Recommendation: The Director of OMB should identify a federal entity or entities to be responsible for addressing the National Academies' recommendations for updating the methodologies used to estimate the federal social cost of carbon, including monitoring scientific research and ensuring that updates to the federal estimates consider such research as appropriate. (Recommendation 1)

Agency: Executive Office of the President: Office of Management and Budget
Status: Open

Comments: OMB did not provide comments on this recommendation. As of July 2020, we are following up with the agency and will update the status of the recommendation when we receive requested information from OMB.

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: Given DOT's new discretionary grant programs and similar challenges we have found with previous DOT programs, the Secretary of Transportation should issue a directive that governs department-wide and modal administration discretionary grant programs. Such a directive should include requirements to: (1) develop a plan for evaluating project proposals in advance of issuing a notice of funding availability that defines the stages of the process, including how the process will be overseen to ensure a consistent review of applications; (2) document key decisions, including the reason for any rating changes and the officials responsible for those changes, and how high-level concerns raised during the process were addressed; and (3) align stated program purpose and policy priorities with the evaluation and selection process.

Agency: Department of Transportation
Status: Open
Priority recommendation

Comments: DOT concurred with this recommendation and, in March 2019, issued a memo directing secretarial offices and operating administrations involved in awarding discretionary grants to implement our recommendations and to include them in their policies and procedures. In June 2019, we reported that, due to a number of issues, it is unclear how this action will address our recommendation. For example, we found that the memo was essentially limited to a repetition of our recommendation and that DOT did not take steps to ensure that the various affected offices consistently interpret and implement the recommendation. DOT officials told us they wanted to provide the affected offices flexibility to implement the recommendation, but that the Department would assess the need for additional guidance based on revisions to its Financial Assistance Guidance Manual. DOT completed these revisions effective January 2020, and all affected offices are expected to complete developing their policies and procedures by May 2020. We will continue to monitor the Department's actions and assess the extent to which they address our recommendation.

Recommendation: The Secretary of Health and Human Services should direct the Administrator of CMS to assess the feasibility of updating the agency's study on the effect of VA-provided Medicare-covered services on per capita county Medicare FFS spending rates by obtaining VA utilization and diagnosis data for veterans enrolled in Medicare FFS under its existing data use agreement or by other means as necessary.

Agency: Department of Health and Human Services
Status: Open

Comments: In December 2017, the U.S. Department of Health and Human Services (HHS) indicated that it had further reviewed our recommendation and determined that updating the agency's study on the effect of VA-provided Medicare-covered services on per capita county Medicare fee-for-service (FFS) spending rates using the Department of Veterans Affairs' (VA) utilization and diagnosis data was not feasible. Challenges cited by HHS included (1) pricing each VA encounter using Medicare payment rules; (2) determining which Medicare provider would have treated each beneficiary; and (3) the resources required to have an ongoing data feed with VA and to protect VA utilization and diagnosis data. While we acknowledge that there may be challenges associated with incorporating VA utilization and diagnosis data into HHS's analysis, we believe that HHS needs to do additional work before it can determine whether such an approach is feasible. For example, while HHS noted resource concerns related to sharing and storing sensitive VA data, the agency already receives and stores some VA data. It remains unclear whether HHS has assessed what additional resources would be needed to store VA utilization and diagnosis data and whether such data would need to be shared via an ongoing data feed-another challenge mentioned by HHS. As of June 2020, HHS has not provided us with any additional information about actions it has taken to address this recommendation. We continue to believe that HHS should assess the feasibility of implementing a methodology for estimating the effect of VA-provided Medicare-covered services on per capita county Medicare FFS spending rates that incorporates VA data.

Recommendation: If CMS makes an adjustment to the benchmark to account for VA spending on Medicare-covered services, the Secretary of Health and Human Services should direct the Administrator of CMS to assess whether an additional adjustment to MA payments is needed to ensure that payments to MA plans are equitable for veterans and nonveterans.

