Distressed Communities:
Public Services Declined in California as Budget Pressures Mounted
HRD-90-95: Published: Aug 16, 1990. Publicly Released: Aug 16, 1990.
Additional Materials:
- Full Report:
Contact:
Pursuant to a congressional request, GAO reviewed the effects of changing federal-local fiscal relations on the condition of basic public services in two distressed California counties, focusing on: (1) local efforts to cope with declining federal aid and the loss of general revenue sharing; and (2) whether state policies helped to offset those circumstances.
GAO found that: (1) since 1980, federal aid to municipalities and counties declined substantially, and Congress terminated a general revenue sharing program in 1986; (2) poorer California counties have been more adversely affected by shrinking federal support, revenue limitations, and the rising cost of state-mandated programs; (3) the counties cut services and postponed capital investments when service needs exceeded revenues; (4) state policies that limited sales taxes constrained county revenues; and (5) poorer California counties coped with local public services problems largely on their own.
Mar 1, 2021
Medicare Part B:
Payments and Use for Selected New, High-Cost DrugsGAO-21-252: Published: Mar 1, 2021. Publicly Released: Mar 1, 2021.
Feb 24, 2021
-
Covid-19:
Key Insights from GAO's Oversight of the Federal Public Health ResponseGAO-21-396T: Published: Feb 24, 2021. Publicly Released: Feb 24, 2021.
Feb 17, 2021
Feb 11, 2021
-
Operation Warp Speed:
Accelerated COVID-19 Vaccine Development Status and Efforts to Address Manufacturing ChallengesGAO-21-319: Published: Feb 11, 2021. Publicly Released: Feb 11, 2021.
Feb 5, 2021
-
DOD Health Care:
DOD Should Monitor Implementation of Its Clinical Practice GuidelinesGAO-21-237: Published: Feb 5, 2021. Publicly Released: Feb 5, 2021. -
Medicaid:
CMS Needs to Implement Risk-Based Oversight of Puerto Rico's Procurement ProcessGAO-21-229: Published: Feb 5, 2021. Publicly Released: Feb 5, 2021. -
VA Health Care:
Community Living Centers Were Commonly Cited for Infection Control Deficiencies Prior to the COVID-19 PandemicGAO-21-195R: Published: Jan 6, 2021. Publicly Released: Feb 5, 2021.
Jan 28, 2021
-
COVID-19:
Critical Vaccine Distribution, Supply Chain, Program Integrity, and Other Challenges Require Focused Federal AttentionGAO-21-265: Published: Jan 28, 2021. Publicly Released: Jan 28, 2021.
Jan 21, 2021
-
Rural Hospital Closures:
Affected Residents Had Reduced Access to Health Care ServicesGAO-21-93: Published: Dec 22, 2020. Publicly Released: Jan 21, 2021. -
Health Care Funding:
Federal Obligations to and Funds Received by Certain Organizations Involved in Health-Related Services, 2016 through 2018GAO-21-188R: Published: Dec 21, 2020. Publicly Released: Jan 21, 2021.
Looking for more? Browse all our products here
Explore our Key Issues on Health Care
- Air Quality
- Border Security and Immigration
- Children's Health and Safety
- Drug Misuse
- Elder Abuse
- Health Care Quality
- Health Information Technology
- Improper Payments
- Improving Federal Programs that Serve Tribes and Their Members - High Risk Issue
- Managing Risks and Improving VA Health Care
- Medicaid - High Risk Issue
- Medical Product Oversight - High Risk Issue
- Medicare - High Risk Issue
- Prescription Drug Spending
- Supports and Services for Transitioning Veterans
- Toxic Chemicals - High Risk Issue
- Tribal and Native American Issues
- VA and DOD Health Care Management
- VA and DOD Patient Care
- Women and Gender in Public Policy
Explore our other Key Issues here
