Recommendation: The Administrator of CMS should develop formal procedures that include specific steps to be taken in the APD review process, including how CMS will document the review (including the name of the reviewer, date of review, and what was reviewed); what documentation should be retained after the review; as well as decision-making criteria for approval or denial decisions for state Medicaid IT funding requests. (Recommendation 1)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

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

Recommendation: The Administrator of CMS should, as part of the APD review process and prior to approval, verify that all of the required information (e.g. alternatives analysis, feasibility study, and cost benefit analysis) is included in the funding request. (Recommendation 2)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

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

Recommendation: The Administrator of CMS should ensure that all APD-related artifacts are retained within the designated CMS document management system, including documentation of key information from meetings and email communications with the states, the MITA self-assessment and independent verification and validation reports, when creating APD decision packages. (Recommendation 3)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

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

Recommendation: The Administrator of CMS should require analysts to maintain relevant MMIS and E&E system artifacts based on the entire system life cycle instead of individual APDs. (Recommendation 4)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

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

Recommendation: The Administrator of CMS should, in consultation with the HHS and CMS CIOs, develop a documented, comprehensive, and risk-based process for how CMS will select IT projects for technical assistance and provide recommendations to states to assist them in improving the performance of the systems, with consideration to those that are high-cost and performing poorly. (Recommendation 5)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

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

Recommendation: The Administrator of CMS should encourage state Medicaid program officials to consider involving state CIOs in overseeing Medicaid IT projects. (Recommendation 6)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

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

Recommendation: The Administrator of CMS should establish a timeline for implementing the outcome-based certification process for MMIS and E&E systems. (Recommendation 7)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

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

Recommendation: The Administrator of CMS should establish documented procedures for how the results of the outcome-based certification process will be used for conducting oversight and making funding decisions. The procedures should include specific steps that CMCS will take to oversee individual state MMIS and E&E projects and how it will demonstrate that the steps have been taken. (Recommendation 8)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

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

Recommendation: Prior to approving funding for MMIS and E&E systems, the Administrator of CMS should identify areas of duplication or common functionality, such as core MMIS modules, in order to facilitate sharing, leveraging, or reusing Medicaid technologies. CMS should share the results of the review with the state or territory requesting federal funding for a duplicative or similar project and take steps to encourage states to share, leverage, or reuse Medicaid technologies, where possible. (Recommendation 9)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

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

Recommendation: The Associate Administrator of the Office of Entrepreneurial Development should reevaluate the SBDC funding application requirements, including reexamining the funding estimate SBDCs are required to use and considering other changes that could reduce administrative burdens on SBDCs. (Recommendation 1)

Agency: Small Business Administration
Status: Open

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

Recommendation: The NMFS Assistant Administrator for Fisheries should work with the South Atlantic and Gulf of Mexico councils, and other councils as appropriate, to develop documented processes for conducting allocation reviews. (Recommendation 1)

Agency: Department of Commerce: National Oceanic and Atmospheric Administration: National Marine Fisheries Service
Status: Open

Comments: Commerce and NOAA agreed with this recommendation and stated that NOAA's NMFS will work to implement it to the extent possible. We will continue to monitor NMFS' efforts to do so.

Recommendation: The NMFS Assistant Administrator for Fisheries should work with the South Atlantic and Gulf of Mexico councils, and other councils as appropriate, to specify how the councils will document their allocation reviews, including the basis for their allocation decisions, whether fishery management plan objectives are being met, and what factors were considered in the reviews. (Recommendation 2)

Agency: Department of Commerce: National Oceanic and Atmospheric Administration: National Marine Fisheries Service
Status: Open

Comments: Commerce and NOAA agreed with this recommendation and stated that NOAA's NMFS will work to implement it to the extent possible. We will continue to monitor NMFS' efforts to do so.

Recommendation: The Secretary of the Department of Agriculture should direct the Assistant Secretary for Civil Rights to publicize promising practices for Title IX compliance on its websites for their university grantees. (Recommendation 1)

Agency: Department of Agriculture
Status: Open

Comments: USDA agreed with the recommendation. In its March 2020 formal comment letter, the department stated that it will ensure promising practices information is posted to websites for the Office of the Assistant Secretary for Civil Rights (OASCR) and the National Institute of Food and Agriculture. Additionally, a notice will be sent to universities to ensure they are aware the information is available, along with specifics regarding access to the same.

Recommendation: The Secretary of Energy should direct the Director of the Office of Economic Impact and Diversity to publicize promising practices for Title IX compliance on its websites for their university grantees. (Recommendation 2)

Agency: Department of Energy: Office of the Secretary
Status: Open

Comments: DOE agreed with the recommendation. In its February 2020 formal comment letter, the department stated that the Office of Civil Rights and Diversity (OCRD) has identified promising practices on an ongoing basis in its Title IX compliance review reports. OCRD will develop and publicize a promising practices guide on its website for reference by university grantees. The estimated completion date is June 1, 2020. GAO will review this action once it receives documentation from DOE.

Recommendation: The Secretary of the Department of Health and Human Services should direct the Director for the Office for Civil Rights to publicize a stand-alone list of promising practices for Title IX compliance on its websites for their university grantees. (Recommendation 3)

Agency: Department of Health and Human Services: Office of the Secretary
Status: Open

Comments: HHS agreed with the recommendation. In its February 2020 formal comment letter, the department stated the Office for Civil Rights will incorporate effective practices from materials posted on its website and external sources in a stand-alone list of effective practices to help universities comply with Title IX. The Office for Civil Rights will also draw from its Title IX enforcement work to update the effective practices list on an ongoing basis.

Recommendation: The Secretary of Energy should direct the Director of the Office of Economic Impact and Diversity to finalize and publish Title IX complaint procedures, consistent with DOJ's regulations. (Recommendation 4)

Agency: Department of Energy: Office of the Secretary
Status: Open

Comments: DOE agreed with the recommendation. In its February 2020 formal comment letter, the department stated that the Office of Civil Rights and Diversity (OCRD) has developed a draft outline of complaint procedures. OCRD is benchmarking these procedures against NASA and NSF external civil rights complaint procedures. OCRD will finalize and publish Title IX complaint procedures, consistent with the Department of Justice's regulations. The estimated completion date is October 31, 2020.

Recommendation: The Secretary of the Department of Agriculture should direct the Assistant Secretary for Civil Rights to finalize and publish revised Title IX complaint procedures. (Recommendation 5)

Agency: Department of Agriculture
Status: Open

Comments: USDA agreed with the recommendation to finalize and publish Title IX complaint procedures. According to the department's March 2020 formal comment letter, USDA's Departmental Regulation (DR) 4330-002, Nondiscrimination in Program and Activities Receiving Federal Financial Assistance from USDA, addresses processing Title IX administrative complaints filed with the Department in any program or activity receiving financial assistance from USDA. The Departmental Regulation (DR) 4330-002 was revised in 2019 and is currently in the clearance process for publication.

Recommendation: The Secretary of the Department of Agriculture should direct the Assistant Secretary for Civil Rights to clarify on its website that individuals on USDA-funded grants can file Title IX complaints through the Assistant Secretary for Civil Rights—including clarifying who is considered "customers." (Recommendation 6)

Agency: Department of Agriculture
Status: Open

Comments: USDA agreed with this recommendation. According to the department's March 2020 formal comment letter, USDA's Office of the Assistant Secretary for Civil Rights (OASCR) will add language on its website to make clear recipients of USDA-funded grants are included in the definition of a customer and, as such, may file Title IX complaints through OASCR. Additionally, the requested information will be added to the Frequently Asked Questions section on OASCR' s website.

Recommendation: The Secretary of the Department of Health and Human Services should direct the Director for the Office for Civil Rights to assess the feasibility of receiving and reviewing concerns of sex discrimination—including sexual harassment—and communicating to individuals on agency-funded grants the option to notify the agency of these concerns, outside of the Title IX complaint process. (Recommendation 7)

Agency: Department of Health and Human Services: Office of the Secretary
Status: Open

Comments: HHS agreed with the recommendation. In its February 2020 formal comment letter, the department stated that outside of the Title IX enforcement process, the Office for Civil Rights updated its sex discrimination web pages to inform persons on how to file complaints of discrimination directly to the Office for Civil Rights, including complaints of sexual harassment. The Office for Civil Rights has also incorporated information about Title IX rights and obligations in outreach material used on university campuses, including information addressing sexual harassment.

Recommendation: The Secretary of Energy should direct the Director of the Office of Economic Impact and Diversity to assess the feasibility of receiving and reviewing concerns of sex discrimination—including sexual harassment—and communicating to individuals on agency-funded grants the option to notify the agency of these concerns, outside of the Title IX complaint process. (Recommendation 8)

Agency: Department of Energy: Office of the Secretary
Status: Open

Comments: DOE agreed with the recommendation. In its February 2020 formal comment letter, the department stated that the Office of Civil Rights and Diversity (OCRD) will evaluate the feasibility of receiving and reviewing concerns of discrimination, including sexual harassment, outside of the Title IX complaint process described in DOE's Title IX regulations, as well as communicating this option to individuals on DOE funded grants. The estimated completion date is December 31, 2020.

Recommendation: The Administrator of NASA should assess the feasibility of receiving and reviewing concerns of sex discrimination—including sexual harassment—and communicating to individuals on agency-funded grants the option to notify the agency of these concerns, outside of the Title IX complaint process. (Recommendation 9)

Agency: National Aeronautics and Space Administration
Status: Open

Comments: NASA agreed with the recommendation. According to the agency's February 2020 formal comment letter, NASA plans to assess the feasibility of receiving and reviewing concerns of sex discrimination and harassment and communicating to individuals on agency-funded grants the option to notify the agency of these concerns. In conducting the feasibility assessment, NASA will benchmark with agencies that currently have the capability to receive and review concerns of sex discrimination, including sexual harassment. NASA will also examine internal resources to ensure successful implementation. NASA estimates completion by September 20, 2020.

Recommendation: The Secretary of the Department of Agriculture should direct the Assistant Secretary for Civil Rights to assess the feasibility of receiving and reviewing concerns of sex discrimination—including sexual harassment—and communicating to individuals on agency-funded grants the option to notify the agency of these concerns, outside of the Title IX complaint process. (Recommendation 10)

Agency: Department of Agriculture
Status: Open

Comments: USDA agreed with this recommendation. According to the department's March 2020 formal comment letter, USDA is to direct the Office of the Assistant Secretary for Civil Rights (OASCR) to assess the feasibility of receiving and reviewing concerns of sex discrimination (including sexual harassment) and including language in agency-funded grants on the option to notify the agency of harassment issues outside of the Title IX complaint process. The Office of the Mission Area Liaison within OASCR will assess the feasibility of creating a tracking system to capture inquiries and concerns outside of the Title IX complaint process. If feasible, the system will serve as a risk assessment tool to identify issues, potential violations, trends, risks, and areas prime for focused compliance review, according to USDA's formal comment letter.

Recommendation: The Secretary of the Department of Health and Human Services should direct the Director for the Office for Civil Rights and the Director of NIH to develop and implement formal procedures for sharing relevant information about Title IX (compliance reviews, violations, and complaints) and sex discrimination concerns, including sexual harassment. For example, HHS components should internally share information regarding findings of Title IX violations, concerns of sex discrimination, including sexual harassment, and Title IX compliance review reports. (Recommendation 11)

Agency: Department of Health and Human Services: Office of the Secretary
Status: Open

Comments: HHS agreed with the recommendation. In its February 2020 formal comment letter, the department stated that the Office for Civil Rights and NIH will review the current procedure for sharing information, and development and implement (as necessary) formal procedures for sharing relevant information about Title IX and sexual harassment concerns. Furthermore, an action plan to address the recommendation will be provided in the department's 180-day letter response to Congress.

Recommendation: The Secretary of Energy should establish goals and an overall plan to assess all of the agency's sexual harassment prevention efforts for their university grantees, including methods to regularly monitor and evaluate its sexual harassment prevention policies and communication mechanisms (e.g. Title IX or sex discrimination websites). (Recommendation 12)

Agency: Department of Energy: Office of the Secretary
Status: Open

Comments: DOE agreed with the recommendation. In its February 2020 formal comment letter, the department stated that the Office of Civil Rights and Diversity will conduct research into best practices for harassment prevention efforts for university grantees and benchmark with other federal agencies. The estimated completion date for establishment of goals is January 31, 2021 and the estimated completion date for establishment of an overall plan is August 31, 2021.

Recommendation: The Secretary of the Department of Health and Human Services should establish goals and an overall plan to assess all of the agency's sexual harassment prevention efforts for their university grantees, including methods to regularly monitor and evaluate its sexual harassment prevention policies and communication mechanisms (e.g. Title IX or sex discrimination websites). (Recommendation 13)

Agency: Department of Health and Human Services: Office of the Secretary
Status: Open

Comments: HHS agreed with the recommendation. In its February 2020 formal comment letter, the department stated that NIH has created goals for all NIH grantee sexual harassment prevention efforts, as noted in GAO's report. NIH will develop a plan to assess progress towards achieving those goals, including methods to regularly monitor and evaluate policies and communication methods. To the extent Title IX enforcement and outreach efforts may prevent sexual harassment, the Office for Civil Rights will develop a plan for leveraging enforcement efforts and outreach communications to help HHS grantees implement prevention efforts. HHS will submit an action plan that fully address department efforts regarding this recommendation in its 180-day letter response to Congress.

Recommendation: The Administrator of NASA should establish goals and an overall plan to assess all of the agency's sexual harassment prevention efforts for their university grantees, including methods to regularly monitor and evaluate its sexual harassment prevention policies and communication mechanisms (e.g. Title IX or sex discrimination websites). (Recommendation 14)

Agency: National Aeronautics and Space Administration
Status: Open

Comments: NASA agreed with the recommendation. According to the agency's February 2020 formal comment letter, NASA accepts its responsibility to establish policies and communication mechanisms to help university grantees to prevent sexual harassment, and the agency is committed to ongoing monitoring and evaluation of these efforts. At the same time, NASA judges that the most effective way to discharge these responsibilities is to adopt the approach now being developed by the National Science and Technology Council. NASA will establish goals, plans, and methods pursuant to this recommendation by adopting the policies and approaches developed through the interagency process. The estimated completion is to be determined based on timelines and milestones established by the Office of Science and Technology Policy's Safe and Inclusive Research Environments Subcommittee Subcommittee.

