Recommendation: The Secretary of Commerce should direct the Director of the Census Bureau to direct the Census Bureau's Chief Information Officer (CIO) to take steps to ensure that identified corrective actions for cybersecurity weaknesses are implemented within prescribed time frames. (Recommendation 1)

Agency: Department of Commerce
Status: Open
Priority recommendation

Comments: Commerce agreed with our recommendation. It provided an action plan in August 2019. We will review the Bureau's progress in addressing this recommendation as part of our ongoing work on the 2020 Census.

Recommendation: The Secretary of Commerce should direct the Director of the Census Bureau to direct the Bureau's CIO to implement a formal process for tracking and executing appropriate corrective actions to remediate cybersecurity weaknesses identified by DHS, and expeditiously address the identified deficiencies. (Recommendation 2)

Agency: Department of Commerce
Status: Open
Priority recommendation

Comments: Commerce agreed with our recommendation. In August 2019, the Bureau stated that it is developing a process for tracking and executing corrective actions identified by governing bodies and external entities. We will review the Bureau's progress in addressing this recommendation as part of our ongoing work on the 2020 Census.

Recommendation: The Director of National Intelligence should develop a plan for monitoring continuous evaluation performance, to include assessing continuous evaluation at various phases of implementation. (Recommendation 3)

Agency: Office of the Director of National Intelligence
Status: Open

Comments: ODNI generally concurred with this recommendation. As of November 2019, ODNI has provided information that may allow us to close this recommendation. We are currently evaluating that information and will update this recommendation once that evaluation is complete.

Recommendation: The Director of National Intelligence should develop performance measures for continuous evaluation that agencies must track and determine a process and schedule for agencies to regularly report those measures to ODNI. At minimum, these performance measures should be clear, quantifiable, objective, and linked to measurable goals. (Recommendation 4)

Agency: Office of the Director of National Intelligence
Status: Open

Comments: ODNI generally concurred with this recommendation. As of November 2019, ODNI provided information that may allow us to close this recommendation. We are currently evaluating this information and once that evaluation is complete, we will update the status.

Recommendation: The Director of National Intelligence should, in coordination with the Deputy Director for Management of the Office of Management and Budget in the capacity as Chair of the Security, Suitability, and Credentialing Performance Accountability Council, conduct an evidence-based review of the timeliness goal of 195 days for completing the fastest 90 percent of periodic reinvestigations and the associated goals for the different phases of periodic reinvestigations, and adjust the goal if appropriate, taking into consideration available resources, the additional workload of continuous evaluation, and the risks associated with individuals retaining access to classified information without determining their continued eligibility. (Recommendation 5)

Agency: Office of the Director of National Intelligence
Status: Open

Comments: ODNI generally concurred with this recommendation. As of November 2019, ODNI stated that with the advent of Trusted Workforce 2.0, discussions are being held about timeliness goals and the periodic reinvestigation model writ large. Once we confirm what actions have been taken, we will update the status of this recommendation.

Recommendation: The Director of National Intelligence should, once ODNI has further defined the continuous evaluation program, to include issuing a Security Executive Agent Directive and developing an implementation plan, in coordination with the Deputy Director for Management of the Office of Management and Budget in the capacity as Chair of the Security, Suitability, and Credentialing Performance Accountability Council, assess the potential effects of continuous evaluation on agency resources and develop a plan, in consultation with implementing agencies, to address those effects, such as modifying the scope of periodic reinvestigations, changing the frequency of periodic reinvestigations, or replacing periodic reinvestigations for certain clearance holders. (Recommendation 6)

Agency: Office of the Director of National Intelligence
Status: Open

Comments: ODNI generally concurred with this recommendation. As of November 2019, ODNI provided information that may allow us to close this recommendation. We are currently evaluating that information and once that evaluation is complete, we will update the status of this recommendation.

