Recommendation: The Secretary of Defense should ensure that the Director of the Defense Civilian Personnel Advisory Service reports the results of the assessment of employee perceptions of modifications to term and temporary appointments to the Congress and GAO.

Agency: Department of Defense
Status: Open

Comments: The Department of Defense (DOD) concurred with our recommendation. We will continue to follow-up with DOD on the status of this recommendation.

Recommendation: The Commandant of the Coast Guard should establish a systematic mechanism to track implementation and measure the Coast Guard's progress in achieving organizational change goals. (Recommendation 1)

Agency: Department of Homeland Security: United States Coast Guard
Status: Open

Comments: The Coast Guard concurred with this recommendation and said it would establish a policy requiring that requests to change organizational structure include a plan, and establish a mechanism to track implementation and measure progress in achieving organizational change goals. The Coast Guard stated that this will be completed by December 31, 2020.

Recommendation: The Commandant of the Coast Guard should establish a mechanism to periodically seek and monitor employee satisfaction with organizational change efforts. (Recommendation 2)

Agency: Department of Homeland Security: United States Coast Guard
Status: Open

Comments: The Coast Guard concurred with this recommendation and agreed that mechanisms to periodically seek and monitor employee satisfaction with organizational change efforts are valuable. However, they stated that their current feedback mechanisms capture this information therefore they requested we close the recommendation. The Coast Guard also stated its preference to add questions to existing surveys rather than create new survey instruments. However, we found that the Coast Guard's current surveys do not capture employee's perspectives as organizational changes are implemented. This recommendation remains open pending Coast Guard providing evidence of its actions to modify existing surveys with added questions that monitor employee satisfaction with organizational changes.

Recommendation: The Commandant of the Coast Guard should update its Manpower Requirements Manual with guidance for how to execute its manpower requirements determination process, and take steps to ensure the process is implemented. (Recommendation 3)

Agency: Department of Homeland Security: United States Coast Guard
Status: Open

Comments: The Coast Guard concurred with this recommendation and said it would develop a Tactics, Techniques and Procedures document to provide guidance for executing the manpower requirements determination process. This would provide additional guidance on the overall manpower requirements determination process, including explicit directions for the collection and analysis of manpower data, and the establishment of enterprise standards for key factors and allowances used when conducting analysis. The Coast Guard stated that this will be completed by September 30, 2020.

Recommendation: The Commandant of the Coast Guard should track and document the extent to which it has completed manpower requirements analyses and determinations for each unit type. (Recommendation 4)

Agency: Department of Homeland Security: United States Coast Guard
Status: Open

Comments: The Coast Guard concurred with this recommendation and said it would initiate the process to document and track Manpower Requirements in the Coast Guard's human resources system. The Coast Guard stated that this would be completed by December 31, 2020.

Recommendation: The Commandant of the Coast Guard should update its April 2018 Manpower Requirements Plan to include time frames and milestones for completing manpower requirements analyses and determinations for all positions and units. (Recommendation 5)

Agency: Department of Homeland Security: United States Coast Guard
Status: Open

Comments: The Coast Guard concurred with this recommendation and said it would update its Manpower Requirements Plan during the next required periodic report submitted to Congress, in fiscal year 2022. The Coast Guard stated that this would be completed by March 31, 2022.

Recommendation: The Commandant of the Coast Guard should determine the resources its manpower requirements determination program needs, both staff and funding, to achieve its goal of completing manpower requirements determinations for all positions and units. (Recommendation 6)

Agency: Department of Homeland Security: United States Coast Guard
Status: Open

Comments: The Coast Guard concurred with this recommendation and said it would review its 2010 manpower requirements analysis that determined the resources the Coast Guard required for its manpower requirements determination program. Its Office of Human Resources Strategy and Capability will then re-validate the inputs and update the findings for the manpower requirements analysis to reflect the currents needs of the manpower requirements determination program. The Coast Guard stated that this will be completed by September 30, 2020.

