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    Subject Term: "Local governments"

    18 publications with a total of 58 open recommendations including 20 priority recommendations
    Director: Beryl H. Davis
    Phone: (202) 512-2623

    20 open recommendations
    including 12 priority recommendations
    Recommendation: The Secretary of Agriculture should direct the Under Secretary for Food, Nutrition, and Consumer Services to design policies and procedures to reasonably assure that all award recipients required to submit single audit reports do so in accordance with OMB guidance.

    Agency: Department of Agriculture
    Status: Open
    Priority recommendation

    Comments: The Department of Agriculture's (Agriculture) Under Secretary for Food, Nutrition, and Consumer Services did not comment on the recommendation directed to it. GAO believes the recommendation is valid as discussed in our report. In addition, Agriculture has not provided the 60 day letter in response to our recommendations. On July 27, 2017, the agency informed us that the delay is due to their response still needing to clear several approving offices. We have received no further status updates from Agriculture as to when we can expect to receive its 60 day letter. 31 U.S.C. 720 requires that the agency head submit a written statement of the actions taken by the agency on GAO's recommendations to selected congressional committees and GAO not later than 60 days after the date of our report.
    Recommendation: The Secretary of Agriculture should direct the Under Secretary for Food, Nutrition, and Consumer Services to revise policies and procedures to reasonably assure that management decisions contain the required elements and are issued timely in accordance with OMB guidance.

    Agency: Department of Agriculture
    Status: Open
    Priority recommendation

    Comments: The Department of Agriculture's (Agriculture) Under Secretary for Food, Nutrition, and Consumer Services did not comment on the recommendation directed to it. GAO believes the recommendation is valid as discussed in our report. In addition, Agriculture has not provided the 60 day letter in response to our recommendations. On July 27, 2017, the agency informed us that the delay is due to their response still needing to clear several approving offices. We have received no further status updates from Agriculture as to when we can expect to receive its 60 day letter. 31 U.S.C. 720 requires that the agency head submit a written statement of the actions taken by the agency on GAO's recommendations to selected congressional committees and GAO not later than 60 days after the date of our report.
    Recommendation: The Secretary of Agriculture should direct the Under Secretary for Food, Nutrition, and Consumer Services to design and implement policies and procedures for identifying and managing high-risk and recurring single audit findings using a risk-based approach.

    Agency: Department of Agriculture
    Status: Open

    Comments: The Department of Agriculture's (Agriculture) Under Secretary for Food, Nutrition, and Consumer Services did not comment on the recommendation directed to it. GAO believes the recommendation is valid as discussed in our report. In addition, Agriculture has not provided the 60 day letter in response to our recommendations. On July 27, 2017, the agency informed us that the delay is due to their response still needing to clear several approving offices. We have received no further status updates from Agriculture as to when we can expect to receive its 60 day letter. 31 U.S.C. 720 requires that the agency head submit a written statement of the actions taken by the agency on GAO's recommendations to selected congressional committees and GAO not later than 60 days after the date of our report.
    Recommendation: The Secretary of Agriculture should direct the Under Secretary for Rural Development to design policies and procedures to reasonably assure that all award recipients required to submit single audit reports do so in accordance with OMB guidance.

    Agency: Department of Agriculture
    Status: Open
    Priority recommendation

    Comments: The Department of Agriculture's (Agriculture) Under Secretary for Rural Development (RD) concurred with this recommendation. An RD official stated that it will work with Agriculture's Office of the Chief Financial Officer and the program areas to develop policies and procedures to ensure that its award recipients are in compliance with Office of Management and Budget (OMB) guidance. RD stated that it will meet with each program area and discuss how single audits are processed and resolved. RD plans to develop policies and procedures for identifying all award recipients that should file single audit reports; determining if all required single audit reports are filed, received, and processed each year; and assuring that transmittal letters and management decisions contain the required elements and are issued timely in accordance with current OMB guidance. RD also stated that it will develop new policies and procedures for identifying and managing high-risk and recurring single audit findings using a risk-based approach. We will assess these efforts once completed.
    Recommendation: The Secretary of Agriculture should direct the Under Secretary for Rural Development to revise policies and procedures to reasonably assure that management decisions contain the required elements and are issued timely in accordance with OMB guidance.

    Agency: Department of Agriculture
    Status: Open
    Priority recommendation

    Comments: The Department of Agriculture's (Agriculture) Under Secretary for Rural Development (RD) concurred with this recommendation. An RD official stated that it will work with Agriculture's Office of the Chief Financial Officer and the program areas to develop policies and procedures to ensure that its award recipients are in compliance with Office of Management and Budget (OMB) guidance. RD stated that it will meet with each program area and discuss how single audits are processed and resolved. RD plans to develop policies and procedures for identifying all award recipients that should file single audit reports; determining if all required single audit reports are filed, received, and processed each year; and assuring that transmittal letters and management decisions contain the required elements and are issued timely in accordance with current OMB guidance. RD also stated that it will develop new policies and procedures for identifying and managing high-risk and recurring single audit findings using a risk-based approach. We will assess these efforts once completed.
    Recommendation: The Secretary of Agriculture should direct the Under Secretary for Rural Development to design and implement policies and procedures for identifying and managing high-risk and recurring single audit findings using a risk-based approach.

    Agency: Department of Agriculture
    Status: Open

    Comments: The Department of Agriculture's (Agriculture) Under Secretary for Rural Development (RD) concurred with this recommendation. An RD official stated that it will work with Agriculture's Office of Chief Financial Officer and the program areas to develop policies and procedures to ensure that its award recipients are in compliance with Office of Management and Budget (OMB) guidance. RD stated that it will meet with each program area and discuss how single audits are processed and resolved. RD plans to develop policies and procedures for identifying all award recipients that should file single audit reports; determining if all required single audit reports are filed, received, and processed each year; and assuring that transmittal letters and management decisions contain the required elements and are issued timely in accordance with current OMB guidance. RD also stated that it will develop new policies and procedures for identifying and managing high-risk and recurring single audit findings using a risk-based approach. We will assess these efforts once completed.
    Recommendation: The Secretary of Health and Human Services should direct the Assistant Secretary for Financial Resources to revise policies and procedures to reasonably assure that management decisions contain the required elements and are issued timely in accordance with OMB guidance.

