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    Results:

    Subject Term: "National policies"

    3 publications with a total of 13 open recommendations including 1 priority recommendation
    Director: Debra A. Draper
    Phone: (202) 512-7114

    6 open recommendations
    Recommendation: The Under Secretary for Health should further clarify when and for what purposes each national policy and guidance document type should be used, including whether guidance documents, such as program office memos, should be vetted and recertified. (Recommendation 1)

    Agency: Department of Veterans Affairs: Veterans Health Administration
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: The Under Secretary for Health should develop standard processes for consistently maintaining and disseminating guidance documents to each level of the organization. (Recommendation 2)

    Agency: Department of Veterans Affairs: Veterans Health Administration
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: The Under Secretary for Health should systematically obtain information on potential implementation challenges from VISNs and VAMCs and take the appropriate actions to address challenges prior to policy issuance. (Recommendation 3)

    Agency: Department of Veterans Affairs: Veterans Health Administration
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: The Under Secretary for Health should establish a mechanism by which program offices systematically obtain feedback from VISNs and VAMCs on national policy after implementation and take the appropriate actions. (Recommendation 4)

    Agency: Department of Veterans Affairs: Veterans Health Administration
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: The Under Secretary for Health should establish a standard policy exemption waiver process and centrally track and monitor approved waivers. (Recommendation 5)

    Agency: Department of Veterans Affairs: Veterans Health Administration
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: The Under Secretary for Health should establish a standard process, including designated oversight roles, to periodically monitor that local policies established by VISNs and VAMCs align with national policies. (Recommendation 6)

    Agency: Department of Veterans Affairs: Veterans Health Administration
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Director: John Neumann
    Phone: (202) 512-3841

    6 open recommendations
    Recommendation: To fulfill the role assigned to it under the 1980 Act, the Secretary of Commerce should engage with industry stakeholders and continually identify and assess critical materials needs across a broad range of industrial sectors.

    Agency: Department of Commerce
    Status: Open

    Comments: In December 2016, Commerce provided information on its implementation of the recommendation from GAO-16-699. Commerce stated that it had developed an action plan consisting of the following steps: (1)consulting with relevant offices and agencies, including: OSTP, DOD, the U.S. Geological Survey, DOE, the U.S. International Trade Commission, the Bureau of Industry and Security, the National Institute of Standards and Technology, and the National Oceanic and Atmospheric Administration; (2) determining criteria to be used when it is necessary to collect information to identify and assess critical materials needs; (3) determining appropriate steps, which might include: (a) developing a summary of information that federal agencies currently collect on the domestic and international supply of critical raw materials; (b)soliciting input from a broad range of industries through a Federal Register notice; (c)assessing aggregate information, as allowable under law, that is submitted through the Miscellaneous Tariff Bill process over the course of Q1-2 of fiscal year 2017; and (d)consulting with federal advisory groups for advice; (4) determining the audience for collected information and methodology for information dissemination; (5) determining the process for identifying further information collection needs and methodology for disseminating collected information; and (6) determining the timeline and responsibilities for information collection and distribution. In an April 2017 update, Commerce stated that it had identified points of contacts in 7 of the 8 agencies listed in its action plan and is in the process of contacting them for input. Commerce stated that it hoped to identify an appropriate contact in the 8th agency in the near future. Commerce stated that it had also drafted questions to ask the agencies in order to implement the action plan. Commerce did not provide a timeframe for when it expected to complete implementation of the action plan.
    Recommendation: To enhance the ability of the Executive Office of the President to coordinate federal agencies to carry out the national materials policy outlined in the 1980 Act, and to strengthen the federal approach to addressing critical materials supply issues through enhanced interagency collaboration, the Director of the Office of Science and Technology Policy, working with the National Science and Technology Council's Subcommittee on Critical and Strategic Mineral Supply Chains and agency leadership, as appropriate, should agree on and clearly define the roles and responsibilities of member agencies and take steps to actively engage all relevant federal agencies in the Subcommittee's efforts.

    Agency: Executive Office of the President: Office of Science and Technology Policy
    Status: Open

    Comments: In February 2017, OSTP provided information on its efforts to implement recommendations from GAO-16-699. OSTP stated that an increasing number of agencies participate in Subcommittee discussions and activities, with the last several meetings having had strong engagement from agencies that had not previously been involved, including the Department of Homeland Security and the U.S. Department of Agriculture's Forest Service. OSTP indicated that when the Subcommittee's charter is considered for renewal in spring 2017, it will reach out to all federal agencies with relevant responsibilities to discuss their roles in the Subcommittee's efforts and encourage them to name a lead representative and regularly participate. However, OSTP did not provide information about any plans to more clearly define the roles and responsibilities of the Subcommittee's member agencies. OSTP stated that it prefers flexibility, as this facilitates cooperation on topics of mutual interest and better accommodates changing circumstances and areas of focus.
    Recommendation: To enhance the ability of the Executive Office of the President to coordinate federal agencies to carry out the national materials policy outlined in the 1980 Act, and to strengthen the federal approach to addressing critical materials supply issues through enhanced interagency collaboration, the Director of the Office of Science and Technology Policy, working with the National Science and Technology Council's Subcommittee on Critical and Strategic Mineral Supply Chains and agency leadership, as appropriate, should develop joint strategies that articulate common outcomes and identify contributing agencies' efforts.

