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    Subject Term: Deaths

    7 publications with a total of 24 open recommendations including 4 priority recommendations
    Director: Maurer, Diana C
    Phone: (202) 512-8777

    4 open recommendations
    Recommendation: To help identify what domestic CVE efforts are to achieve and the extent to which investments in CVE result in measureable success, the Secretary of Homeland Security and the Attorney General--as heads of the two lead agencies responsible for coordinating CVE efforts--should direct the CVE Task Force to develop a cohesive strategy that includes measurable outcomes for CVE activities.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of May 2017, CVE Task Force officials stated that they are identifying concrete outputs and outcomes for CVE efforts outlined in the 2016 Strategic Implementation Plan. CVE Task Force officials also stated that they plan to develop short-term, medium-term, and long-term outcomes for these efforts. The Task Force plans to report to the White House Homeland Security Advisor on their implementation progress in January 2018. GAO will continue to monitor the CVE Task Force's progress in this area.
    Recommendation: To help identify what domestic CVE efforts are to achieve and the extent to which investments in CVE result in measureable success, the Secretary of Homeland Security and the Attorney General--as heads of the two lead agencies responsible for coordinating CVE efforts--should direct the CVE Task Force to develop a cohesive strategy that includes measurable outcomes for CVE activities.

    Agency: Department of Justice
    Status: Open

    Comments: As of May 2017, CVE Task Force officials stated that they are identifying concrete outputs and outcomes for CVE efforts outlined in the 2016 Strategic Implementation Plan. CVE Task Force officials also stated that they plan to develop short-term, medium-term, and long-term outcomes for these efforts. The Task Force plans to report to the White House Homeland Security Advisor on their implementation progress in January 2018. GAO will continue to monitor the CVE Task Force's progress in this area.
    Recommendation: To help identify what domestic CVE efforts are to achieve and the extent to which investments in CVE result in measureable success, the Secretary of Homeland Security and the Attorney General--as heads of the two lead agencies responsible for coordinating CVE efforts--should direct the CVE Task Force to establish and implement a process to assess overall progress in CVE, including its effectiveness.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of May 2017, CVE Task Force officials stated that they have begun consulting with departments and agencies that have already invested in CVE program assessment and are developing a research-based framework for designing and assessing CVE metrics. The CVE Task Force plans to report to the White House Homeland Security Advisor on their implementation progress in January 2018. GAO will continue to monitor the CVE Task Force's progress in this area.
    Recommendation: To help identify what domestic CVE efforts are to achieve and the extent to which investments in CVE result in measureable success, the Secretary of Homeland Security and the Attorney General--as heads of the two lead agencies responsible for coordinating CVE efforts--should direct the CVE Task Force to establish and implement a process to assess overall progress in CVE, including its effectiveness.

    Agency: Department of Justice
    Status: Open

    Comments: As of May 2017, CVE Task Force officials stated that they have begun consulting with departments and agencies that have already invested in CVE program assessment and are developing a research-based framework for designing and assessing CVE metrics. The CVE Task Force plans to report to the White House Homeland Security Advisor on their implementation progress in January 2018. GAO will continue to monitor the CVE Task Force's progress in this area.
    Director: Beryl H. Davis
    Phone: (202) 512-2623

    9 open recommendations
    including 4 priority recommendations
    Recommendation: To provide agencies access to SSA's more complete set of death data, Congress should consider amending the Social Security Act to explicitly allow SSA to share its full death file with Treasury for use through the DNP working system.

    Agency: Congress
    Status: Open

    Comments: When we confirm what actions have been taken we will update. As of August 3, 2017, no updated information has been provided.
    Recommendation: To reasonably assure that additional relevant databases are identified and evaluated for inclusion in the DNP working system, the Director of OMB should develop, document, and communicate a formal process that user agencies can use to identify, suggest, and receive feedback on additional databases to be evaluated for inclusion in the DNP working system.

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

    Comments: We provided a draft of this report to OMB and Treasury and other agencies we reviewed for comment. In its written comments, OMB agreed with this recommendation and cited plans to implement it. As of August 3, 2017, no updated information has been provided by the OMB. We will continue to monitor the status of this recommendation.
    Recommendation: To reasonably assure that the DNP working system is used effectively and consistently, the Director of OMB should develop guidance that clarifies whether the use of DNP's payment integration functionality is required and--if required--the circumstances and process in which agencies may obtain an exemption from this requirement.