    Agency: Department of Health and Human Services
    Status: Open
    Priority recommendation

    Comments: The Department of Health and Human Services (HHS) concurred with this recommendation to the Assistant Secretary for Financial Resources (ASFR). HHS stated that it will enhance the Grants Policy Administration Manual (issued on December 31, 2015) to provide additional details regarding the elements to be included in the management decisions letters. ASFR stated that it will use its established Single Audit Resolution Workgroup, comprised of representatives from the HHS agencies who are responsible for single audit resolution activities, to continually evaluate and strengthen its relevant policies and procedures. We will assess these efforts once completed.
    Recommendation: The Secretary of Health and Human Services should direct the Assistant Secretary for Financial Resources to design and implement policies and procedures for identifying and managing high-risk and recurring single audit findings using a risk-based approach.

    Agency: Department of Health and Human Services
    Status: Open

    Comments: The Department of Health and Human Services (HHS) concurred with this recommendations to the Assistant Secretary for Financial Resources (ASFR). HHS stated that it is committed to ensuring that grantees submit single audits in a timely and complete manner and that its subagencies utilize the findings to ensure proper management of its grantees. HHS stated that ASFR is taking over the single audit assignment and tracking function from the OIG and that this realignment will allow HHS to better meet the requirements of the Uniform Guidance. HHS stated that it would continue to evaluate its policies and procedures to ensure compliance with regulations, particularly as ASFR takes over the single audit findings assignment and tracking function from the OIG. In addition, HHS stated that ASFR will work to develop policies and procedures that utilize a risk-based approach for high-risk and recurring single audit findings. We will assess these efforts once completed.
    Recommendation: The Secretary of Health and Human Services should direct the Administrator of the Centers for Medicare and Medicaid Services to revise its policies and procedures to take action to obtain single audit reports when award recipients did not submit reports within the required time frames.

    Agency: Department of Health and Human Services
    Status: Open
    Priority recommendation

    Comments: The Department of Health and Human Services (HHS) concurred with this recommendation to the Centers for Medicare and Medicaid Services (CMS). HHS stated that CMS has developed a Standard Operating Procedure (SOP) based on the Grants Policy Administration Manual (GPAM) issued December 31, 2015. The SOP is currently under review and will be implemented after approval and signature by CMS leadership. The SOP includes provisions for following up with entities that have delinquent audits. We will assess these efforts once completed.
    Recommendation: The Secretary of Health and Human Services should direct the Administrator of the Centers for Medicare and Medicaid Services to revise its policies and procedures to reasonably assure that management decisions contain the required elements and are issued timely in accordance with OMB guidance.

    Agency: Department of Health and Human Services
    Status: Open
    Priority recommendation

    Comments: The Department of Health and Human Services (HHS) concurred with this recommendation to the Centers for Medicare and Medicaid Services (CMS). HHS stated that it has developed a Standard Operating Procedure (SOP) based on the Grants Policy Administration Manual (GPAM) issued on December 31, 2015, and the draft Management Decision Letter (MDL) HHS guidelines document. In April 2017, HHS informed us that the SOP is under review and will be implemented after approval and signature by CMS leadership. The SOP includes management decision letter elements and the timely issuance of MDLs. We will assess these efforts once completed.
    Recommendation: The Secretary of Health and Human Services should direct the Administrator of the Centers for Medicare and Medicaid Services to design and implement policies and procedures for identifying and managing high-risk and recurring single audit findings using a risk-based approach.

    Agency: Department of Health and Human Services
    Status: Open

    Comments: The Department of Health and Human Services (HHS) concurred with this recommendation to CMS. HHS stated that CMS plans to update the 1982 Health Care Financing Administration Audit Resolution Manual and will work collaboratively with HHS to develop policies and procedures that utilize a risk-based approach for high-risk and recurring single audit findings. We will assess these efforts once completed.
    Recommendation: The Secretary of Housing and Urban Development should direct the Principal Deputy Assistant Secretary for the Office of Community Planning and Development to revise policies and procedures to reasonably assure that management decisions contain the required elements and are issued timely in accordance with OMB guidance.

    Agency: Department of Housing and Urban Development
    Status: Open
    Priority recommendation

    Comments: The Department of Housing and Urban Development's (HUD) Office of Community Planning and Development (CPD) disagreed with this recommendation, but we maintain that revisions to CPD's policies and procedures are warranted to help CPD comply with the Office of Management and Budget (OMB) guidance. CPD officials stated that it provided training on writing management decisions to all CPD field offices in March 2017 and plans to issue a reminder memorandum on management decisions to field offices. We will assess these efforts once completed.
    Recommendation: The Secretary of Housing and Urban Development should direct the Principal Deputy Assistant Secretary for the Office of Community Planning and Development to design and implement policies and procedures for identifying and managing high-risk and recurring single audit findings using a risk-based approach.

    Agency: Department of Housing and Urban Development
    Status: Open

    Comments: In April 2017, the Department of Housing and Urban Development's (HUD) Office of Community Planning and Development (CPD) stated that it planned to produce appropriate policies and procedures for risk rating single audit findings by the end of fiscal year 2017. We will assess these efforts once completed.
    Recommendation: The Secretary of Housing and Urban Development should direct the Principal Deputy Assistant Secretary for the Office of Public and Indian Housing to revise policies to reasonably assure that management decisions contain the required elements and are issued timely in accordance with OMB guidance.

    Agency: Department of Housing and Urban Development
    Status: Open
    Priority recommendation

    Comments: The Department of Housing and Urban Development's (HUD) Office of Public and Indian Housing developed policies and procedures and conducted training for field offices relating to management decisions. We reviewed these policies and procedures and noted that they did not contain all of the required elements in accordance with the Office of Management and Budget guidance relating to management decisions. HUD officials stated that they will review the policies and procures and revise, if needed, to address our concerns. We will assess these efforts once completed.
    Recommendation: The Secretary of Housing and Urban Development should direct the Principal Deputy Assistant Secretary for the Office of Public and Indian Housing to design and implement policies and procedures for identifying and managing high-risk and recurring single audit findings using a risk-based approach.

    Agency: Department of Housing and Urban Development
    Status: Open

    Comments: The Department of Housing and Urban Development's (HUD) Office of Public and Indian Housing met with GAO on July 10, 2017, to discuss the status of this recommendation. The HUD officials at this meeting said the current language in their Independent Public Accountant (IPA) auditing standards addresses the GAO recommendation. However, we explained to the HUD officials at the meeting that the current language is insufficient to close the recommendation as it does not show evidence that HUD has designed or implemented policies and procedures for how HUD is identifying and managing high-risks. The HUD officials stated that they will give this recommendation more consideration and revise the standards and provide GAO with additional support to show what HUD has done to address this recommendation. We will assess these efforts once completed.
    Recommendation: The Secretary of Transportation should direct the Administrator of the Federal Highway Administration to revise policies and procedures to reasonably assure that management decisions contain the required elements and are issued timely in accordance with OMB guidance.

