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As of April 16, 2024, there are 5093 open recommendations that still need to be addressed. 444 of these are priority recommendations, those that we believe warrant priority attention. Learn more about our priority designation on our Recommendations page.

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1 - 20 of 5094 Recommendations, including 444 Priority Recommendations

Fraud Risk Management: 2018-2022 Data Show Federal Government Loses an Estimated $233 Billion to $521 Billion Annually to Fraud, Based on Various Risk Environments

GAO-24-105833
Rebecca Shea, Jared B. Smith
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3 Open Recommendations
Agency Recommendation Status
Office of Management and Budget The Director of the Office of Management and Budget, in collaboration with the Council of the Inspectors General on Integrity and Efficiency, should develop guidance on the collection of Office of Inspector General (OIG) data to support fraud estimation. The guidance should (1) identify and establish consistent data elements and terminology for use across OIGs; (2) include a timeline for implementation and key milestones; and (3) leverage existing data systems and processes, as appropriate. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Office of Management and Budget The Director of the Office of Management and Budget, with input from executive branch agencies, should develop guidance on the collection of executive agency data to support fraud estimation. The guidance should (1) identify and establish consistent data elements and terminology for use across agencies; (2) include a timeline for implementation and key milestones; and (3) leverage existing data systems and processes, as appropriate. (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 Treasury The Secretary of the Treasury, in consultation with the Office of Management and Budget, should establish an effort to evaluate and identify methods to expand government-wide fraud estimation to support fraud risk management. This effort should (1) initially prioritize program areas at increased risk of fraud; (2) be responsive to changes in the availability or quality of data; and (3) leverage data-analytics capabilities, such as within the Office of Payment Integrity, which includes the Do Not Pay program. (Recommendation 3)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Counternarcotics: DOD Should Improve Coordination and Assessment of Its Activities

GAO-24-106281
Chelsa L. Kenney
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4 Open Recommendations
Agency Recommendation Status
Department of Defense The Secretary of Defense should ensure that the Deputy Assistant Secretary of Defense for Counternarcotics and Stabilization Policy updates standard operating procedures for the C2IE data system to specify the quality control measures that should be reviewed and to assign responsibility for verifying that the information is accurate and consistent across combatant commands. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should ensure that the Deputy Assistant Secretary of Defense for Counternarcotics and Stabilization Policy works with INDOPACOM, SOUTHCOM, and NORTHCOM to develop up-to-date agreements that clarify and define their and their task forces' respective roles and responsibilities in the overlapping operation area. (Recommendation 2)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should ensure that the Deputy Assistant Secretary of Defense for Counternarcotics and Stabilization Policy identifies measurable outcomes for each of DOD's CN/CTOC strategic objectives that can be used to assess progress toward the objective. (Recommendation 3)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should ensure that the Deputy Assistant Secretary of Defense for Counternarcotics and Stabilization Policy develops a plan to assess DOD-wide progress toward its CN/CTOC strategic objectives. (Recommendation 4)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Military Health Care: DOD Should Improve Its Process for Clinical Adverse Actions against Providers

GAO-24-106107
Sharon M. Silas
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6 Open Recommendations
Agency Recommendation Status
Defense Health Agency The Director of DHA should modify its monitoring reports or audit tools to capture information needed to effectively assess adherence to certain requirements, such as notification to other health care entities of a provider's summary suspension and state licensing board reporting. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should strengthen its monitoring of MTFs' and DHA's timeliness in completing the steps in the clinical adverse action process. (Recommendation 2)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should clarify in the DHA procedures manual for clinical adverse actions that MTFs must summarily suspend providers at the initiation of all clinical adverse action cases. (Recommendation 3)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should clarify in the DHA procedures manual for clinical adverse actions the requirements for documenting the MTFs' final privileging authority decisions. This should include specifying that implementation of the privileging authority decision should be documented in a timely manner. (Recommendation 4)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should establish timeliness requirements for the DHA-level procedures in the clinical adverse action process, including the DHA audit, legal sufficiency review, clinical peer review, appeal panel meeting and recommendation, and final report authority decision. (Recommendation 5)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Office of the Assistant Secretary of Defense (Health Affairs) The Assistant Secretary of Defense for Health Affairs should require DHA to report data on its adherence to clinical adverse action reporting requirements, such as the number of providers with reportable actions and the timeliness of reports, and should use this information to improve its oversight of DHA. (Recommendation 6)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Justice40: Additional Efforts Needed to Improve Tribal Applicants' Access to Federal Programs Under Environmental Justice Initiative

GAO-24-106511
Anna Maria Ortiz
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7 Open Recommendations
Agency Recommendation Status
Environmental Protection Agency The Administrator of EPA should ensure that the program offices of EPA Justice40 covered programs document previously identified statutory and regulatory barriers to access for tribal applicants informing their implementation of the Justice40 Initiative. As a part of this process, the agency should—with input from Tribes—identify any additional changes necessary to address remaining statutory and regulatory barriers, recommending legislative changes where the agency determines appropriate. The agency should make a summary of the results of this process publicly available. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Federal Emergency Management Agency The Administrator of FEMA should ensure that program offices of FEMA Justice40 covered programs document previously identified statutory and regulatory barriers to access for tribal applicants informing their implementation of the Justice40 Initiative. As a part of this process, the agency should—with input from Tribes—identify any additional changes necessary to address remaining statutory and regulatory barriers, recommending legislative changes where the agency determines appropriate. The agency should make a summary of the results of this process publicly available. (Recommendation 2)
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 ensure that program offices of USDA Justice40 covered programs document previously identified statutory and regulatory barriers to access for tribal applicants informing their implementation of the Justice40 Initiative. As a part of this process, the agency should—with input from Tribes—identify any additional changes necessary to address remaining statutory and regulatory barriers, recommending legislative changes where the agency determines appropriate. The agency should make a summary of the results of this process publicly available. (Recommendation 3)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Environmental Protection Agency The Administrator of EPA should ensure that program offices implementing Justice40 covered programs maintain records of related consultations with Tribes and consider—with tribal input—publicly sharing a high-level summary of consultation results, as appropriate, to improve tribal applicants' access to information about tribal input on federal programs and decrease the burden on Tribes and eligible Indigenous communities. (Recommendation 4)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Federal Emergency Management Agency The Administrator of FEMA should ensure that program offices implementing Justice40 covered programs maintain records of related consultations with Tribes and consider—with tribal input—publicly sharing a high-level summary of consultation results, as appropriate, to improve tribal applicants' access to information about tribal input on federal programs and decrease the burden on Tribes and eligible Indigenous communities. (Recommendation 5)
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 the USDA should ensure that program offices implementing Justice40 covered programs maintain records of related consultations with Tribes and consider—with tribal input—publicly sharing a high-level summary of consultation results, as appropriate, to improve tribal applicants' access to information about tribal input on federal programs and decrease the burden on Tribes and eligible Indigenous communities. (Recommendation 6)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Environmental Protection Agency The Administrator of EPA should ensure that program offices consult with federally recognized Tribes and conduct outreach to eligible Indigenous communities to ensure meaningful involvement when determining benefits for Justice40 covered programs in accordance with EOP guidance and determine how to incorporate the input into future Justice40 implementation efforts. (Recommendation 7)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Note: the list of open recommendations for the last report may continue on the next page.

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