Recommendation: The Director of NSF should establish goals and an overall plan to assess all of the agency's sexual harassment prevention efforts for their university grantees, including methods to regularly monitor and evaluate its sexual harassment prevention policies and communication mechanisms (e.g. Title IX or sex discrimination websites). (Recommendation 15)

Agency: National Science Foundation
Status: Open

Comments: NSF agreed with the recommendation. According to the agency's February 2020 formal comment letter, NSF is embarking on an assessment process to improve its policies and practices continually in order to achieve the goal of safe and inclusive research environments.

Recommendation: The Secretary of the Department of Agriculture should establish goals and an overall plan to assess all of the agency's sexual harassment prevention efforts for their university grantees, including methods to regularly monitor and evaluate its sexual harassment prevention policies and communication mechanisms (e.g. Title IX or sex discrimination websites). (Recommendation 16)

Agency: Department of Agriculture
Status: Open

Comments: USDA agreed with this recommendation. According to the department's March 2020 formal comment letter, USDA will consider developing language to include in university grantees' terms and conditions regarding allegations of sexual harassment. Additionally, the Office of the Assistant Secretary for Civil Rights (OASCR) will reach out to other agencies within the Title IX Quarterly Working Group to assess best practices for monitoring and evaluating sexual harassment prevention policies and communication mechanisms. Finally, USDA will increase its communication with university grantees and increase oversight through compliance reviews.

Recommendation: In consultation with DOE, HHS, NASA, NSF, and USDA, the Assistant Attorney General for the Department of Justice should direct the responsible Civil Rights Division sections to fully adopt two federal interagency leading practices—agree on agency's roles and responsibilities and develop mechanisms to monitor, evaluate, and report results of collaborative efforts, for its Quarterly Title IX STEM discussion group. (Recommendation 17)

Agency: Department of Justice: Office of the Assistant Attorney General for Administration
Status: Open

Comments: DOJ generally agreed with the recommendation. According to the department's February 2020 formal comment letter, the Civil Rights Division (CRT) is prepared to delineate agencies' roles and responsibilities within the Quarterly Title IX STEM Discussion Group and is willing to develop an enhanced process for evaluating, monitoring, and reporting on the group's collaborations in enforcing Title IX that is achievable within DOJ's current resource allocation, or if more resources become available.

Recommendation: The Director of OCC should establish internal written policies to effectively implement and document the State Plan review and approval process for future review and approval periods. (Recommendation 1)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of the Child Care Bureau
Status: Open

Comments: In September 2020, OCC told us it has been working on establishing written policies (e.g., internal guidance documents and checklists) to implement and document the State Plan review and approval process. OCC expects to complete this work for the FY2022-2024 Plan period. We will continue to monitor OCC's efforts to implement this recommendation.

Recommendation: The Director of OCC should define the informational needs related to the results of program-integrity activities. (Recommendation 2)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of the Child Care Bureau
Status: Open

Comments: In September 2020, OCC told us that it is developing the next CCDF State/Territory Plan Preprint due for submission by states and territories July 1, 2021. According to OCC, it plans to incorporate its information needs regarding the results of program integrity into the Preprint document as it develops the document. We will continue to monitor OCC's progress in implementing this recommendation.

Recommendation: The Director of OCC should communicate externally to the states its informational needs related to the results of states' program-integrity activities. (Recommendation 3)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of the Child Care Bureau
Status: Open

Comments: In September 2020, OCC told us that it is developing the next CCDF State/Territory Plan Preprint due for submission by states and territories July 1, 2021. According to OCC, it plans to communicate its information needs regarding the results of program integrity activities to states and territories as part of the Preprint Training activities - including webinars and peer-to-peer virtual meetings - so Lead Agencies understand what is expected for them to address in the CCDF Plan. We will continue to monitor OCC's progress in implementing this recommendation.

Recommendation: The Director of OCC should communicate internally to staff its informational needs related to the results of states' program-integrity activities. (Recommendation 4)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of the Child Care Bureau
Status: Open

Comments: In September 2020, OCC told us that it is developing the next CCDF State/Territory Plan Preprint due for submission by states and territories July 1, 2021. According to OCC, it plans to communicate its information needs regarding the results of program integrity activities to staff in both regional and central offices as part of the Preprint Training activities so staff understand what is expected for Lead Agencies to address in the CCDF Plan. We will continue to monitor OCC's progress in implementing this recommendation.

Recommendation: The Director of OCC should develop documented criteria to guide the review of CAPs submitted by states to ensure that proposed corrective actions are aimed at root causes of improper payments and are effectively implemented. (Recommendation 5)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of the Child Care Bureau
Status: Open

Comments: In September 2020, OCC told us it revised the CAP Review Tool to in response to our recommendation. OCC also told us that it plans to implement the revised CAP Review Tool beginning September 2020 to document the review of CAPs submitted for the most recent ACF-404 reporting cycle (June 2020). We asked OCC to provide documentation showing the revised CAP Review Tool is responsive to our recommendation. We will update this recommendation status after reviewing the documentation OCC provides.

Recommendation: The Director of OCC should timely complete its effort to develop established written policies for the CAP follow-up process to ensure that OCC's oversight and monitoring of CAPs is carried out consistently. (Recommendation 6)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of the Child Care Bureau
Status: Open

Comments: In September 2020, OCC told us it developed draft written policies for the CAP follow-up process to ensure that OCC's oversight and monitoring of CAPs is carried out consistently. However, due to the impact of the COVID-19 on staffing capacity, OCC has not presented the draft policies to regional offices for feedback. OCC told us it plans to finalize the written policies for the CAP follow-up process by December 2020. We will continue to monitor OCC's progress in implementing this recommendation.

Recommendation: The Director of OCC should develop and document criteria to assess the effectiveness of states' program-integrity control activities. (Recommendation 7)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of the Child Care Bureau
Status: Open

Comments: In September 2020, OCC told us it analyzed information gathered from federal and state resources to develop and document criteria to be used to assess the effectiveness of states' program integrity control activities. We asked OCC to provide us the document showing all criteria to be used to assess the effectiveness of states' program integrity control activities. We will update this recommendation status after reviewing the documentation OCC provides.

Recommendation: The Director of OCC should evaluate the feasibility of collecting information from the Grantee Internal Controls Self-Assessment Instrument (Self-Assessment Instrument) and Fraud Toolkit, such as during its Monitoring System process, to monitor the effectiveness of states' program-integrity control activities. (Recommendation 8)

Agency: Department of Health and Human Services: Administration for Children and Families: Office of the Child Care Bureau
Status: Open

Comments: In September 2020, OCC told us it is working to make the Self-Assessment Instrument and Fraud Toolkit more user-friendly to encourage increased use within the state CCDF program. With increased usage, OCC believes it will be in a better position to assess how the collection of data from these two instruments can be incorporated into the Onsite Monitoring System or other oversight activity. OCC told us it anticipates completing work to implement this recommendation by December 2020. We will continue to monitor OCC's progress in implementing this recommendation.

Recommendation: The Assistant Secretary for ACF should ensure that ACF conducts a fraud risk assessment to provide a basis for the documentation and development of an antifraud strategy that describes the CCDF program's approach to address prioritizing fraud risks identified. (Recommendation 9)

Agency: Department of Health and Human Services: Administration for Children and Families
Status: Open

Comments: In September 2020, HHS told us it anticipates completing the initial fraud risk assessment for the CCDF program by December 2020. We will continue to monitor HHS's efforts to implement this recommendation.

Recommendation: The Secretary of Agriculture should direct the Office of Property and Fleet Management to consistently monitor property provided to non-federal recipients within 1 year of receipt, and to ensure property is being used for its intended purpose 1 year after initial monitoring. (Recommendation 1)

Agency: Department of Agriculture
Status: Open

Comments: USDA concurred with this recommendation. As of April 2020, USDA's 180-day letter has not been received.

Recommendation: The Secretary of Energy should direct the Office of Asset Management to resume monitoring the Economic Development Property program, including property provided to non-federal recipients. (Recommendation 2)

Agency: Department of Energy: Office of the Secretary
Status: Open

Comments: As of March 2020, DOE indicated in its 180-day letter that the agency concurred with the recommendation, and will update their annual personal property reporting requirements. DOE anticipates having this recommendation implemented by September 30, 2020. GAO will continue to monitor DOE's efforts to implement this recommendation.

Recommendation: The Secretary of Labor should direct the Employment and Training Administration to take steps, such as reconciling data between Job Corps centers and the Job Corps National Office, to ensure that the entities responsible for overseeing and monitoring the Job Corps Program have accurate data on the excess property provided to non-federal recipients. (Recommendation 3)

Agency: Department of Labor: Office of the Secretary
Status: Open

Comments: As of February 2020, DOL indicated in its 180-day letter that they concurred with the recommendation, and have taken steps to improve the monitoring and oversight of Job Corps Property. This includes modifying the GSAXcess approval process by elevating review of all GSAXcess requests made by Job Corps Centers to DOL's Employment Training Administration's (ETA) national office. ETA is also working with DOL's Office of the Assistant Secretary for Administration and Management (OASAM) to develop a process for GSAXcess review that includes identifying approval levels for each category of property, identifying categories of property requiring additional review and approvals, and coordinating and streamlining access request procedures. These changes will be reflected in DOL's Office of Job Corps standard operating procedures (SOP), which is expected to be issued at the end of fiscal year 2020. DOL expects to provide training to Job Corps staff and Job Corps Centers in support of the SOP that will be provided annually. GAO will continue to monitor DOL's efforts to implement this recommendation.

Recommendation: The Secretary of Agriculture should direct the Office of Property and Fleet Management to establish clear processes to oversee property programs, including excess property provided to non-federal recipients across the agency. (Recommendation 4)

Agency: Department of Agriculture
Status: Open

Comments: USDA concurred with this recommendation. As of April 2020, USDA's 180-day letter has not been received.

Recommendation: The Secretary of Energy should direct the Office of Asset Management to update its regulations and guidance on programs that provide property to non-federal recipients to ensure regulations are current and establish a process to regularly communicate information about non-federal recipient programs to DOE program offices. (Recommendation 5)

Agency: Department of Energy: Office of the Secretary
Status: Open

Comments: As of March 2020, DOE indicated in its 180-day letter that the agency concurred with the recommendation, and will update internal policies, and provide personal property information on DOE's internal informational website known as Powerpedia. DOE anticipates implementing this recommendation by September 30, 2020. GAO will continue to monitor DOE's efforts to implement this recommendation.

Recommendation: The GSA Administrator should direct the Office of Government-wide Policy to revise the Personal Property Reporting Tool by updating the authorities agencies can select. (Recommendation 6)

Agency: General Services Administration: Office of the Administrator
Status: Open

Comments: As of February 2020, GSA indicated in its 180-day letter that it concurred with the recommendation, and has taken steps to revise the Personal Property Reporting Tool (tool). GSA has added relevant authorities to the tool as recently as July 2019, and will continue to contact agencies to ensure relevant authorities are included in the tool. GSA is also evaluating technical updates to the tool to ensure that reporting agencies select an appropriate authority when reporting personal property. GSA plans to complete these actions by July 31, 2020, and inform agencies of these changes in their guidance by the end of fiscal year 2020. GAO will continue to monitor GSA's efforts to implement the recommendation.

Recommendation: The GSA Administrator should direct the Office of Government-wide Policy to document in what circumstances excess property loaned to non-federal recipients should be reported and what property GSA is reporting on behalf of agencies, for example, by updating GSA guidance. (Recommendation 7)

Agency: General Services Administration: Office of the Administrator
Status: Open

Comments: As of February 2020, GSA indicated in its 180-day letter that it concurred with the recommendation. GSA will better communicate with agencies to better understand the confusion of reporting on loaned excess property, as reporting requirements are in statute, regulations, and guidance. GSA also plans to review and update by July 31, 2020, relevant regulations and guidance in this area including Federal Management Regulation Bulletin B-27, "Annual Executive Agency Reports on Excess and Exchange/Sale Personal Property." GAO will continue to monitor GSA's efforts to implement this recommendation.

Recommendation: The Secretary of Transportation should direct the Administrator of FTA to identify and develop controls, such as methods to more easily identify transit expenses within applications submitted by larger entities, such as a city, county, or state government, to address the risk of duplicate funding. (Recommendation 1)

Agency: Department of Transportation
Status: Open

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

Recommendation: The Secretary of Homeland Security should direct the Administrator of FEMA to identify and develop controls, such as methods to more easily identify transit expenses within applications submitted by larger entities such as a city, county, or state government, to address the risk of duplicate funding. (Recommendation 2)

Agency: Department of Homeland Security
Status: Open

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

Recommendation: Congress should consider establishing a federal organizational arrangement to periodically identify and prioritize climate resilience projects for federal investment. Such an arrangement could be designed for success by considering the six key steps for prioritizing climate resilience investments and the opportunities to increase the climate resilience impact of federal funding options identified in our report. (Matter for Consideration 1)

Agency: Congress
Status: Open

Comments: As of July 2020, no action had been taken to establish a federal organizational arrangement to periodically identify and prioritize climate resilience projects for federal investment.

Recommendation: The Administrator of FHWA should require FHWA division offices to document the rationale for classifying projects as emergency repairs, such as a description of why an emergency repair is necessary and which alternative strategies or repairs were considered, and to more clearly define the circumstances under which projects are classified as emergency repairs, including what constitutes restoration of essential traffic. (Recommendation 1)

Agency: Department of Transportation: Federal Highway Administration
Status: Open
Priority recommendation

Comments: DOT concurred with our recommendation and FHWA stated it plans to issue a memo to its division offices to implement it by June 2020. We will continue to monitor the department's efforts to implement our recommendation.

Recommendation: The Administrator of FHWA should identify a specific timeline for clarifying the policy on the acceptable time frames for accomplishing emergency repair projects undertaken under expedited contracting and environmental requirements, and require FHWA division offices to document the rationale for decisions to extend projects beyond these time frames. (Recommendation 2)

Agency: Department of Transportation: Federal Highway Administration
Status: Open

Comments: DOT concurred with our recommendation and FHWA stated it plans to issue a decision memo to its division offices to implement it by June 2020. We will continue to monitor the department's efforts to implement our recommendation.

Recommendation: The Administrator of CMS should require states to submit and make public projections of administrative costs when seeking approval of demonstrations, including those with work requirements and all other demonstrations. (Recommendation 1)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: HHS did not concur with this recommendation in its September 2019 comments on the report. We maintain that the recommendation is valid because requiring states to make public information about administrative costs would help to ensure that demonstration proposals provide sufficient information to ensure meaningful public input.