Recommendation: To reduce the cost of delivering the crop insurance program, Congress should consider repealing the 2014 farm bill requirement that any revision to the standard reinsurance agreement not reduce insurance companies' expected underwriting gains, and directing the Risk Management Agency to, during the next renegotiation of the agreement, (1) adjust the participating insurance companies' target rate of return to reflect market conditions and (2) assess the portion of premiums that participating insurance companies retain and, if warranted, adjust it.

Agency: Congress
Status: Open

Comments: As of March 2020, Congress has not taken action to implement this matter.

Recommendation: To reduce year-to-year fluctuations in the administrative and operating expense subsidies that companies receive at the crop, state, and county levels, the Secretary of Agriculture should direct the Administrator of the Risk Management Agency to consider adjusting the administrative and operating expense subsidy calculation method in a way that reduces the effects of changes in premiums caused by changes in crop prices or other factors when it renegotiates the standard reinsurance agreement.

Agency: Department of Agriculture
Status: Open

Comments: As of March 2020, the Department of Agriculture has not taken action to implement this recommendation.

Recommendation: Early in the next decennial cycle, the Secretary of Commerce should direct the Under Secretary of the Economics and Statistics Administration and the Director of the U.S. Census Bureau to plan and execute more flexible, and perhaps smaller, address canvassing test and evaluation activity needed to support key design decisions having significant effect on the cost and quality of the census.

Agency: Department of Commerce
Status: Open

Comments: As of September 2020, the Bureau had not yet begun its 2030 testing and evaluation planning. When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Recommendation: To improve consistency in CMS oversight of federal spending under section 1115 demonstrations, the Secretary of Health and Human Services should require the Administrator of CMS to develop and document standard operating procedures for monitoring spending under demonstrations that (1) require setting reporting requirements for states that provide CMS the data elements needed for CMS to assess compliance with demonstration spending limits; (2) require consistent enforcement of states' compliance with financial reporting requirements; and (3) require consistent tracking of the amount of unspent funds under demonstration spending limits.

Agency: Department of Health and Human Services
Status: Open

Comments: The Department of Health and Human Services (HHS) has taken steps to improve the consistency of oversight of federal spending under section 1115 demonstrations. In November 2018, HHS officials reported that they have developed draft guidance, including a standard reporting tool for states, to better ensure consistent reporting of the elements needed to assess compliance with demonstration spending limits and was in the process of testing the tool with two states. In addition, the agency is developing standard operating procedures for agency staff to require consistent tracking of unspent funds under the spending limit. As of November 2019, HHS has not provided any updates. GAO will continue to monitor HHS's actions and once procedures are in place, GAO will assess whether they address our recommendation.

Recommendation: The Secretary of Commerce and Under Secretary for Economic Affairs should direct the Census Bureau to revise and test procedures on how to better leverage enumerator-collected information on the best time or day to conduct interviews, and ensure enumerators are properly trained on these procedures.

Agency: Department of Commerce
Status: Open

Comments: Commerce agreed with this recommendation. In the Bureau's March 2017 action plan, it reported that as the Census Bureau develops enhancements to the procedures and training for enumerators, it will reflect on what it has learned from 2016 Census Test experiences as well as from recommendations such as this. It reported a target completion of December 2018, following completion and analyses of the nonresponse follow-up operation for the 2018 End-to-End Census Test. In January 2018, Bureau officials told us that leveraging enumerator collected information on the best time to conduct an interview would not be a part of questionnaire design's functionality for 2020 and will most likely rely on the system optimizer to determine the best time to contact a household. Bureau officials indicated they may push this recommendation out to 2030. During the 2018 Test, we continued to observe that enumerator notes were not being systematically reviewed by supervisors and managers, such that information such as office hours for apartment managers among other information we reported on was not being used by the operation. In June 2019, the Bureau informed us that it had added functionality to the enumerator device for enumerators to alert supervisors of case notes of "high importance" and was revising training to explain its use. Additionally, in December 2019, the Bureau shared documentation that reiterated the importance of enumerators reviewing prior case notes but clarified that enumerators should not expect their supervisors to regularly review those case notes. In April 2020, Bureau officials indicated that it was not likely that the Bureau would revise CFS training to systematically review case notes for the 2020 cycle, though we are following up with the Bureau to see if this can be done given the revised census time frames stemming from the COVID-19 outbreak. To fully implement this recommendation for 2020 and for future fieldwork, the Bureau needs to make better use of the information collected by enumerators during interview attempts about when to make additional attempts, such as during reported working hours of property managers for large multi-unit structures that house a large number of non-respondents.

