United States General Accounting Office

GAO Health, Education, and Human

Services Division Reports

December 1995 Health

Education

Employment

Social Security

Welfare

Veterans

GAO/HEHS-96-69W

Preface

The General Accounting Office (GAO), an arm of the Congress, was

established to independently audit government agencies. GAO’s Health,

Education, and Human Services (HEHS) Division reviews the government’s

health, education, employment, social security, disability, welfare, and

veterans programs administered in the Departments of Health and Human

Services, Labor, Education, Veterans Affairs, and some other agencies.

This booklet lists the GAO products issued on these programs. It is divided

into two major sections:

• Most Recent GAO Products: This section identifies reports and testimonies

issued during the past month and provides summaries for selected key

products.

• Comprehensive 1-Year Listings: This section lists all products published in

the last year, organized chronologically by subject as shown in the table of

contents. When appropriate, products may be included in more than one

subject area.

You may obtain single copies of the products free of charge, by

telephoning your request to (202) 512-6000 or faxing it to (301) 258-4066.

Additional ordering details appear at the end of this booklet. Instructions

for getting on GAO’s mailing list appear on page 43 of this booklet.

You may access the Most Recent GAO Products section of this booklet on

Internet. Instructions appear on the last two pages of this booklet.

Janet L. Shikles

Assistant Comptroller General

Page 1 GAO/HEHS-96-69W
Contents

Preface 1

Most Recent GAO

Products

(November 1995)

6

Health 6

Education 10

Employment 10

Social Security, Disability, and Welfare 11

Veterans Affairs and Military Health 12

Health

(Comprehensive

1-Year Listing)

14

Access and Infrastructure 14

Employee and Retiree Health Benefits 14

Financing 14

Health Care Reform Related Issues 15

HHS Public Health Service Agencies 15

Long-Term Care and Aging 16

Managed Care 16

Medicare and Medicaid 17

Prescription Drugs 20

Provider Issues 20

Public Health and Education 21

Quality and Practice Standards 21

Substance Abuse and Drug Treatment 22

Other Health Issues 22

Education

(Comprehensive

1-Year Listing)

23

Department of Education 23

Early Childhood Development 23

Elementary and Secondary Education 24

Higher Education 25

Employment

(Comprehensive

1-Year Listing)

27

Equal Employment Opportunities 27

Labor and Management Relations 27

Training and Employment Assistance 28

Workplace Quality 28

Other Employment Issues 29

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Contents

Social Security,

Disability, and Welfare

(Comprehensive

1-Year Listing)

31

Children’s Issues 31

Pensions 32

Social Security and Disability 33

Welfare 34

Other Products Related to Social Security, Disability, and Welfare 34

Veterans Affairs and

Military Health

(Comprehensive

1-Year Listing)

36

Military Health Care 36

Veterans’ Benefits 36

Veterans’ Health Care 37

Major Contributors 39

Order Form 41

Mailing List Request

Form

43

Change of Address

Notification Form

45

Internet Instructions 47

Page 3 GAO/HEHS-96-69W
Contents

Abbreviations

AFDC Aid to Families With Dependent Children

COLA Cost of living allowance

CSRS Civil Service Retirement System

DC District of Columbia

DOD Department of Defense

DODDS Department of Defense Dependents Schools

DOE Department of Energy

DOL Department of Labor

EEO Equal Employment Opportunity

EEOC Equal Employment Opportunity Commission

EMA eligible metropolitan area

ERISA Employee Retirement Income Security Act of 1974

ESRD end stage renal disease

GAO General Accounting Office

GSA General Services Administration

HCFA Health Care Financing Administration

HEHS Health, Education, and Human Services Division, GAO

HHS Department of Health and Human Services

HMO health maintenance organization

HRD Human Resources Division, GAO

JOBS Job Opportunities and Basic Skills program

NAFTA North American Free Trade Agreement

NASA National Aeronautics and Space Administration

NHSC National Health Service Corps

NIH National Institutes of Health

NPR National Performance Review

NRC Nuclear Regulatory Commission

OAA Older Americans Act

OFCCP Office of Federal Contract Compliance Programs, DOL

OHA Office of Hearings and Appeals, Social Security

Administration

OSHA Occupational Safety and Health Administration, DOL

PBGC Pension Benefit Guarantee Corporation

PBM pharmacy benefit manager

SAA state approved agency

SSA Social Security Administration

SSI Supplemental Security Income

T&A time and attendance

TRICARE DOD nationwide managed health care program

VA Department of Veterans Affairs

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Most Recent GAO Products

(November 1995)

