Recommendation: The Director of DHS's Cybersecurity and Infrastructure Agency should assess EPA data when planning outreach to public water system and wastewater treatment works facilities (Recommendation 1).

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: The OHS Director should require Head Start grantees to document that water provided to children has been tested for lead. OHS could determine various ways that are feasible and efficient for grantees to satisfy this requirement; for example, verification could be done through OHS' current grantee data collection or monitoring processes. (Recommendation 1)

Agency: Department of Health and Human 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 Assistant Secretary for the Administration for Children and Families should direct OCC and OHS to develop an agreement with EPA on their roles and responsibilities in implementing the Memorandum of Understanding on Reducing Lead Levels in Drinking Water in Schools and Child Care Facilities. For example, these agreements may include the ways in which guidance and information will be shared with states and Head Start grantees, such as through webinars or email, and how frequently. (Recommendation 2)

Agency: Department of Health and Human 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 Assistant Administrator of the Office of Water should develop an agreement with HHS's Offices of Child Care and Head Start on their roles and responsibilities in implementing the Memorandum of Understanding on Reducing Lead Levels in Drinking Water in Schools and Child Care Facilities. For example, these agreements may include the ways in which guidance and information will be shared with states and Head Start grantees, such as through webinars or email, and how frequently. (Recommendation 3)

Agency: Environmental Protection Agency
Status: Open

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

Recommendation: The Assistant Administrator of the Office of Water should direct the Office of Water to specify how it will track progress toward the outcomes of the Memorandum of Understanding on Reducing Lead Levels in Drinking Water in Schools and Child Care Facilities and determine how it will regularly monitor and update the MOU. For example, the Office of Water could develop performance measures for each of the MOU's outcomes. In addition, the Office of Water could submit annual reports on progress toward achieving the MOU's outcomes or it could plan to update the agreement at specific intervals. (Recommendation 4)

Agency: Environmental Protection Agency
Status: Open

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

Recommendation: The Commissioner of FDA should establish a process for the agency to communicate directly with all U.S.-based commercial airlines, including regional airlines, to encourage them to request construction inspections to ensure compliance with the agency's standards for the sanitary construction of aircraft galleys and lavatories. (Recommendation 1)

Agency: Department of Health and Human Services: Food and Drug Administration
Status: Open

Comments: HHS concurs with GAO's recommendation. FDA agrees that enhancing communication with U.S.-based commercial airlines, including major national and regional commuter airlines, to encourage them to request construction inspections can have a positive impact on efforts to gain compliance with the Agency's standards for aircraft galley and lavatory sanitation and potable water system installation. FDA has a long history of working collaboratively with interstate travel conveyance stakeholders to provide public health oversight to the industry. As part of this collaboration, FDA and the airline industry connect through a variety of mechanisms to provide access to diverse industry partners. To effectively engage all relevant stakeholders, FDA will consider ways to enhance current mechanisms and coordinate with airlines on better communication. FDA will review its existing outreach channels to allow airline stakeholders to actively and directly engage with the Agency on construction inspections. FDA will review its Interstate Travel Program website to determine if updates can be made to emphasize airline construction and reconstruction information. FDA maintains open dialog with airline organizations, including the Airlines for America (A4A), the Regional Airline Association (RAA), and the International Flight Services Association (IFSA). Members of A4A are comprised of major national airlines, whereas those of RAA are comprised of regional commuter airlines and those in IFSA include airlines and airline food suppliers. These industry associations are valuable partners in developing solutions to problems that concern the airlines and airline construction. FDA will continue to engage with these organizations in written correspondence and at relevant national industry meetings (such as the Environmental Protection Agency biennial meeting on aircraft drinking water safety) and will include the topic of construction inspections. FDA will also continue to use these existing mechanisms to develop a better communication process with the airline industry on its efforts to improve industry practice and government oversight.