Agency: Department of Health and Human Services
Status: Open

Comments: In December 2017, the U.S. Department of Health and Human Services (HHS) indicated that there are a number of limitations that would impede the Centers for Medicare & Medicaid Services' (CMS) ability to conduct an analysis of veteran versus nonveteran payments to MA plans. HHS indicated that in order to conduct a thorough assessment, CMS would need utilization and diagnosis data from the Department of Veterans Affairs (VA), which would take several years to collect and analyze. In addition, HHS indicated that if CMS determined an adjustment was needed, the agency would have to overcome other data, operational, and financial challenges related to making the adjustment. As a result, HHS indicated that implementing such an adjustment would be infeasible. However, CMS currently adjusts the benchmark to account for VA spending on Medicare-covered services without VA utilization and diagnosis data. While we agree that VA utilization and diagnosis data may improve the accuracy of an adjustment to MA payments to ensure that payments to MA plans are equitable for veterans and nonveterans, it is unclear why CMS could not make an adjustment without VA utilization and diagnosis data. As of June 2020, HHS has not provided us with any additional information about actions it has taken to address this recommendation. In order for us to close this recommendation, CMS would need to assess whether an additional adjustment to MA payments is needed.

Recommendation: In addition to implementing our previous recommendations, to effectively implement key elements of the IRS information security program, the Commissioner of Internal Revenue should ensure that control testing methodology and results fully meet the intent of the control objectives being tested.

Agency: Department of the Treasury: Internal Revenue Service
Status: Open
Priority recommendation

Comments: During our audit of IRS's FY 2019 financial statements, , the agency submitted this recommendation for closure, but our testing determined it should remain open. Subsequently, IRS updated its anticipated closure date for the recommendation to July 2020. As part of our FY 2020 audit, we will continue to monitor IRS's progress in ensuring that its control testing methodology and results fully meet the intent of the control objectives being tested.

Recommendation: In addition to implementing our previous recommendations, to effectively implement key elements of the IRS information security program, the Commissioner of Internal Revenue should update the remedial action verification process to ensure actions are fully implemented.

Agency: Department of the Treasury: Internal Revenue Service
Status: Open
Priority recommendation

Comments: During the audit of IRS's FY 2019 financial statements, the agency submitted this recommendation for closure, but our testing determined that it should remain open. While IRS continued to make positive steps to address our recommendation, the agency's implementation of corrective actions did not fully address it. As part of our FY 2020 audit, we will continue to monitor IRS's progress in strengthening its remedial action verification process and ensuring its corrective actions are fully implemented.

Recommendation: To help ensure that FSOC is comprehensively identifying and considering companies, the Secretary of the Treasury in consultation with FSOC members, should establish procedures to evaluate companies in Stage 2 and Stage 3 under both statutory determination standards when an evaluation in either stage concludes that a company does not meet one of the standards, or document--on a company-specific or more general basis--why the second determination standard is not relevant for determination evaluations.

Agency: Department of the Treasury: Financial Stability Oversight Council
Status: Open

Comments: In December 2019, FSOC adopted final interpretive guidance that revises its approach to evaluating and determining whether to designate nonbank financial companies. The final revised guidance prioritizes an activities-based approach to identifying and addressing potential risks to financial stability and states that FSOC will pursue company-specific determinations only if the activities-based approach is not sufficient. The guidance further states that if FSOC does consider a company-specific determination, its evaluation will focus primarily on the first determination standard. The guidance does not indicate the establishment of procedures to evaluate companies under both determination standards for the purpose of comprehensively identifying and considering companies or to document why the other standard is not relevant. We will continue to monitor FSOC's implementation of the guidance and any additional actions that may be responsive to our recommendation.

Recommendation: To help ensure that FSOC is comprehensively identifying and considering companies, the Secretary of the Treasury in consultation with FSOC members, should develop a process to collect information necessary for Stage 1 analysis, as appropriate, from certain nonbank financial companies for which public or regulatory information is otherwise unavailable. For example, FSOC could have companies for which such information is unavailable and that meet certain characteristics (such as quantitative thresholds similar to those used in Stage 1) report necessary information to the Office of Financial Research.