Recommendation: The Chair of the Securities and Exchange Commission should direct the Chief Operating Officer to develop and implement safeguards to better ensure transparency and fairness in SEC's new performance incentive bonus program. Such safeguards could include multiple levels of review of performance ratings and pay decisions and publishing aggregate data on the results of the performance cycle that allow employees to compare results across various groups within the agency while protecting the confidentiality of individual ratings and pay decisions. (Recommendation 1)

Agency: United States Securities and Exchange Commission
Status: Open
Priority recommendation

Comments: SEC stated that it concurred with, and plans to implement, our recommendation. In August 2020, SEC officials stated that they were continuing to design the performance incentive bonus program's framework and in the process of acquiring consultative services to assist in validating that its design, communication strategy, and operating practices reflect leading practice and support achieving desired outcomes. We will continue to monitor SEC's progress in ensuring transparency and fairness in its performance incentive bonus program.

Recommendation: The Administrator of the General Services Administration (GSA), in coordination with the Director of the Office of Management and Budget, should ensure that the average cost per square foot performance measure for GSA-managed space is calculated using actual cost information. (Recommendation 1)

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

Comments: GSA concurred with this recommendation and has developed an action plan to implement it. In January 2020, GSA officials told us that GSA will change the method for calculating the average cost per square foot performance measure by now using the actual rent agencies paid to GSA in the calculation. GSA officials also stated that GSA will post this information annually to performance.gov. We will continue to monitor GSA's implementation of these efforts.

Recommendation: The Coast Guard should conduct a comprehensive analysis of its Deployable Specialized Forces' workforce needs. (Recommendation 1)

Agency: Department of Homeland Security: United States Coast Guard
Status: Open

Comments: In November 2019, GAO reported that the Coast Guard did not fully apply a leading practice for using data and evidence when it reorganized its Deployable Specialized Forces because it had not assessed its overall Specialized Forces workforce needs, as recommended by this practice. The Coast Guard, through DHS, concurred with GAO's recommendation that it conduct a comprehensive analysis of its Specialized Forces' workforce needs. In its May 2020 180-day letter response, DHS stated that the Coast Guard identified its Maritime Safety and Security Team as the highest priority Specialized Forces unit for workforce analysis and that it is scheduled to be completed by the end of fiscal year 2021 but noted that the overall completion of all five unit types is subject to available funding and is not estimated to be completed until September 20, 2025. As GAO reported in November 2019, officials from some of these units stated that they experienced periods of underutilization, while other units with the same or similar capabilities turned down operations for lack of available personnel. Without a comprehensive analysis in place, the Coast Guard does not have the assurance that it has the requisite number of personnel in the right units to conduct the required missions. GAO will continue to monitor Coast Guard actions to address this recommendation.

Recommendation: The Coast Guard should assess the extent to which unnecessary overlap or duplication exists among Deployable Specialized Forces' capabilities. (Recommendation 2)

Agency: Department of Homeland Security: United States Coast Guard
Status: Open

Comments: In November 2019, GAO reported that the Coast Guard did not address potential overlap and duplication within its Specialized Forces. GAO identified some overlap among the capabilities of the different Specialized Forces units and the Coast Guard missions they support. The Coast Guard did not agree with the recommendation in its November 2019 response to GAO's draft report. At that time, DHS stated that GAO's conclusions illustrate a fundamental misunderstanding of the corresponding missions of Specialized Forces units. However, in technical comments provided in March 2020, the Coast Guard indicated that as of February 2020 it had not conducted the analysis necessary to fully identify potential overlap among the units. The Coast Guard stated that it is planning to begin analyzing the units this fiscal year. In its May 2020 180-day letter response, DHS stated that given current funding constrains and competing mission requirements, the Coast Guard could not consider conducting analyses not directly tied to improving mission outcomes. GAO continues to maintain that overlapping capabilities among units could indicate inefficiencies in how units are used as well as missed opportunities for use in others. Further, it is unclear why DHS and the Coast Guard simultaneously agreed to conduct the comprehensive workforce analyses of its Specialized Forces in the same 180-day letter (in response to recommendation #1 for this report), analyses that could inform an assessment of the extent to which unnecessary overlap and duplication exists among these units, while declining to address this recommendation. Without a comprehensive analysis in place, the Coast Guard does not have the assurance that it has the requisite number of personnel in the right units to conduct the required missions. GAO will continue to monitor Coast Guard actions to address this recommendation.

