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Open Recommendations

Suicide Prevention: DOD Should Improve Monitoring and Assessment of Training
GAO-26-107804
May 20, 2026
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17 Open Recommendations
Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should ensure that the Under Secretary of Defense for Personnel and Readiness develops and issues guidance to require the military services to report annual nonclinical suicide prevention training completion data to DSPO. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Army The Secretary of the Army should ensure that the Director, Prevention, Resilience, and Readiness regularly monitors service members' completion of annual nonclinical suicide prevention training. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Army The Secretary of the Army should ensure that the Director, Prevention, Resilience, and Readiness notifies the prevention personnel at the appropriate level within commands when annual nonclinical suicide prevention training is not completed. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Army The Secretary of the Army should ensure that the Director, Prevention, Resilience, and Readiness, in coordination with the Transformation and Training Command, standardizes how to record approved annual nonclinical suicide prevention training in the Army's central training database. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Navy The Secretary of the Navy should ensure that the Chief of Naval Operations, Navy Culture and Force Resilience Office, Suicide Prevention regularly monitors service members' completion of annual nonclinical suicide prevention training. (Recommendation 5)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of the Navy The Secretary of the Navy should ensure that the Chief of Naval Operations, Navy Culture and Force Resilience Office, Suicide Prevention notifies the prevention personnel at the appropriate level within commands when annual nonclinical suicide prevention training is not completed. (Recommendation 6)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Black Lung Benefits Program: Miners Reported Experiencing Challenges, and DOL Should Monitor Operator-Provided Medical Coverage
GAO-26-107612
May 11, 2026
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1 Open Recommendations
Agency Affected Recommendation Status
Department of Labor The Secretary of Labor should ensure that the Division of Coal Mine Workers' Compensation collects information on and monitors responsible operators' provision of medical benefits. For example, this could include soliciting miners' feedback through DOL's existing customer experience survey. (Recommendation 1)
Open
DOL agreed with this recommendation and identified actions it plans to take. DOL stated that it plans to update its customer experience surveys to include questions about medical benefits provided by responsible operators. In addition, DOL stated that claimants will have the opportunity to provide their contact information, which will allow DOL to conduct follow-up as needed. THey will use the survey results to guide any additional actions needed. We will monitor the progress of these efforts.

Pregnancy and Early Childhood: Performance Management Process Needed for Three Programs
GAO-26-107572
May 05, 2026
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3 Open Recommendations
Agency Affected Recommendation Status
Department of Health and Human Services The Secretary of Health and Human Services should establish a performance management process at the federal level for the Preschool Development Grants Birth Through Five Program. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Agriculture The Secretary of Agriculture should establish a performance management process at the federal level for the WIC Farmers Market Nutrition Program. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of Veterans Affairs should complete the process of establishing a performance management process at the federal level for the VHA Maternity Care Coordinator Program. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Child Welfare: HHS Should Clarify Guidance on State Spending for Congregate Care
GAO-26-107592
Mar 03, 2026
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1 Open Recommendations
Agency Affected Recommendation Status
Department of Health and Human Services The Secretary of Health and Human Services should direct the Administration for Children and Families to clarify its guidance on the appropriate use of Title IV-E funds for youth in facilities designated as settings "providing high-quality residential care and supportive services to children and youth who have been found to be, or are at risk of becoming, sex trafficking victims." (Recommendation 1)
Open
HHS disagreed with this recommendation, stating that it would require the Administration for Children and Families (ACF) to issue additional guidance and would restrict states' ability to define settings and determine placement direction. HHS acknowledged that additional guidance would be useful and proposed collaborating with other HHS agencies in this area. However, we believe these actions, while useful, would not address this recommendation. ACF should provide clarification to states on claiming Title IV-E beyond 14 days for youth placed in facilities serving youth who have been found to be, or are at risk of becoming, sex trafficking victims. We do not believe that providing such clarification would require ACF to develop new guidance nor that clarifying its guidance would restrict states' placement flexibilities. States interpret ACF's guidance about requirements for claiming Title IV-E funds for youth placed in these facilities differently. As such, some states are not claiming Title IV-E funds for which they may be eligible. ACF could address this issue through communication with states that is less formal than new guidance, such as an email or Dear Colleague letter to state child welfare agencies. We will monitor any further efforts by the agency.
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