    Agency: Department of Transportation
    Status: Open
    Priority recommendation

    Comments: The Department of Transportation (DOT) agreed with this recommendation. DOT stated that it will, no later than December 31, 2017, instruct the Federal Highway Administration to design, revise, and implement procedures to comply with federal grant and financial management requirements by September 30, 2019. We will assess these efforts once completed.
    Recommendation: The Secretary of Transportation should direct the Administrator of the Federal Highway Administration to design and implement policies and procedures for identifying and managing recurring single audit findings using a risk-based approach.

    Agency: Department of Transportation
    Status: Open

    Comments: The Department of Transportation (DOT) agreed with this recommendation. DOT stated that it will, no later than December 31, 2017, instruct the Federal Highway Administration to design, revise, and implement procedures to comply with federal grant and financial management requirements by September 30, 2019. We will assess these efforts once completed.
    Recommendation: The Secretary of Transportation should direct the Administrator of the Federal Transit Administration to design policies and procedures to reasonably assure that all award recipients required to submit single audit reports do so in accordance with OMB guidance.

    Agency: Department of Transportation
    Status: Open
    Priority recommendation

    Comments: The Department of Transportation (DOT) agreed with this recommendation. DOT stated that it will, no later than December 31, 2017, instruct the Federal Transit Administration to design, revise, and implement procedures to comply with federal grant and financial management requirements by September 30, 2019. We will assess these efforts once completed. We will assess these efforts once completed.
    Recommendation: The Secretary of Transportation should direct the Administrator of the Federal Transit Administration to revise policies and procedures to reasonably assure that management decisions contain the required elements and are issued timely in accordance with OMB guidance.

    Agency: Department of Transportation
    Status: Open
    Priority recommendation

    Comments: The Department of Transportation (DOT) agreed with our recommendations. DOT stated that it will, no later than December 31, 2017, instruct the Federal Transit Administration to design, revise, and implement procedures to comply with federal grant and financial management requirements by September 30, 2019. We will assess these efforts once completed.
    Recommendation: The Secretary of Transportation should direct the Administrator of the Federal Transit Administration to design and implement policies and procedures for identifying and managing recurring single audit findings using a risk-based approach.

    Agency: Department of Transportation
    Status: Open

    Comments: The Department of Transportation (DOT) agreed with this recommendation. DOT stated that it will, no later than December 31, 2017, instruct the Federal Transit Administration to design, revise, and implement procedures to comply with federal grant and financial management requirements by September 30, 2019. We will assess these efforts once completed.
    Director: Mark Goldstein
    Phone: (202) 512-2834

    1 open recommendations
    Recommendation: The Secretary of the Department of Transportation should direct the FHWA Administrator to develop an efficiency measure or measures that demonstrate the linkage between the federal funding of bridges and the desired performance outcomes, such as maintained or improved bridge conditions, and report the resulting information to Congress.

    Agency: Department of Transportation
    Status: Open

    Comments: In October 2016, the U.S. Department of Transportation's Federal Highway Administration (FHWA) reported to GAO that FHWA will review bridge project information and cost data that is currently being collected and review Office of Management and Budget's guidance and other examples for developing meaningful performance measures and measures that were proposed in prior FHWA proposed rulemaking efforts. Following those reviews, FHWA reported that an applicable efficiency measure will be developed that links federal funding and condition of bridges. FHWA reported that this review and evaluation will be completed by January 31, 2018 and once the efficiency measure is implemented it will be reported and incorporated in one of FHWA's existing reports to Congress.
    Director: Daniel Garcia-Diaz
    Phone: (202) 512-8678

    2 open recommendations
    Recommendation: To receive more consistent information on LIHTC noncompliance, the IRS Commissioner should collaborate with the allocating agencies to clarify when allocating agencies should report such information on the Form 8823 (report of noncompliance or building disposition). The IRS Commissioner should collaborate with the Department of the Treasury in drafting such clarifications to help ensure that any new guidance is consistent with Treasury regulations.

    Agency: Department of the Treasury: Internal Revenue Service
    Status: Open

    Comments: In August 2016, IRS stated it would review the Form 8823 Audit Technique Guide to determine whether additional guidance and clarification were needed for allocating agencies to report noncompliance information on the form. If published legal guidance is required, IRS stated that it will submit a proposal for such guidance for prioritization. IRS indicated an expected implementation date by November 2017. In addition, in March 2017, officials stated that IRS Counsel attended an industry conference with allocating agencies at which issues related to the Form 8823 were discussed. We will continue to monitor IRS's progress in implementing our recommendation to clarify when allocating agencies should report noncompliance.
    Recommendation: To improve IRS's processes for identifying the most significant noncompliance issues, the IRS Commissioner should evaluate how IRS could use HUD's Real Estate Assessment Center databases, including how the information might be used to reassess reporting categories on the Form 8823 and to reassess which categories of noncompliance information have to be reviewed for audit potential.

    Agency: Department of the Treasury: Internal Revenue Service
    Status: Open

    Comments: IRS officials stated that since HUD's database with property inspection data was not complete as of March 2017 and contained data from 30 states, it was unclear how the database could be used. IRS officials said they would continue exploring the HUD database if the data for all LIHTC properties were included and it was possible to isolate the LIHTC property data from other rental properties in the HUD database. We will continue to monitor IRS's progress in evaluating the use of HUD's database for reporting information on noncompliance.
    Director: Katherine Iritani
    Phone: (202) 512-7114

    2 open recommendations
    including 2 priority recommendations
    Recommendation: To promote consistency in the distribution of supplemental payments among states and with CMS policy, the Administrator of CMS should issue written guidance clarifying its policy that requires a link between the distribution of supplemental payments and the provision of Medicaid-covered services.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open
    Priority recommendation