Recommendation: The Associate Administrator of AST should develop workload metrics that encompass the whole office and that would allow AST to determine an appropriate workforce size and composition. (Recommendation 1)

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

Comments: As of July 2020, AST has developed an initial set of metrics for the office's workload and is working with the Federal Aviation Administration's Office of Labor Analysis to enhance and validate the metrics.

Recommendation: The Associate Administrator of AST should establish a timeline for finalizing workload projections that extend beyond the 2-year budget cycle and that include an approach for addressing uncertainty. (Recommendation 2)

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

Comments: As of July 2020, AST said that it has extended the projection period of the staffing model to five years and that it is working with the Federal Aviation Administration's Office of Labor Analysis to validate the extended projections and to include an approach to address uncertainty.

Recommendation: The Associate Administrator of AST should ensure that its skills assessment survey collects information from staff on skills and competencies in those areas that are both currently needed and may be needed in the future. (Recommendation 3)

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

Comments: In May 2020, AST provided documentation showing that in November and December 2019, AST administered surveys to engineering staff and supervisors to assess the skills of engineering staff in specific competency areas that are needed to successfully perform their jobs. The documentation provided also showed that the surveys asked engineering staff and supervisors about the skills they believed AST would need in the future.

Recommendation: The Associate Administrator of AST should develop and document a plan for periodically assessing whether staff possess the necessary skills and competencies to achieve programmatic goals, such as annually administering a skills assessment survey. (Recommendation 4)

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

Comments: In July 2020, AST officials told us they plan to assess employee skills and competencies on a 3-year cycle and that they will establish a process to do so by the end of 2020. We will continue to monitor AST's progress in implementing this recommendation.

Recommendation: The Commissioner of the IRS should fully implement the workforce planning initiative, including taking the following actions: (1) conducting enterprise strategy and planning, (2) conducting workforce analysis, (3) creating a workforce plan, (4) implementing the workforce plan, and (5) monitoring and evaluating the results. (Recommendation 1)

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

Comments: IRS agreed with this recommendation. As of February 2020, the Internal Revenue Service (IRS) reported it has hired or made final offers to new members of its Workforce Planning branch that will help implement the Workforce Planning initiative. According to IRS, the agency is updating its workforce planning policy, and will establish a workforce plan including an enterprise strategy and initiate related workforce analysis by December 2020. By December 2021, IRS expects to implement the workforce plan and a process to monitor and evaluate the results of the workforce plan. Full implementation of a workforce plan that provides a comprehensive inventory of its current workforce will allow IRS to develop competency and staffing requirements to conduct agency-wide activities associated with identifying and addressing skills gaps.

Recommendation: The Secretary of the Treasury should issue clarifying guidance to IRS about the Integrated Talent Management system, including when the workforce planning and talent management modules will be deployed and available for IRS's use, the functions it will include, and how IRS's existing systems and processes within business divisions and program offices will be affected. (Recommendation 2)

Agency: Department of the Treasury
Status: Open

Comments: Treasury agreed with the recommendation. Treasury stated that it has taken actions to ensure that IRS and all Treasury bureaus have a clear understanding of when the ITM workforce planning module will be available and how it will be used. Treasury stated that they conducted a Workforce Planning offsite in May 2019 to (1) ensure a common understanding of the workforce planning process as it relates to ITM; 2) document the process in preparation of utilizing ITM; and 3) agree on how the agency will accomplish workforce planning in ITM. According to Treasury, goals 1 and 2 were achieved during the offsite and the workforce planning community continues to work on the third goal. Treasury expects to complete the discussion on how to accomplish workforce planning in ITM by the end of calendar year 2019. Treasury's Offices of the Chief Human Capital Officer and the Chief Information Officer are responsible for ensuring effective communication and training are completed as each ITM module is implemented. We will continue to monitor Treasury's progress in implementing this recommendation.