Recommendation: The Administrator of CMS should account for the administrative costs of demonstrations, including those with work requirements and all other demonstrations, when assessing whether demonstrations are budget neutral. (Recommendation 2)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: HHS did not concur with this recommendation in its September 2019 comments on the report. We maintain that the recommendation is valid because including administrative costs in its assessments will help HHS ensure that demonstrations are budget neutral.

Recommendation: The Administrator of CMS should assess the risks of providing federal funds for costs to administer work requirements that are not allowable and should respond to risks by improving oversight procedures, as warranted. This assessment should consider risks related to costs for information systems, beneficiary supports, and managed care. (Recommendation 3)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: HHS did not concur with this recommendation in its September 2019 comments on the report. We maintain that the recommendation is valid and that assessing these risks of providing federal funds for costs that are not allowable and improving oversight, as warranted, would help HHS to ensure the integrity of the Medicaid program.

Recommendation: During the next reauthorization for surface transportation programs, Congress should consider including language in the reauthorization bill that would require DOT to develop and implement transparency measures for DOT's review and selection process for discretionary grants. Such measures should, at a minimum, help to ensure that the evaluation process is clearly communicated, that applications are consistently evaluated, and that the rationale for DOT's decisions are clearly documented. Such measures should be developed in line with Office of Management and Budget guidance, federal internal control standards, and recommended practices for evaluating and selecting discretionary grant awards (Matter for Consideration 1)

Agency: Congress
Status: Open

Comments: As of November 2019, Congress has not enacted a reauthorization measure for surface transportation programs. The current authorization expires on September 30, 2020.

Recommendation: The Secretary of Transportation should ensure that DOT, in its notice of funding opportunity and evaluation plan for each remaining INFRA-funding cycle, clarify the circumstances under which DOT may select applicants to receive requests for additional information. (Recommendation 1)

Agency: Department of Transportation
Status: Open

Comments: As of November 2019, DOT told us that, for the fiscal year 2020 INFRA awards, it plans to provide information in the Notice of Funding Opportunity and evaluation plan explaining under the circumstances under which additional information may be sought from applicants. DOT stated that it plans to complete these actions by March 2020. We will continue to monitor DOT's actions.

Recommendation: The Secretary of Transportation should develop procedures for each remaining INFRA-funding cycle to ensure that when additional information is requested from an applicant, the specific rationale behind the request is documented (for example, to promote geographic diversity among projects), as well as to ensure that DOT documents the rationale if similar projects were not afforded an opportunity to provide additional information. (Recommendation 2)

Agency: Department of Transportation
Status: Open

Comments: As of November 2019, DOT told us it will document the basis for seeking additional information from applicants and describe the procedures for doing so in the evaluation plan for the FY 2020 INFRA awards, which it expects to conclude by September 2020. We will continue to monitor DOT's actions.

Recommendation: The Secretary of Transportation should ensure that DOT provides information to applicants in its notice of funding opportunity for each remaining INFRA-funding cycle regarding: (1) how scores on merit criteria are used, if at all, to determine whether projects advance to the Secretary for selection, and (2) how, if at all, DOT plans to use merit scores to determine which projects should receive an award. (Recommendation 3)

Agency: Department of Transportation
Status: Open

Comments: As of November 2019, DOT told us that, for the fiscal year 2020 INFRA awards, it plans to provide information in the Notice of Funding Opportunity that will more clearly state (1) that projects are advanced to the Secretary based on how they are evaluated against the selection criteria and (2) how evaluations against the selection criteria are used to determine which projects should receive awards. DOT stated that it plans to issue the Notice of Funding Opportunity by March 2020. We will continue to monitor DOT's actions.

Recommendation: The Secretary of Commerce should direct the National Institute of Standards and Technology (NIST) Director to work with other sponsoring federal agencies to develop and implement network-wide performance goals for the Manufacturing USA program with measurable targets and time frames. (Recommendation 1)

Agency: Department of Commerce
Status: Open

Comments: Commerce partially concurred with this recommendation according to its response to our report. Commerce stated that it lacks the legal authority to compel action by other federal agencies, and that legal constraints aside, it believes it is bad management practice to ask institutes to respond to performance goals issued by different bodies. As of March 2020, Commerce stated that it plans to report on performance goals for Commerce-sponsored institutes effective with the 2019 annual report, which it expects to issue by September 2020. Commerce also agreed to continue working closely with other sponsoring federal agencies on program and network goals for the Manufacturing USA institutes, but did not commit to working with sponsoring federal agencies to develop and implement network-wide performance goals with measurable targets and time frames. We recognize that Commerce does not have management authority over other the institutes sponsored by other agencies. We believe our report sufficiently characterizes the development of network-wide performance goals, targets, and time frames as a collaborative effort between Commerce and sponsoring agencies that is in keeping with Commerce's network-wide coordination functions under the RAMI Act. Moreover, our recommendation specifically pertained to developing performance goals for the Manufacturing USA program, not individual institutes. As we stated in our report, this would not necessarily entail new performance measures but, rather, could consist of measurable near-term performance goals corresponding to program performance measures already in place. Further, as stated in our report, GAO's prior work has shown that systems of performance measures benefit from certain key practices, such as creating a hierarchy that breaks down broad, long-term goals and objectives into more specific, near-term performance goals with measurable targets and time frames. Our recommendation was designed to ensure that the Manufacturing USA program performance measurement structure that Commerce has already worked with the other sponsoring agencies to develop more fully aligns with these key practices. We continue to believe that by working with other sponsoring federal agencies to develop and implement network-wide performance goals with targets and time frames, Commerce would be better able to observe and report on progress toward long-term Manufacturing USA program goals and objectives.

Recommendation: The Secretary of Commerce should direct the NIST Director to work with other sponsoring federal agencies to ensure that the Manufacturing USA network-wide performance measures are directly aligned with the network-wide performance goals, the Manufacturing USA strategic objectives and program goals, and the statutory purposes of the Revitalize American Manufacturing and Innovation (RAMI) Act. (Recommendation 2)

Agency: Department of Commerce
Status: Open

Comments: Commerce partially concurred with this recommendation according to its response to our report. In March 2020, Commerce stated that it supports the alignment of performance measures with performance goals only for Commerce-sponsored institutes. Commerce stated that it is unable to commit to this recommendation as 13 of the 14 existing institutes were authorized under authorities other than the RAMI Act and are sponsored by agencies other than Commerce. Commerce also stated that, until additional institutes authorized by the RAMI Act are in place, it does not support additional performance measures for the single Commerce-sponsored institute beyond the RAMI Act requirements, as doing so would impose an unfair level of scrutiny. Commerce agreed to report on performance metrics for department-sponsored institutes effective with the current annual report, which is expected by September 2020. We recognize that Commerce does not have management authority over other the institutes sponsored by other agencies. We believe our report sufficiently characterizes the effort to align the network-wide performance measures with network-wide performance goals and Manufacturing USA program goals as a collaborative effort between Commerce and sponsoring agencies that is in keeping with Commerce's coordination functions under the RAMI Act. Our recommendation does not ask Commerce to compel actions by other agencies, nor to develop any additional performance measures. As noted in our report, the Manufacturing USA program's performance measurement structure aligns near-term performance measures directly to the program's long-term goals. This structure bypasses connecting the performance measures with the program's objectives that have been developed to break down the long-term goals more specifically. GAO's prior work has shown that systems of performance measures benefit from certain key practices, such as creating a hierarchy that breaks down broad, long-term goals and objectives into more specific, near-term performance goals with measurable targets and time frames. Our recommendation was designed to ensure that the Manufacturing USA program performance measurement structure that Commerce has already worked with the other sponsoring agencies to develop more fully aligns with these key practices. We continue to believe that by working with other sponsoring federal agencies to ensure that the Manufacturing USA network-wide performance measures are directly aligned with the Manufacturing USA strategic program goals and objectives and the statutory purposes of the RAMI Act, Commerce would be better able to observe and report on progress made toward achieving the statutory purposes of the Manufacturing USA program.

Recommendation: The Secretary of Commerce should direct the NIST Director to develop criteria to evaluate whether the Commerce-sponsored institute can sustain its operations without additional federal financial assistance after its initial agreement. If an analysis based on such criteria indicates that additional federal financial assistance is needed to help the institute sustain its operations, then the Secretary of Commerce should consider a legislative proposal to amend relevant provisions of the RAMI Act. (Recommendation 3)

Agency: Department of Commerce
Status: Open

Comments: Commerce partially concurred with this recommendation according to its response to our report. In March 2020, Commerce stated that it will develop criteria to evaluate the sufficiency of the Commerce-sponsored institute's sustainability plan based on the anticipated operating costs of the institute at fully operational steady state, and the likelihood of sustaining those operations through the specific efforts outlined in the sustainability plan. Commerce stated that it plans to develop the evaluation criteria by April 2020. We will update this recommendation after we learn more about these efforts.

Recommendation: The Secretary of Defense should direct the Director of DOD's Manufacturing USA institutes to develop criteria to evaluate whether DOD-sponsored institutes can sustain their operations without additional federal financial assistance after their initial agreements. (Recommendation 4)

Agency: Department of Defense
Status: Open

Comments: DOD partially concurred with this recommendation. According to information DOD provided in March 2020, DOD developed criteria to evaluate whether each DOD-sponsored institute is effectively executing its mission, providing value to the department, and transitioning advanced manufacturing to U.S. manufacturers, while demonstrating progress toward business viability (diversified revenue, controlled costs, etc.). As of March 2020, DOD plans to incorporate these criteria into a strategic management plan, under which the department will review institutes' progress at the end of their agreements to determine the type and level of DOD's continued participation. DOD expects to complete work on the strategic management plan by the end of September 2020.

Recommendation: The Secretary of Energy should direct the Director of DOE's Manufacturing USA institutes to develop criteria to evaluate whether DOE-sponsored institutes can sustain their operations without additional federal financial assistance after their initial agreements. (Recommendation 5)

Agency: Department of Energy
Status: Open

Comments: DOE concurred with this recommendation according to its response to our report. In September 2019, DOE stated that it will direct the Directors of DOE-sponsored institutes to collectively work toward updating institute sustainability plans and activities and collaboratively develop criteria and metrics to assess the institutes' progress toward financial sustainability. After development of the metrics, DOE will track as appropriate. As of March 2020, DOE reported agreement with its institutes on an initial set of criteria and metrics to assess progress toward financial sustainability. We will update this recommendation as we collect more information about these efforts.

Recommendation: The Secretary of Labor should direct its subagencies, other than ETA, to design and implement a process to manage and administer grantees' compliance with the Stevens Amendment, including determining to what extent to provide guidance to grantees on calculations. (Recommendation 1)

Agency: Department of Labor
Status: Open

Comments: In responding to the report, DOL stated that it concurs with the recommendation. DOL's subagency, OSHA, provided written comments and stated that it generally agreed with GAO's recommendation. On March 3, 2020, DOL staff said the agency will provide an update to its response to this recommendation, along with responses to open recommendations from other GAO reports, in several months.

Recommendation: The Secretary of Education should design and implement a process to manage and administer grantees' compliance with the Stevens Amendment, including determining to what extent to provide guidance to grantees on calculations. (Recommendation 3)

Agency: Department of Education
Status: Open

Comments: In a subsequent response to the report, Education stated that it concurred with GAO's recommendation and is considering enhancing its current approach to overseeing compliance with the Stevens Amendment through post-award monitoring activities. On March 9, 2020, an Education Department Official stated that the planned date that work is due to be completed by the applicable program office is 9/30/2020. According to the official, the work will promote consistency across applicable grant programs and enhance their monitoring efforts. The official further stated that Education will develop general monitoring guidance to further check on compliance with the Stevens Amendment for implementation across Education's grantmaking Principal Offices. As a part of monitoring, program offices will be expected to review the Stevens Amendment statutory requirements with grantees and plans to reiterate that grantees are required to disclose for their grant project the percent of the costs financed with federal funds, the federal dollar amount, and the percentage and dollar amount financed by nongovernmental funds when issuing statements, press releases, bid solicitations, and other documents describing their grant project. Education also plans to remind grantees that they must document how the dollar amounts and percentages were calculated in the disclosures and maintain this documentation with their grant file. We will update the action taken in response to this recommendation when further action is confirmed.

Recommendation: The SBA Administrator should establish a process that ensures documentation of states' compliance with the total match requirement before grant closeout. (Recommendation 1)

Agency: Small Business Administration
Status: Open
Priority recommendation

Comments: SBA generally agreed with GAO's findings and concurred with our recommendations. In response to our draft report, agency officials said SBA will establish a process that ensures documentation of state recipients' compliance with the total match requirement before grant closeout. In September 2019, officials told us this process will include assigning SBA program office responsibilities for ensuring recipient compliance related to the cost match. In March 2020, SBA officials said they were still working on implementing changes to address our recommendation. GAO will continue to monitor the agency's implementation of this process.

Recommendation: The SBA Administrator should develop a process to determine states' compliance with the cash match requirement. (Recommendation 2)

Agency: Small Business Administration
Status: Open
Priority recommendation

Comments: SBA generally agreed with our findings and concurred with our recommendations. In response to our draft report, agency officials said they would develop a process to determine state's compliance with the cash match requirement. In September 2019, officials told us the process will apply to both grants specialists and program officers, and ensure the cost match is appropriately applied. In March 2020, SBA officials said they were still working on implementing changes to address our recommendation. GAO will continue to monitor the agency's implementation of this process.

Recommendation: The Secretary of Defense should ensure that the Chief of the National Guard Bureau take steps to ensure it issues a manual to accompany Chief National Guard Bureau Instruction 3100.01A, National Guard Counterdrug Support, by June 2019. (Recommendation 3)

Agency: Department of Defense
Status: Open

Comments: DOD concurred with our recommendation and stated that the National Guard Bureau had begun updating Chief of the National Guard Bureau Instruction 3100.01A to comply with the most recent published Secretary of Defense guidance and that they planned to expedite the issuance of the accompanying manual. In August 2020, DOD provided GAO with a draft of the manual; however, officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats noted that the manual was still being reviewed within DOD and expected that it would be finalized by the end of December 2020.

Recommendation: The Secretary of Defense should ensure that the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats, in coordination with the Chief of the National Guard Bureau, assess the revised process for reviewing states' plans for their counterdrug activities, and take actions based on the assessment to ensure the plans are approved by the Secretary of Defense before funding is provided to state counterdrug programs, as statutorily required. (Recommendation 4)

Agency: Department of Defense
Status: Open

Comments: DOD concurred with our recommendation and stated that the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats would continue to work with the National Guard Bureau to improve the State Plans review process for fiscal year 2020 and beyond. DOD's response noted that State Plans Guidance will reiterate that, in accordance with statute, funding may not be provided for a State's counterdrug program until the Secretary of Defense has approved its plan. In September 2019, DOD officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats provided information showing improvements in the timing of the review process for approval of the State Plans, but noted more needed to be done in order to ensure all State Plans were approved by the Secretary of Defense prior to funding being provided to State counterdrug programs. In January 2020, officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats stated they were continuing to monitor the updated process for fiscal year 2021 and hoped for further improvements.