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

    Comments: We provided a draft of this report to OMB and Treasury and other agencies we reviewed for comment. In its written comments, OMB agreed with this recommendation and cited plans to implement it. As of August 3, 2017, no updated information has been provided by the OMB. We will continue to monitor the status of this recommendation.
    Recommendation: To reasonably assure that agencies use the DNP working system effectively, the Director of OMB should develop a strategy--and communicate its strategy through guidance--for how agencies should use the DNP working system to complement existing data matching processes and whether and how agencies should consider using the DNP working system to streamline existing data matching. Such guidance may cover how agencies should demonstrate that their data matching processes meet the requirements in the Improper Payments Elimination and Recovery Improvement Act of 2012, whether agencies can decide on their own which specific databases to use, and how agencies should use the functionalities available through the DNP working system.

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

    Comments: We provided a draft of this report to OMB and Treasury and other agencies we reviewed for comment. In its written comments, OMB stated that it generally agreed with the concept of developing a strategy for how agencies should use the Do Not Pay (DNP) working system to complement existing data matching processes and would explore the concept further. As of August 3, 2017, no updated information has been provided by the OMB. We will continue to monitor the status of this recommendation.
    Recommendation: To reasonably assure that agencies develop consistent policies and procedures to verify DNP matches, the Director of OMB should provide additional guidance that outlines when and how agencies should verify DNP matches against a secondary source and provide individuals an opportunity to contest before taking adverse actions as a result of DNP matches.

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

    Comments: We provided a draft of this report to OMB and Treasury and other agencies we reviewed for comment. In its written comments, OMB stated that it agreed with the of consistent policies and procedures and will work with agencies so that their policies and procedures for verifying Do Not Pay (DNP) matches are developed consistently. As of August 3, 2017, no updated information has been provided by the OMB. We will continue to monitor the status of this recommendation.
    Recommendation: To better monitor agency use of the DNP working system once a strategy has been developed, the Director of OMB should develop and implement monitoring mechanisms--such as goals, benchmarks, and performance measures--to evaluate agency use of the DNP working system.

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

    Comments: We provided a draft of this report to OMB and Treasury and other agencies we reviewed for comment. In its written comments, OMB stated that it agreed with the concept of monitoring mechanisms and will continue to work with agencies to reduce improper payments and encourage agencies to establish goals to improve payment accuracy that will be monitored and evaluated by OMB. As of August 3, 2017, no updated information has been provided by the OMB. We will continue to monitor the status of this recommendation.
    Recommendation: To reasonably assure that agency-reported information on use of the DNP working system is reliable, the Director of OMB should develop a process for comparing agency reporting on the use of the DNP working system to available sources, such as OMB guidance and DNP working system adjudication reports.

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

    Comments: We provided a draft of this report to OMB and Treasury and other agencies we reviewed for comment. In its written comments, OMB stated that it agreed with the concept of ensuring that data are reliable and will consider the feasibility of a process to compare agency submissions to available sources to reasonably assure that agency-reported information on use of the Do Not Pay (DNP) working system is reliable. As of August 3, 2017, no updated information has been provided by the OMB. We will continue to monitor the status of this recommendation.
    Recommendation: To reasonably assure that agency-reported information on use of the DNP working system is complete, the Director of OMB should revise its guidance to clarify whether agencies should report on their uses of all of the functionalities of the DNP working system in their agency financial reports.

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

    Comments: We provided a draft of this report to OMB and Treasury and other agencies we reviewed for comment. In its written comments, OMB stated that it agreed with ensuring the completeness of data and will continue to work with agencies and the Chief Financial Officer community to ensure that agency-reported information on the use of the Do Not Pay (DNP) working system is complete. As of August 3, 2017, no updated information has been provided by the OMB. We will continue to monitor the status of this recommendation.
    Recommendation: The Secretary of the Treasury should modify the DNP working system to track adjudication of matches obtained through all functionalities.

    Agency: Department of the Treasury
    Status: Open

    Comments: In a memo dated April 13, 2017, the Department of Treasury (Treasury) stated that it is in the process of evaluating potential solutions to capture information on the impact of Portal functionalities (online single search, continuous monitoring, and batch matching), and has developed a plan with timeframes to assess the technical feasibility as well as user willingness to provide information. However, Treasury stated that it cannot be certain that this evaluation will identify viable solutions, and therefore cannot commit to making any modifications to the working system. Treasury explained, for instance, it may not be possible to design an effective and user-friendly strategy to capture agency decisions to remove an excluded party identified in a continuous monitoring file from a list of approved vendors. Further, Treasury explained that even if it can capture those decisions, it may be even more difficult to assign a dollar value to that decision as there would be no payment pending in this example. Nevertheless, Treasury stated that it is committed to thoroughly evaluating whether a solution is possible, and--if a solution proves feasibly--its goal is to complete a development plan for the implementation of any identified solutions by September 30, 2018.
    Director: Farrell, Brenda S
    Phone: (202) 512-3604

    5 open recommendations
    Recommendation: To help ensure that the Gold Star Advocate Program achieves its mission and objectives and to enhance outreach for the program, the Secretary of Defense should direct the Under Secretary of Defense for Personnel and Readiness, in collaboration with the service secretaries, to develop interim policies to govern the program, to include identification of roles, responsibilities, and procedures.