Health

Selected Summaries National Health Service Corps: Opportunities to Stretch Scarce Dollars

and Improve Provider Placement (Report, 11/24/95, GAO/HEHS-96-28).

Overall, compared with the scholarship program, the National Health

Service Corps (NHSC) loan repayment program offers a better long-term

investment of scarce federal resources to address shortages of primary

care providers. Neither program appears to outweigh the other in terms of

how well it directs resources to those areas identified as having the

severest shortages. Technically, the scholarship program offers a better

guarantee that providers will serve in the neediest shortage areas because

it gives the recipients less freedom of choice in deciding where to serve.

However, the available evidence suggests that generally little difference

exists in the priority of the sites where scholarship and loan repayment

recipients practice. Regardless of which approach is used, NHSC does not

distribute provider resources as effectively as it could to alleviate health

care needs in the greatest number of eligible shortage areas.

For more information, contact Frank C. Pasquier at

(206) 287-4861.

Medicare: Enrollment Growth and Payment Practices for Kidney Dialysis

Services (Report, 11/22/95, GAO/HEHS-96-33).

Medicare’s costs for the end stage renal disease (ESRD) program have

increased, primarily because the number of beneficiaries being enrolled in

the program increased substantially. The annual rate of increase averaged

11.6 percent between 1978 and 1991. In addition to the increase in

enrollment, the mortality rate for new ESRD patients decreased. Since the

program began in 1973, technological improvements and a greater

availability of dialysis machines have meant that persons who were not

considered good candidates for dialysis in 1973—primarily those 65 years

old or older and those whose kidney failure was caused by diabetes and

hypertension—are now routinely placed on dialysis. GAO’s review of

medical services and supplies provided to all Medicare ESRD patients in

1991 indicates that no separately billable service or supply was provided

frequently enough to make it a good candidate to be considered part of the

standard dialysis treatment and thus included in a future composite rate.

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(November 1995)

For more information, contact Thomas G. Dowdal at

(202) 512-7119.

Ryan White Care Act of 1990: Opportunities to Enhance Funding Equity

(Report, 11/13/95, GAO/HEHS-96-26). Testimony on same topic (4/5/95,

GAO/T-HEHS-95-126, and 2/22/95, GAO/T-HEHS-95-91). Correspondence on same

topic (2/14/95, GAO/HEHS-95-79R, and 3/31/95, GAO/HEHS-95-119R).

Established by the Ryan White Comprehensive AIDS Resources

Emergency (CARE) Act of 1990, the Ryan White program distributed more

than $579 million in fiscal year 1994 to eligible metropolitan areas (EMA)

through title I of the act and to states through title II. The title I and II

funding formulas result in variations in per-case funding for several

reasons. The most important is that EMAs’ AIDS cases are counted in both

formulas. In addition, the indicators needed to target funds to states and

EMAs are absent or inadequate. For example, GAO found evidence of large

geographic differences in the cost of serving AIDS patients, yet neither the

title I nor the title II formula takes these differences into account. Also, the

title I formula targets funding to EMAs on the basis of their cumulative

number of reported AIDS cases, yet over 60 percent of these reported

cases have since died. As a result, the oldest EMAs receive the most

generous funding, and newly emerging EMAs with more recent growth in

AIDS cases receive less funding. Both title I and title II have a factor for

targeting funds to states and EMAs based on their resources; however, the

indicators used in these formulas are incomplete.