Recommendation: The U.S. commissioners of the International Joint Commission should work with the Canadian commissioners to update the Lake Ontario-St. Lawrence River Board communications plan and ensure that the plan incorporates best practices for public relations efforts, in particular defining target audiences and developing mechanisms to monitor and inform adjustments to strategies, and generally accepted principles for communicating risk-related information. (Recommendation 1)

Agency: International Joint Commission--United States and Canada
Status: Open

Comments: The International Joint Commission (IJC) agreed with our recommendation. IJC stated that it intends to develop an updated communications plan that incorporates best practices for public relations efforts by December 31, 2020. We will continue to monitor IJC's actions in response to this recommendation.

Recommendation: The U.S. commissioners of the International Joint Commission should work with the Canadian commissioners to develop and enter into written agreements with entities that the Great Lakes-St. Lawrence River Adaptive Management Committee identifies as having information or resources that the committee needs to effectively monitor and evaluate the impacts of Plan 2014. (Recommendation 2)

Agency: International Joint Commission--United States and Canada
Status: Open

Comments: The International Joint Commission (IJC) agreed with our recommendation. IJC is compiling a list of entities with which it shares information to explore formal data and information sharing arrangements with them. We will continue to monitor IJC's actions in response to this recommendation.

Recommendation: The U.S. commissioners of the International Joint Commission should work with the Canadian commissioners to ensure that IJC fully incorporates the key elements and essential characteristics of the adaptive management process into a comprehensive adaptive management strategic plan for Plan 2014. (Recommendation 3)

Agency: International Joint Commission--United States and Canada
Status: Open

Comments: The International Joint Commission (IJC) agreed with our recommendation. IJC plans to produce a comprehensive adaptive management strategic plan that fully incorporates the key elements and essential characteristics of the adaptive management process by December 31, 2020. We will continue to monitor IJC's actions in response to this recommendation.

Recommendation: The Director of Water Security of EPA, as Chair of the Water Sector Government Coordinating Council, should work with the council to identify existing technical assistance providers and engage these providers in a network to help drinking water and wastewater utilities incorporate climate resilience into their projects and planning on an ongoing basis. (Recommendation 1)

Agency: Environmental Protection Agency
Status: Open
Priority recommendation

Comments: In June 2020, EPA said that it will continue to work with its wide-ranging, existing technical assistance providers and coordinate with its stakeholders to identify additional providers as applicable. According to the agency, it is already taking action on the recommendation. While we agree that EPA should continue to work with its providers to improve technical assistance to utilities, our recommendation was for EPA to work with stakeholders to develop a network to provide coverage for the many drinking water and wastewater utilities across the country. EPA has not provided information to show that its plans will develop such a network. We will continue to monitor this recommendation to determine how the agency is working with stakeholders to build a network of providers.

Recommendation: The Assistant Secretary for Elementary and Secondary Education should improve the usability of Education's websites to ensure that the states and school districts can more easily find and access federal guidance to address lead in school drinking water, by taking actions such as clarifying which links contain guidance; highlighting new or important guidance; improving their websites' search function; and categorizing guidance. (Recommendation 5)

Agency: Department of Education
Status: Open

Comments: The Department of Education agreed with this recommendation. The agency said it would identify and include an information portal dedicated to enhancing the usability of federal resources related to testing for and addressing lead in school drinking water. Also, Education said it is interested in increasing coordination across all levels of government and it shares the view expressed in our report that improved federal coordination, including with EPA, will better enhance collaboration to encourage testing for lead in school drinking water. In 2019, Education said it planned to complete work on this recommendation by January 1, 2020. We will consider closing this recommendation when these efforts are complete.

Recommendation: The Assistant Secretary for Elementary and Secondary Education should collaborate with EPA to encourage testing for lead in school drinking water. This effort could include disseminating EPA guidance related to lead testing and remediation in schools or sending letters to states to encourage testing in all school districts that have not yet done so. (Recommendation 7)

Agency: Department of Education
Status: Open
Priority recommendation

Comments: The Department of Education agreed with this recommendation. Education stated it has held multiple meetings with the Environmental Protection Agency (EPA) and stated that it plans to hold a virtual meeting with EPA to share information and resources about safe drinking water and raise awareness of the importance of testing for lead. Education also stated it is developing a timeline to conduct additional collaboration activities with EPA. Education officials said they are considering joining an EPA-led Memorandum of Understanding to, among other things, encourage schools to test drinking water for lead. We will consider closing this recommendation when these efforts are complete.