Recommendation: The Secretary of Defense should ensure that the Chief of the National Guard Bureau incorporate the strategic counternarcotics priorities, to be outlined in DOD's counternarcotics and global threats strategic framework, into the National Guard Bureau's funding distribution process. (Recommendation 5)

Agency: Department of Defense
Status: Open

Comments: DOD concurred with our recommendation and stated that officials from the Office of the Deputy Assistant Secretary of Defense for Counternarcotics and Global Threats would work with the National Guard Bureau to support its efforts to incorporate and align DOD strategic priorities into its planning and resource allocation processes. In February 2020, DOD documents noted that this recommendation was assigned to the Counterdrug Advisory Counsel and Threat Based Resourcing Model Target Team for action and estimated a December 2020 completion date.

Recommendation: CMS should take action to ensure South Dakota's Medicaid state plan provides coverage for abortions in cases of rape and in cases of incest, in addition to life endangerment, to comply with federal law, which currently requires such coverage. (Recommendation 1)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: In June 2019, HHS officials reported they were reviewing agency processes and would determine the best course of action moving forward. Officials said they would provide an update on actions by 12/20/2019. As of April 6, 2020, this recommendation remains open.

Recommendation: CMS should determine the extent to which state Medicaid programs are in compliance with federal requirements regarding coverage of Mifeprex and take actions to ensure compliance, as appropriate. (Recommendation 2)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: In June 2019, HHS officials reported they were reviewing agency processes and would determine the best course of action moving forward. Officials said they would provide an update on actions by 12/20/2019. As of April 6, 2020, this recommendation remains open.

Recommendation: CMS should determine the extent to which state Medicaid programs are accurately reporting fee-for-service abortions on line 14 of the CMS-64 and take actions to ensure accuracy, as appropriate. (Recommendation 3)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: In June 2019, HHS officials reported they were developing written instructions for states to reiterate fee-for-service reporting requirements for abortions provided in their Medicaid programs. Officials said they would provide an update on actions by 12/20/2019. As of April 6, 2020, this recommendation remains open.

Recommendation: The Assistant Secretary of Indian Affairs should develop a process so that all regional and agency offices consistently provide tribes with documentation on calculations and methodologies to identify resources available to administer a program using a self-determination contract. (Recommendation 1)

Agency: Department of the Interior: Bureau of Indian Affairs
Status: Open
Priority recommendation

Comments: Interior agreed with this recommendation and stated that it will develop updated procedures on the response to tribal inquiries for resources available for self-determination contracts. To fully implement this recommendation, BIA needs to develop updated procedures to respond to tribal inquiries regarding available resources. When we obtain additional information from BIA, we will update the status of this recommendation.

Recommendation: The Assistant Secretary of Indian Affairs should develop a process that results in consistent determinations for inherently federal functions and to provide documentation to tribes on specific activities and functions determined to be inherently federal. (Recommendation 2)

Agency: Department of the Interior: Bureau of Indian Affairs
Status: Open

Comments: Interior agreed with this recommendation. When we obtain additional information from BIA, we will update the status of this recommendation.

Recommendation: The Assistant Secretary of Indian Affairs should establish a process to track and monitor the disbursement of funds associated with self-determination contracts and self-governance compacts. (Recommendation 3)

Agency: Department of the Interior: Bureau of Indian Affairs
Status: Open

Comments: Interior agreed with this recommendation and is developing documentation on the process for the disbursement of funds. Once the agency provides additional information regarding its efforts to implement the recommendation, we will evaluate the status of it.

Recommendation: The Secretary of Defense should ensure that the Director of the Corrosion Office, in coordination with the military departments, issues guidance to require a standard process for identifying and documenting the rationale for the annual funding levels needed to perform the duties of each Corrosion Executive. The guidance should, at a minimum, identify and define the cost elements and the methods that may be used to estimate the funding levels and describe the supporting documentation that should be maintained. (Recommendation 1)

Agency: Department of Defense
Status: Open

Comments: DOD concurred with this recommendation. The Corrosion Office plans to develop a standardized process for identifying annual funding levels to perform the duties of each Corrosion Executive. It plans to include this process in a new DOD manual on corrosion that it has a goal of creating by the end of calendar year 2020. We will monitor the extent to which DOD implements this recommendation.

Recommendation: The Secretary of Defense should ensure that the Director of the Corrosion Office documents, within existing or new guidance, its process for reviewing the Military Departments' Corrosion Executive Reports prior to submitting the Corrosion Office Annual Report to Congress, including a process to consistently maintain documentation of its reviews. (Recommendation 2)

Agency: Department of Defense
Status: Open

Comments: DOD concurred with this recommendation. The Corrosion Office plans to develop and implement a standardized operating procedure for processing and documenting its review of the Corrosion Executive Reports. It plans to complete and implement this standardized operating procedure by November 1, 2019 . We will monitor the extent to which DOD implements this recommendation.

Recommendation: The Secretary of Defense should ensure that the Director of the Corrosion Office develops a process to consistently maintain documentation of its reviews and evaluations of corrosion planning for major weapon system programs. These records, at a minimum, should show what comments were made by the Corrosion Office in its reviews and evaluations, and track the actions taken to resolve those comments. (Recommendation 3)

Agency: Department of Defense
Status: Open

Comments: DOD concurred with this recommendation. The Corrosion Office plans to develop and maintain a process for documenting the Office's reviews, evaluations, and comments, and to track the weapon system programs' actions on corrosion planning. It plans to include this process in a new DOD manual on corrosion that will include information on considering corrosion during the weapon system program-planning evaluation process, and to develop an internal data system for tracking purposes. Its goal is to create this new manual and internal data system is by the end of calendar year 2020. We will monitor the extent to which DOD implements this recommendation.

Recommendation: The Secretary of the Army should ensure that its Corrosion Executive issues clear guidance establishing a process for reviewing, evaluating, and documenting the adequacy of corrosion planning and oversight efforts for major weapon systems throughout the systems' life cycle, including during the early phases of the acquisition life cycle, and maintain documentation of the oversight actions. (Recommendation 4)

Agency: Department of Defense
Status: Open

Comments: DOD concurred with this recommendation. When we confirm what actions the Army has taken in response to this recommendation, we will provide updated information.

Recommendation: The Secretary of the Air Force should ensure that its Corrosion Executive issues clear guidance establishing a process for reviewing, evaluating, and documenting the adequacy of corrosion planning and oversight efforts for major weapon systems throughout the systems' life cycle, including during the early phases of the acquisition life cycle, and maintain documentation of oversight actions. (Recommendation 5)

Agency: Department of Defense
Status: Open

Comments: DOD concurred with this recommendation. When we confirm what actions the Army has taken in response to this recommendation, we will provide updated information.

Recommendation: The Secretary of Agriculture should direct the Administrator of RUS to undertake an assessment to identify any regulatory barriers that may unduly impede efforts by tribes to obtain RUS federal grant funds for broadband deployment on tribal lands and implement any steps necessary to address the identified barriers. (Recommendation 1)

Agency: Department of Agriculture
Status: Open

Comments: In April 2020, RUS officials told us that they were documenting their tribal outreach efforts and the feedback collected on tribal needs related to the RUS broadband programs, and that they would provide this information to us when it is complete. Once we receive and review this information, we will update the status of this recommendation.

Recommendation: The Administrator of the EPA should develop a program management plan that includes a schedule of the actions EPA will take and the resources and funding it needs to establish and implement the Columbia River Basin Restoration Program, including formation of the associated Columbia River Basin Restoration Working Group, and submit this plan to the appropriate congressional authorizing committees as part of the fiscal year 2020 budget process. (Recommendation 1).

Agency: Environmental Protection Agency
Status: Open

Comments: EPA reconvened the Columbia River Toxics Reduction Working Group. As of May 2019, EPA officials told us they are working on the development of a program management plan to identify the actions and timeline for implementing the Columbia River Basin Restoration Program. In July 2019, EPA released a status update entitled, "2019 Status Update: Columbia River Basin Toxics Reduction" that provides a summary of the working group's major accomplishments since 2010, as well as priority efforts for future work. In September 2019, EPA announced the availability of $900,000 in grants to reduce toxics throughout the Columbia River Basin for the Clean Water Act Section 123 Columbia River Basin Restoration Grant Program for fiscal year 2019 through fiscal year 2020. As of October 2020, we have not received additional information from EPA regarding this recommendation. We will update the recommendation's status when we do.

Recommendation: The Director of OMB should develop and provide guidance on the types of projects and activities that agencies involved in the protection and restoration of the Columbia River Basin should include in their reports, as well as the processes they should follow in compiling the related budget and spending information. (Recommendation 2).

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

Comments: As of April 2020, OMB staff did not provide an update. When we receive an update, we will provide information on actions taken.

Recommendation: The Administrator of CMS should complete a comprehensive, national risk assessment and take steps, as needed, to assure that resources to oversee expenditures reported by states are adequate and allocated based on areas of highest risk. (Recommendation 1)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open
Priority recommendation

Comments: CMS has taken steps to conduct a comprehensive national risk assessment. As of October 2019, CMS had developed a standard tool to assess risk and staff capacity. The agency indicated that once the assessment is complete, CMS will identify opportunities to increase resources, review the current allocation of financial staff, and determine the appropriate allocation of staff by state. We will continue to monitor CMS's action to complete this assessment.

Recommendation: The Administrator of CMS should clarify in internal guidance when a variance analysis on expenditures with higher match rates is required. (Recommendation 2)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: In October 2019, CMS indicated that the agency held meetings to clarify internal guidance on the variance analysis and is the process of drafting updated guidance for the CMS-64 review. We will continue to monitor CMS's actions to update the guidance.

Recommendation: The Administrator of CMS should revise the sampling methodology for reviewing expenditures for the Medicaid expansion population to better target reviews to areas of high risk. (Recommendation 3)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: In October 2019, CMS indicated that given their current resources, they believe the sampling methodology is sufficient and have no plans to revise it. The agency noted that the current methodology requires a minimum sample size but gives reviewers the flexibility to expand the size of the sample if warranted by risk and as resources permit. We continue to believe that the current methodology does not sufficiently target areas of high risk.

Recommendation: The EPA Region 10 Administrator should work with the management conference on future updates to the CCMP to help prioritize among the indicators that currently lack measurable targets and ensure that such targets are developed for the highest priority indicators where possible. (Recommendation 1)

Agency: Environmental Protection Agency
Status: Open

Comments: EPA agreed with this recommendation, and in June 2019 EPA provided GAO with a written update on the status of actions being taken in response to the recommendation. EPA stated that the leader of the management conference, the Puget Sound Partnership, has initiated an effort to review and revise the Puget Sound recovery vital signs, including updating their associated indicators and targets. EPA estimated that this effort will be completed in fiscal year 2021 for use in the 2022 comprehensive conservation and management plan (CCMP) update. In December 2019, EPA stated that work is ongoing. We will continue to monitor the status of this effort and will assess the extent to which it addresses our recommendation.

Recommendation: As Education develops the required HBCU Capital Financing Program outreach plan, the Executive Director of the program should include in the plan (1) ways to increase outreach to individual HBCUs so that HBCU officials are informed of the program; (2) steps to coordinate directly with state university systems to specifically address state-level challenges to participation and share potential solutions to increase public HBCU participation; and (3) ways to further leverage the designated bonding authority in its efforts. (Recommendation 1)

Agency: Department of Education
Status: Open

Comments: Education identified steps it plans to take to address each of the three components we recommended. First, to increase outreach to individual HBCUs, Education stated it will send letters to presidents and chancellors of eligible HBCUs that are not yet participating, in addition to existing activities. Second, Education stated that it plans to use methods similar to those currently used to reach out to public HBCUs, depending on resources, to coordinate directly with state university systems. Third, Education noted it plans to explore ways to leverage the designated bonding authority to do so. Education also stated that an HBCU's ability to use the program depends on its financial strength, and government resources alone will not ensure financial strength among struggling institutions. We agree; however, it is important to make HBCUs aware of the resources available to them, particularly a federal program that was created to help address HBCUs' capital financing challenges. Education expects to complete these effort by February 28, 2020.

Recommendation: The Executive Director of the HBCU Capital Financing Program should lead an agency effort to analyze various Capital Financing Program loan modifications, including the effects of the loan deferments authorized in the 2018 Consolidated Appropriations Act as well as other potential modifications, to assess the potential benefits to HBCUs participating in the program, the potential cost of these options to the government, and their effect on the program's overall financial stability. (Recommendation 2)

Agency: Department of Education
Status: Open

Comments: Education partially agreed with this recommendation, commenting that it disagreed with the recommendation to the extent that it suggests a modification of loan terms. However, our recommendation does not endorse providing loan modifications to colleges but is focused on analyzing the costs and benefits of modifications authorized by law, as well as other potential modifications. Education noted it will continue to analyze loan modifications and develop cost estimates. Our report noted, however, that Education was not able to provide evidence of analysis it conducted on potential loan modifications. We continue to believe that analysis of costs and benefits is needed to determine whether additional loan modifications are necessary or beneficial for the program. The agency anticipates completing its efforts by December 2025.

Recommendation: The FTA Administrator should initiate a rulemaking regarding the evaluation and rating process for Core Capacity Improvement projects, consistent with statutory provisions. (Recommendation 1)

Agency: Department of Transportation
Status: Open

Comments: As of March 2020, DOT indicated that the Department was working to determine what actions it will take regarding initiating a rulemaking. When we confirm what actions DOT has taken in response to this recommendation, we will provide updated information.

Recommendation: The Director of OMB should provide, concurrent with any future climate change funding reports to Congress, funding information for federal programs with fiscal exposure to climate change. This information should include costs to repair, replace, and improve the weather-related resilience of federally-funded property and resources; costs for federal flood and crop insurance programs; and costs for disaster assistance programs. (Recommendation 1)

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

Comments: In a July 2018 letter, OMB reiterated its disagreement with this recommendation, as described in the Agency Comments and Our Evaluation section of the report. OMB also stated that it does not anticipate providing funding information for federal programs with fiscal exposure to climate change concurrent with future climate change reports to Congress. We continue to believe that OMB would have better assurance that it was providing policymakers with the information necessary to make climate change spending trade-offs, if in addition to the funding information for science, technology and international assistance it has previously reported to Congress, OMB also reported funding information for programs whose costs were likely to increase due to climate change impacts. In July 2019, the Disclosing Aid Spent to Ensure Relief Act or the DISASTER Act passed the House and was referred to the Senate. If enacted, this legislation would require OMB to annually report to Congress on all disaster-related assistance provided by the federal government, which includes all federal obligations related to disaster response, recovery, mitigation efforts, and administrative costs associated with these activities for specified agencies and programs. As of October 2020, the legislation has not progressed in the Senate. We will provide updated information regarding this recommendation when it becomes available.

