state relations (1 - 10 of 340 items)
Foster Children: HHS Guidance Could Help States Improve Oversight of Psychotropic Prescriptions
GAO-12-270T: Published: Dec 1, 2011. Publicly Released: Dec 1, 2011.
Foster children have often been removed from abusive or neglectful homes and tend to have more mental health conditions than other children. Treatment may include psychotropic drugs but their risks to children are not well understood. Medicaid, administered by states and overseen by the Department of Health and Human Services (HHS), provides prescription drug coverage to foster children. This test...
Child Care: Overview of Relevant Employment Laws and Cases of Sex Offenders at Child Care Facilities
GAO-11-757: Published: Aug 19, 2011. Publicly Released: Sep 13, 2011.
Very little is known about sexual abuse among children that are regularly cared for by more than 1.3 million child care providers every week in the United States. In this context, GAO was asked to (1) provide an overview of federal and state laws related to the employment of sex offenders at child care facilities and (2) examine cases where individuals who were convicted of serious sexual offenses...
Child Fatalities from Maltreatment: National Data Could Be Strengthened
GAO-11-811T: Published: Jul 12, 2011. Publicly Released: Jul 12, 2011.
This testimony discusses child fatalities from maltreatment. Every year, children in the United States die after being physically abused, severely neglected, or otherwise maltreated, frequently at the hands of their parents or others who are entrusted with their care. Infants and toddlers are the most vulnerable to such abuse and neglect. According to estimates by the National Child Abuse and Negl...
Nutrition Assistance: Additional Efficiencies Could Improve Services to Older Adults
GAO-11-782T: Published: Jun 21, 2011. Publicly Released: Jun 21, 2011.
This testimony discusses our recent work on food insecurity among older adults and the nutrition assistance programs available to assist them, including nutrition assistance programs authorized under the Older Americans Act of 1965 (OAA). This work can help inform government policymakers as they address the needs of one of our nation's most vulnerable populations while ensuring the efficiency and...
Human Services Programs: Opportunities to Reduce Inefficiencies
GAO-11-531T: Published: Apr 5, 2011. Publicly Released: Apr 5, 2011.
The federal government, often in concert with states, provides assistance to millions of individuals and families each year through a multiplicity of programs. These programs play a key role in supporting workers who have lost their jobs, families with low-incomes, and vulnerable children who have experienced abuse and neglect. However, given the fiscal pressures facing the federal government and...
Medicaid: Improving Responsiveness of Federal Assistance to States during Economic Downturns
GAO-11-395: Published: Mar 31, 2011. Publicly Released: Mar 31, 2011.
In response to the most recent U.S. recession, from December 2007 to June 2009, Congress passed the American Recovery and Reinvestment Act of 2009 (Recovery Act). To help states maintain their Medicaid programs and provide states with general fiscal relief, the Recovery Act temporarily increased the federal share of Medicaid funding for states. The federal funding states receive for Medicaid is de...
State and Local Governments: Knowledge of Past Recessions Can Inform Future Federal Fiscal Assistance
GAO-11-401: Published: Mar 31, 2011. Publicly Released: Mar 31, 2011.
The most recent recession, which started in December 2007, is generally believed to be the worst economic downturn the country has experienced since the Great Depression. In response to this recession, Congress passed the American Recovery and Reinvestment Act of 2009 (Recovery Act), which provided state and local governments with about $282 billion in fiscal assistance. The Recovery Act requires...
Elder Justice: Stronger Federal Leadership Could Help Improve Response to Elder Abuse
GAO-11-384T: Published: Mar 2, 2011. Publicly Released: Mar 2, 2011.
This testimony discusses ending elder abuse, neglect, and exploitation. Each day, news reports cite instances of older adults across the U.S. being abused and denied needed care, often by those they depend on the most. Neglect and abuse often go hand in hand with financial exploitation, which can rob older adults of the life savings and property they count on to support them in old age. In additio...
Elder Justice: Survey of Adult Protective Services Program Administrators (GAO-11-129SP, March 2011), an E-supplement to GAO-11-208
GAO-11-129SP: Published: Mar 2, 2011. Publicly Released: Mar 2, 2011.
This is an E-supplement to GAO-11-208. It presents the results of GAO's web-based survey of all 50 states and the District of Columbia to examine the responsibilities, organization, and challenges of Adult Protective Services (APS) programs. The survey respondents included program administrators in APS programs in all 50 states and the District of Columbia. The questions in our survey were posed t...
Child Care and Development Fund: Undercover Tests Show Five State Programs Are Vulnerable to Fraud and Abuse
GAO-10-1062: Published: Sep 22, 2010. Publicly Released: Sep 22, 2010.
Through the Child Care and Development Fund (CCDF), the U.S. Department of Health and Human Services (HHS) subsidizes child care for low-income families whose parents work or attend education or training programs. In fiscal year 2009, the CCDF budget was $7 billion. States are responsible for determining program priorities and overseeing funds. Providers--who range from child care centers to relat...