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Released on January 24, 2020
Opioid Use Disorder: Barriers to Medicaid Beneficiaries' Access to Treatment Medications
GAO-20-233: Published: Jan 24, 2020. Publicly Released: Jan 24, 2020.
Nearly 2 million Americans misused or were addicted to opioids in 2018. Medication-assisted treatment—which combines medications such as buprenorphine with behavioral therapy—can effectively treat opioid use disorders and overdoses. Medicaid is one of the largest sources of coverage for individuals undergoing medication-assisted treatment. The Department of Health and Human Services has worke...
Supplemental Material for GAO-20-208: SEC Personnel Survey Results[back to top]
GAO-20-304SP: Published: Jan 24, 2020. Publicly Released: Jan 24, 2020.
This is a supplement to our report, Securities and Exchange Commission: Personnel Management Shows Improvement, but Action Needed on Performance Management System, GAO-20-208. It provides the results from our web-based surveys of employees on their views about SEC’s organizational culture and other aspects of working there, such as training, intra-agency communication, leadership, and performanc...
Released on January 23, 2020
Federal Trust Funds and Other Dedicated Funds: Fiscal Sustainability Is a Growing Concern for Some Key Funds
GAO-20-156: Published: Jan 16, 2020. Publicly Released: Jan 23, 2020.
Every major federal department has at least 2 trust funds or dedicated funds that pay for key programs. The money comes from related taxes, fees, and premiums—e.g., U.S. postage stamp revenue goes to the Postal Service Fund. The overall federal trust fund balance is expected to start declining in 2022 as balances in the Medicare and Social Security trust funds drop. The government is projected...
Military Construction: Cost Increase Reports Submitted in Fiscal Years 2018 and 2019
GAO-20-261R: Published: Jan 23, 2020. Publicly Released: Jan 23, 2020.
DOD must notify Congress and GAO of any military construction project or military family housing project that costs more than $40 million where DOD has identified a cost increase of 25% or more. In the reports, DOD must include the specific reasons for the increase and identify the organizations and individuals responsible for the increase (among other elements). DOD submitted 5 such reports duri...
VA Health Care: Efforts to Prioritize and Translate Research into Clinical Practice
GAO-20-211: Published: Jan 23, 2020. Publicly Released: Jan 23, 2020.
VA provides health care to over 9 million veterans each year. It also funds research on veterans’ health conditions—including chronic conditions, like diabetes, and illnesses and injuries resulting from military service, like traumatic brain injury. We reviewed, among other things, how VA works to help translate research findings into clinical practice to improve care. For example, VA researc...
VA Health Care: Improved Communication about Available Data Needed to Enhance the HIV Screening Process[back to top]
GAO-20-186: Published: Jan 23, 2020. Publicly Released: Jan 23, 2020.
The Veterans Health Administration is the largest single provider of medical care to HIV infected individuals in the nation. VA medical centers in 2018 provided care to over 31,000 HIV-positive veterans. Those who receive health care before their infections progress have better health, longer lives, and a lower chance of transmitting HIV. Among other things, we found VA does not track whether HIV...
Released on January 22, 2020
Alternative Drinking Water Systems: Use by Very Small Communities, Related Cost Savings, and Technical Assistance Provided by EPA and USDA
GAO-20-217R: Published: Jan 22, 2020. Publicly Released: Jan 22, 2020.
Small communities may lack the resources needed to maintain or replace drinking water systems. New or nonconventional approaches have the potential to do a better, more cost-effective job of providing drinking water. We identified some alternative systems used by communities of 500 or fewer people, such as using a sand filtration process and devices that treat water as it enters a home. The costs...
Department of Defense: Actions Needed to Reduce Accounting Adjustments
GAO-20-96: Published: Jan 10, 2020. Publicly Released: Jan 22, 2020.
DOD uses accounting adjustments to record corrections or changes in its financial systems. Such adjustments should be accompanied by documentation showing why the change was needed. Some accounting adjustments that DOD frequently makes—including “forced-balance” adjustments to make its financial systems agree with Treasury balances—don’t have adequate supporting documentation. We recomm...
Federal Property: GSA Guidance Needed to Help Agencies Identify Unneeded Property in Warehouses
GAO-20-228: Published: Dec 20, 2019. Publicly Released: Jan 22, 2020.
3 federal agencies—the Federal Aviation Administration, the Department of Energy’s Office of Science, and the Bureau of Prisons—spent over $50 million in FY 2018 on warehouses, many of which contain property (like vehicles, furniture, and computers). However, these agencies do not systematically assess whether they still need all of their property. Federal agencies are required to use Gener...
U.S. Secret Service: Investigative Operations Confer Benefits, but Additional Actions Are Needed to Prioritize Resources[back to top]
GAO-20-239: Published: Jan 22, 2020. Publicly Released: Jan 22, 2020.
The Secret Service is known for protecting the President, but it also investigates high-priority criminal threats such as cyber- and financial crimes. Do these investigations detract from the agency’s protection mission? We found Secret Service investigative activities also support its protective operations. Its Office of Investigations staff worked 11.2 million hours on protection in fiscal y...