Recommendation: To enhance program oversight and provide more robust input to budget deliberations, Congress should consider requiring DOD to report on each major acquisition program's systems engineering status in the department's annual budget request, beginning with the budget requesting funds to start development. The information could be presented on a simple timeline--as done for the case studies in this report--and at a minimum should reflect the status of a program's functional and allocated baselines as contained in the most current version of the program's systems engineering plan.

Agency: Congress
Status: Open

Comments: As of August 2020, Congress has not yet taken action on the matter for consideration. The Department of Defense (DOD) non-concurred and as of March 16, 2018, DOD officials reported they had closed this recommendation because they did not agree that the systems engineering plan was the most effective means to provide Congress insight into program risk. DOD officials stated that the timing of the systems engineering plan and any updates are not aligned to inform a budget decision that could occur as much as 18 months prior to program initiation; and existing statutory certifications and reports, such as 2366a and 2366b requirements, submitted to Congress contain adequate information regarding program risk and technical maturity. GAO initiated work in 2020 to examine recent congressionally mandated changes in DOD's acquisition and requirements processes and will assess whether those changes meet the intent of this recommendation.

Recommendation: To help ensure the Bureau focuses its resources on those activities that show promise for substantially reducing enumeration cost, in advance of the 2016 Census Test and later tests, the Secretary of Commerce should direct the Under Secretary of the Economics and Statistics Administration and the Director of the U.S. Census Bureau to, ensure systematic capture of information about fieldwork cases that experience problems by including information in enumerator training about where to record the issues, who to contact, what details to include, and the importance of doing so.

Agency: Department of Commerce
Status: Open
Priority recommendation

Comments: Commerce concurred with this recommendation. The Census Bureau informed us in December 2015 that no later than the end of December 2015, it would document how these matters have been addressed in the enumerator training (or in help screens on their mobile device) planned for the 2016 Census Test, and that it would use results and observations from that test to further refine such information for future tests and for the 2020 Census. The Bureau provided us with related training materials for the 2016 Test, yet we made similar observations during the 2016 test and the 2018 End-to-End test. For the Bureau to be informed on any additional training needs or other operational decisions for 2020, it will need to continue to expand its efforts in collecting information on enumerator-reported problems per our 2015 recommendation. In April 2020, Bureau officials said that it was not likely they would be able to incorporate additional changes for the 2020 Census field operations. With the Bureau's more recent April announcement to further delay field operations due to the Covid-19 outbreak, we are continuing to ask the Bureau if there is opportunity to address this recommendation. To fully implement this recommendation, the Bureau needs to identify what information it finds valuable to have from its enumerators, such as the incidence of specific technical problems with the survey instrument or mobile device and ensure that enumerators and their first-line supervisors are made aware of the importance of recording such information and how to do so.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of Commerce should ensure a reliable department-wide inventory of mobile service contracts is developed and maintained.

Agency: Department of Commerce
Status: Open

Comments: As of January 2020, the Department of Commerce had not implemented this recommendation. In July 2018, the department provided an inventory that shows, by service provider and department component, the number of devices per rate plan and monthly rate; however, the inventory did not include the number of voice minutes, gigabytes of data, and text messages allowed per line per month. Furthermore, the department had not demonstrated that it had accounted for all of its mobile service contracts. We will continue to monitor the department's efforts to implement the recommendation.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of Commerce should ensure procedures to monitor and control spending are established department-wide. Specifically, ensure that (1) procedures include assessing devices for zero, under, and over usage; (2) personnel with authority and responsibility for performing the procedures are identified; and (3) the specific steps to be taken to perform the process are documented.