Recommendation: The Director of OMB should provide, concurrent with any future climate change funding reports to Congress, a detailed analysis of federal climate change programs it considers to be fragmented, overlapping, or duplicative. (Recommendation 2)

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

Comments: In a July 2018 letter, OMB reiterated its disagreement with this recommendation, as described in the Agency Comments and Our Evaluation section of the report. OMB also stated that it does not anticipate providing a separate, detailed analysis of federal climate change programs that it considers to be fragmented, overlapping, or duplicative. We continue to believe that because OMB collects and reports information on federal climate change funding, OMB is uniquely situated to conduct an assessment of potentially fragmented, overlapping, or duplicative programs across the full range of agencies engaged in climate change activities and that by providing this information to Congress in conjunction with future funding reports, OMB could help decision makers more effectively target limited resources. As of October 2020, OMB has not provided a climate change funding report to Congress since the issuance of our April 2018 report.

Recommendation: To address control weaknesses and related program-integrity risks we identified in Lifeline, the Chairman of FCC should require Commissioners to review and approve, as appropriate, spending above the budget in a timely manner.

Agency: Federal Communications Commission
Status: Open

Comments: On November 16, 2017, FCC adopted a Notice of Proposed Rulemaking that proposed to adopt a self-enforcing budget mechanism for the Lifeline program. However, as of January 2020, FCC has not yet adopted a decision on this proposal.

Recommendation: To address control weaknesses and related program-integrity risks we identified in Lifeline, the Chairman of FCC should establish time frames to evaluate compliance plans and develop instructions with criteria for FCC reviewers how to evaluate these plans to meet Lifeline's program goals.

Agency: Federal Communications Commission
Status: Open

Comments: According to the FCC as of January 28, 2020, the agency does not currently have a schedule to implement this recommendation.

Recommendation: To address control weaknesses and related program-integrity risks we identified in Lifeline, the Chairman of FCC should develop an enforcement strategy that details what violations lead to penalties and apply this as consistently as possible to all Lifeline providers to ensure consistent enforcement of program violations; the strategy should include a rationale and method for resource prioritization to help maximize the effectiveness of enforcement activities.

Agency: Federal Communications Commission
Status: Open

Comments: FCC's enforcement must remain flexible in order to be responsive to the ever changing variants that Universal Service Fund violations may take. According to the FCC, as with all Commission matters, the Chairman may indicate agency priorities in terms of subject matter, but the Chairman does not dictate which cases the Enforcement Bureau pursues. The Office of the Chairman, in consultation with the Enforcement Bureau, has articulated priorities with respect to enforcement activities in the Lifeline area including, but not limited to: 1. Detection and elimination of willful attempts to defraud the Lifeline Program by claiming support subsidies for ineligible or fictitious subscribers. 2. Detection and elimination of unlawful claims for enhanced support for Tribal areas. 3. Detection and elimination of carrier collections of multiple support subsidies for duplicative subscribers, regardless of the source of duplications. 4. Detection and elimination of carrier failures to de-enroll inactive or ineligible subscribers. The Enforcement Bureau has focused its enforcement efforts in line with these priorities and has taken a number of actions since the publication of GAO-17-538.

Recommendation: To address our findings regarding the USF, the Chairman of FCC should take action to respond to USAC requests for guidance and address pending requests concerning USF contribution requirements to ensure the contribution factor is based on complete information and that USF pass-through charges are equitable.

Agency: Federal Communications Commission
Status: Open

Comments: According to the FCC, the FCC is scheduled to complete implementing this recommendation in December 2021.

Recommendation: To help ensure that NTTFI is able to provide quality information to support management and program oversight efforts, the Secretary of the Interior should direct the Assistant Secretary-Indian Affairs to coordinate with the Federal Highway Administration and tribal stakeholders and reexamine the need for road-description and condition data currently collected in the NTTFI and eliminate fields that do not serve an identified purpose.

Agency: Department of the Interior
Status: Open

Comments: In June 2019, Interior reported that the Bureau of Indian Affairs' (BIA) and Federal Highway Administration's (FHWA) efforts to coordinate with tribes and the Tribal Transportation Program Coordinating Committee (TTPCC) to address this recommendation were progressing. Established by federal regulations, TTPCC is the committee comprised of 24 tribal representatives that provides input and makes recommendations to the BIA and FHWA. According to Interior, TTPCC has identified data elements--14 of 54 data fields--to be considered for removal from NTTFI, and BIA and FHWA have held discussions with tribes concerning a draft plan to remove these identified data elements from NTTFI. Interior reported that tribal groups have posed no objections to the plan and that they anticipate the plan being implemented later in the year. We will continue to monitor actions to address this recommendation.

Recommendation: To help ensure that NTTFI is able to provide quality information to support management and program oversight efforts, the Secretary of the Interior should direct the Assistant Secretary-Indian Affairs to for fields determined to have continued relevance for management and program oversight take steps to improve the quality of these data by clarifying guidance in the NTTFI coding guide that tribes use to collect data and by providing additional guidance on steps needed to ensure that data are consistently reported.

Agency: Department of the Interior
Status: Open

Comments: In June 2019, Interior reported that a group of tribal users organized by the Bureau of Indian Affairs (BIA) and the Federal Highway Administration (FHWA) to review the NTTFI and the coding guide was progressing in its efforts to recommend updates to the coding guide. According to Interior, the group has made recommendations to the Tribal Transportation Program Coordinating Committee (TTPCC) on which data elements to remove from the NTTFI and for clarifying guidance in the coding guide, relevant to the data elements proposed to remain in the NTTFI. Interior anticipates that updates to the coding guide based on the group's recommendations will be completed in 2019. We will continue to monitor actions to address this recommendation.

Recommendation: To help ensure that NTTFI is able to provide quality information to support management and program oversight efforts, the Secretary of the Interior should direct the Assistant Secretary-Indian Affairs to establish a process to monitor data to facilitate timely and targeted corrections to missing or erroneous data.

Agency: Department of the Interior
Status: Open

Comments: Interior told us that, along with the Bureau of Indian Affairs (BIA) and Federal Highway Administration (FHWA), it has held several meetings with tribal users to identify missing or erroneous data in the NTTFI. For example, the meeting participants identified that data which were formerly but are no longer used in formulas to allocate federal funding to tribes are likely outdated and not useful. Further, recognizing that approximately 70 percent of NTTFI data reflects inventory and condition information of roads owned by non-BIA and non-tribal entities, such as state and local governments, the meeting participants determined that opportunities exist to work with these external entities to monitor data obtained from them to ensure that it is current and accurate for use and display in the NTTFI. As of June 2019, Interior said that, in anticipation of changes to the NTTFI format, its main actions to address this recommendation will be to coordinate with these external entities to monitor the data they provide to NTTFI to ensure it conforms to NTTFI's new format. We will continue to monitor actions to address this recommendation.

Recommendation: To improve the DMR, the Secretary of the Interior should direct the Assistant Secretary-Indian Affairs to develop a means to document when the level of service for each road section was last evaluated.

Agency: Department of the Interior
Status: Open

Comments: In June 2019 Interior reported that BIA had developed a data reporting process that incorporates use of a "time-stamp" to indicate when the level of service for a road section is evaluated. Interior said that it anticipates providing guidance on this process to BIA staff, tribes, and others that perform level of service road maintenance assessments so that they can implement the process in 2020. We will continue to monitor efforts to implement this recommendation.

Recommendation: To improve the DMR, the Secretary of the Interior should direct the Assistant Secretary-Indian Affairs to develop and maintain documentation supporting the unit costs of maintenance used to estimate maintenance needs.

Agency: Department of the Interior
Status: Open

Comments: In June 2019 Interior reported that the Bureau of Indian Affairs (BIA) had surveyed tribes to determine their capabilities for managing data related to road maintenance costs. Interior further reported that BIA was investigating the use of computer software for tracking road maintenance costs and developing estimates of maintenance needs. Interior said that it expects to complete actions to implement this recommendation in 2020. We will continue to monitor actions to address this recommendation.

Recommendation: To improve the DMR, the Secretary of the Interior should direct the Assistant Secretary-Indian Affairs to develop a process for more complete and accurate reporting occurring under existing authority of Road Maintenance Program funds expended for performed maintenance on BIA roads.

Agency: Department of the Interior
Status: Open

Comments: In its official comments on our report, Interior said that that it cannot reasonably accomplish this recommendation because, in reference to the tribes which have agreements with the Bureau of Indian Affairs (BIA) to maintain BIA roads in their area, it conflicts with the intent of federal law and the minimum-reporting requirements when a tribal entity takes over the day-to-day actions and tasks of a program. However, following our report's issuance, Interior told us that its actions to address other recommendations will assist the tribes in developing data on Road Maintenance Program (RMP) funds expended for performed maintenance on BIA roads. In addition, Interior said that tribes have expressed interest in gathering this data. Further, in June 2019, Interior reported that the Tribal-Interior Budget Council had approved a plan for a pilot project in the BIA Great Plains Region to gather data relevant to addressing this recommendation. Even though tribal reporting of this data is voluntary, we continue to believe that by coordinating with affected tribes on developing a process for their self-reporting of RMP funds expended for maintenance, and by implementing such a process for tribes that BIA serves directly, Interior could improve the reporting of maintenance performed on BIA roads and be better positioned to provide Congress with more accurate and complete information on RMP funding decisions. We will continue to monitor actions to address this recommendation.

Recommendation: To best align resources allocation decisions to needs, the Secretary of the Interior should direct the Assistant Secretary-Indian Affairs to review the formula to fund transportation at BIE schools and determine, with BIA and tribal stakeholders, what adjustments, such as distinguishing between gravel and paved roads, are needed to better reflect transportation costs for schools.

Agency: Department of the Interior
Status: Open

Comments: At the time of our report, Interior said that it concurred with this recommendation; however, it subsequently changed its position. Interior noted that its tribal and school partners have not requested changes to this formula and that it was therefore not compelled to undertake the rigorous consultation and negotiated rulemaking actions that would be needed to change the formula. As of June 2019, Interior has not acted to address this recommendation.

Recommendation: The Secretary of Education should direct the Office of Academic Improvement to expand its performance measures for the 21st Century program to address all program objectives. Specifically, Education should establish performance measures related to key behavioral, including student attendance and disciplinary incidents, and socio-emotional outcomes.

Agency: Department of Education
Status: Open

Comments: Education neither agreed nor disagreed with our recommendations; rather, it generally noted that it will keep our recommendations in mind as it continues to implement changes in the program as a result of ESSA. We will monitor the agency's progress and consider closing it when the agency provides documentation that these efforts are complete.

Recommendation: The Secretary of Education should direct the Office of Academic Improvement to conduct federal-level data checks on the accuracy of 21st Century program data submitted by states. Such checks could test for logical relationships between fields. Education should also publicly disclose and address any data limitations it identifies, as appropriate.

Agency: Department of Education
Status: Open

Comments: Education neither agreed nor disagreed with this recommendation, but stated that it was taking some actions to enhance program data. We will monitor the agency's progress and consider closing it when the agency provides documentation that these efforts are complete.

Recommendation: The Secretary of Education should direct the Office of Academic Improvement to provide written, non-regulatory guidance to states on developing and conducting high-quality 21st Century state evaluations to help address the difficulties states face in measuring program performance and effectiveness.

Agency: Department of Education
Status: Open

Comments: Education neither agreed nor disagreed with this recommendation, but identified steps it plans to take to implement it. We will monitor the agency's progress and consider closing it when the agency provides documentation that these efforts are complete.

Recommendation: The Secretary of Education should direct the Office of Academic Improvement to use the information it collects from its monitoring visits and ongoing interactions with states to share effective practices across states for sustaining their 21st Century programs once program funding ends. This information could be shared using existing mechanisms such as Education's meetings with 21st Century state coordinators.

Agency: Department of Education
Status: Open

Comments: Education neither agreed nor disagreed with this recommendation, but identified steps it plans to take to implement it. We will monitor the agency's progress and consider closing it when the agency provides documentation that these efforts are complete.

Recommendation: To help ensure that the pilot programs for disconnected youth can be effectively implemented over the lifetime of the initiative, the Director of OMB should coordinate with relevant federal agencies to identify and estimate expected annual financial and staff resource contributions from each agency, including during the implementation and evaluation phases of the pilots.

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

Comments: As of May 2020, the Office of Management and Budget (OMB) and relevant federal agencies described steps they have taken that could address the intent of this recommendation. However, they have not yet shared documentation so that we can independently verify those actions. Since we issued our report in April 2017, federal agencies discontinued contributing financial resources to support joint pilot program activities, such as start-up grants, general technical assistance, or evaluations. According to OMB staff and officials at several agencies in August 2018, that change in contributions began with the fiscal year 2018 pilots. At that time, they all told us that relevant agencies would continue to provide staff support to the pilots, as needed. In April 2020, officials from the Department of Education (Education)-the lead agency for overall performance partnership efforts-informed us that six pilots remain active, through September 2020, and were able to provide information about staff resource contributions. For example, Education officials told us that two of the department's employees devote less than 10 percent of their time to support those six pilots. We have requested additional information from Education to better understand staff resource commitments and contributions from other agencies involved in those six pilots.

Recommendation: To ensure that federal agencies involved in the disconnected youth pilots are able to evaluate pilot outcomes and ultimately communicate to Congress whether and to what extent the flexibilities tested by the pilots should be integrated into broader efforts, the Director of OMB should coordinate with relevant federal agencies to identify criteria or standards for assessing scalability, and collect data needed to address those criteria or standards.