Recommendation: The Assistant Administrator for Water of EPA's Office of Water should require states to report available information about lead pipes to EPA's Safe Drinking Water Information System (SDWIS)/Fed (or a future redesign such as SDWIS Prime) database, in its upcoming revision of the LCR. (Recommendation 1)

Agency: Environmental Protection Agency
Status: Open
Priority recommendation

Comments: As of July 2020 there has been no change in the status of this recommendation. In July 2019, EPA said that the 2016 America's Water Infrastructure Act (AWIA) requires EPA to conduct an assessment of the costs to replace lead service lines and that EPA would conduct this assessment (a survey) in 2020. In a previous update, EPA said that it would consider GAO's recommendation to require states to report available information about lead pipes along with those of other stakeholders as part of the development of the revisions to the Lead and Copper Rule. EPA officials estimated that the agency would publish a proposal for the revisions in 2019.

Recommendation: The Assistant Administrator for Water of EPA's Office of Water should require states to report all 90th percentile sample results for small water systems to EPA's SDWIS/Fed (or a future redesign such as SDWIS Prime) database, in its upcoming revision of the LCR. (Recommendation 2)

Agency: Environmental Protection Agency
Status: Open
Priority recommendation

Comments: As of July 2020 there has been no change in the status of this recommendation. In July 2019, EPA said that it would consider GAO's recommendation to require states to report all 90th percentile sample results for small systems along with those of other stakeholders as part of the development of the revisions to the Lead and Copper Rule. EPA officials estimated that a proposal for the revisions would be published in 2019.

Recommendation: The Assistant Administrator for Water of EPA's Office of Water and the Assistant Administrator of EPA's Office of Enforcement and Compliance Assurance should develop a statistical analysis that incorporates multiple factors--including those currently in SDWIS/Fed and others such as the presence of lead pipes and the use of corrosion control--to identify water systems that might pose a higher likelihood for violating the LCR once complete violations data are obtained, such as through SDWIS Prime. (Recommendation 3)

Agency: Environmental Protection Agency
Status: Open
Priority recommendation

Comments: As of July 2020 there has been no change in the status of this recommendation. In July 2019, EPA stated that the agency developed a Lead and Cooper Rule (LCR) violation reporting tool that is updated and distributed to the EPA regional offices on a quarterly basis. This tool, according to EPA, enhances national oversight by fostering closer engagement with the regional offices to continuously assess any new water systems violating the LCR. EPA has stated that the agency has also developed, and shared with its regional offices, an internal resource to make ad hoc assessments of water systems, nationwide, that would benefit most from assistance with lead service line replacements or (for water systems without lead service lines) corrosion control treatment installation/re-optimization. According to EPA, this internal resource takes a multi-factor approach that considers historical action level exceedance occurrences and information on additional factors (for which information is already available through regulatory development efforts for the LCR long-term revisions or internet search engine queries). These additional factors include the number of lead service lines known to be present in a given water system; the proportion of a system's service connections that are served by lead service lines; and potential technical, managerial, and financial capacity challenges experienced by that system. Although EPA has made progress in addressing the recommendation, GAO will leave this recommendation open until SDWIS Prime is implemented.

Recommendation: To improve EPA's ability to oversee the states' implementation of the Safe Drinking Water Act and provide Congress and the public with more complete and accurate information on compliance, the Administrator of EPA should resume data verification audits to routinely evaluate the quality of selected drinking water data on health-based and monitoring violations that the states provide to EPA. These audits should also evaluate the quality of data on the enforcement actions that states and other primacy agencies have taken to correct violations.