Recommendation: The Commissioner of IRS should ensure the Human Capital Officer improves reporting for its workforce planning initiative in its bi-monthly HRstat information submissions to Treasury. The submissions should include the original implementation schedule, changes to the original schedule, delays in implementation and each of their causes, and IRS's strategy to address the causes of those delays. (Recommendation 3)

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

Comments: IRS agrees with this recommendation. In its recommendation status letter to us, IRS wrote that they will include workforce planning in their bi-monthly HRstat information submissions to Treasury, and will have an approved implementation schedule for the workforce planning initiative by December 2019. IRS identified the Human Capital Officer as the responsible official for addressing this recommendation. We will continue to monitor IRS's progress in implementing this recommendation.

Recommendation: The Commissioner of IRS should ensure the Human Capital Officer and Deputy Commissioner for Services and Enforcement report the results of efforts to close skills gaps among revenue agents, including lessons learned, that may help inform strategies for conducting skills gap assessment efforts for other mission critical occupations. (Recommendation 4)

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

Comments: IRS agrees with this recommendation. In its recommendation status letter to us, IRS provided a timetable for implementation. By January 2021, IRS will initiate use of Integrated Talent Management's (ITM) capability to enable workforce planning and analytics. They are still working through requirements and the implementation plan for using this system. By December 2021, IRS will report the results of efforts to close skills gaps among revenue agents, including lessons learned on an annual basis over the next three fiscal years. IRS identified the Human Capital Officer and Deputy Commissioner for Services and Enforcement as the officials responsible for addressing this recommendation. In our 2019 Duplication, Overlap, and Fragmentation report, we determined implementing this recommendation is needed to address IRS's fragmented human capital activities to improve its strategic workforce planning so it can better meet challenges to achieving its mission. We will continue to monitor IRS's progress in implementing this recommendation.

Recommendation: The Commissioner of IRS should ensure the Human Capital Officer and Deputy Commissioner for Services and Enforcement collaborate to develop a work plan or other mechanism that prioritizes and schedules skills assessments for mission critical occupations at highest risk of skills gaps, such as those identified by Treasury or where key activities have been scaled back, for the purposes of developing a strategy to close the gaps. (Recommendation 5)

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

Comments: IRS agreed with the recommendation. As of February 2020, IRS reported that it expects to fully implement this action by June 15, 2020. IRS reported that full implementation of related actions has been delayed due to limited resources. To date, the IRS Human Capital Officer has (1) identified mission critical occupations (MCOs), (2) collaborated with the Employment, Talent and Security (ETS) Division to develop an implementation schedule for the assessments, (3) obtained the Worklife Benefits and Performance Division and ETS Division Directors' approval of the implementation schedule, and (4) published and distributed the schedule. Going forward, the IRS Human Capital Office will coordinate with the Chief Financial Office and the Deputy Commissioner for Services and Enforcement in developing a work plan or other mechanism that prioritizes and schedules skills assessments for mission critical occupations. IRS will also validate its list of 22 positions established in coordination with Treasury. A work plan for addressing MCOs and skills gaps could help IRS identify and close skills gaps on a timely basis. Without such a plan, IRS risks continuing to scale back on mission-critical activities, adding to the existing fragmentation of its human capital planning efforts.

Recommendation: The FTA Administrator should determine, in collaboration with transit stakeholders, whether additional transit workforce data are needed to identify potential future occupational shortages in the transit industry and whether the benefits of this collection would outweigh the cost of gathering it. (Recommendation 1)

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

Comments: On February 11, 2020 FTA stated that they anticipate issuing a notice of funding opportunity to establish a technical assistance center devoted to addressing the workforce development needs of the transit industry. They anticipate implementing this recommendation by January 31, 2021.