Agency: Department of Commerce
Status: Open

Comments: As of January 2020, the department had not addressed the recommendation. In July 2018, the department described steps it was taking to identify lines that were inactive for a period of three or more continuous months (zero usage). However, as of January 2020, the department had not demonstrated that it has established documented procedures that address the elements of our recommendation. We will continue to monitor the department's progress.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of Defense should ensure an inventory of mobile devices and services is established department-wide (i.e., all components' devices and associated services are accounted for).

Agency: Department of Defense
Status: Open

Comments: The Department of Defense partially concurred with our recommendation; however, as of January 2020, the department had not implemented it. In response to our report, the department stated that it agreed that such an inventory has merits, but that maintaining one comes at considerable expense and effort. The department also stated, in 2016, that while it does not maintain a single, centralized device level inventory, the military departments track and manage their own devices and services . As we stated in our report, the inventory need not be generated centrally at the headquarters level; the department can compile a comprehensive inventory using its components' complete inventories. As of January 2020, the department had not demonstrated that all its components had inventories of unique devices and associated services. We will continue to monitor the department's efforts to implement the recommendation.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of Defense should ensure a reliable department-wide inventory of mobile service contracts is developed and maintained.

Agency: Department of Defense
Status: Open

Comments: The Department of Defense stated that it partially concurred with our recommendation; and has taken steps to address it. However, as of January 2020, the department had not demonstrated that it had implemented the recommendation. In response to our report, the department stated that it agreed that developing an inventory of mobile device contracts has merits, especially in a time of restricted government spending. The department also described several efforts it had undertaken to enhance mobile device management. However, as we stated in our report, any approach to managing mobile device contracts will be hampered by the lack of complete information on the contracts that are already in place. In August 2018, the department developed an inventory of mobile service contracts. However, the department had not demonstrated that the inventory included all its components' mobile service contracts. In August 2019, the department described steps it was taking to ensure that it has a complete inventory of mobile service contracts. We will continue to monitor the department's efforts to implement the recommendation.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of Health and Human Services should ensure procedures to monitor and control spending are established department-wide. Specifically, ensure that (1) procedures include assessing devices for zero, under, and over usage; (2) personnel with authority and responsibility for performing the procedures are identified; and (3) the specific steps to be taken to perform the process are documented.

Agency: Department of Health and Human Services
Status: Open

Comments: As of December 2019, the Department of Health and Human Services had not implemented this recommendation. We will continue to monitor the department's implementation of this recommendation.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of Homeland Security should ensure procedures to monitor and control spending are established department-wide. Specifically, ensure that (1) procedures include assessing devices for zero, under, and over usage; (2) personnel with authority and responsibility for performing the procedures are identified; and (3) the specific steps to be taken to perform the process are documented.

Agency: Department of Homeland Security
Status: Open

Comments: In October 2019, the Department of Homeland Security developed an asset and inventory management plan for managing devices under its enterprise blanket purchase agreement. The plan includes procedures for assessing devices for zero usage; however, it does not include procedures for assessing over and under usage. The department also has not demonstrated that it has established procedures for devices not covered by its enterprise blanket purchase agreement.We will continue to monitor the department's efforts.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of the Interior should ensure an inventory of mobile devices and services is established department-wide (i.e., all components' devices and associated services are accounted for).

Agency: Department of the Interior
Status: Open

Comments: The Department of the Interior has not demonstrated that it has fully implemented this recommendation. As of January 2020, the department demonstrated that only one of its components, the Bureau of Reclamation, had an inventory of mobile devices and associated services. We will continue to monitor the department's efforts to implement the recommendation.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of the Interior should ensure a reliable department-wide inventory of mobile service contracts is developed and maintained.