    Agency: Executive Office of the President: Office of Science and Technology Policy
    Status: Open

    Comments: In February 2017, OSTP provided information on its efforts to implement recommendations from GAO-16-699. However, the information OSTP provided did not include any details related to developing joint strategies that articulate common outcomes and identifying contributing agencies' efforts.
    Recommendation: To enhance the ability of the Executive Office of the President to coordinate federal agencies to carry out the national materials policy outlined in the 1980 Act, and to strengthen the federal approach to addressing critical materials supply issues through enhanced interagency collaboration, the Director of the Office of Science and Technology Policy, working with the National Science and Technology Council's Subcommittee on Critical and Strategic Mineral Supply Chains and agency leadership, as appropriate, should develop a mechanism to monitor, evaluate, and periodically report on the progress of member agencies' efforts.

    Agency: Executive Office of the President: Office of Science and Technology Policy
    Status: Open

    Comments: In February 2017, OSTP provided information on its efforts to implement recommendations from GAO-16-699. However, the information OSTP provided did not include any details related to developing a mechanism to monitor, evaluate, and periodically report on the progress of member agencies' efforts.
    Recommendation: To enhance the ability of the Executive Office of the President to coordinate federal agencies to carry out the national materials policy outlined in the 1980 Act, and to broaden future applications of the early warning screening methodology, the Subcommittee should take the steps necessary to include potentially critical materials beyond minerals, such as developing a plan or strategy for prioritizing additional materials for which actions are needed to address data limitations.

    Agency: Executive Office of the President: Office of Science and Technology Policy
    Status: Open

    Comments: In February 2017, OSTP provided information on its efforts to implement recommendations from GAO-16-699. OSTP stated that current efforts to update the early warning screening methodology have refined, and in some cases augmented, the materials being screened based on available, regularly collected data. The Subcommittee will continue to consider incorporation of additional materials. OSTP further stated that, with respect to data availability limitations, the report's suggestion that the Subcommittee "better work with member agencies to address existing data limitations" is sometimes not actionable because private entities and foreign governments may be unwilling or unable to provide (or even collect) such data. OSTP stated that the Subcommittee will, however, continue to explore approaches to improve data availability and granularity, such as through proposals for revisions to the Harmonized Tariff Schedule or to the North American Industry Classification System or other such systems.
    Recommendation: To enhance the ability of the Executive Office of the President to coordinate federal agencies to carry out the national materials policy outlined in the 1980 Act, and to enhance the federal government's ability to facilitate domestic production of critical materials, the Subcommittee should examine approaches other countries or regions are taking to see if there are any lessons learned that can be applied to the United States.

    Agency: Executive Office of the President: Office of Science and Technology Policy
    Status: Open

    Comments: In February 2017, OSTP provided information on its efforts to implement recommendations from GAO-16-699. OSTP stated that it concurs with the recommendation that the Subcommittee should examine approaches other countries or regions are taking to see if there are any lessons learned that can be applied to the United States. OSTP stated that the Subcommittee is sharing and discussing information on production in other regions, including a U.S.-led project (and other projects with U.S. involvement or support) under the Mining Task Force of the Asia-Pacific Economic Cooperation. OSTP stated that in the future, the Subcommittee expects to review experiences in other countries/regions to glean lessons learned. OSTP did not provide a time frame in reach it would review experiences in other countries/regions.
    Director: King, Kathleen M
    Phone: (202) 512-7114

    1 open recommendations
    including 1 priority recommendation
    Recommendation: In order to promote greater use of effective prepayment edits and better ensure proper payment, and to promote implementation of effective edits based on national policies, the CMS Administrator should develop written procedures to provide guidance to agency staff on all steps in the processes for developing and implementing edits based on national policies, including (1) time frames for taking corrective actions, (2) methods for assessing the effects of corrective actions, and (3) procedures for ensuring consideration of automated edits whenever possible, including for all existing NCDs and other national policies.

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

    Comments: HHS concurred with this recommendation. CMS developed written procedures in November 2012 to provide guidance to agency staff on procedures for ensuring consideration of automated edits whenever possible, as GAO recommended in November 2012, but these procedures do not include several key elements of GAO's recommendation. For example, the written procedures do not include time frames for making decisions on whether an edit will be developed for all existing National Coverage Determinations (NCD) and national policies. The written procedures also do not include requirements for methods to assess the effects of corrective actions taken. Implementing a comprehensive written process for developing edits for national policies could help ensure that edits are implemented whenever possible to reduce improper payments. As of September 2017, CMS had not provided us updated documentation that addressed these aspects of our recommendation. Once received, we will review the information and update this recommendation accordingly.