For more information, contact Jerry C. Fastrup at (202) 512-7211.

Pharmacy Benefit Managers: Early Results on Ventures With Drug

Manufacturers (Report, 11/9/95, GAO/HEHS-96-45).

Some of the largest pharmaceutical manufacturers have recently merged

or formed alliances with some of the largest companies that manage

prescription drug benefits for health plans, called pharmacy benefit

managers (PBM). They have merged or allied with PBMs because they

believe that the PBMs’ market power will help maintain the manufacturers’

profits at a time when their drugs face increased competition. The role of

PBMs in health care has evolved from simply administering prescription

drug benefits for health plan sponsors to helping them contain their

overall drug costs. Critics of the mergers and alliances have focused on

how PBMs may help their drug manufacturer partners increase market

share. GAO’s review of changes in the formularies managed by Medco and

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(November 1995)

Diversified Pharmaceutical Services, Inc., showed differences in the extent

to which these PBMs have given preference to their respective partners’

drugs. The changes in Medco’s formulary that favor Merck drugs do not

necessarily demonstrate that Medco automatically gave preference to

Merck drugs without considering competitors’ products.

For more information, contact John C. Hansen at (202) 512-7105.

Medicaid Section 1115 Waivers: Flexible Approach to Approving

Demonstrations Could Increase Federal Costs (Report, 11/8/95,

GAO/HEHS-96-44).

Contrary to the administration’s assertion, the approved spending limits

for demonstration waivers in Oregon, Hawaii, and Florida are not

budget-neutral and could increase federal Medicaid expenditures. Only

Tennessee’s 1115 waiver agreement should cost no more than the

continuation of its smaller, prewaiver program and, in fact, should result

in savings. Overall, the net additional federal funding is small in relation to

demonstration spending allowed under federal expenditure caps—likely

fewer than 3 percent. However, federal Medicaid expenditures could grow

significantly if the administration continues to show a similar flexibility in

reviewing state 1115 financing strategies. Five waivers have been approved

since Florida’s in late 1994, and the large backlog of pending waivers

includes three states with large Medicaid programs—New York, Illinois,

and Texas. Additional federal dollars are available along with other

funding sources identified in state waiver applications.

For more information, contact Michael F. Gutowski at

(202) 512-7128.

Medicare Managed Care: Growing Enrollment Adds Urgency to Fixing HMO

Payment Problem (Report, 11/8/95, GAO/HEHS-96-21).

Recently, enrollment of Medicare beneficiaries in health maintenance

organizations (HMO) has grown rapidly and is concentrated in certain

states and areas. Although Medicare HMOs have enrolled less than

one-tenth of beneficiaries nationwide, since 1994 enrollment growth has

exceeded 20 percent annually. As GAO has reported, for 10 years Medicare

has used an HMO rate-setting method with several flaws. Specifically,

because HMO payment rates are fixed—linked to the average cost of

Medicare fee-for-service care—Medicare cannot lower rates through

competition among HMOs or negotiate a share in any savings that HMOs

Page 8 GAO/HEHS-96-69W
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(November 1995)

achieve through greater efficiency. Also, HMO payment rates are not

adequately “risk adjusted” to reflect cost differences deriving from

beneficiaries health status. Although HMO enrollees typically have been

healthier (and therefore less costly to care for) than average beneficiaries,

Medicare has paid HMOs more than it would have for the same patients’

care under fee for service. GAO has identified three promising strategies

that Medicare with new legislative authority could use concurrently,

tailoring strategies to market conditions prevailing in an area.

For more information, contact Scott L. Smith at (202) 512-5713.

Fraud and Abuse: Medicare Continues to Be Vulnerable to Exploitation by

Unscrupulous Providers (Testimony, 11/2/95, GAO/T-HEHS-96-7).