Agency: Department of the Interior
Status: Open

Comments: As of January 2020, the Department of the Interior had not demonstrated that it had fully addressed this recommendation. In August 2019, the department developed an inventory of mobile service contracts. However, the department did not demonstrate that it had accounted for all of its mobile service contracts. We will continue to monitor the department's efforts to implement the recommendation.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Attorney General should ensure procedures to monitor and control spending are established department-wide. Specifically, ensure that (1) procedures include assessing devices for zero, under, and over usage; (2) personnel with authority and responsibility for performing the procedures are identified; and (3) the specific steps to be taken to perform the process are documented.

Agency: Department of Justice
Status: Open

Comments: As of January 2020, the Department of Justice has made progress implementing this recommendation; however, more remains to be done. Specifically, in response to our findings, in April 2015, the department's Chief Information Officer issued a memo that required components to establish procedures for regular reviews of invoices for wireless services to identify unused and underused devices or services, as well as any over-usage charges to service plans. One of the components we reviewed, the Federal Bureau of Investigation, established procedures in July 2016 to monitor mobile device usage. In addition, the Justice Management Division (JMD) established procedures in May 2019 that apply to JMD as well some but not all other components. The other component we reviewed in our report, the Drug Enforcement Agency, had not established procedures that address our recommendation. We will continue to monitor the department's progress.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of State should ensure an inventory of mobile devices and services is established department-wide (i.e., all components' devices and associated services are accounted for).

Agency: Department of State
Status: Open

Comments: As of January 2020, the Department of State had not demonstrated that it has implemented this recommendation. The department has inventories of mobile device; however, the inventories do not include the services associated with each device. We will continue to monitor the department's efforts to implement the recommendation.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of State should ensure a reliable department-wide inventory of mobile service contracts is maintained.

Agency: Department of State
Status: Open

Comments: As of January 2020, the Department of State had not implemented this recommendation. In June 2019, the department said it has a Telecom Expense Management System which can be used to document an inventory of domestic service contracts; however, the department did not provide the inventory. Furthermore, the department did not demonstrate that it has an inventory of international service contracts. We will continue to monitor the department's efforts to implement the recommendation.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of Transportation should ensure procedures to monitor and control spending are established department-wide. Specifically, ensure that (1) procedures include assessing devices for zero, under, and over usage; (2) personnel with authority and responsibility for performing the procedures are identified; and (3) the specific steps to be taken to perform the process are documented.

Agency: Department of Transportation
Status: Open

Comments: As of January 2020, the Department of Transportation had not addressed the recommendation. In December 2019, an official from the department's Audit Relations and Program Improvement office stated that all the department's telecommunication devices are managed through two programs and that these programs have mechanisms in place to ensure that telecommunications are managed in an effective and efficient manner. However, as of January 2020, the department had not provided evidence to demonstrate that it had implemented the recommendation. We will continue to monitor the department's efforts.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of the Treasury should ensure an inventory of mobile devices and services is established department-wide (i.e., all components' devices and associated services are accounted for).

Agency: Department of the Treasury
Status: Open

Comments: As of January 2020, the Department of the Treasury had not implemented the recommendation. In August 2019, the department stated that it had established enterprise-wide procurement vehicles for mobile devices. However, as of January 2020, the department had not demonstrated that it has an inventory of mobile devices and associated service information. We will continue to monitor the department's progress in implementing this recommendation.

Recommendation: To help the agency effectively manage spending on mobile devices and services, the Administrator of the National Aeronautics and Space Administration should ensure a complete inventory of mobile devices and associated services is established.

Agency: National Aeronautics and Space Administration
Status: Open

Comments: As of January 2020, the National Aeronautics and Space Administration (NASA) had not implemented the recommendation. We reported in May 2015, that NASA had an inventory of mobile devices and associated service information which included most, but not all, of the devices used by the agency. In November 2019, NASA's Office of the Chief Information Officer (OCIO) stated that the agency was in the process of enrolling devices in a new mobile device management tool, and that when the approximately 15 percent of devices that are not currently on NASA's new End-User Services Technology contract are brought on the contract, NASA will have a monthly deliverable depicting the services of all mobile devices. We will continue to monitor NASA's implementation of this recommendation.

