Reports & Testimonies
Recommendations Database
GAO’s recommendations database contains report recommendations that still need to be addressed. GAO’s priority recommendations are those that we believe warrant priority attention. We sent letters to the heads of key departments and agencies, urging them to continue focusing on these issues. Below you can search only priority recommendations, or search all recommendations.
Our recommendations help congressional and agency leaders prepare for appropriations and oversight activities, as well as help improve government operations. Moreover, when implemented, some of our priority recommendations can save large amounts of money, help Congress make decisions on major issues, and substantially improve or transform major government programs or agencies, among other benefits.
As of October 25, 2020, there are 4812 open recommendations, of which 473 are priority recommendations. Recommendations remain open until they are designated as Closed-implemented or Closed-not implemented.
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Results:
Subject Term: "Nutrition services"
GAO-20-18, Nov 21, 2019
Phone: (202) 512-7215
Agency: Department of Health and Human Services: Administration for Community Living
Status: Open
Comments: HHS agreed with this recommendation, stating that ACL plans to work with the Office of Disease Prevention and Health Promotion and other relevant HHS officials and agencies to document HHS's plans to emphasize the specific and varying nutritional needs of older adults in the 2025-2030 update. HHS also stated that ACL plans to acquire the services of a registered dietician with specialized expertise in older adults' nutritional needs. We will consider closing this recommendation when these efforts are completed.
Agency: Department of Health and Human Services: Administration for Community Living
Status: Open
Comments: HHS agreed with this recommendation. HHS stated that ACL's program and evaluation offices will collaborate on the development of plans to ensure state compliance with federal requirements.
Agency: Department of Agriculture: Office of the Secretary: Food, Nutrition and Consumer Services: Food and Nutrition Service
Status: Open
Comments: In May 2020, the Department of Agriculture's Food and Nutrition Service told us that, in an effort to improve oversight of the CACFP meals provided in adult day care centers, it will place a special interest on lessons learned from onsite local reviews that are conducted by states where the adult portion of the CACFP is administered separately by the state department of aging and thus, adult day care institutions are always selected for local onsite reviews as part of their management evaluation. Further, Food and Nutrition Service told us it will commit to sharing this information with other state agencies that administer the CACFP. Food and Nutrition Service estimates completing this action by the end of calendar year 2020. We will review the status of this recommendation upon receipt of Food and Nutrition Service updates at the end of 2020.
Agency: Department of Health and Human Services: Administration for Community Living
Status: Open
Comments: HHS agreed with this recommendation. The agency stated that ACL will award a contract in fiscal year 2020 for a new National Resource Center on Nutrition and Aging to, among other things, centralize information on promising approaches so nutrition services providers can access it easily. We will consider closing this recommendation when this effort is complete.
Agency: Department of Agriculture: Office of the Secretary: Food, Nutrition and Consumer Services: Food and Nutrition Service
Status: Open
Comments: In May 2020, the Department of Agriculture's Food and Nutrition Service told us that it will take several actions over the next 12 months to address our recommendation. Food and Nutrition Service actions will include holding listening sessions specifically focused on the adult day care side of the program at two national CACFP conferences this year to understand the specific information providers are looking for the address the needs of older adults and identify promising strategies for accommodating those needs; review existing guidance for training opportunities and areas that could benefit from further clarifications; and updating the Adult Day Care Handbook to include promising practice examples to address specific information and concerns gathered from the listening sessions, GAO's report findings, and further clarifications from existing guidance. Food and Nutrition Service also told us it will use multiple channels to ensure the handbook is widely disseminated to state agencies and adult day care program operators. We will review the status of this recommendation upon receipt of additional updates from Food and Nutrition Service regarding the aforementioned actions to be taken over the next 12 months.
GAO-19-572, Jul 25, 2019
Phone: (202) 512-7215
Agency: Department of Agriculture
Status: Open
Comments: USDA generally agreed with this recommendation. The agency noted that FNS has efforts underway to comply with the 2018 Farm Bill requirement that the department report annually on the level of coordination between its nutrition education programs.
Agency: Department of Agriculture
Status: Open
Comments: USDA generally agreed with this recommendation. The agency noted that FNS has efforts underway to comply with the 2018 Farm Bill requirement that the department report annually on the level of coordination between its nutrition education programs.
