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Executive (71 - 80 of 32,143 items)
Indian Health Service: Actions Needed to Improve Oversight of Quality of Care
GAO-17-181: Published: Jan 9, 2017. Publicly Released: Jan 9, 2017.
The Indian Health Service's (IHS) oversight of the quality of care provided in its federally operated facilities has been limited and inconsistent. While some oversight functions are performed at the headquarters level, the agency has delegated primary responsibility for the oversight of care to nine area offices. Area officials stated that the oversight they provide has included, for example, hol...
Public Health Emergencies: HHS Needs to Better Communicate Requirements and Revise Plans for Assessing Impact of Personnel Reassignment
GAO-17-187: Published: Jan 9, 2017. Publicly Released: Jan 9, 2017.
The Office of the Assistant Secretary for Preparedness and Response (ASPR), within the Department of Health and Human Services (HHS), has primary federal responsibility for overseeing medical and public health preparedness and response and coordinating the reassignment of personnel in a public health emergency. ASPR has developed processes to review and approve states' and tribes' requests for per...
Retirement Security: Improved Guidance Could Help Account Owners Understand the Risks of Investing in Unconventional Assets
GAO-17-102: Published: Dec 8, 2016. Publicly Released: Jan 9, 2017.
Federal data collection efforts to date have captured little information on retirement accounts holding unconventional assets—such as real estate, precious metals, private equity, and virtual currency—making the prevalence of such accounts unknown. In tax year 2015, the Internal Revenue Service (IRS) began requiring that custodians or trustees of individual retirement accounts (IRA)—includin...
Troubled Asset Relief Program: Status of Housing Programs
GAO-17-236: Published: Jan 9, 2017. Publicly Released: Jan 9, 2017.
As of October 31, 2016, the Department of the Treasury (Treasury) had disbursed $22.6 billion (60 percent) of the $37.51 billion Troubled Asset Relief Program (TARP) funds obligated to the three housing programs (see fig.).The Making Home Affordable (MHA) program allowed homeowners to apply for loan modifications to avoid foreclosure. Under this program, which was closed to applicants on December...
FDA Facilities: Planning Efforts for White Oak Campus Should Further Incorporate Leading Practices to Address Ongoing Challenges
GAO-17-87: Published: Dec 7, 2016. Publicly Released: Jan 6, 2017.
Officials from the Food and Drug Administration (FDA), within the Department of Health and Human Services (HHS) described various benefits and challenges related to the consolidation of about 10,500 FDA staff and contractors at a campus in White Oak, Maryland. As of 2016, the campus was partially complete, with 9 of the 10 planned office buildings constructed and 27 percent more staff than the 8,2...
Climate Change: Improved Federal Coordination Could Facilitate Use of Forward-Looking Climate Information in Design Standards, Building Codes, and Certifications
GAO-17-3: Published: Nov 30, 2016. Publicly Released: Jan 3, 2017.
Selected standards-developing organizations generally have not used forward-looking climate information—such as projected rainfall rates—in design standards, building codes, and voluntary certifications and instead have relied on historical observations. Further, some organizations periodically update climate information in standards, codes, and certifications, but others do not. Some standard...
Dodd-Frank Regulations: Agencies' Efforts to Analyze and Coordinate Their Recent Final Rules
GAO-17-188: Published: Dec 29, 2016. Publicly Released: Dec 29, 2016.
Federal financial regulators reported conducting the required regulatory analyses for rules issued pursuant to the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) as part of the rulemaking process. For example, of the 30 rules GAO reviewed, which became effective between July 2015 and July 2016, the regulators analyzed the paperwork burden imposed for 12 rules for which...
Medicaid Personal Care Services: CMS Could Do More to Harmonize Requirements across Programs
GAO-17-28: Published: Nov 23, 2016. Publicly Released: Dec 22, 2016.
Four states that GAO reviewed varied in how they implemented safeguards to protect beneficiaries receiving in-home personal care services from harm and in their methods to help ensure billed services were actually provided. For example, to help keep beneficiaries safe, the four selected states—California, Maryland, Oregon, and Texas—reported that they monitored beneficiaries by having case man...
Homeless Veterans: Management Improvements Could Help VA Better Identify Supportive-Housing Projects
GAO-17-101: Published: Dec 21, 2016. Publicly Released: Dec 21, 2016.
As of September 2016, for veterans who were homeless or at risk of homelessness, the Department of Veterans Affairs (VA) had developed 35 enhanced-use leases (EUL) for supportive-housing with low cost rental housing and coordinated access to medical, rehabilitative, mental healthcare, and other services. Each supportive-housing EUL is located on a VA medical center campus. Some lessee representati...
Declining Resources: Selected Agencies Took Steps to Minimize Effects on Mission but Opportunities Exist for Additional Action
GAO-17-79: Published: Dec 20, 2016. Publicly Released: Dec 20, 2016.
The three selected agencies GAO reviewed for this report—the Employment and Training Administration (ETA), Federal Law Enforcement Training Centers (FLETC), and the Environmental Protection Agency (EPA)—each took a number of different approaches to manage declining resources that aligned with the three key themes outlined in GAO's framework. For example:Top Management Should Lead Efforts to Ma...