Recommendation: To help the agency effectively manage spending on mobile devices and services, the Administrator of the National Aeronautics and Space Administration should ensure a reliable inventory of mobile service contracts is developed and maintained.

Agency: National Aeronautics and Space Administration
Status: Open

Comments: As of January 2020, the National Aeronautics and Space Administration (NASA) had not demonstrated that it has implemented the recommendation. NASA's Office of the Chief Information Officer (OCIO) stated that NASA had established, on September 1, 2019, the NASA End-User Services and Technology contract to procure mobile services, but as of November 2019, had not yet included 15 percent of its devices on the new contract. We will continue to monitor NASA's efforts to develop and maintain a mobile services contract inventory as described in our report.

Recommendation: To help the agency effectively manage spending on mobile devices and services, the Administrator of the National Aeronautics and Space Administration should ensure procedures to monitor and control spending are established agency-wide. Specifically, ensure that (1) procedures include assessing devices for zero, under, and over usage; (2) personnel with authority and responsibility for performing the procedures are identified; and (3) the specific steps to be taken to perform the process are documented.

Agency: National Aeronautics and Space Administration
Status: Open

Comments: As of January 2020, the National Aeronautics and Space Administration (NASA) had not demonstrated that it had implemented the recommendation. In November 2019, NASA's Office of the Chief Information Officer (OCIO) stated that as part of enterprise mobility service contract deliverables, NASA requires monthly reports to monitor and optimize usage (zero, under, and over). NASA's OCIO also stated that the agency established role-based privileges to monitor and report on this activity agency-wide. However, the agency has not demonstrated that it has established procedures to assess device usage in accordance with our recommendation. We will continue to monitor NASA's implementation of the recommendation.

Recommendation: To help the department effectively manage spending on mobile devices and services, the Secretary of the Treasury should ensure procedures to monitor and control spending are established department-wide. Specifically, ensure that (1) procedures include assessing devices for zero, under, and over usage; (2) personnel with authority and responsibility for performing the procedures are identified; and (3) the specific steps to be taken to perform the process are documented.

Agency: Department of the Treasury
Status: Open

Comments: As of January 2020, the Department of the Treasury had not demonstrated that it has implemented the recommendation. In August 2019, an official from the department's Office of the Chief Information Officer stated that the department was collecting and analyzing information on voice and data utilization. However, as of January 2020, the department had not demonstrated that it had established procedures in accordance with our recommendation. We will continue to monitor the department's progress in implementing this recommendation.

Recommendation: To help the Department of Health and Human Services better control spending and encourage efficient delivery of care, Congress should consider requiring Medicare to pay PCHs as it pays PPS teaching hospitals, or provide the Secretary with the authority to otherwise modify how Medicare pays PCHs. To generate cost savings from any reduction in outpatient payments to PCHs, Congress should also provide that all forgone outpatient payment adjustment amounts be returned to the Supplementary Medical Insurance Trust Fund.

Agency: Congress
Status: Open

Comments: As of March 2020, no legislative action had been identified that changes how PCHs are paid for inpatient services, as GAO suggested in February 2015. The 21st Century Cures Act-Pub. L. No. 114-255, ?16002, 130 Stat. 1033, 1325 (2016), enacted in December 2016-slightly reduces the additional payments to PCHs for outpatient services furnished on or after January 1, 2018, and returns savings to the Supplementary Medical Insurance Trust Fund. However, the law does not substantively change how PCHs are paid for outpatient services, which differs from how Medicare pays PPS teaching hospitals. Until Medicare pays these cancer hospitals in a way that encourages greater efficiency, Medicare remains at risk for overspending.