    Agency: Department of Defense
    Status: Open

    Comments: The Department of Defense (DOD) is planning to incorporate policies regarding the Gold Star Advocate Program into the revision of DOD Instruction 1300,18, Department of Defense (DOD) Personnel Casualty Matters, Policies, and Procedures. The revision is anticipated to be published in 2017. In the interim, DOD is planning to establish a charter for the Gold Star Advocate Program.
    Recommendation: To help ensure that the Gold Star Advocate Program achieves its mission and objectives and to enhance outreach for the program, the Secretary of Defense should direct the Under Secretary of Defense for Personnel and Readiness, in collaboration with the service secretaries, to determine outreach goals and metrics by which to measure progress in attaining those goals.

    Agency: Department of Defense
    Status: Open

    Comments: The Department of Defense (DOD) is planning to determine outreach goals and metrics by the end of 2016. DOD is also planning to include a question concerning the Gold Star Advocate Program in its telephonic survey of survivors of deceased servicemembers to ensure awareness of the Gold Star Advocate Program amongst survivors.
    Recommendation: To help ensure that the Gold Star Advocate Program achieves its mission and objectives and to enhance outreach for the program, the Commandant of the Coast Guard should develop interim policies to govern the program, to include identification of roles, responsibilities, and procedures.

    Agency: Department of Homeland Security: United States Coast Guard
    Status: Open

    Comments: The Coast Guard Personnel Service Center is planning to publish a policy memorandum on the Personnel Service Center Casualty Matters website announcing the establishment of the Gold Star Advocate Program and outlining the policies, procedures, and responsibilities of the Gold Star Advocate Program.
    Recommendation: To help ensure that the Gold Star Advocate Program achieves its mission and objectives and to enhance outreach for the program, the Commandant of the Coast Guard should determine outreach goals and metrics by which to measure progress in attaining those goals.

    Agency: Department of Homeland Security: United States Coast Guard
    Status: Open

    Comments: The Coast Guard is planning to establish goals and metrics for the Coast Guard's Gold Star Advocate Program to include: identifying resources to support the program, creating a Gold Star Advocate Program website, updating the Coast Guard's "A Survivor's Guide to Benefits" and link it to the Gold Star Advocate Program website. The Coast Guard also plans to begin capturing addresses and other contact information for survivors of each active duty servicemember death and perform a one-time mass mailing to survivors to inform them of the program. They also plan to develop measures for outreach effectiveness and to partner with the Department of Defense to identify other ways to ensure that all survivors are contacted.
    Recommendation: To improve the efficacy of the training provided, the Secretary of Defense should direct the Under Secretary of Defense for Personnel and Readiness to develop indicators to help determine how casualty assistance officer training contributes to the quality of the casualty assistance program.

    Agency: Department of Defense
    Status: Open

    Comments: The Department of Defense (DOD) is planning to develop two surveys to gauge how effective casualty assistance officers found the simulation training program that was developed by the Office of the Under Secretary of Defense for Personnel and Readiness (OUSD(P&R)).
    Director: Gerald Dillingham, Ph.D
    Phone: (202) 512-2834

    1 open recommendations
    Recommendation: To help improve the U.S. aviation sector's preparedness for future communicable disease threats from abroad, the Secretary of Transportation should work with relevant stakeholders, such as the Department of Health and Human Services, to develop a national aviation-preparedness plan for communicable disease outbreaks. Such a plan could establish a mechanism for coordination between the aviation and public health sectors and provides clear and transparent planning assumptions for a variety of types and levels of communicable disease threats.

    Agency: Department of Transportation
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Director: Seto J. Bagdoyan
    Phone: (202) 512-6722

    2 open recommendations
    Recommendation: To help FEMA prevent improper payments, the Administrator of FEMA should assess the cost and feasibility of addressing limitations in FEMA's control for identifying duplicate information in applications in high-risk data fields--such as SSN, bank-account information, address, and phone number--that may currently allow individuals or households to improperly receive multiple payments, and if determined to be costbeneficial take steps to address the system design limitation.