Recommendation: The FTA Administrator should develop and document a strategy that outlines how FTA will help address future transit workforce needs. (Recommendation 2)

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

Comments: On February 11, 2020 FTA stated that they anticipate issuing a notice of funding opportunity to establish a technical assistance center devoted to addressing the workforce development needs of the transit industry. They anticipate implementing this recommendation by January 31, 2021.

Recommendation: The FTA Administrator should develop and document clearly defined performance goals and measures for its transit workforce development efforts. (Recommendation 3)

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

Comments: DOT concurred with this recommendation and stated that FTA will enter into a cooperative agreement with a non-profit partner to develop and implement performance measures for FTA's workforce development efforts. FTA will coordinate with the Department of Labor on these measures. FTA plans to complete these actions by October 1, 2021.

Recommendation: The Secretary of Homeland Security should create corresponding processes and procedures to help implement the mission, roles, and responsibilities defined in the delegation of authority or similar document to help ensure predictability, repeatability, and accountability in departmentwide and crosscutting strategy and policy efforts. (Recommendation 2)

Agency: Department of Homeland Security
Status: Open

Comments: The Department of Homeland Security agreed with GAO's recommendation, and finalized a delegation of authority, which is a requisite step in being able to complete this action, in December 2019. As of February 2020, however, the agency had not taken action that addresses GAO's September 2018 recommendation to create processes and procedures corresponding to the mission, roles, and responsibilities defined in the delegation of authority. To close this recommendation, PLCY will need to create such processes and procedures to help ensure predictability, repeatability, and accountability in department-wide and crosscutting strategy and policy efforts. Until DHS creates these processes and procedures, the Office of Strategy, Policy, and Plans' ability to lead and coordinate policy will continue to be limited. Taking this recommended action would enhance the department's efficiency and reduce risks associated with fragmentation in the development of department-wide and crosscutting strategies, policies, and plans

Recommendation: The Under Secretary for Strategy, Policy, and Plans should use the DHS Workforce Planning Guide to help identify and analyze any gaps in PLCY's workforce, design strategies to address any gaps, and communicate this information to DHS leadership. (Recommendation 3)

Agency: Department of Homeland Security
Status: Open

Comments: On December 3, 2019, PLCY restated its concerns with this recommendation--specifically, that due to changes in administration and secretarial priorities, PLCY has to recalibrate and base budget and staffing projections on what officials expect will be needed, rather than current needs due to changing priorities. PLCY's ability to properly align resources with current needs must remain flexible and the workforce planning guidance that GAO references does not allow for that in whole. GAO maintains that utilizing the workforce planning guidance can be done while still maintaining the desired flexibility.

Recommendation: The Under Secretary for Strategy, Policy, and Plans should enhance the use of collaboration and communication mechanisms to connect with staff in the components with responsibilities for policy and strategy to better identify and address emerging needs. (Recommendation 4)

Agency: Department of Homeland Security
Status: Open

Comments: On March 5, 2019, PLCY officials told us PLCY has instituted many cross-component efforts to more clearly define its roles and responsibilities. For example, PLCY convenes frequent engagements with components via the Immigration Policy Council, the Strategy and Policy Executive Steering Committee, the Deputies Management Action Group, and the Threat Prevention and Security Policy Council. On December 3, 2019, PLCY officials told us that the pending delegation of authority will help address this recommendation, and the delegation of authority is expected to be completed in calendar year 2020. To close this recommendation, PLCY must provide documentary evidence of collaboration and communication mechanisms to connect staff and better identify emerging needs.

Recommendation: The Secretary of DHS should ensure that the Commissioner of Customs and Border Protection through the Executive Assistant Commissioner for Operations Support updates the 2013 workforce assessment to account for the independent requirements organization's current workforce needs. (Recommendation 2)

Agency: Department of Homeland Security
Status: Open

Comments: DHS concurred with this recommendation. Customs and Border Protection provided an estimated completion date for their workforce assessment of September 30, 2020.

