state relations (81 - 90 of 375 items)
Nursing Home Fire Safety: Recent Fires Highlight Weaknesses in Federal Standards and Oversight
GAO-04-660: Published: Jul 16, 2004. Publicly Released: Jul 16, 2004.
In 2003, 31 residents died in nursing home fires in Hartford, Connecticut, and Nashville, Tennessee. Federal fire safety standards enforced by the Centers for Medicare & Medicaid Services (CMS) did not require either home to have automatic sprinklers even though they have proven very effective in reducing the number of multiple deaths from fires. GAO was asked to report on (1) the rationale for no...
Substance Abuse And Mental Health Services Administration: Planning for Program Changes and Future Workforce Needs Is Incomplete
GAO-04-683: Published: Jun 4, 2004. Publicly Released: Jul 6, 2004.
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the lead federal agency responsible for improving the quality and availability of prevention and treatment services for substance abuse and mental illness. The upcoming reauthorization review of SAMHSA will enable the Congress to examine the agency's management of its grant programs and plans for converting its block grants...
Medicaid: Intergovernmental Transfers Have Facilitated State Financing Schemes
GAO-04-574T: Published: Mar 18, 2004. Publicly Released: Mar 18, 2004.
Medicaid, the federal-state health financing program for many of the nation's most vulnerable populations, finances health care for an estimated 53 million lowincome Americans, at a cost of $244 billion in 2002. Congress structured Medicaid as a shared fiduciary responsibility of the federal government and the states, with the federal share of each state's Medicaid payments determined by a formula...
Medicaid: Improved Federal Oversight of State Financing Schemes Is Needed
GAO-04-228: Published: Feb 13, 2004. Publicly Released: Mar 16, 2004.
For years, some states have taken advantage of a loophole in Medicaid law that allows them to claim billions of dollars in excessive federal matching funds by exploiting the "upper payment limit" (UPL), which is intended to be a ceiling on federal cost sharing. Congress and the Centers for Medicare & Medicaid Services (CMS) acted to curtail UPL financing schemes through law in 2000 and regulation...
Private Health Insurance: Employers and Individuals Are Vulnerable to Unauthorized or Bogus Entities Selling Coverage
GAO-04-312: Published: Feb 27, 2004. Publicly Released: Mar 3, 2004.
Health insurance premiums have increased at double-digit rates over the past few years. While searching for affordable options, some employers and individuals have purchased coverage from certain entities that are not authorized by state insurance departments to sell this coverage. Such unauthorized entities--also sometimes referred to as bogus entities or scams--may collect premiums and not pay s...
Private Health Insurance: Unauthorized or Bogus Entities Have Exploited Employers and Individuals Seeking Affordable Coverage
GAO-04-512T: Published: Mar 3, 2004. Publicly Released: Mar 3, 2004.
As health insurance premiums have risen at double-digit rates in recent years, employers and individuals who have sought to purchase more affordable coverage have fallen prey to certain entities that may offer attractively priced premiums but do not fulfill the expectations of those buying health insurance. These unauthorized entities--also known as bogus entities or scams--may not meet the financ...
Tobacco Use And Public Health: Federal Efforts to Prevent and Reduce Tobacco Use among Youth
GAO-04-41: Published: Nov 21, 2003. Publicly Released: Dec 23, 2003.
Tobacco use is the leading cause of preventable death in the United States. The Centers for Disease Control and Prevention (CDC) reported that, on average, over 440,000 deaths and $76 billion in medical expenditures were attributable to cigarette smoking each year from 1995 through 1999. Reducing tobacco-related deaths and the incidence of disease, along with the associated costs, represents a sig...
Prescription Drugs: State and Federal Oversight of Drug Compounding by Pharmacies
GAO-04-195T: Published: Oct 23, 2003. Publicly Released: Oct 23, 2003.
Drug compounding--the process of mixing, combining, or altering ingredients--is an important part of the practice of pharmacy because there is a need for medications tailored to individual patient needs. Several recent compounding cases that resulted in serious illness and deaths have raised concern about oversight to ensure the safety and quality of compounded drugs. These concerns have raised qu...
Infectious Diseases: Gaps Remain in Surveillance Capabilities of State and Local Agencies
GAO-03-1176T: Published: Sep 24, 2003. Publicly Released: Sep 24, 2003.
Recent challenges, such as the SARS outbreak and the anthrax incidents in the fall of 2001, have raised concerns about the nation's preparedness for a large-scale infectious disease outbreak or bioterrorism event. In order to be adequately prepared for such a major public health threat, state and local public health agencies need to have several basic capabilities, including disease surveillance s...
Medicaid Formula: Differences in Funding Ability among States Often Are Widened
GAO-03-620: Published: Jul 10, 2003. Publicly Released: Aug 11, 2003.
A primary goal in establishing Medicaid's statutory formula, whereby states with lower per capita incomes (PCI) receive higher rates of federal reimbursement for program costs, was to narrow differences among states in their ability to fund Medicaid services. States' ability to fund services depends on their financial resources in relation to their number of and costs to serve people in poverty. G...