Medicare is the nation’s largest health payer. In 1994, the program spent

$162 billion on behalf of about 37 million elderly and disabled people. GAO

estimates that fraud and abuse may account for as much as 10 percent of

health care costs. The vast majority of Medicare providers seek to abide by

program rules and strive to meet beneficiaries’ needs. Nevertheless,

Medicare is overwhelmed in its efforts to keep pace with, much less stay

ahead of, those bent on cheating the system. GAO’s recent investigations of

Medicare fraud and abuse have implicated home health agencies, medical

suppliers, pharmacists, rehabilitation therapy companies, and clinical

laboratories, among others. They are attracted by high reimbursement

levels for some supplies and services and few barriers to entry. Once

engaged in profitable activities, they too often escape detection because of

inadequate claims scrutiny, elude pursuit because of law enforcement

authorities’ limited resources and fragmented responsibilities, and face

little risk of speedy or appropriate punishment.

For more information, contact Jonathan Ratner at (202) 512-7107.

Other Health Products Medicare Transaction System: Strengthened Management and Sound

Development Approach Critical to Success (Testimony, 11/16/95,

GAO/T-AIMD-96-12).

Health Care Task Force (Letter, 11/9/95, GAO/GGD-96-45R).

Page 9 GAO/HEHS-96-69W
Most Recent GAO Products

(November 1995)

Education

Selected Summaries Higher Education: Selected Information on Student Financial Aid Received

by Legal Immigrants (Report, 11/24/95, GAO/HEHS-96-7).

According to Department of Education records, about 390,000 legal

immigrant student received Pell grant aid in academic year 1992-93. This

was about 10 percent of all students receiving Pell grants. In total,

immigrants received $662 million, or about 11 percent, of Pell grant aid in

that year. GAO was unable to determine the total number of legal

immigrants who received Stafford loans because citizenship data are not

maintained in the Department of Education’s loan files. However, some

immigrants who received Pell grants also received Stafford loans that

totaled $257 million. About 82 percent of the immigrants who received

student financial aid lived in seven states, led by California with 31 percent

and New York with 25 percent. Sixty-one percent attended public colleges,

19 percent attended private colleges, and 21 percent attended proprietary

(for-profit vocational) schools. The 100 schools with the most immigrant

Pell grant recipients accounted for about 50 percent of all such students,

and 91 of these schools were located in the seven states with the highest

concentration of immigrant students.

For more information, contact Joseph J. Eglin, Jr., at

(202) 512-7009.

Employment

Selected Summaries Department of Labor: Senior Community Service Employment Program

Delivery Could Be Improved Through Legislative and Administrative

Actions (Report, 11/2/95, GAO/HEHS-96-4). Testimony on same topic (11/2/95,

GAO/T-HEHS-96-57).

The Older Americans Act (OAA) requires the Department of Labor to award

grants to national sponsors sufficient to maintain their 1978 level of

activities. This requirement is commonly known as the hold harmless

provision. Of the $410.5 million appropriation for program year 1994,

$234.5 million was distributed under this provision. In applying this

provision, Labor uses 1978 state-by state position allocation patterns. The

Page 10 GAO/HEHS-96-69W
Most Recent GAO Products

(November 1995)

remaining funds are distributed in accordance with current age and per

capita income data to state governments and national sponsors. These

allocation patterns limit Labor’s ability to achieve equitable distribution

among the states on the basis of actual need. Appropriations’ statutes also

affect equitable distribution. These statutes have required that no more

than 22 percent of Labor’s Senior Community Service Employment

Program appropriation be allocated to state governments. Under Labor’s

regulations, expenditures that GAO believes to be administrative in nature

may be charged to another cost category—other enrollee costs—thereby

allowing the statutory 15-percent limit on administrative expenses to be

exceeded. As a result, grant funds have been improperly allocated.

For more information, contact Lawrence J. Horinko at

(202) 512-7001.

Other Employment

Products

Federal Employee Redress: An Opportunity for Reform (Testimony,

11/29/95, GAO/T-GGD-96-42).

Military Equal Opportunity: Certain Trends in Racial and Gender Data May

Warrant Further Analysis (Report, 11/17/95, GAO/NSIAD-96-17).