Recommendation: The Secretary of DHS should ensure that the Administrator of the Federal Emergency Management Agency establishes a policy for requirements development. (Recommendation 4)

Agency: Department of Homeland Security
Status: Open

Comments: DHS concurred with this recommendation. The Federal Emergency Management Agency plans to establish a policy for requirements development by September 30, 2020, about one year after it completes changes to its governance processes.

Recommendation: The Secretary of DHS should ensure that the Director of Immigration and Customs Enforcement establishes a policy for requirements development. (Recommendation 8)

Agency: Department of Homeland Security
Status: Open

Comments: DHS concurred with this recommendation but has not yet taken action to implement it as of August 2020.

Recommendation: The Secretary of DHS should ensure that the Director of Immigration and Customs Enforcement establishes the planned independent requirements development organization within Immigration and Customs Enforcement. (Recommendation 9)

Agency: Department of Homeland Security
Status: Open

Comments: DHS concurred with this recommendation but has not yet taken action to implement it as of August 2020.

Recommendation: The Secretary of DHS should ensure that the Director of Immigration and Customs Enforcement conducts a workforce assessment to account for an independent requirements organization's workforce needs. (Recommendation 10)

Agency: Department of Homeland Security
Status: Open

Comments: DHS concurred with this recommendation but has not yet taken action to implement it as of August 2020.

Recommendation: The Secretary of DHS should ensure that the Director of Immigration and Customs Enforcement establishes component specific training for requirements development. (Recommendation 11)

Agency: Department of Homeland Security
Status: Open

Comments: DHS concurred with this recommendation but has not yet taken action to implement it as of August 2020.

Recommendation: The Secretary of DHS should ensure that the Under Secretary of Homeland Security for the National Protection and Programs Directorate finalizes and promulgates the National Protection and Programs Directorate's draft policy for requirements development. (Recommendation 12)

Agency: Department of Homeland Security
Status: Open

Comments: The National Protection and Programs Directorate changed its name to the Cybersecurity and Infrastructure Security Agency in January 2018. DHS concurred with this recommendation. The Cybersecurity and Infrastructure Security Agency estimates that it will have a final policy by September 30, 2020.

Recommendation: The Secretary of DHS should ensure that the Under Secretary of Homeland Security for the National Protection and Programs Directorate establishes the planned independent requirements development organization within the National Protection and Programs Directorate. (Recommendation 13)

Agency: Department of Homeland Security
Status: Open

Comments: DHS concurred with this recommendation. In January 2018, the National Protection and Programs Directorate changed its name to the Cybersecurity and Infrastructure Security Agency. The Cybersecurity and Infrastructure Security Agency estimates that it will establish an independent requirements organization by September 30, 2020.

Recommendation: The Secretary of DHS should ensure that the Under Secretary of Homeland Security for the National Protection and Programs Directorate conducts a workforce assessment to account for an independent requirements organization's workforce needs. (Recommendation 14)

Agency: Department of Homeland Security
Status: Open

Comments: DHS concurred with this recommendation. In January 2018, the National Protection and Programs Directorate changed its name to the Cybersecurity and Infrastructure Security Agency. The Cybersecurity and Infrastructure Security Agency estimates it will complete an assessment to account for an independent requirements organization's workforce needs by September 30, 2020.

Recommendation: The Secretary of DHS should ensure that the Director of the U.S. Citizenship and Immigration Services establishes the planned independent requirements development organization within U.S. Citizenship and Immigration Services. (Recommendation 21)

Agency: Department of Homeland Security
Status: Open

Comments: DHS concurred with this recommendation. The U.S. Citizenship and Immigration Services estimates that it will establish an independent requirements development organization by September 30, 2020.

