one is available in the county in whic...
train_10386
Write a detailed summary of the following government report.
The Department of Defense (DOD) provides health care and mental health care through its TRICARE program. Under TRICARE, beneficiaries may obtain care through TRICARE Prime, an option that includes the use of civilian provider networks and requires enrollment. TRICARE beneficiaries who do not enroll in this option may o...
[ "In fiscal year 2009, over 9 million beneficiaries were eligible to receive health care and mental health care through DOD’s TRICARE program. Under TRICARE, beneficiaries have choices among various benefit options and may obtain care from either military treatment facilities or civilian providers. TRICARE beneficia...
train_10387
Write a detailed summary of the following government report.
IRS relies extensively on IT systems to annually collect more than $2 trillion in taxes, distribute more than $300 billion in refunds, and carry out its mission of providing service to America's taxpayers in meeting their tax obligations. For fiscal year 2014, IRS expected to spend about $2.4 billion on IT. Given the s...
[ "The mission of IRS, a component of the Department of the Treasury (Treasury), is to provide America’s taxpayers top quality service by helping them understand and meet their tax responsibilities and enforcing the federal tax laws with integrity and fairness to all. In carrying out its mission, IRS annually collect...
train_10388
Write a detailed summary of the following government report.
This testimony discusses the efforts of the Federal Emergency Management Agency (FEMA)--a component of the Department of Homeland Security (DHS)--to measure and assess national capabilities to respond to a major disaster. According to the Congressional Research Service, from fiscal years 2002 through 2010, Congress app...
[ "In July 2005, we reported that DHS had established a draft Target Capabilities List that provides guidance on the specific capabilities and levels of capability that FEMA would expect federal, state, local, and tribal first responders to develop and maintain. We reported that DHS defined these capabilities generic...
train_10389
Write a detailed summary of the following government report.
Forces in Iraq and Afghanistan have faced significant risks of mission failure and loss of life due to rapidly changing enemy threats. In response, the Department of Defense (DOD) established urgent operational needs processes to rapidly develop, modify, and field new capabilities, such as intelligence, surveillance an...
[ "As evidenced by evolving threats in Iraq and Afghanistan, enemy forces have exploited capability gaps in the technology, systems, and equipment used by U.S. forces. Such tactics made it evident that U.S. warfighters were not always equipped to deal with the fast-changing tactics, techniques, and procedures of the ...
train_10390
Write a detailed summary of the following government report.
There is widespread agreement that the basic approach to federal pay is broken and that it needs to be more market- and performance-based. Doing so will be essential if the federal government is to maximize its performance and assure accountability for the benefit of the American people. While there will be debate and ...
[ "We identified specific practices that leading public sector organizations both here in the United States and abroad have used in their performance management systems to create a clear linkage—“line of sight”—between individual performance and organizational success. Federal agencies should consider these practices...
train_10391
Write a detailed summary of the following government report.
Since 1990, GAO has consistently designated the Department of Defense's (DOD) management of its major weapon acquisitions as a high-risk area. A broad consensus exists that weapon system problems are serious, but efforts at reform have had limited impact. Last year, GAO reported that DOD's portfolio of weapon programs ...
[ "Over the past several years our work has highlighted a number of underlying systemic causes for cost growth and schedule delays at both the strategic and program levels. At the strategic level, DOD’s processes for identifying warfighter needs, allocating resources, and developing and procuring weapon systems—which...
train_10392
Write a detailed summary of the following government report.
Pursuant to a congressional request, GAO reviewed the Department of Housing and Urban Development's (HUD) use of its Public Housing Management Assessment Program (PHMAP), focusing on: (1) HUD's use and implementation of the program at its field offices; (2) public housing authorities' PHMAP scores over the first 4 year...
[ "Because public housing represents a $90 billion investment on the part of the federal government since the program’s inception in 1937 and because the Department of Housing and Urban Development (HUD) currently spends $5.4 billion a year on operating subsidies and modernization grants for this housing, interest re...
train_10393
Write a detailed summary of the following government report.