    Comments: CMS plans to publish a proposed rule for public comment in the summer of 2017 to improve the oversight of supplemental payments, including a proposal to require that supplemental payments be distributed proportional to the volume or cost of services delivered or be tied to meeting performance benchmarks. To the extent the agency issues a final rule that results in states distributing supplemental payments in a manner that aligns their distribution with individual facilities' Medicaid workloads, CMS's ability to ensure that state Medicaid payments are not excessive and are used for Medicaid purposes will improve.
    Recommendation: To promote consistency in the distribution of supplemental payments among states and with CMS policy, the Administrator of CMS should issue written guidance clarifying its policy that payments should not be made contingent on the availability of local funding.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open
    Priority recommendation

    Comments: CMS plans to publish a proposed rule for public comment in the summer of 2017 to improve the oversight of supplemental payments, including a proposal to require that supplemental payments be distributed proportional to the volume or cost of services delivered or be tied to meeting performance benchmarksTo the extent the agency issues a final rule that results in states distributing supplemental payments in a manner that aligns their distribution with individual facilities' Medicaid workloads, CMS's ability to ensure that state Medicaid payments are not excessive and are used for Medicaid purposes will improve.
    Director: J. Alfredo Gómez
    Phone: (202) 512-3841

    2 open recommendations
    Recommendation: To help federal, state, local, and private sector decision makers access and use the best available climate information, the Executive Office of the President should designate a federal entity to develop and periodically update a set of authoritative climate change observations and projections for use in federal decision making, which state, local, and private sector decision makers could also access to obtain the best available climate information.

    Agency: Executive Office of the President
    Status: Open

    Comments: As of 6/7/17, the Executive Office of the President has yet to take action in response to this recommendation.
    Recommendation: To help federal, state, local, and private sector decision makers access and use the best available climate information, the Executive Office of the President should designate a federal entity to create a national climate information system with defined roles for federal agencies and nonfederal entities with existing statutory authority.

    Agency: Executive Office of the President
    Status: Open

    Comments: As of 6/7/17, the Executive Office of the President has yet to take action in response to this recommendation.
    Director: Michele Mackin
    Phone: (202) 512-4841

    3 open recommendations
    Recommendation: To improve coordination and communication between FEMA OCPO and region mission support officials region mission support officials, the FEMA Administrator should establish a plan to ensure that the agreement is reviewed on an annual basis as intended.

    Agency: Department of Homeland Security: Directorate of Emergency Preparedness and Response: Federal Emergency Management Agency
    Status: Open

    Comments: In commenting on this report, DHS concurred with this recommendation. According to FEMA officials, the Office of Procurement Operations has since formed a team that will address this recommendation. We will provide updated information as it becomes available.
    Recommendation: To improve coordination and communication between FEMA Office of the Chief Procurement Officer (OCPO) and region mission support officials region mission support officials, the FEMA Administrator should direct OCPO and the regional administrators to revisit the 2011 service level agreement to: add details about the extent of operational control headquarters and regional supervisors should exercise to minimize potential competing interests experienced by regional contracting officers; further detail headquarters and regional supervisors' roles and responsibilities for managing regional contracting officers to improve coordination and communication; and ensure that the agreement reflects any new requirements, including recent changes in training that may require travel funds.

    Agency: Department of Homeland Security: Directorate of Emergency Preparedness and Response: Federal Emergency Management Agency
    Status: Open

    Comments: In commenting on this report, DHS concurred with this recommendation. According to FEMA officials, the Office of Procurement Operations has since formed a team that will address this recommendation. We will provide updated information as it becomes available.
    Recommendation: To address PKEMRA, the Secretary of Homeland Security should take action to address the requirements of Section 692 to implement subcontractor limitations or request that Congress amend the law to delete Section 692.

    Agency: Department of Homeland Security
    Status: Open

    Comments: In 2016, DHS took steps to ask Congress to repeal PKEMRA Section 692, which prohibits the use of subcontracts for more than 65 percent of the cost of cost-reimbursement type contracts that exceed the simplified acquisition threshold. DHS submitted a legislative change proposal to the Office of Management and Budget (OMB), who approves such proposals before they are submitted to Congress. OMB approved the proposed change for PKEMRA Section 692 in April 2016. We will provide additional updates as information becomes available.
    Director: J. Christopher Mihm
    Phone: (202) 512-6806

    1 open recommendations
    Recommendation: To build upon the Department of Housing and Urban Development and the Rental Policy Working Group's efforts to improve coordination of rental assistance, the Secretary of the Department of Housing and Urban Development, in consultation with the Rental Policy Working Group, should work with states and localities to develop an approach for compiling and reporting on the collective performance of federal, state, and local rental assistance programs. Such an effort may begin with one or more pilots to test approaches before they are considered for wider application.

    Agency: Department of Housing and Urban Development
    Status: Open

    Comments: In July 2017, a HUD official said HUD is still working to respond to the GAO recommendation. He said HUD is currently in the planning stages for updating the existing "Picture of Subsidized Housing" database to add the Low Income Housing Tax Credit (LIHTC) and HOME programs and that including LIHTC and HOME will give a more complete picture of governmental assistance since LIHTC is often combined with other subsidies and HOME funds are often put into state housing trust funds and issued together with funding from state revenue sources.
    Director: Katherine M. Iritani
    Phone: (202) 512-7114

    3 open recommendations
    including 2 priority recommendations
    Recommendation: To improve CMS's oversight of Medicaid payments, the Administrator of CMS should take steps to ensure that states report accurate provider-specific payment data that include accurate unique national provider identifiers (NPI).

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open

    Comments: HHS concurred with GAO's recommendation. As of September 2016, CMS has not provided additional information showing that the recommendation has been implemented. GAO considers it to be open. We will update the status of this recommendation when we receive additional information.
    Recommendation: To improve CMS's oversight of Medicaid payments, the Administrator of CMS should develop a policy establishing criteria for when such payments at the provider level are economical and efficient.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open
    Priority recommendation

    Comments: HHS concurred with GAO's recommendation and as of October 2016 was evaluating ways to improve its oversight, including gathering information from states to better inform future policies. In November 2016, CMS plans to publish a proposed rule for public comment to improve the oversight of supplemental payments made to individual providers. Supplemental payments are large lump sum payments that most states make to certain providers and are not based on claims for services provided. According to CMS, the proposed rule will establish criteria for determining the economy and efficiency of Medicaid payments made to individual providers.
    Recommendation: To improve CMS's oversight of Medicaid payments, the Administrator of CMS should, once criteria are developed, develop a process for identifying and reviewing payments to individual providers in order to determine whether they are economical and efficient.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open
    Priority recommendation

    Comments: HHS concurred with GAO's recommendation and as of October 2016 was evaluating ways to improve its oversight, including gathering information from states to better inform future policies. In November 2016, CMS plans to publish a proposed rule for public comment to improve the oversight of supplemental payments made to individual providers. According to CMS, the proposed rule will establish a process for identifying and reviewing payments to individual providers to determine if these payments meet the criteria of economy and efficiency established by the rule.
    Director: J. Christopher Mihm
    Phone: (202) 512-6806

    1 open recommendations
    Recommendation: The Director of the Office of Management and Budget should direct, as appropriate, federal agencies involved with the White House Working Group on Detroit, to collect good practices and lessons learned from their efforts to assist Detroit during its fiscal crisis and share them with other federal agencies and local governments. Toward this end, OMB may want to consider making use of existing knowledge and capacity associated with the Strong Cities, Strong Communities Initiative and its National Resource Network.