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

Comments: As of May 2020, the Office of Management and Budget (OMB) and relevant federal agencies described steps they have taken that could address this recommendation. However, they have not yet shared documentation so that we can independently verify those actions. In August 2018, OMB staff told us that they were coordinating relevant work with the Department of Health and Human Services (HHS) and the Department of Labor (DOL), which is leading the national evaluation for the disconnected youth pilot programs. OMB staff told us this group was studying specific criteria or standards that could be used for assessing the scalability of the disconnected youth pilot programs. In April 2020, DOL officials told us that the department was examining issues related to scalability in products it is developing as part of the national evaluation. For example, the officials informed us that DOL plans to publish a report in summer 2020 that examines the effects of flexibilities tested by individual pilot programs, and their potential to be scaled. Furthermore, DOL officials told us that the department, in coordination with OMB, HHS, and other relevant agencies, had drafted, but not yet finalized, a memorandum that identifies criteria for assessing scalability. We have requested copies of relevant DOL evaluation products and the memorandum. When provided, we will assess the extent to which they address our recommendation.

Recommendation: To help achieve EQIP's purpose of optimizing environmental benefits, the Secretary of Agriculture should direct the Chief of the Natural Resources Conservation Service to direct EQIP program managers to coordinate with the leaders of USDA's CEAP to help ensure that CEAP studies consider the practical limitations and trade-offs faced by program managers and to provide program managers with better information to target EQIP funds where they will optimize environmental benefits.

Agency: Department of Agriculture
Status: Open

Comments: As of May 2020, the agency has not taken action. When we obtain information from the agency, we will update the status of this recommendation.

Recommendation: To help achieve EQIP's purpose of optimizing environmental benefits, the Secretary of Agriculture should direct the Chief of the Natural Resources Conservation Service to revise guidance on state offices' EQIP allocation processes, stipulating that data on environmental concerns, where available, should be a primary factor influencing allocations within states.

Agency: Department of Agriculture
Status: Open

Comments: As of May 2020, the agency has not taken action. When we obtain information from the agency, we will update the status of this recommendation.

Recommendation: To help achieve EQIP's purpose of optimizing environmental benefits, the Secretary of Agriculture should direct the Chief of the Natural Resources Conservation Service to establish a review process at the regional level for review and concurrence of EQIP payment rates above a threshold (e.g., rates greater than 50 percent, with justification).

Agency: Department of Agriculture
Status: Open

Comments: As of May 2020, the agency has not taken action. When we obtain information from the agency, we will update the status of this recommendation.

Recommendation: To help achieve EQIP's purpose of optimizing environmental benefits, the Secretary of Agriculture should direct the Chief of the Natural Resources Conservation Service to modify guidance and ranking tools so that they more accurately value an EQIP application's anticipated environmental benefits relative to estimated costs.

Agency: Department of Agriculture
Status: Open

Comments: As of May 2020, the agency has not taken action. When we obtain information from the agency, we will update the status of this recommendation.

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: To enhance USAID's financial oversight of implementing partners' spending to implement and support Title II development and emergency projects, the USAID Administrator should take steps to ensure that it collects complete and consistent monitoring data from implementing partners for Title II development and emergency projects on the use of 202(e) funding for cash transfers, food vouchers, and local and regional procurement as well as data on the use of Title II funding for internal transportation, storage, and handling (ITSH) costs, in accordance with established requirements.

Agency: United States Agency for International Development
Status: Open
Priority recommendation

Comments: In December 2017, USAID informed us that new Title II development awards would require partners to adhere to a requirement that it added in July 2017 to the Food for Peace development award template, which requires programs to provide quarterly performance reports on actual cash transfers, food vouchers, and local and regional procurement activities. USAID also noted that it had developed a new WFP emergency award template with reporting requirements for monitoring data on cash transfers, food vouchers, and local and regional procurement activities. In February 2018, USAID provided support that it has developed training and standardized oversight staff roles and responsibilities to help ensure that complete and consistent monitoring data is collected for Title II development and emergency projects. However, USAID still needs to provide evidence that it collects complete and consistent monitoring data from implementing partners for Title II projects, in accordance with established requirements. As of September 2020, we continue to monitor USAID's ongoing actions taken in response to this recommendation.

Recommendation: To ensure that the elements of the agency's process for making asset maintenance decisions are achieving desired outcomes, the Secretary of the Interior should direct the Director of the Park Service to evaluate the Capital Investment Strategy and its results to determine if it is achieving its intended outcomes or if changes need to be made.

Agency: Department of the Interior
Status: Open

Comments: According to NPS officials, the agency is currently working to address this recommendation and expects to complete it in August 2020. GAO will update the status of the recommendation as soon as possible thereafter.

Recommendation: As NIH-DFAS begins formalizing its internal guidance, the Director of NIH-DFAS should establish a mechanism for tracking key milestones in the indirect cost rate-setting process, such as when indirect cost rate proposals are due.

Agency: Department of Health and Human Services: Public Health Service: National Institutes of Health: Office of Management: Office of Acquisition and Logistics Management: Office of Acquisition Management and Policy: Division of Financial Advisory Services
Status: Open

Comments: HHS concurred with this recommendations. In response, HHS stated that National Institute of Health's Division of Financial Advisory Services (DFAS) will establish a mechanism for tracking key milestones in the indirect cost rate-setting process. NIH-DFAS has initiatives underway that include moving from paper to electronic submissions of indirect cost proposals and developing a replacement to its Commercial Rate Agreement Distribution Services website. DFAS is looking into the feasibility of incorporating key milestones into these two major initiatives. NIH-DFAS is currently working with a contractor to develop a web based system that will establish a tracking system to account for when indirect cost proposal are due from organizations. The original initiative to enable the electronic submission of indirect cost proposals was modified to incorporate this new requirement. NIH-DFAS anticipates the planned date for implementation of this system to be October 1, 2017. As of February 4, 2020, this recommendation is still open because DFAS does not have the "proposal due date" and "extension due date" data fields activated in eFLow. DFAS is looking into adding those enhancements and hope to have these updates implemented by June 30, 2020. On July 8th, 2020, NIH-DFAS notified us that they plan to update us with the status of this recommendation by October 2020. We will continue to monitor the status of this recommendation.

Recommendation: To ensure the agency has sufficient information about risks to SSI program integrity when making decisions about efforts to address them, the Commissioner of the Social Security Administration should conduct a risk assessment of the current manual process for connecting and adjusting claim records of SSI recipients who live in households with other SSI recipients, and, as appropriate, take steps to make cost-effective improvements to SSA's claims management system to address identified risks.

Agency: Social Security Administration
Status: Open

Comments: In September 2020, SSA stated that it will include its current manual process for connecting and adjusting claims records for SSI recipients who live in households with other SSI recipients as a potential risk in the agency's upcoming Fraud Risk Assessment of the SSI program. According to SSA officials, the Fraud Risk Assessment will assess the current manual process based on its inherent risks, existing controls to reduce the risks, and the residual effects if the agency implements a process to connect SSI recipients' records. In addition, officials said they will determine a risk response as part of this assessment. SSA anticipates conducting the Fraud Risk Assessment of the SSI program by the end of calendar year 2020.

Recommendation: To help improve tribes' ability to maintain safe, stable, and permanent care for children, the Secretary of Health and Human Services should direct the Children's Bureau to explore the reasons for low tribal participation and identify actions to increase this participation in the title IV-E Guardianship Assistance Program.

Agency: Department of Health and Human Services
Status: Open

Comments: HHS agreed with this recommendation. HHS reported that it would take several actions: 1) task the Tribal Workgroup with identifying reasons for low tribal participation in GAP and identifying actions to increase participation in GAP; 2) improve its website offerings on Tribal IV-E, including providing the briefing materials as well direct IV-E and pass-through related products created by the CB Central and Regional Offices and the Capacity Building Center for Tribes; 3) improve coordination with non-governmental organizations that provide technical assistance and direct outreach to tribes for Title IV-E; and 4) encourage states to work with tribes on GAP. HHS noted that some states have already developed GAP frequently asked questions, practice guides, and other GAP support products to raise awareness and engage tribal interest in GAP. GAO awaits documentation that these actions have been completed. The agency also hopes to host a national tribal consultation to solicit feedback and determine priorities to address tribal participation in GAP; and develop a strategy for serving tribes interested in and implementing IV-E, including GAP, to be posted on the website. GAO will close this recommendation when the agency shows that these efforts have been completed.

Recommendation: To strengthen compliance with the Leahy laws and implementation of State's human rights vetting process and to help ensure that U.S. funded assistance is not provided to Egyptian security forces that have committed gross violations of human rights, as State works to implement a revised version of the International Vetting and Security Tracking system (INVEST) system that is expected to help facilitate equipment vetting, the Secretary of State should develop time frames for establishing corresponding policies and procedures to implement a vetting process to help enable the U.S. government to provide a more reasonable level of assurance that equipment is not transferred to foreign security forces, including those in Egypt, when there is credible information that a unit has committed a gross violation of human rights.

Agency: Department of State
Status: Open
Priority recommendation

Comments: State agreed with this recommendation. State acknowledged challenges identifying recipients of equipment across the range of assistance activities, but noted that it would continue to update its systems and procedures to facilitate human rights vetting for recipients of equipment. In April 2017, State reported that it had provided finalized guidance on vetting Egyptian recipients of Foreign Military Financing-funded equipment to Embassy Cairo and that these procedures had been incorporated into a revised version of Embassy Cairo's guide for conducting human rights vetting. At the time, State noted that Embassy Cairo had begun to implement these procedures. However, State subsequently reported that implementation of these procedures lapsed in 2018 due to staff turnover at Embassy Cairo. As of January 2020, State said that it intends to have new standard operating procedures in place for equipment vetting in Egypt later in 2020. In addition, State has not adopted procedures, similar to those in development for Egypt, to be used more broadly in other countries that also receive equipment through the Foreign Military Financing account or through other U.S. assistance programs. As of June 2017, State had added new features to INVEST, its human rights vetting system, to help facilitate vetting of equipment recipients, and published new vetting guidance requiring screening of equipment transfers. However, State has not established global requirements for posts to use the new equipment vetting system features to screen equipment transfers. As of February 2020, State reported that it had developed draft standard operating procedures for conducting equipment vetting globally; however, these procedures are being reviewed internally within the Department and are expected to be finalized later in 2020. We will continue to monitor agency efforts to implement this recommendation.

Recommendation: To promote consistency in the distribution of supplemental payments among states and with CMS policy, the Administrator of CMS should issue written guidance clarifying its policy that requires a link between the distribution of supplemental payments and the provision of Medicaid-covered services.

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open
Priority recommendation

Comments: CMS issued a proposed rule in November 2019 that may address this issue. According to the agency, the rule will promote state accountability, improve federal oversight, and strengthen the fiscal integrity of Medicaid. Specifically, the agency said the rule would require states to report to CMS a comprehensive description of the methodology used to calculate the amount and distribution of supplemental payments and the provider metrics used to calculate payment amounts, such as Medicaid utilization or costs. We will assess the extent to which the final rule addresses our recommendation when it is issued.

Recommendation: To promote consistency in the distribution of supplemental payments among states and with CMS policy, the Administrator of CMS should issue written guidance clarifying its policy that payments should not be made contingent on the availability of local funding.

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open
Priority recommendation

Comments: CMS issued a proposed rule in November 2019 that may address this issue. According to the agency, the rule will promote state accountability, improve federal oversight, and strengthen the fiscal integrity of Medicaid. Specifically, the proposed rule clarifies the agency policy that Medicaid payments may not be contingent on the availability of local funding, according to agency officials. We will assess the extent to which the final rule addresses our recommendation when it is issued.

Recommendation: In order to ensure complete, analyzable records regarding research grant award decisions are available for management and analysis, the Secretary of Energy should direct DOE's grant-making agencies to implement additional data collection efforts, which should include: (1) Retaining complete records of pre-proposal, proposal, and award data, including a record of proposal disposition, in linked electronic files to facilitate aggregate, statistical analysis of the grant-making process, including the calculation of success rates. (2) Collecting demographic, education, and career information from applicants, on a voluntary basis, that is not available to proposal reviewers but is used for analysis of success rates.

Agency: Department of Energy
Status: Open

Comments: DOE generally agreed with this recommendation. DOE's Office of Science began collecting investigator demographics during the second quarter of fiscal year 2015 and already retained complete records that enabled the calculation of success rates. According to DOE officials, since September 2017, the other three grant-making components included in our audit have been taking various actions to implement the recommendation. These three components, the Office of Nuclear Energy (NE), the Advanced Research Projects Agency-Energy (ARPA-E), and the Office of Energy Efficiency and Renewable Energy (EERE), all complete steps to ensure that they retain complete grant life cycle information for each individual award, including complete records of pre-proposal, proposal, and award data in linked electronic files, thus fulfilling the first part of our recommendation. In 2019, EERE coordinated the development of a Federal Register Notice (FRN) regarding data collection jointly with NE and ARPA-E. The FRN drafted by EERE was finalized and published on February 11, 2020 (Vol. 85, Issue 28, Pages 7759-7760 [FR DOC# 2020-02674]). Under the proposed information collection request, an interface will be implemented in DOE grant application systems to allow external users to voluntarily provide a minimal amount of demographic information to comply with this recommendation, pursuant to review by the Office of Management and Budget. On June 30th, DOE officials shared with GAO the draft FRN for the 30-day notice and request for public comment prior to implementation.

Recommendation: To comply with Title IX enforcement requirements, the Secretary of the Department of Defense, which funds STEM research at universities, should direct the Director of the Office of Diversity Management and Equal Opportunity to ensure that Title IX compliance reviews of DOD's grantees are periodically conducted.

Agency: Department of Defense
Status: Open

Comments: DOD agreed with this recommendation and noted it is in the process of revising current DOD guidance which will address its Title IX enforcement requirements. In September 2017, a DOD official stated that the agency is in the process of formulating instructions related to both Title IX and Title VI that they believe will address the recommendation regarding Title IX enforcement. In a memorandum issued in December 2017, a DOD official described the agency's corrective action plan (CAP), including drafting an updated rule for the Code of Federal Regulations and the development and issuance of internal DOD policy documents regarding Title IX enforcement requirements. Both of these activities were expected to be completed by June 2019. DOD reported in March 2020 that it is continuing to revise current DOD guidance to address its Title IX enforcement requirements. The Director of DOD's Office of Diversity, Equity, and Inclusion (ODEI) stated in a letter to GAO that the revised Titile IX policy is in the early stages of DOD's policy process. ODEI expressed its commitment to developing the revised policy and ensuring Title IX compliance reviews are conducted as per the revised policy and GAO's recommendation. In September of 2020, DoD sent an update indicating that they will issue a policy memorandum, specifically outlining the requirement for DoD Components who provide financial assistance to educational programs or activities conduct periodic compliance reviews. This is expected to be complete by December 31, 2020.