Agency: Department of the Treasury: Financial Stability Oversight Council
Status: Open

Comments: In December 2019, FSOC adopted final interpretive guidance that revises its approach to evaluating and determining whether to designate nonbank financial companies. The final revised guidance introduces a new stage 1 of the designation process in which FSOC would notify a nonbank financial company under review and consider available public and regulatory information. While the guidance states that a company under review in stage 1 may submit information it deems relevant to the evaluation, FSOC would not require the company to submit information during stage 1. We will continue to monitor FSOC's implementation of the revised guidance and any additional actions that may be responsive to our recommendation.

Recommendation: To better enable NCA to meet its mission of providing reasonable access to burial options at veterans cemeteries, the Secretary of Veterans Affairs should direct the Under Secretary for Memorial Affairs to use the capability of NCA's existing software to estimate the served and unserved veteran populations using census tract data.

Agency: Department of Veterans Affairs
Status: Open

Comments: VA disagreed with our recommendation. Although VA agreed that census tract data was more precise than the county-level data NCA was using, the department disagreed that using this more precise data to make decisions would lead to different outcomes. Instead, VA believed that NCA's methodology of using county-level data was sufficient for estimating the number of served and unserved veterans. We disagree with VA's assertion that using more precise data to identify served and unserved veterans would have no effect on the outcome of VA's decisions about cemetery locations or prioritization. In 2019, VA officials provided new information that they make decisions on cemetery locations based in part on the projected, county-level veteran population 30 years in the future. VA officials expressed concern that there would be too much uncertainty trying to perform such long-term population projections at the census tract level. We believe VA's position has some basis, and therefore have removed the priority designation from our 2014 recommendation. However, as we reported in 2019 (GAO-19-121), we continue to maintain the validity of our recommendation and believe that comparing estimates of unserved veterans based on current census tract data with estimates based on current county-level data would provide a useful supplement to the VA's use of long-term projected county-level population data.

Recommendation: To improve the CSA program, the Secretary of Transportation should direct the FMCSA Administrator to revise the SMS methodology to better account for limitations in drawing comparisons of safety performance information across carriers; in doing so, the Secretary of Transportation should direct the FMCSA Administrator to conduct a formal analysis that specifically identifies: (1) limitations in the data used to calculate SMS scores including variability in the carrier population and the quality and quantity of data available for carrier safety performance assessments, and (2) limitations in the resulting SMS scores including their precision, confidence, and reliability for the purposes for which they are used.

Agency: Department of Transportation
Status: Open
Priority recommendation

Comments: FMCSA did not agree with our recommendation, disputing the methodology and conclusions in our report. However, we continue to believe that addressing Safety Measurement System (SMS) methodology limitations has merit and could help the agency better target FMCSA's resources to the carriers that pose the highest risk of crashing. For example, we found FMCSA requires a minimum level of information for a carrier to receive an SMS score; however, this requirement is not strong enough to produce sufficiently reliable scores. As a result, FMCSA identified many carriers as high risk that were not later involved in a crash, potentially causing FMCSA to miss opportunities to intervene with higher risk carriers. To fully implement this recommendation, FMCSA should revise SMS methodology to account for data limitations that limit comparisons so that the FMCSA is better positioned to identify and mitigate carriers that pose the greatest safety risks. FMCSA has recently developed and tested a new methodological approach that could potentially account for the limitations we identified. While FMCSA has not yet committed to deploying the new methodology, they hope to do so some time in 2020.

Recommendation: To improve the CSA program, the Secretary of Transportation should direct the FMCSA Administrator to ensure that any determination of a carrier's fitness to operate properly accounts for limitations we have identified regarding safety performance information.

Agency: Department of Transportation
Status: Open

Comments: The Federal Motor Carrier Safety Administration (FMCSA) agreed with the basic principles that GAO addressed in this area, but disagreed with GAO's characterization of FMCSA's proposed Safety Fitness Determination (SFD) rule. In January 2016, FMCSA issued a notice of proposed rulemaking (NPRM), which proposed a revised methodology for issuance of a safety fitness determination for motor carriers. Specifically, the new methodology would have determined when a motor carrier is not fit to operate commercial motor vehicles in or affecting interstate commerce based on the carrier's on-road safety data; an investigation; or a combination of both. However, in July 2018, in part due to a review of SMS by the National Academies of Science congressionally mandated evaluation of SMS, FMCSA announced that the enhancements previously proposed will not be completed.