    Agency: Executive Office of the President: Office of Management and Budget
    Status: Open

    Comments: In commenting on a draft of GAO's March 2015 report, OMB neither agreed nor disagreed with this recommendation. In April 2017, OMB staff stated that they believed steps had been taken to preserve some of the lessons coming out of the administration's efforts to assist the City of Detroit during its fiscal crisis. However, they were unable to provide specifics. GAO has requested additional information and supporting documentation regarding this effort.
    Director: J. Christopher Mihm
    Phone: (202) 512-6806

    8 open recommendations
    including 2 priority recommendations
    Recommendation: To ensure the effective implementation of federal program inventory requirements and to make the inventories more useful, the Director of OMB should, to better present a more coherent picture of all federal programs, revise relevant guidance to direct agencies to collaborate with each other in defining and identifying programs that contribute to common outcomes.

    Agency: Executive Office of the President: Office of Management and Budget
    Status: Open

    Comments: As of July 2017, Office of Management and Budget (OMB) staff stated that they had not taken any actions in response to our recommendations related to the federal program inventory, as they continued to determine how best to implement inventory requirements in coordination with those of the Digital Accountability and Transparency Act of 2014 (DATA Act) and the Program Management Improvement Accountability Act (PMIAA). OMB staff told us they will issue guidance to implement PMIAA by the end of 2017. They noted that a program inventory would help agencies meet PMIAA requirements such as conducting program portfolio reviews. Staff told us they cannot commit to an implementation date for the inventory updates because of methodological and timing challenges, but they anticipate making significant progress within a year of issuing the PMIAA guidance. We will continue to monitor progress.
    Recommendation: To ensure the effective implementation of federal program inventory requirements and to make the inventories more useful, the Director of OMB should, to better present a more coherent picture of all federal programs, revise relevant guidance to provide a time frame for what constitutes "persistent over time" that agencies can use as a decision rule for whether to include short-term efforts as programs.

    Agency: Executive Office of the President: Office of Management and Budget
    Status: Open

    Comments: As of July 2017, Office of Management and Budget (OMB) staff stated that they had not taken any actions in response to our recommendations related to the federal program inventory, as they continued to determine how best to implement inventory requirements in coordination with those of the Digital Accountability and Transparency Act of 2014 (DATA Act) and the Program Management Improvement Accountability Act (PMIAA). OMB staff told us they will issue guidance to implement PMIAA by the end of 2017. They noted that a program inventory would help agencies meet PMIAA requirements such as conducting program portfolio reviews. Staff told us they cannot commit to an implementation date for the inventory updates because of methodological and timing challenges, but they anticipate making significant progress within a year of issuing the PMIAA guidance. We will continue to monitor progress.
    Recommendation: To ensure the effective implementation of federal program inventory requirements and to make the inventories more useful, the Director of OMB should, to better present a more coherent picture of all federal programs, define plans for when additional agencies will be required to develop program inventories.

    Agency: Executive Office of the President: Office of Management and Budget
    Status: Open

    Comments: As of July 2017, Office of Management and Budget (OMB) staff stated that they had not taken any actions in response to our recommendations related to the federal program inventory, as they continued to determine how best to implement inventory requirements in coordination with those of the Digital Accountability and Transparency Act of 2014 (DATA Act) and the Program Management Improvement Accountability Act (PMIAA). OMB staff told us they will issue guidance to implement PMIAA by the end of 2017. They noted that a program inventory would help agencies meet PMIAA requirements such as conducting program portfolio reviews. Staff told us they cannot commit to an implementation date for the inventory updates because of methodological and timing challenges, but they anticipate making significant progress within a year of issuing the PMIAA guidance. We will continue to monitor progress.
    Recommendation: To ensure the effective implementation of federal program inventory requirements and to make the inventories more useful, the Director of OMB should, to better present a more coherent picture of all federal programs, include tax expenditures in the federal program inventory effort by designating tax expenditure as a program type in relevant guidance.

    Agency: Executive Office of the President: Office of Management and Budget
    Status: Open
    Priority recommendation

    Comments: As of July 2017, OMB had not taken action to include tax expenditures in the federal program inventory, as GAO recommended in October 2014. The GPRA Modernization Act of 2010 (GPRAMA) requires OMB to publish a list of all federal programs on a central, government-wide website. The federal program inventory is the primary tool for agencies to identify programs that contribute to their goals, according to OMB's guidance. By including tax expenditures in the inventory, OMB could help ensure that agencies are properly identifying the contributions of tax expenditures to the achievement of their goals. Although OMB published an initial inventory covering the programs of 24 federal agencies in May 2013, OMB decided to postpone further development of the inventory in order to coordinate with the implementation of the Digital Accountability and Transparency Act of 2014 (DATA Act). In July 2015, GAO recommended that OMB accelerate efforts to merge DATA Act purposes with the production of a federal program inventory. In July 2017, OMB guidance and staff stated they are determining how best to implement the program inventory requirements in coordination with those of the DATA Act and the Program Management Improvement Accountability Act. Without including tax expenditures in the inventory, OMB is missing an important opportunity to increase the transparency of tax expenditures and the outcomes to which they contribute.
    Recommendation: To ensure the effective implementation of federal program inventory requirements and to make the inventories more useful, the Director of OMB should, to better present a more coherent picture of all federal programs, include tax expenditures in the federal program inventory effort by developing, in coordination with the Secretary of the Treasury, a tax expenditure inventory that identifies each tax expenditure and provides a description of how the tax expenditure is defined, its purpose, and related performance and budget information.

