state relations (31 - 40 of 340 items)
African American Children In Foster Care: Additional HHS Assistance Needed to Help States Reduce the Proportion in Care
GAO-07-816: Published: Jul 11, 2007. Publicly Released: Jul 30, 2007.
A significantly greater proportion of African American children are in foster care than children of other races and ethnicities, according to HHS and other research. Given this situation, GAO was asked to analyze the (1) major factors influencing the proportion of African American children in foster care, (2) extent that states and localities have implemented promising strategies, and (3) ways in...
Unemployment Insurance: More Guidance and Evaluation of Worker-Profiling Initiative Could Help Improve State Efforts
GAO-07-680: Published: Jun 14, 2007. Publicly Released: Jun 14, 2007.
Changes to the U.S. economy have led to longer-term unemployment. Many unemployed workers receive Unemployment Insurance (UI), which provided about $30 billion in benefits in 2006. In 1993, Congress established requirements--now known as the Worker Profiling and Reemployment Services (WPRS) initiative--for state UI agencies to identify claimants who are most likely to exhaust their benefits, and t...
Child Welfare: Additional Federal Action Could Help States Address Challenges in Providing Services to Children and Families
GAO-07-850T: Published: May 15, 2007. Publicly Released: May 15, 2007.
Despite substantial federal and state investment, states have had difficulty ensuring the safety, well-being, and permanency of children in foster care. Ensuring these outcomes becomes even more difficult in the event of disasters such as Hurricanes Katrina and Rita, when children and families may become displaced across state lines. This testimony discusses (1) the issues that states reported as...
Medicaid: Strategies to Help States Address Increased Expenditures during Economic Downturns
GAO-07-97: Published: Oct 18, 2006. Publicly Released: Nov 15, 2006.
During economic downturns, states may struggle to finance Medicaid, a federal-state health financing program for certain low-income individuals. States receive federal matching funds for their Medicaid programs according to a statutory formula based on each state's per capita income (PCI) in relation to national PCI. The number of individuals eligible for Medicaid can increase during downturns as...
Human Service Programs: Demonstration Projects Could Identify Ways to Simplify Policies and Facilitate Technology Enhancements to Reduce Administrative Costs
GAO-06-942: Published: Sep 19, 2006. Publicly Released: Oct 19, 2006.
The cost of administering human service programs has been a long-standing concern among policy makers interested in ensuring that federal programs are run in a cost-efficient manner so that federal funds go directly to helping vulnerable people. Little is known about how administrative costs compare among programs, or about opportunities to better manage these costs. GAO looked at (1) how administ...
Child Welfare: Improving Social Service Program, Training, and Technical Assistance Information Would Help Address Long-standing Service-Level and Workforce Challenges
GAO-07-75: Published: Oct 6, 2006. Publicly Released: Oct 6, 2006.
Despite substantial federal and state investment, states have not been able to meet all outcome measures for children in their care. Given the complexity of the challenges that state child welfare agencies face, GAO was asked to determine (1) the primary challenges state child welfare agencies face in their efforts to ensure the safety, well-being, and permanent placement of the children under the...
Guardianships: Little Progress in Ensuring Protection for Incapacitated Elderly People
GAO-06-1086T: Published: Sep 7, 2006. Publicly Released: Sep 7, 2006.
The Senate Special Committee on Aging asked GAO to follow up on its 2004 report, Guardianships: Collaboration Needed to Protect Incapacitated Elderly People, GAO-04-655. This report covered what state courts do to ensure that guardians fulfill their responsibilities, what exemplary guardianship programs look like, and how state courts and federal agencies work together to protect incapacitated eld...
Child Welfare: Federal Action Needed to Ensure States Have Plans to Safeguard Children in the Child Welfare System Displaced by Disasters
GAO-06-944: Published: Jul 28, 2006. Publicly Released: Jul 28, 2006.
According to the Federal Emergency Management Agency, there were 48 federally declared disasters in 2005. Two of these disasters--Hurricanes Katrina and Rita--resulted in a prolonged interruption of child welfare services and the dispersion of thousands of children in Louisiana's foster care system to 19 states. As a result, there has been growing interest in the extent to which states have develo...
Child Support Enforcement: More Focus on Labor Costs and Administrative Cost Audits Could Help Reduce Federal Expenditures
GAO-06-491: Published: Jul 6, 2006. Publicly Released: Jul 6, 2006.
Congress established federal standards for the child support enforcement program (CSE) in 1975. State agencies administer the program and the Office of Child Support Enforcement (OCSE) in the Department of Health and Human Services (HHS) oversees it. The CSE program provides several services, including collecting child support payments from noncustodial parents--those who are not the primary careg...
Foster Care and Adoption Assistance: Federal Oversight Needed to Safeguard Funds and Ensure Consistent Support for States' Administrative Costs
GAO-06-649: Published: Jun 15, 2006. Publicly Released: Jun 15, 2006.
Policymakers have expressed concern over how costs to administer the Foster Care and Adoption Assistance programs are contributing to overall increased federal expenditures for these programs, estimated by the Congressional Budget Office to rise from about $6 billion in fiscal year 2003 to $8 billion in fiscal year 2008. The purpose of these programs is to provide financial support for the proper...