Agency: Department of Agriculture
Status: Open
Comments: USDA generally agreed with this recommendation. The agency noted that FNS has efforts underway to comply with the 2018 Farm Bill requirement that the department report annually on the level of coordination between its nutrition education programs.
GAO-19-330, May 23, 2019
Phone: (202) 512-7215
Agency: Department of Health and Human Services: Administration for Community Living
Status: Open
Comments: HHS agreed with this recommendation, stating that it would encourage its resource centers to identify promising practices and other information specific to rural communities so that these resources would be searchable. In December 2019, ACL stated that it would continue to list all resource centers on its website so that anyone can find resources specific to any topic funded by ACL. The agency also noted that it would begin implementation of this action with new resource centers funded with FY 2020 appropriations. GAO continues to encourage ACL to centralize access to information pertinent to rural older adults by making it easily searchable across these websites or compiling it in other ways and promoting awareness of this information.
GAO-19-115, Oct 2, 2018
Phone: (202) 512-7215
Agency: Department of Agriculture: Office of the Secretary: Food, Nutrition and Consumer Services: Food and Nutrition Service
Status: Open
Comments: FNS agreed with this recommendation. The agency noted that it has been moving in the general direction of this recommendation and would build on current efforts to address it but noted that state readiness and technical capabilities are limiting factors in the adoption of data analytics.
GAO-18-369, May 31, 2018
Phone: (202) 512-7215
Agency: Department of Agriculture: Office of the Secretary: Food, Nutrition and Consumer Services: Food and Nutrition Service
Status: Open
Comments: In March 2019, Department of Agriculture's Food and Nutrition Service (FNS) submitted its 180-day letter and a subsequent response to report recommendations in GAO-18-369. In its response, FNS stated that it anticipates completing an evaluation of how they calculate SFSP participation by summer 2020. GAO will continue to monitor FNS actions to address this recommendation, including the status of its evaluation and steps taken to improve the agency's estimate of children participating in SFSP. GAO will consider this recommendation closed when FNS provides documentation that it has addressed, at a minimum, data reliability issues in the participation estimate caused by variations in the number of operating days of meal sites and in the months in which states see the greatest number of meals served. FNS plans to provide us with the status of its efforts by the end of FY 2020.
Agency: Department of Agriculture: Office of the Secretary: Food, Nutrition and Consumer Services: Food and Nutrition Service
Status: Open
Comments: In late May 2018, the Department of Agriculture's Food and Nutrition Service (FNS) provided guidance to states regarding changes in policies related to SFSP waivers and demonstration projects and held a webinar to clarify the changes. In March 2019, FNS reported that this guidance and the webinar provided information about participation in the demonstration for exceptional circumstances, which is the means through which FNS had granted states and program providers flexibility for children to consume SFSP meals off-site in areas that had experienced crime and violence. However, the guidance documents do not directly acknowledge that FNS includes areas with crime and violence as exceptional circumstances for purposes of the demonstration, and neither the guidance nor the webinar provided new information about the circumstances FNS considers when granting the flexibility for such areas. GAO will therefore continue to monitor FNS actions to address this recommendation and consider it closed when the agency communicates the circumstances it considers in approving such requests for flexibility with response to the requirement that children consume SFSP meals on-site in areas that have experienced crime and violence. FNS plans to provide us with the status of its efforts by the end of FY 2020.
Agency: Department of Agriculture: Office of the Secretary: Food, Nutrition and Consumer Services: Food and Nutrition Service
Status: Open
Comments: In March 2019, Department of Agriculture's Food and Nutrition Service (FNS) reported that it had drafted the report to Congress to meet its statutory requirement summarizing the use of waivers and demonstration projects. FNS also indicated that the report was being reviewed internally, and planned to submit the final report to Congress following that review. GAO will consider closing this recommendation when FNS submits the final report to Congress. FNS plans to provide us with the status of its efforts by the end of FY 2020.
Agency: Department of Agriculture: Office of the Secretary: Food, Nutrition and Consumer Services: Food and Nutrition Service
Status: Open
Comments: In March 2019, Department of Agriculture's Food and Nutrition Service (FNS) submitted its 180-letter and a subsequent response to recommendations in GAO-18-369. In its response, FNS stated that it plans to address streamlining flexibilities that impact the SFSP and other child nutrition programs in a future regulatory action. GAO will therefore continue to monitor FNS's progress with this rule-making and any other actions taken to address this recommendation. FNS plans to provide us with the status of its efforts by the end of FY 2020.