    Agency: Executive Office of the President: Office of Management and Budget
    Status: Open
    Priority recommendation

    Comments: As of July 2017, OMB had not taken action to include tax expenditures in the federal program inventory, as GAO recommended in October 2014. The GPRA Modernization Act of 2010 (GPRAMA) requires OMB to publish a list of all federal programs on a central, government-wide website. The federal program inventory is the primary tool for agencies to identify programs that contribute to their goals, according to OMB's guidance. By including tax expenditures in the inventory, OMB could help ensure that agencies are properly identifying the contributions of tax expenditures to the achievement of their goals. Although OMB published an initial inventory covering the programs of 24 federal agencies in May 2013, OMB decided to postpone further development of the inventory in order to coordinate with the implementation of the Digital Accountability and Transparency Act of 2014 (DATA Act). In July 2015, GAO recommended that OMB accelerate efforts to merge DATA Act purposes with the production of a federal program inventory. In July 2017, OMB guidance and staff stated they are determining how best to implement the program inventory requirements in coordination with those of the DATA Act and the Program Management Improvement Accountability Act. Without including tax expenditures in the inventory, OMB is missing an important opportunity to increase the transparency of tax expenditures and the outcomes to which they contribute.
    Recommendation: To ensure the effective implementation of federal program inventory requirements and to make the inventories more useful, the Director of OMB should, to help ensure that the information agencies provide in their inventories is useful to federal decision makers and key stakeholders, and to provide greater transparency and ensure consistency in federal program funding and performance information, revise relevant guidance to direct agencies to consult with relevant congressional committees and stakeholders on their program definition approach and identified programs when developing or updating their inventories.

    Agency: Executive Office of the President: Office of Management and Budget
    Status: Open

    Comments: As of July 2017, Office of Management and Budget (OMB) staff stated that they had not taken any actions in response to our recommendations related to the federal program inventory, as they continued to determine how best to implement inventory requirements in coordination with those of the Digital Accountability and Transparency Act of 2014 (DATA Act) and the Program Management Improvement Accountability Act (PMIAA). OMB staff told us they will issue guidance to implement PMIAA by the end of 2017. They noted that a program inventory would help agencies meet PMIAA requirements such as conducting program portfolio reviews. Staff told us they cannot commit to an implementation date for the inventory updates because of methodological and timing challenges, but they anticipate making significant progress within a year of issuing the PMIAA guidance. We will continue to monitor progress.
    Recommendation: To ensure the effective implementation of federal program inventory requirements and to make the inventories more useful, the Director of OMB should, to help ensure that the information agencies provide in their inventories is useful to federal decision makers and key stakeholders, and to provide greater transparency and ensure consistency in federal program funding and performance information, revise relevant guidance to direct agencies to identify in their inventories the performance goal(s) to which each program contributes.

    Agency: Executive Office of the President: Office of Management and Budget
    Status: Open

    Comments: As of July 2017, Office of Management and Budget (OMB) staff stated that they had not taken any actions in response to our recommendations related to the federal program inventory, as they continued to determine how best to implement inventory requirements in coordination with those of the Digital Accountability and Transparency Act of 2014 (DATA Act) and the Program Management Improvement Accountability Act (PMIAA). OMB staff told us they will issue guidance to implement PMIAA by the end of 2017. They noted that a program inventory would help agencies meet PMIAA requirements such as conducting program portfolio reviews. Staff told us they cannot commit to an implementation date for the inventory updates because of methodological and timing challenges, but they anticipate making significant progress within a year of issuing the PMIAA guidance. We will continue to monitor progress.
    Recommendation: To ensure the effective implementation of federal program inventory requirements and to make the inventories more useful, the Director of OMB should, to help ensure that the information agencies provide in their inventories is useful to federal decision makers and key stakeholders, and to provide greater transparency and ensure consistency in federal program funding and performance information, ensure, during OMB reviews of inventories, that agencies consistently identify, as applicable, the strategic goals, strategic objectives, agency priority goals, and cross-agency priority goals each program supports.

    Agency: Executive Office of the President: Office of Management and Budget
    Status: Open

    Comments: As of July 2017, Office of Management and Budget (OMB) staff stated that they had not taken any actions in response to our recommendations related to the federal program inventory, as they continued to determine how best to implement inventory requirements in coordination with those of the Digital Accountability and Transparency Act of 2014 (DATA Act) and the Program Management Improvement Accountability Act (PMIAA). OMB staff told us they will issue guidance to implement PMIAA by the end of 2017. They noted that a program inventory would help agencies meet PMIAA requirements such as conducting program portfolio reviews. Staff told us they cannot commit to an implementation date for the inventory updates because of methodological and timing challenges, but they anticipate making significant progress within a year of issuing the PMIAA guidance. We will continue to monitor progress.
    Director: Katherine M. Iritani
    Phone: (202) 512-7114

    1 open recommendations
    Recommendation: The Administrator of CMS should develop a data collection strategy that ensures that states report accurate and complete data on all sources of funds used to finance the nonfederal share of Medicaid payments. There are short- and long-term possibilities for pursuing the data collection strategy, including (1) in the short-term, as part of its ongoing initiative to annually collect data on Medicaid payments made to hospitals, nursing facilities, and other institutional providers, CMS could collect accurate and complete facility-specific data on the sources of funds used to finance the nonfederal share of the Medicaid payments, and (2) in the long-term, as part of its ongoing initiative to develop an enhanced Medicaid claims data system (T-MSIS), CMS could ensure that T-MSIS will be capable of capturing information on all sources of funds used to finance the nonfederal share of Medicaid payments, and, once the system becomes operational, ensure that states report this information for supplemental Medicaid payments and other highrisk Medicaid payments.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open

    Comments: In November 2016, CMS reported that states provide assurances to CMS that they are adhering to statutory requirements, such as the limit that no more than 60 percent of the nonfederal share of a state's total annual Medicaid expenditures may come from local sources. This process was in place prior to GAO's July 2014 report, and in its written comments in response to that report, the Department of Health and Human Services (HHS) acknowledged that it does not have adequate data on state financing methods for overseeing compliance with this requirement. HHS added that it will examine efforts to improve data collection toward this end. In July 2016, CMS reiterated that it did not consider T-MSIS to be the correct method to gather information on state sources of the nonfederal share. GAO continues to believe it is important that CMS and federal policymakers have more complete information about how increasing federal costs are impacting the Medicaid program, including beneficiaries and the providers who serve them and plans to continue to monitor CMS's actions to help ensure that states report accurate and complete data on all sources of the nonfederal share.
    Director: Kimberly Gianopoulos
    Phone: (202) 512-8612

    2 open recommendations
    including 2 priority recommendations
    Recommendation: To improve federal-state collaboration in providing export promotion services in accordance with the National Export Initiative, and the Export Enhancement Act of 1992, the Secretary of Commerce, as Chair of the TPCC, should take steps consistent with key practices to enhance, where possible, federal information sharing with state trade offices on Commerce's export promotion activities. This could include more formal guidance to Commerce staff regarding the circumstances, in light of legal restrictions, in which information can be shared with state trade offices and other nonfederal entities, and exploring ways for clients to give permission to release information useful to such nonfederal entities.