Some stakeholder groups have questioned the use of the BCBS FEHBP Standard plan premium costs as the basis of the age and gender adjustment, as stipulated by PPACA. The Consolidated Appropriations Act, 2016 includes a provision for GAO to report on the suitability of using these data for this purpose. This report exami...
[ "PPACA’s excise tax on high-cost employer-sponsored health insurance is imposed when the value of employees’ health coverage exceeds a threshold, referred to as the tax’s applicable dollar limit. The applicable dollar limit was established in statute for 2018, the year the tax was originally to be implemented. PPAC...
train_10394
Write a detailed summary of the following government report.
The Environmental Protection Agency's (EPA) library network provides agency staff and the public with access to environmental information. A 2006 attempt by EPA to reorganize its network by consolidating libraries and making more materials and services available online caused concern among users, and in 2007, EPA put a...
[ "EPA was established in December 1970 to consolidate a variety of federal research, monitoring, standard-setting, and enforcement activities into one agency to ensure the protection, development, and enhancement of the total environment. To help accomplish its mission, EPA in 1971 established a library network that...
train_10395
Write a detailed summary of the following government report.
The Army is acquiring a new, state-of-the-art radar countermeasures system--called the Suite of Integrated Radio Frequency Countermeasures to help helicopters and other aircraft identify, track, and defeat radar-guided missiles in complex electronic environments where many radar systems could be operating simultaneousl...
[ "Radar-guided missile systems emit radio-frequency energy, that is, radar signals, which reflect or bounce off the surfaces of aircraft in flight. In essence, all radar-guided missile systems use these reflected signals to locate and target aircraft. The Army currently has two types of radar countermeasure systems ...
train_10396
Write a detailed summary of the following government report.
Traffic crashes are a major cause of death and injury in the United States. In 2002, there were 42,815 fatalities and over 2.9 million injuries on the nation's highways. Crashes on rural roads (roads in areas with populations of less than 5,000) account for over 60 percent of the deaths nationwide, or about 70 deaths e...
[ "There are more than 3.9 million miles of roadway in the United States, of which about 3.1 million miles, or about 77 percent, are considered rural roads. Rural roads are defined as those roads that are located in or near areas where the population is less than 5,000. As figure 1 shows, rural roadways make up more ...
train_10397
Write a detailed summary of the following government report.
Federal funding for CHIP expires at the end of fiscal year 2017. Any state with insufficient federal CHIP funding is required to have procedures to enroll eligible children in QHPs certified by HHS as comparable to CHIP, if any such QHPs are available. Little is known about how provider networks offered in QHPs compare...
[ "Through CHIP, states provide health insurance coverage for children in families whose household incomes are too high to qualify for Medicaid. CHIP is funded jointly by the federal government and states. States administer CHIP under federal standards, and the state programs may vary, for example, in the services co...
train_10398
Write a detailed summary of the following government report.
This testimony summarizes the information contained in GAO's September 2016 report, entitled Veterans Affairs Contracting: Improvements in Policies and Processes Could Yield Cost Savings and Efficiency ( GAO-16-810 ). GAO found opportunities for the Department of Veterans Affairs (VA) to improve the efficiency and effe...
[ "VA serves veterans of the U.S. armed forces, and provides health, pension, burial, and other benefits. In fiscal year 2015, VA spent about $20 billion on goods and services via contracts—more than a quarter of its discretionary budget. As shown in the organizational chart below, these contracts were awarded by VA’...
train_10399
Write a detailed summary of the following government report.
The Empowerment Zone/Enterprise Community (EZ/EC) program is one of the most recent large-scale federal effort intended to revitalize impoverished urban and rural communities. There have been three rounds of EZs and two rounds of ECs, all of which are scheduled to end no later than December 2009. The Community Renewal ...
[ "The concept behind the EZ/EC program originated in Great Britain in 1978 with the inception of the Enterprise Zone program. The main objective of the Enterprise Zone program was to foster an attractive business environment in specific areas where economic growth was lacking. In the United States, some states began...