Agency: Environmental Protection Agency
Status: Open
Priority recommendation

Comments: As of July 2020 there has been no change in the status of this recommendation. EPA, as of September 2019, had not resumed data verification audits to routinely evaluate the quality of the data states provide to the agency. The Safe Drinking Water Information System (SDWIS) Prime and the Compliance Monitoring Data Portal (CMDP) will replace the data verification audits in the future. EPA has made SDWIS Prime available through incremental interim releases to state drinking water agencies for exploring and testing but does not expect to fully release it until mid-2020. However, as of August 2019, SDWIS Prime was unavailable while EPA awaited progress on the SDWIS Modernization Project plan. According to EPA, the CMDP will enable utilities and laboratories to report data electronically to primacy agencies with fewer errors and in a more efficient manner; but it is not clear when it will be fully operational. According to data provided by EPA in September 2019, 10 states were using CMDP to varying degrees. EPA information identified another 6 states that plan to transition to CMDP between September and December 2019, 2 states that plan to transition in 2020, and 12 others that may transition in the future. In the meantime, EPA indicated that the agency will complete nine file reviews in 2019 to verify data in agencies that do not currently use CMDP. EPA's actions may improve its ability to oversee states' implementation of the act and provide more complete and accurate information on compliance, but because EPA's systems to replace data verification audits are not yet fully in place, we are keeping this recommendation open.

Recommendation: To improve EPA's ability to oversee the states' implementation of the Safe Drinking Water Act and provide Congress and the public with more complete and accurate information on compliance, the Administrator of EPA should work with the states to establish a goal, or goals, for the completeness and accuracy of data on monitoring violations. In setting these goals, EPA may want to consider whether certain types of monitoring violations merit specific targets. For example, the agency may decide that a goal for the states to completely and accurately report when required monitoring was not done should differ from a goal for reporting when monitoring was done but not reported on time.

Agency: Environmental Protection Agency
Status: Open

Comments: As of July 2020 there has been no change in the status of this recommendation. EPA is developing the Safe Drinking Water Information System (SDWIS) Prime, with several efforts underway as of September 2019 as we noted under recommendation 1, but until it is fully operational, EPA will not be able to work with states to establish a national goal for the quality of monitoring violations. EPA noted in 2017 that it expected SDWIS Prime to enable the agency and primacy agencies to better understand the nature of system violations and consider developing goals for monitoring and reporting violations. However, according to EPA, SDWIS Prime will not be released until mid-2020. EPA indicated plans to modify the Annual Public Water System Supervision (PWSS) Program Review requirements but the agency states that it is dependent on approval by the Office of the Inspector General. Despite the ongoing delays to address the call in the recommendation for establishing new goals, we are keeping this recommendation open while EPA continues its efforts to implement SDWIS Prime.

Recommendation: The Administrator, EPA, should take a number of steps to further protect the American public from elevated lead levels in drinking water. Specifically, to improve EPA's ability to oversee implementation of the lead rule and assess compliance and enforcement activities, EPA should ensure that data on water systems' test results, corrective action milestones, and violations are current, accurate, and complete.

Agency: Environmental Protection Agency
Status: Open

Comments: As of July 2020 there has been no change on the status of this recommendation. In June 2019, EPA reported to GAO that its tools for improving data about water systems compliance are not complete, though some states and laboratories have been exploring and testing incremental versions of them. EPA reported in a previous update that the agency had been working with states through face-to-face trainings and webinars on the reporting of milestone data. GAO will continue to monitor these efforts and reevaluate whether water systems' test results, corrective action milestones and violations are current, accurate and complete subsequent to the completion of the Compliance Monitoring Data Portal and the Safe Drinking Water Information System (SDWIS) Prime, described briefly below. However, until these new tools are complete, the status of this recommendation remains open. According to EPA, as of June 2018, SDWIS Prime has been available for exploring and testing, following incremental interim releases, since early 2018. In addition, EPA stated that SDWIS Prime will continue to be available for exploring and testing until the first production release anticipated for mid-2020.The agency has also focused on promoting electronic reporting of drinking water data through the development of the Compliance Monitoring Data Portal (CMDP). In June 2019, EPA stated that as of May 31, 2019, 10 states and more than 200 laboratories were using CMDP. According to EPA, as a result of using CMDP, these states reported a 30-70 percent reduction in staff time for data processing and a 90-99 percent reduction in errors for data.