    Agency: Department of Commerce
    Status: Open
    Priority recommendation

    Comments: The Department of Commerce (Commerce) notified GAO that it did not fully concur with GAO's May 2014 recommendation, preferring instead to maintain a case-by-case approach rather than issuing more formal guidance on federal information sharing with state trade offices. According to Commerce, as of March 2016, the agency was in the process of implementing a new client relationship management system. Commerce officials said that as future iterations of this system and public websites come online, they would seek to identify ways for clients to give permission to release information useful to other federal agencies, state trade offices, and other local service providers. In February 2016, Congress passed The Trade Facilitation and Trade Enforcement Act of 2015, Public Law 114-125, which requires that within a year of the act's passing, Commerce must develop a federal-state export promotion coordination plan that addresses, among other things, information sharing between federal and state trade offices. The act also requires Commerce and state trade promotion agencies to develop a framework to share information on export successes, and report to Congress on this framework within a year of the law's enactment. Later in 2016, Commerce officials began holding monthly calls with SIDO and state trade offices to share information on topics such as client intake, performance measures, and new federal export promotion activities. In March 2017, Commerce officials informed GAO that after further review of information-sharing limitations under the Trade Secrets Act, Commerce has determined that Written Impact Narratives (WINs) that have been approved for public use by the clients can be shared with State trade agencies. Commerce is currently developing a policy to ensure they are shared in a timely manner. In addition, the newly formed Trade Promotion Coordinating Committee (TPCC) state and federal export promotion working group is expected to create a framework for information sharing. Without greater information sharing in the provision of similar services, Commerce will likely be limited in its ability to help ensure that export promotion services are efficiently managed across federal and state efforts, and that resources are appropriately leveraged.
    Recommendation: To improve federal-state collaboration in providing export promotion services in accordance with the National Export Initiative, and the Export Enhancement Act of 1992, the Secretary of Commerce, as Chair of the TPCC, should take steps consistent with key practices for collaboration to enhance TPCC agencies' partnering on export promotion with nonfederal entities, such as State International Development Organizations and Global Cities. This could include reassessing and strengthening the TPCC's intergovernmental partnerships by clarifying expected outcomes, defining roles and responsibilities, monitoring results, and planning resource needs.

    Agency: Department of Commerce
    Status: Open
    Priority recommendation

    Comments: The Department of Commerce (Commerce) and the Trade Promotion Coordinating Committee (TPCC), which is responsible for providing a unified national framework for export promotion, have taken some steps to enhance federal-state collaboration in export promotion, as GAO recommended in May 2014 and as called for in a subsequent law. In February 2016, Congress passed The Trade Facilitation and Trade Enforcement Act of 2015, Public Law 114-125, which according to the State International Development Organizations (SIDO), contained provisions intended to enhance federal-state collaboration in export promotion. First, the act directs the President to establish a state and federal export promotion coordination working group as a subcommittee of the TPCC and appoint at least one representative from a state trade promotion agency to the TPCC. Second, beginning in February 2017, the act requires Commerce to annually submit to the TPCC a federal-state export strategy for each state that submits its export strategy to Commerce for that year that, among other things, addresses efforts to reduce duplication. Third, the act requires Commerce and state trade promotion agencies to develop a coordinated set of performance metrics, and report to Congress on these metrics within a year of the law's enactment. Fourth, the act mandates an annual survey and analysis, in coordination with state trade promotion agencies, of the overall effectiveness of federal-state coordination in export promotion. In April 2016 Commerce and SIDO signed a memorandum of intent to develop joint strategies and implement activities to enhance federal and state agency coordination and cooperation . In September 2016 Commerce issued a Federal Register Notice announcing the establishment of a state and federal export promotion coordination working group under the TPCC. The Secretary of Commerce appointed 14 members to this new working group in January 2017, which has met several times according to Commerce officials. The working group is developing a federal-state export coordination strategy that is expected to define roles and responsibilities, among other things. Successfully completing these activities is important, because without joint federal-state planning, programs at different levels of government will likely continue to be duplicative, and effective resource planning will likely be hampered.
    Director: Wilshusen, Gregory C
    Phone: (202)512-6244

    1 open recommendations
    Recommendation: The Secretary of Homeland Security, in collaboration with emergency service sector stakeholders, should address the cybersecurity implications of implementing Next Generation 911 and the First Responder Network Authority network in the next iteration of sector plans.

    Agency: Department of Homeland Security
    Status: Open

    Comments: In December 2015, DHS released an updated sector-specific plan for the emergency services sector that describes the sector's greater dependence on cyber-based infrastructure as a notable trend and emerging issue among the sector's risks. However, the plan does not incorporate steps to address the cybersecurity risk of implementing Next Generation 911 or risks associated with the First Responder Network, the public safety broadband network, currently in development. An update to the sector-specific plan will likely not occur until 2018. When DHS provides evidence regarding additional risk mitigation steps, we will review the evidence provided to update the status of this recommendation.
    Director: Rectanus, Lori
    Phone: (202) 512-2834

    4 open recommendations
    Recommendation: The Secretary of Transportation should direct the FHWA Administrator to collect data, on an ongoing basis, about which local public agencies are administering federal-aid projects.

    Agency: Department of Transportation
    Status: Open

    Comments: As of August 2017, FHWA informed us it had no plans to collect data about which local public agencies are administering federal-aid projects.
    Recommendation: The Secretary of Transportation should direct the FHWA Administrator to collect information, on an ongoing basis, from state DOTs on local public agencies' capabilities.