Recommendation: To help federal, state, local, and private sector decision makers access and use the best available climate information, the Executive Office of the President should designate a federal entity to develop and periodically update a set of authoritative climate change observations and projections for use in federal decision making, which state, local, and private sector decision makers could also access to obtain the best available climate information.

Agency: Executive Office of the President
Status: Open

Comments: As of January 2020, the Executive Office of the President has yet to take action in response to this recommendation.

Recommendation: To help federal, state, local, and private sector decision makers access and use the best available climate information, the Executive Office of the President should designate a federal entity to create a national climate information system with defined roles for federal agencies and nonfederal entities with existing statutory authority.

Agency: Executive Office of the President
Status: Open

Comments: As of January 2020, the Executive Office of the President has yet to take action in response to this recommendation.

Recommendation: To improve the effectiveness of its oversight of eligibility determinations, the Administrator of CMS should conduct reviews of federal Medicaid eligibility determinations to ascertain the accuracy of these determinations and institute corrective action plans where necessary.

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: The Department of Health and Human Services (HHS) has taken some steps to improve the accuracy of Medicaid eligibility determinations, as GAO recommended in October 2015, but has not yet conducted a systematic review of federal eligibility determinations. In July 2017, HHS issued its final rule on the Payment Error Rate Measurement (PERM) program, and stated that it would include reviews of federal eligibility determinations in states that have delegated that authority. In December 2017, HHS provided information noting that the first cycle of the revised PERM includes two states where there were federal eligibility determinations. However, as HHS confirmed in December 2019, the random sample of eligibility determinations reviewed in the first cycle of the revised PERM did not include any federal eligibility determinations. As such, the PERM has not systematically reviewed federal determinations, and we maintain that further reviews are needed to help ensure that only individuals eligible for Medicaid are receiving benefits. We will continue to monitor HHS to determine if HHS is ascertaining the accuracy of federal eligibility determinations and taking corrective action where necessary.

Recommendation: To ensure that federal program spending data are provided to the public in a transparent, useful, and timely manner, the Director of OMB should accelerate efforts to determine how best to merge DATA Act purposes and requirements with the GPRAMA requirement to produce a federal program inventory.

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

Comments: OMB issued guidance in June 2019 that provides an overview and timeline for merging DATA Act reporting with implementation of a federal program inventory. To fully address this recommendation, OMB needs to provide additional details on the implementation of these requirements.

Recommendation: To ensure that the integrity of data standards is maintained over time, the Director of OMB, in collaboration with the Secretary of the Treasury, should establish a set of clear policies and processes for developing and maintaining data standards that are consistent with leading practices for data governance.

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

Comments: OMB issued several guidance documents in 2019 that set out key aspects of a process for agencies to establish standards for, and practices for governing, managing, and protecting, all federal data. These and related efforts represent significant progress, but OMB needs to ensure this broad guidance is followed by clear and specific requirements for agency data governance to ensure the quality of their DATA Act reporting.

Recommendation: To improve CMS's oversight of Medicaid payments, the Administrator of CMS should take steps to ensure that states report accurate provider-specific payment data that include accurate unique national provider identifiers (NPI).

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: In November 2019, CMS issued a proposed rule that the agency said would promote state accountability, improve federal oversight, and strengthen the fiscal integrity of the Medicaid program. Among other things, the proposed rule would require states to report supplemental payments made to individual providers; furthermore, it would require states to include the National Provider Identifier (NPI) number-a unique 10-digit identification number assigned to health care providers. GAO will continue to monitor the status of the proposed rule and will review a final rule, if one is issued, to determine the extent it addresses the recommendation.

Recommendation: To improve CMS's oversight of Medicaid payments, the Administrator of CMS should develop a policy establishing criteria for when such payments at the provider level are economical and efficient.

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open
Priority recommendation

Comments: In November 2019, CMS issued a proposed rule that the agency said would require states to demonstrate to CMS that supplemental payments to individual providers are economical and efficient and also require states to end and then seek CMS approval to renew supplemental payments every three years. GAO will monitor the status of the proposed rule and will review a final rule, if one is issued, to determine the extent to which it addresses the recommendation.

Recommendation: To improve CMS's oversight of Medicaid payments, the Administrator of CMS should, once criteria are developed, develop a process for identifying and reviewing payments to individual providers in order to determine whether they are economical and efficient.

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: In November 2019, CMS issued a proposed rule that the agency said would require states to demonstrate to CMS that supplemental payments to individual providers are economical and efficient and also require states to end and then seek CMS approval to renew supplemental payments every three years. GAO will monitor the status of the proposed rule and will review a final rule, if one is issued, to determine the extent to which it addresses the recommendation.

Recommendation: To strengthen Education's oversight of accreditors through the recognition review process, the Secretary of Education should draw upon accreditor data to determine whether accreditors are consistently applying and enforcing their standards to ensure that the education offered by schools is of sufficient quality. For example, Education could systematically use available information related to the frequency of accreditor sanctions or could do additional analyses, such as comparing accreditor sanction data with Education's information on student outcomes, to inform its recognition reviews.

Agency: Department of Education
Status: Open

Comments: Education agreed with this recommendation, noting that it is committed to identifying ways to use data about and from accreditors in its oversight. As of December 2017, Education has taken steps to track the number of accreditor sanctions issued by each accrediting agency. Education previously noted that this information will then be used to focus their limited resources on those accrediting agencies with extremely low or high sanction rates, to strengthen its oversight of accreditors. In April 2018, Education reported that it tracks accreditor sanctions and is aware of the number of sanctions when conducting agency reviews. They found no correlation between the number of sanctions an accrediting agency levies against its accredited institutions and compliance or noncompliance with the Criteria for Recognition, so they noted that this is not a useful tool. However, we continue to believe that implementing the recommendation could help inform Education's reviews of accreditors and ultimately reduce potential risk to students and federal funds. For example, analyses of accreditor sanction data could help reveal patterns in individual accreditor behavior and overall trends in sanctions. In addition, as we noted in the report, Education could compare accreditor sanction data with outcome data for accreditors' member institutions. These analyses could help Education determine how to better use data in decision-making, which is a goal listed in their 2014 strategic plan (cited in the report), as well as help to identify potential risks the accreditors might face. To close this recommendation, Education should show that it uses sanction data to inform its discussions of accreditor recognition and oversight.

Recommendation: To promote and enhance federal, state, and local coordination activities, the Secretary of Transportation, as the chair of the Coordinating Council, should convene a meeting of the member agencies of the Coordinating Council and define and report on desired outcomes and collect related data to track and measure progress in achieving results, including the extent of coordination efforts that are under way, such as improved services for older adults. This effort could be conducted as a part of the Coordinating Council's process to update its strategic plan, which we have also recommended in a concurrent report.

Agency: Department of Transportation
Status: Open

Comments: The Federal Transit Administration (FTA) has taken steps to enhance older adult mobility. As of September 2020, FTA stated they continued to make progress toward implementing the recommendation by November, 2020. The Coordinating Council for Access and Mobility plans to issue its report to Congress and the President on September 30, 2020, and we will continue monitor FTA's progress on its efforts when the report is released.

Recommendation: The Administrator of CMS should develop a data collection strategy that ensures that states report accurate and complete data on all sources of funds used to finance the nonfederal share of Medicaid payments. There are short- and long-term possibilities for pursuing the data collection strategy, including (1) in the short-term, as part of its ongoing initiative to annually collect data on Medicaid payments made to hospitals, nursing facilities, and other institutional providers, CMS could collect accurate and complete facility-specific data on the sources of funds used to finance the nonfederal share of the Medicaid payments, and (2) in the long-term, as part of its ongoing initiative to develop an enhanced Medicaid claims data system (T-MSIS), CMS could ensure that T-MSIS will be capable of capturing information on all sources of funds used to finance the nonfederal share of Medicaid payments, and, once the system becomes operational, ensure that states report this information for supplemental Medicaid payments and other highrisk Medicaid payments.

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: The Centers for Medicare & Medicaid Services (CMS) acknowledged that it lacks adequate data on state financing methods for overseeing compliance with a certain federal requirement related to the nonfederal share and that it will examine efforts to improve data collection toward this end. In November 2019, CMS issued a proposed rule that the agency said would promote state accountability, improve federal oversight, and strengthen fiscal integrity of the Medicaid program. The proposed rule would establish new policies and codify existing policies related to reporting the sources of funds used to finance the nonfederal share of Medicaid payments. For example, the proposed rule would require states to report, at the aggregate and provider level, contributions to the state or local governments used as a source of the nonfederal share for Medicaid supplemental payments. GAO will continue to monitor the status of the proposed rule, as well as review a final rule, if one is issued, to determine the extent to which it addresses the recommendation. GAO maintains it is important that CMS and federal policymakers have more complete information about how increasing federal costs are impacting the Medicaid program, including beneficiaries and the providers who serve them and plans to continue to monitor CMS's actions to help ensure that states report accurate and complete data on all sources of the nonfederal share.

Recommendation: To better ensure the viability and safety of manufactured housing produced in accordance with the HUD Code, the Secretary of the Department of Housing and Urban Development should develop a plan to assess how FHA financing might further promote the affordability of manufactured homes and identify the potential for better securitization of manufactured housing financing.

Agency: Department of Housing and Urban Development
Status: Open

Comments: According to HUD officials, Ginnie Mae and FHA met to discuss their manufactured housing programs and produced a white paper. Once we receive a copy of the white paper, we will determine if it addresses our recommendation.

Recommendation: To better ensure that Congress, stakeholders, and agencies have complete information about changing costs and whether a fee needs to be changed, HUD should assess the feasibility, including an analysis of the benefits and costs, of putting in place user fees for its dispute resolution and installation programs.

Agency: Department of Housing and Urban Development
Status: Open

Comments: As of March 2018, HUD stated that the Office of Manufactured Housing Programs continues to work toward fully implementing both the installation and dispute resolution programs in the default states using two new contractors for these purposes. As the implementation of these programs continues to mature, HUD stated that its Office of Manufactured Housing Programs will be monitoring program requirements and service delivery and gathering data that it can use in assessing the feasibility of putting in place user fees for these programs. We will continue to monitor HUD's progress in implementing our recommendation.

Recommendation: To better ensure that Congress, stakeholders, and agencies have complete information about changing costs and whether a fee needs to be changed, HUD should establish the goals for use of reserves of the Manufactured Housing Fees Trust Fund, and the minimum and maximum thresholds for the reserves appropriate for meeting these goals.

Agency: Department of Housing and Urban Development
Status: Open

Comments: In response to this recommendation, as of March 2018, HUD plans to consider user fee reserve best practices in evaluating any carryover balances and developing future operating budgets for its manufactured housing programs. The Office of Manufactured Housing Programs plans on reviewing best practices and determining next steps ideally by the end of Fiscal Year 2019. We continue to believe that setting clear goals for the reserve and clarifying how those reserves will be used helps ensure accountability and transparency both to Congress and users of fee-based programs. We will continue to monitor HUD's progress in implementing our recommendation.

Recommendation: To proactively prepare for oversight of future disaster relief funding, the Director of OMB should develop standard guidance for federal agencies to use in designing internal control plans for disaster relief funding. Such guidance could leverage existing internal control review processes and should include, at a minimum, the following elements: (1) robust criteria for identifying and documenting incremental risks and mitigating controls related to the funding and (2) requirements for documenting the linkage between the incremental risks related to disaster funding and efforts to address known internal control risks.

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

Comments: To address the recommendation, OMB should issue guidance on internal control for disaster relief funding, including criteria for identifying additional risks and mitigating controls related to the funding and a requirement to link these incremental risks to ongoing efforts to address known internal control risks. On July 15, 2016, OMB issued the revised Circular No. A-123, Management's Responsibility for Enterprise Risk Management and Internal Control. The Circular requires agencies to implement enterprise risk management, which includes the development of a risk profile that analyzes the risks faced in achieving strategic objectives and identifies options for addressing them. In April 2017, OMB staff stated that they believe that the implementation of enterprise risk management through Circular No. A-123 satisfies the intent our recommendation. Because the responsibility for implementing enterprise risk management lies with agency management, Circular No. A-123 does not include specific guidance for identifying risks related to disaster funding. Further discussion and documentation to support OMB's position that the revised Circular addresses our recommendation will be necessary. The Bipartisan Budget Act of 2018, Sec. 21208(c) requires OMB to issue standard guidance for Federal agencies to use in designing internal control plans for disaster relief funding in order to proactively prepare for oversight of future disaster relief funds. The Act states this guidance shall leverage existing internal control review processes and shall include, at a minimum, (1) robust criteria for identifying and documenting incremental risks and mitigating controls related to the funding, and (2) guidance for documenting the linkage between the incremental risks related to disaster funding and efforts to address known internal control risks. GAO reviewed OMB's actions to implement the law. On June 28, 2019, GAO, 2017 Disaster Relief Oversight: Strategy Needed to Ensure Agencies' Internal Control Plans Provide Sufficient Information, GAO-19-479 (Washington, D.C.: Jun 28, 2019) reported the 2013 recommendation remains open and that we plan to continue monitoring OMB's progress in implementing this priority recommendation. Further, the report stated that OMB did not have an effective strategy to ensure that agencies timely submitted internal control plans; and OMB's Memorandum M-18-14, Implementation of Internal Controls and Grant Expenditures for the Disaster-Related Appropriations lacked specific instructions to agencies on what to include in their internal control plans. As such, a new recommendation was warranted. As of February 2020, OMB has not provided any new status updates for this recommendation.

Recommendation: To improve the transparency of the process for reviewing and approving spending limits for comprehensive section 1115 demonstrations, the Secretary of Health and Human Services should reconsider adjustments and costs used in setting the spending limits for the Arizona and Texas demonstrations, and make appropriate adjustments to spending limits for the remaining years of each demonstration.

Agency: Department of Health and Human Services
Status: Open

Comments: As of January 2020, the Department of Health and Human Services (HHS) has taken steps to address GAO's 2013 recommendation, but more actions are needed for GAO to consider this recommendation implemented. Beginning in May 2016, the Centers for Medicare & Medicaid Services (CMS) began implementing a new budget neutrality policy. The new policy was outlined in a Letter to State Medicaid Directors in 2018, and it addressed certain problems GAO identified regarding states' allowed methods for determining budget neutrality of their demonstrations. CMS has begun phasing in the methods established under this new policy for all states, including the two states (Arizona and Texas) for which GAO recommended adjustments. One portion of the policy--under which spending limits will be updated to reflect more recent spending data--will be implemented beginning in 2021 and will address concerns GAO identified in Arizona's spending limit once its demonstration is renewed. In January 2019, CMS officials told GAO that the agency continues to allow states to include hypothetical costs when determining demonstration spending limits, an action GAO identified as a concern in Texas' demonstration. While CMS officials provided documentation on changes the agency made in the spending limit approved for Texas' new demonstration period beginning in January 2018, GAO reviewed these changes and found that further adjustments are needed to remove additional hypothetical costs from the Texas' spending limit.