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

    Comments: In April 2017, FEMA reported that the agency had reviewed its software system's controls for identifying duplicate SSNs, bank account, address, and phone information. FEMA reported that it would be cost effective and feasible to improve its software system's controls for identifying duplicate address information, and the agency expects to deploy these system changes in the summer of 2017. FEMA also reported that, based on its review of the cases GAO referred to FEMA, errors in SSN and bank account information were related to human casework processing rather than software system limitations. Consequently, FEMA reported that it was reviewing and updating its casework training, guidance, and quality control documentation. We will continue to monitor FEMA's efforts to implement this recommendation.
    Recommendation: To help FEMA prevent improper payments, the Administrator of FEMA should collaborate with SSA to assess the cost and feasibility of checking recipient SSNs against the Enumeration Verification System and the full death file to more accurately identify recipients who used Social Security numbers (SSNs) that were ineligible or belonged to likely deceased individuals, document the results of this assessment, and if determined to be cost-beneficial take steps to implement a partnership to use SSA data.

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

    Comments: In April 2017, FEMA reported that the agency completed a cost estimate for system changes needed to include a direct data exchange with SSA. FEMA further reported that the agency was continuing to explore alternative means of conducting a direct data exchange that would help FEMA verify if an SSN belongs to a deceased person. We will continue to monitor FEMA's progress in implementing this recommendation.
    Director: Bertoni, Daniel
    Phone: (202) 512-7215

    2 open recommendations
    Recommendation: In order to enhance the accuracy of and ensure appropriate agency access to SSA's death data, and to clarify how SSA applies the eligibility requirements of the Social Security Act and enhance agencies' awareness of how to obtain access, the Social Security Administration's Acting Commissioner should direct the Deputy Commissioner of Operations to develop and publicize guidance it will use to determine whether agencies are eligible to receive SSA's full death file.

    Agency: Social Security Administration
    Status: Open

    Comments: The Social Security Administration (SSA) disagreed with this recommendation, stating that each request to obtain the full death file is unique, and that officials must review them on a case-by-case basis to ensure compliance with various legal requirements. It also expressed concern that developing this guidance as we recommended would require agency expenditures unrelated to its mission in an already fiscally constrained environment. SSA noted that any federal agency that would like to explore accessing the full death master file (which includes state death records) should submit a request to SSA. SSA will review the file and, if satisfactory, enter into an Information Exchange Agreement covering terms, conditions and reimbursement for the exchange. As of April 2017, SSA reports that it is continuing its efforts and there is no change in status. GAO appreciates that agencies may base their request for the full death file on different intended uses, and supports SSA's efforts to ensure compliance with all applicable legal requirements. However, developing such guidance could help to ensure consistency in SSA's future decision making by the new Office of Data Exchange, and enhance agencies' ability to obtain the data in a timely and efficient manner.
    Recommendation: In order to enhance the accuracy of and ensure appropriate agency access to SSA's death data, and to increase transparency among recipient agencies, the Social Security Administration's Acting Commissioner should direct the Deputy Commissioner of Operations to share a more detailed explanation of how it determines reimbursement amounts for providing agencies with death information.

    Agency: Social Security Administration
    Status: Open

    Comments: The Social Security Administration (SSA) reported that it has implemented improvements in its estimating procedures for future reimbursable agreements to ensure consistent estimates for all customers. It reviews all reimbursable requests on a case-by-case basis to determine full costs (including direct and indirect expenses) to provide goods, resources, or services. However, the agency stated that it is not a typical government business practice to share these detailed costs for reimbursable agreements. As of April 2017, SSA reports that it is continuing its efforts and there is no change in status. We are encouraged that SSA has made efforts to standardize the estimates it shares with its federal partners. While we recognize that there may be limitations on the type of cost details SSA can provide to recipient agencies, we continue to believe that more transparency in conveying the factors that lead to the estimated and final reimbursement amounts recipient agencies are charged could help them make more informed decisions.
    Director: Dicken, John E
    Phone: (202)512-7043

    1 open recommendations
    Recommendation: To help states identify and address quality-of-care concerns among individuals with developmental disabilities receiving Medicaid HCBS waiver services, the Administrator of CMS should encourage states to (1) include death as a critical incident and conduct mortality reviews if they do not already do so and (2) broaden their mortality review processes if they already include death as a critical incident and conduct mortality reviews.

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

    Comments: In August 2009, CMS stated that it anticipated adding a question about mortality reviews to its next web-based version of the Home and Community-Based Services waiver application. CMS also indicated at that time that the next application version (i.e., Version 3.6) would be released in 2010. However, in July 2010, CMS indicated that this version would not be produced until 2011. In its 2011 update, CMS indicated that the version 3.6 online application had not yet been operationalized and therefore the recommendation should be left open until next year. In July 2013, CMS stated that version 3.6 remains on hold and that the agency is exploring other options for addressing this recommendation, with a target completion date of 12/31/2014.