    Agency: Department of Transportation
    Status: Open

    Comments: As of August 2017, FHWA informed us that it did not plan collect information on the capabilities of local public agencies on an ongoing basis. In 2017 FHWA released the results of a compliance assessment review which assessed the capabilities of selected local public agencies. We are reviewing FHWA's efforts and the extent to which they address our recommendation.
    Recommendation: The Secretary of Transportation should direct the FHWA Administrator to identify and disseminate minimum and uniform qualification criteria for state DOTs to determine whether local public agencies are capable and equipped to administer federal-aid projects.

    Agency: Department of Transportation
    Status: Open

    Comments: As of August 2017, FHWA informed us it had no plans to identify and disseminate minimum and uniform qualification criteria for state DOTs to determine whether local public agencies are capable and equipped to administer federal-aid projects.
    Recommendation: The Secretary of Transportation should direct the FHWA Administrator to explore opportunities to make administration of federal-aid projects by local public agencies more efficient by examining: (a) the circumstances in which issuing guidance on administrative flexibilities targeted at local agencies would be appropriate, and (b) a potential dollar threshold under which the use of federal funds may no longer be cost-effective.

    Agency: Department of Transportation
    Status: Open

    Comments: As of August 2017, FHWA informed us that it did not plan to explore a dollar threshold under which the use of federal funds may no longer be cost-effective. However, FHWA told us it has provided guidance in this regard, and has continued disseminating guidance on administrative flexibilities beneficial to locally administered projects. We are reviewing FHWA's actions and the extent to which its these efforts address our recommendation.
    Director: Trimble, David C
    Phone: (202) 512-3841

    3 open recommendations
    Recommendation: To improve DOE's management and oversight of the WFO program, the Secretary of Energy should require laboratories to establish and follow written procedures for developing WFO project budgets and for charging costs to WFO projects.

    Agency: Department of Energy
    Status: Open

    Comments: According to DOE, the Chief Financial Officer will address this recommendation as part of the revisions to DOE Order 520.1A. As of March 2017, DOE anticipates that the updated order will be completed in the first quarter of fiscal year 2018.
    Recommendation: To improve DOE's management and oversight of the WFO program, the Secretary of Energy should ensure that annual summary reports of WFO activities are prepared so that data on those activities are readily available for those who need this information.

    Agency: Department of Energy
    Status: Open

    Comments: On December 5, 2016, DOE issued revised order 481.1D, Strategic Partnership Projects (SPP) [Formerly Known as Work for Others (Non-Department of Energy Funded Work)] and has removed the requirement to issue annual summary reports of Work for Others activities. Instead, the revised order states that reports can be prepared on an "as needed" basis.
    Recommendation: To improve DOE's management and oversight of the WFO program, the Secretary of Energy should establish performance measures that incorporate key attributes of successful performance measures and that address the objectives of the WFO program.

    Agency: Department of Energy
    Status: Open

    Comments: On December 5, 2016, DOE issued revised order 481.1D Strategic Partnership Projects (SPP)[Formerly Known as Work for Others (Non-Department of Energy Funded Work)]. DOE states that this order addresses performance measures and that the corrective action is closed. Although the order directs DOE Field Office Managers to "establish performance measures to assess the effectiveness of the procedures for SPP review, acceptance, authorization and monitoring consistent with NNSA policies and procedures", it does not further identify specific performance measures that address the objectives of the SPP program as indicated in the order.
    Director: Caldwell, Stephen L
    Phone: (202)512-9610

    1 open recommendations
    Recommendation: To better ensure consistent implementation of and accountability for DHS's resilience policy, the Secretary of Homeland Security should direct the Assistant Secretary for Policy to develop an implementation strategy for this new policy that identifies the following characteristics and others that may be deemed appropriate: (1) steps needed to achieve results, by developing priorities, milestones, and performance measures; (2) responsible entities, their roles compared with those of others, and mechanisms needed for successful coordination; and (3) sources and types of resources and investments associated with the strategy, and where those resources and investments should be targeted.

    Agency: Department of Homeland Security
    Status: Open

    Comments: In the 60-day letter provided in January 2013, DHS indicated that the Resilience Integration Team (RIT) was developing a draft implementation plan to be circulated among relevant stakeholders for review. On 10/30/13, we notified DHS that we would like to see a copy of the resilience policy implementation plan (if developed), or any other related documentation if the plan is still in development. We were informed later that day that a draft plan had been developed, and DHS needed to confirm its status. In May of 2015, we were told again that a draft plan had been developed but never finalized. As of August 2015, DHS's Policy Office is looking into the status of plan development. We await their response. DHS response still pending as of 10/4/16.
    Director: Wise, David J
    Phone: (202) 512-3000

    2 open recommendations
    Recommendation: To strengthen formal collaboration efforts, the Secretary of Transportation should direct the Administrator of the Federal Transit Administration, and the Secretary of Housing and Urban Development should direct the appropriate program offices, to develop a plan to ensure that data collected on the various programs of the agencies related to affordable housing and transit are sufficient to measure the agencies' performance toward goals and outcomes established in the HUD-FTA action plan and the Partnership for Sustainable Communities.

    Agency: Department of Housing and Urban Development
    Status: Open

    Comments: On November 30, 2009, we received a response from HUD stating that actions were planned or underway to address this and the other recommendation in this report. As of June 2011, we have received no response from DOT. However, we are following up with DOT on the actions it has taken and will follow up with HUD about the status of the actions it planned.
    Recommendation: To strengthen formal collaboration efforts, the Secretary of Transportation should direct the Administrator of the Federal Transit Administration, and the Secretary of Housing and Urban Development should direct the appropriate program offices, to develop a plan to ensure that data collected on the various programs of the agencies related to affordable housing and transit are sufficient to measure the agencies' performance toward goals and outcomes established in the HUD-FTA action plan and the Partnership for Sustainable Communities.

    Agency: Department of Transportation: Federal Transit Administration
    Status: Open

    Comments: On November 30, 2009, we received a response from HUD stating that actions were planned or underway to address this and the other recommendation in this report. As of June 2011, we have received no response from DOT. However, we are following up with DOT on the actions it has taken and will follow up with HUD about the status of the actions it planned.
    Director: Iritani, Katherine M
    Phone: (202)512-3000

    1 open recommendations
    Recommendation: To improve the oversight of states' Medicaid supplemental payments, the Administrator of CMS should develop a strategy to identify all of the supplemental payment programs established in states' Medicaid plans and to review those programs that have not been subject to review under CMS's August 2003 initiative.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open

    Comments: As of July 2016, HHS officials reported that they have not implemented this recommendation. GAO considers it to be open. We will update the status of this recommendation when we receive additional information.