Recommendation: To ensure that the performance measures used to evaluate the TAA for Firms program demonstrate program results and to help ensure that EDA can comprehensively evaluate the effectiveness of the program, the Secretary of Commerce should broaden the program's evaluation approach, for instance, by developing additional quantifiable outcome-oriented performance goals and measures for key program areas and conducting further analysis of the data to isolate the impact of the TAA for Firms program from other influences, such as economic trends.

Agency: Department of Commerce
Status: Open
Priority recommendation

Comments: Commerce concurred with our findings and recommendations. As of August 2020, EDA is taking actions to implement our recommendation. In 2012, EDA commissioned a study to inform the development of performance metrics and evaluation methods for the TAA for Firms program. Issued in October 2014, the study provided recommendations to EDA on potential performance metrics, tested the metrics by conducting a statistical analysis of TAA for Firms clients against a control group as well as a survey, and suggested data sources for conducting future evaluations of the TAA for Firms program. According to EDA officials, the study would help provide a foundation for more robust longitudinal performance measurement and enhanced policy analysis, thereby enabling EDA to more comprehensively evaluate the program. These officials noted that, in April 2017, the authors of the study finalized an operational toolkit containing recommended metrics and protocols for data collection and impact evaluation methods. In June 2017, EDA began to pilot test these recommended metrics and evaluation methods to improve program evaluation. EDA formed a working group in December 2017 to further refine the new evaluation system and metrics based on the results of the pilot tests. In May 2018, EDA's working group concluded the refinement of the metrics. In August 2018, EDA continued to collect data on these metrics from its grantees using a pilot survey and refined the metrics as EDA received additional responses and feedback about the pilot survey from grantees. As of August 2020, EDA had developed new data collection instruments that will gather data and information on the TAA for Firms program's outputs and outcomes. EDA intends to use the information collected from the new instruments to conduct program evaluations to better understand how program performance compares with performance goals and the impact of the TAA for Firms program, according to EDA officials. EDA is in the process of developing software to administer the instruments and an internal working group is guiding the implementation of the new data collection system. EDA expects to implement the new system in fiscal year 2020, according to EDA officials. We will continue to monitor Commerce's efforts to implement our recommendation.

Recommendation: To improve the data available to manage and evaluate the TAA for Firms program, the Secretary of Commerce should develop a data system to consistently collect, maintain, and analyze sufficiently reliable and up-to-date data on program operations and participant firms.

Agency: Department of Commerce
Status: Open
Priority recommendation

Comments: Commerce concurred with our findings and recommendations. As of August 2020, EDA is taking actions to implement our recommendation. According to EDA officials, in fiscal year 2017, EDA had developed an improvement plan for its agency-wide data system for collecting data on program operations. As of August 2020, EDA is working with a contractor to implement a new data system to assist in administering and managing the TAA for Firms program. For example, EDA officials expect the new data system to allow TAA Centers to submit participant firms' petitions for certification and adjustment proposals to EDA electronically for review and approval. In addition, these officials noted that the new data system will facilitate EDA's analysis of program performance. EDA anticipates that the new data system for the TAA for Firms program will be operational in fiscal year 2021. We will continue to monitor Commerce's efforts to implement our recommendation.

Recommendation: As we have previously recommended, Congress should consider reexamining and refocusing surface transportation programs, including establishing well-defined goals with direct links to identified federal interests and roles. Based on this review, there may be areas where national interests are less evident and where Congress may wish to consider narrowing FHWA's responsibilities.

Agency: Congress
Status: Open

Comments: As of November 2019, Congress has not yet acted on this recommendation. The Fixing America's Surface Transportation Act (FAST Act; P.L. 114-94), signed into law in December 2015, is due to be reauthorized in fiscal year 2021.

Recommendation: To ensure that federal funding efficiently and effectively responds to the countercyclical nature of the Medicaid program, Congress may wish to consider enacting an FMAP formula that is targeted for variable state Medicaid needs and provides automatic, timely, and temporary increased FMAP assistance in response to national economic downturns.

Agency: Congress
Status: Open

Comments: As of September 2020, no legislation had been enacted. GAO has testified on at least one bill that had been introduced in the Congress that would implement this Matter for Congressional Consideration. On February 10, 2016, GAO testified on considerations related to the Medicaid funding formula. See Medicaid: Changes to Funding Formula Could Improve Allocation of Funds to States GAO-16-377T January 26, 2016. We also cited this report in our discussion on Medicaid funding during economic downturns in Medicaid: Key Policy and Data Considerations for Designing a Per Capita Cap on Federal Funding (GAO-16-726). We cited this Matter in Opportunities to Improve the Federal Recovery and Response Efforts (GAO-20-625) and in COVID-19: Brief Update on Initial Federal Response to the Pandemic (GAO-20-708).

Recommendation: The Congress may wish to consider broadening IRS's ability to use math error authority (MEA), with appropriate safeguards against misuse of that authority.

Agency: Congress
Status: Open

Comments: Congress has expanded IRS's math error authority in certain circumstances, but not as broadly as we suggested in February 2010. Section 208 of division Q of the Consolidated Appropriations Act, 2016 (Public Law 114-113 enacted in December 2015) gave IRS the authority to use math error authority if (1) a taxpayer claimed the Earned Income Tax Credit, Child Tax Credit, or the American Opportunity Tax Credit (AOTC) during the period in which a taxpayer is not permitted to claim such credit as a consequence of either having made a prior fraudulent or reckless claim; or (2) a taxpayer omitted information required to be reported because the taxpayer made prior improper claims of the Child Tax Credit or the AOTC. In addition, Congress expanded math error authority for the First-Time Homebuyer Credit in November 2009. While expanding math error authority is consistent with what we suggested in February 2010, we maintain that a broader authorization of math error authority with appropriate controls would enable IRS to correct obvious noncompliance, would be less intrusive and burdensome to taxpayers than audits, and would potentially help taxpayers who underclaim tax benefits to which they are entitled. If Congress decides to extend broader math error authority to IRS, controls may be needed to ensure that this authority is used properly such as requiring IRS to report on its use of math error authority. The Administration also requested that Congress expand IRS's math error authority as part of the President's budget proposal for fiscal year 2021. Specifically, the Administration requested authority to correct a taxpayer's return in the following circumstances: 1) the information provided by the taxpayer does not match the information contained in government databases; 2) the taxpayer has exceeded the lifetime limit for claiming a deduction or credit; or 3) the taxpayer has failed to include with his or her return certain documentation that is required by statute. As of January 2020, the Congress had not provided IRS with such authority. We continue to believe that Congress should broaden IRS's math error authority with appropriate safeguards in order to help reduce the tax gap, which is the difference between tax amounts that taxpayers should have paid and what they actually paid .

Recommendation: To support the triennial review program's goal of having grantees consistently meet more federal requirements, the Secretary of Transportation should direct the FTA to ensure that additional outcome and quality performance measures are balanced with the existing measures for assessing the timeliness of the triennial review program so that one priority is not emphasized at the expense of others.

Agency: Department of Transportation
Status: Open

Comments: Federal Transit Administration (FTA) anticipates adding a performance measurement, called reduction in repeat findings, that relates to assessing the quality of the review. This has been added to FTA's new Quality Review program focused on improving its Triennial Review program.

Recommendation: To improve the effectiveness of the federal investment in surface transportation, meet the nation's transportation needs, and ensure a sustainable commitment to transportation infrastructure, Congress may wish to consider reexamining and refocusing surface transportation programs to be responsive to these principles so that they institute tools and approaches to that emphasize the return on the federal investment.

Agency: Congress
Status: Open

Comments: As of November 2019, Congress has not yet acted on this recommendation. The Fixing America's Surface Transportation Act (FAST Act; P.L. 114-94), signed into law in December 2015, is due to be reauthorized in fiscal year 2021.

Recommendation: To improve the effectiveness of the federal investment in surface transportation, meet the nation's transportation needs, and ensure a sustainable commitment to transportation infrastructure, Congress may wish to consider reexamining and refocusing surface transportation programs to be responsive to these principles so that they address the current imbalance between federal surface transportation revenues and spending.

Agency: Congress
Status: Open

Comments: As of November 2019, Congress has not yet acted on this recommendation. The Fixing America's Surface Transportation Act (FAST Act; P.L. 114-94), signed into law in December 2015, did not address the current imbalance between federal surface transportation revenues and spending. The Act is due to be reauthorized in fiscal year 2021.

Recommendation: Congress may wish to consider requiring increased attention to fiscal responsibility in the approval of section 1115 Medicaid demonstrations by requiring the Secretary of HHS to improve the demonstration review process through steps such as (1) clarifying criteria for reviewing and approving states' proposed spending limits, (2) better ensuring that valid methods are used to demonstrate budget neutrality, and (3) documenting and making public material explaining the basis for any approvals.

Agency: Congress
Status: Open

Comments: As of April 2020, there had been no legislation introduced to require HHS to improve the Medicaid demonstration review process. However, HHS has taken some action to address some aspects of GAO's recommendation. CMS established new policies that addressed certain problems GAO had identified and issued written guidance on the process and criteria used to approved states' proposed spending limits. Not all problems identified by GAO were addressed by the new CMS policy, thus legislation to require HHS to improve the Medicaid demonstration review process, as GAO recommended in January 2008, continues to be a viable matter for consideration.

Recommendation: Congress may wish to consider addressing whether demonstrations that allow states to operate public managed care organizations and retain excess revenue to support programs previously funded by the state--including the Vermont demonstration--are within the scope of the Secretary of HHS's authority under section 1115 of the Social Security Act.

Agency: Congress
Status: Open

Comments: As of April 2020, Congress had not passed legislation in response to our matter for congressional consideration.

Recommendation: In order to improve freight mobility by more clearly defining the federal role in the freight transportation network and to begin to align federal investments with economically significant national benefits, the Secretary of Transportation should develop with Congress and public and private sector stakeholders a comprehensive national strategy for freight transportation. This national strategy should include defining the federal role and national interests in freight transportation, including economically-based and objective criteria to identify areas of national significance for freight transportation and to determine whether federal funds are required in those areas.

Agency: Department of Transportation
Status: Open

Comments: To fully implement this recommendation, DOT should complete and issue a National Freight Strategic Plan. As part of the development of the National Freight Strategic Plan, DOT should include defining the federal role in freight transportation, including economically-based and objective criteria to identify areas of national significance for freight transportation and to determine whether federal funds are required in those areas. As of February 2020, DOT had not issued the National Freight Strategic Plan and DOT officials said they were planning to issue the strategy by the end of 2020.

Recommendation: In order to improve freight mobility by more clearly defining the federal role in the freight transportation network and to begin to align federal investments with economically significant national benefits, the Secretary of Transportation should develop with Congress and public and private sector stakeholders a comprehensive national strategy for freight transportation. This national strategy should include establishing the roles of regional, state, and local governments, as well as the private sector.

Agency: Department of Transportation
Status: Open

Comments: To fully implement this recommendation, DOT should complete and issue a National Freight Strategic Plan. As part of the development of the National Freight Strategic Plan, DOT should include establishing the roles of regional, state, and local governments, as well as the private sector. As of February 2020, DOT had not issued the National Freight Strategic Plan and DOT officials said they were planning to issue the strategy by the end of 2020.

Recommendation: In order to improve freight mobility by more clearly defining the federal role in the freight transportation network and to begin to align federal investments with economically significant national benefits, the Secretary of Transportation should develop with Congress and public and private sector stakeholders a comprehensive national strategy for freight transportation. This national strategy should include using new or existing federal funding sources and mechanisms to support a targeted, cost-effective, and sustainable federal role in freight transportation.

Agency: Department of Transportation
Status: Open

Comments: To fully implement this recommendation, DOT should complete and issue a National Freight Strategic Plan. As part of the development of the National Freight Strategic Plan, DOT should include using new or existing federal funding sources and mechanisms to support a targeted, cost-effective, and sustainable federal role in freight transportation. As of February 2020, DOT had not issued the National Freight Strategic Plan and DOT officials said they were planning to issue the strategy by the end of 2020.

Recommendation: In order to put the Emergency Relief program on a sound financial footing, Congress may wish to consider the expected future demands on the program and reexamine the appropriate level and sources of funding--including whether to increase the $100 million annual authorized funding and whether the Highway Trust Fund, the General Fund, or some combination would allow the program to accomplish its purpose in a fiscally sustainable manner.

Agency: Congress
Status: Open

Comments: As of November 2019, Congress has not yet taken action on this recommendation. The Emergency Relief Program is due to be reauthorized in 2020.

Recommendation: Congress may also wish to consider tightening the eligibility criteria for Emergency Relief funding, either through amending the purpose of the Emergency Relief program, or by directing FHWA to revise its program regulations. Revised criteria could include limitations on the use of Emergency Relief funds to fully finance projects with scope and costs that have grown as a result of environmental and community concerns.

Agency: Congress
Status: Open

Comments: As of November 2019, Congress has not yet taken action on this recommendation. The Emergency Relief Program is due to be reauthorized in 2020.

Recommendation: The Secretary of the Interior should direct the Deputy Assistant Secretary for Insular Affairs to develop a framework for OIA employees to use in conducting site visits to help ensure objectives are achieved, to assure that relevant information is shared with responsible officials, and to allow more efficient and effective monitoring of issues.

Agency: Department of the Interior
Status: Open

Comments: On May 24, 2017, the Department of Interior (DOI) sent out an email to its staff showing the dissemination of the new format required for completing trip reports by the staff of the Office of Insular Affairs (OIA). The new format requires staff to include travel justification (i.e., purpose/objective, location, and travel period) and trip report (i.e., meetings, site visits, results, and next steps, as applicable.) The intent of the recommendation is for DOI to have a framework that includes (1) status of required single audit reports; (2) the progress of actions to resolve reported internal control weaknesses; and (3) current needs for technical assistance, capacity building, and staff level expertise. Further, the intent of GAO's recommendation is that this information be integrated into a comprehensive monitoring process. We did not see these elements included in DOI's new format. At present, the agency has been unable to provide additional information that supports the development of a framework for conducting sites visits that incorporates procedures about how information will be shared and monitored. In August 2020, the agency informed us that it has taken additional corrective actions some time ago and is in the process of trying to locate the supporting documentation. We will continue to monitor the agency's actions to address this recommendation.