Recommendation: The Secretary of HHS should coordinate with federal agencies, including VA, that fund GME training to identify information needed to evaluate the performance of federal programs that fund GME training, including the extent to which these programs are efficient and cost-effective and are meeting the nation's health care workforce needs. (Recommendation 1)

Agency: Department of Health and Human Services
Status: Open

Comments: In January 2020, HHS indicated that the agency had not yet taken steps to identify information needed to evaluate the performance of federal programs that fund GME training, including the extent to which these programs are efficient and cost-effective and are meeting the nation's health care workforce needs. HHS reiterated its comments on GAO's report, noting that the President's fiscal year 2020 budget for HHS proposed consolidating federal spending from Medicare, Medicaid, the Teaching Health Center Graduate Medical Education Program, and the Children's Hospitals Graduate Medical Education Payment Program into a single grant program for teaching hospitals. The President's fiscal year 2021 budget for HHS also included this proposal. It noted that such a restructuring would allow the Department to set expectations for program performance in Medicare and Medicaid GME programs and allow the kind of tracking HRSA has been able to implement in the Children's Hospital GME program and its Teaching Hospital GME program. It noted that Congress had not responded to this request. As GAO noted in its 2018 report, this recommendation stands on its own and is separate from any legislative efforts to modify how federal GME funds are distributed. Whether or not legislation is enacted to implement a consolidated federal GME grant program, HHS should take action to identify information needed to evaluate the performance of federal programs that fund GME training. Such action is important for HHS to assure that federal programs fully meet workforce needs. However, HHS did not otherwise indicate whether it had coordinated with federal agencies that fund GME training. As of January 2020, this proposal had not been adopted.

Recommendation: The Secretary of HHS should coordinate with federal agencies to identify opportunities to improve the quality and consistency of the information collected within and across federal programs, and implement these improvements. (Recommendation 2)

Agency: Department of Health and Human Services
Status: Open

Comments: In January 2020, HHS indicated that the agency had not yet taken steps to identify opportunities to improve the quality and consistency of the information collected within and across federal programs, and implement these improvements. HHS reiterated its comments on GAO's report, noting that the President's fiscal year 2020 budget for HHS proposed consolidating federal spending from Medicare, Medicaid, the Teaching Health Center Graduate Medical Education Program, and the Children's Hospitals Graduate Medical Education Payment Program into a single grant program for teaching hospitals. The President's fiscal year 2021 budget for HHS also included this proposal. It noted that such a restructuring would allow the Department to set expectations for program performance in Medicare and Medicaid GME programs and allow the kind of tracking HRSA has been able to implement in the Children's Hospital GME program and its Teaching Hospital GME program. It noted that Congress had not responded to this request. As GAO noted in its 2018 report, this recommendation stands on its own and is separate from any legislative efforts to modify how federal GME funds are distributed. Whether or not legislation is enacted to implement a consolidated federal GME grant program, HHS should take action to identify information needed to evaluate the performance of federal programs that fund GME training. Such action is important for HHS to assure that federal programs fully meet workforce needs. However, HHS did not otherwise indicate whether it had coordinated with federal agencies that fund GME training. As of February 2020, this proposal had not been adopted.

Recommendation: The Assistant Administrator for Water should direct EPA's Office of Water to amend its Safe Drinking Water Act and Clean Water Act inspection guidance documents to add questions on strategic workforce planning topics--such as the number of positions needed in the future, skills needed in the future, and any potential gaps in water operator positions. (Recommendation 1)

Agency: Environmental Protection Agency
Status: Open

Comments: In June 2020, EPA Office of Water said that it had revised guidance for conducting Sanitary Surveys for drinking water plants, adding questions related to workforce needs to the "utility management" section of the guidance manual (see Sanitary Survey Learner's Guide (https://www.epa.gov/sites/production/files/2019-08/documents/sanitary_survey_learners_guide_508_8.27.19.pdf), which includes questions on strategic workforce planning topics in section 14.7. As the recommendation applies to wastewater utilities, EPA did not provide an update. In August 2020, EPA officials stated that they plan to incorporate strategic planning questions into its existing guidance documents. According to EPA, it has taken other actions to support the water workforce by announcing a "Water Workforce Initiative," the goal of which is to provide federal leadership and increase public awareness of water sector careers. We will continue to follow-up with EPA Office of Water to determine what actions have been taken in the wastewater area to add questions on workforce issues in inspection guidance.