Job Corps Program (Letter, 11/9/95, GAO/HEHS-96-61R).

Federal Job Classification: Comparison of Job Content with Grades

Assigned in Selected Occupations (Report, 11/6/95, GAO/GGD-96-20).

Social Security,

Disability, and Welfare

Selected Summaries Child Support Enforcement: States and Localities Move to Privatized

Services (Report, 11/20/95, GAO/HEHS-96-43FS).

Facing budgetary and staffing constraints and increasing federal

performance standards, state child support enforcement programs are

struggling to serve their ever-increasing caseloads. As states confront the

need to improve their services to the public, many are turning to the

private sector to augment their child support enforcement programs. GAO

presents in this report an inventory of ongoing and planned state contracts

Page 11 GAO/HEHS-96-69W
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(November 1995)

for locations services, collections, payment processing, and full-service

programs as of October 1995. GAO found that one or more child support

services are privatized statewide in 20 states and at the local office level in

18 states. GAO identified 21 contracts for full-service child support

operations, about half of which are served by one of two major

contractors. GAO also identified 40 other contracts for collections and

related location services; four major contractors provide most of these

services. Finally, nine contracts exist for payment processing services and

eight contracts exist for location services only.

For more information, contact David P. Bixler at (202) 512-7201.

Other Social Security,

Disability, and Welfare

Products

Thrift Savings Plan (Letter, 11/14/95, GAO/HEHS-96-66R).

Federal Grants to New Jersey (Letter, 11/8/95, GAO/AIMD-96-8R).

Veterans Affairs and

Military Health

Selected Summaries VA Health Care: Effects of Facility Realignment on Construction Needs Are

Unknown (Report, 11/17/95, GAO/HEHS-96-19).

As part of the fiscal year 1996 budget, the President requested that the

Congress appropriate $514 million for Department of Veterans Affairs (VA)

major construction projects. These projects include the construction of

two new VA medical facilities and major renovations at seven existing

facilities. These projects would enhance VA’s inpatient care capacity for

veterans within designated target areas. The renovation projects would

not, however, correct all deficiencies at the seven medical centers; these

centers estimate that they need an additional $308 million to correct the

deficiencies. VA officials did not rigorously consider available alternatives

to construction. GAO’s analysis of project construction documents

indicates that VA’s construction contract award dates and costs would

likely be significantly affected if funding for the construction of the

projects is delayed until fiscal year 1997. According to medical center

officials, veterans will continue receiving health care regardless of how

long project funding is delayed.

For more information, contact Paul R. Reynolds at (202) 512-7109.

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Other Veterans Affairs and

Military Health Products

Fiscal Year 1996 VA Certification (Letter, 11/14/95, GAO/HEHS-96-67R).

Hispanic Veterans (Letter, 11/2/95, GAO/HEHS-96-25R).

Page 13 GAO/HEHS-96-69W
Health

(Comprehensive

1-Year Listing)

Access and

Infrastructure

For more information, contact Sarah F. Jaggar at (202) 512-7119.

Mammography Services: Initial Impact of New Federal Law Has Been

Positive (Report, 10/27/95, GAO/HEHS-96-17).

Ryan White Care Act: Access to Services by Minorities, Women, and

Substance Abusers (Testimony, 7/17/95, GAO/T-HEHS-95-212). Report on same

topic (1/13/95, GAO/HEHS-95-49).

Employee and Retiree

Health Benefits

For more information, contact Michael F. Gutowski at

(202) 512-7119.

Employer-Based Health Plans: Issues, Trends, and Challenges Posed by

ERISA (Report, 7/25/95, GAO/HEHS-95-167). Testimony on same topic (7/25/95,

GAO/T-HEHS-95-223).

Financing For more information, contact Jonathan Ratner or William J.

Scanlon at (202) 512-7119.

Ryan White Care Act of 1990: Opportunities to Enhance Funding Equity

(Report, 11/13/95, GAO/HEHS-96-26). Testimony on same topic (4/5/95,

GAO/T-HEHS-95-126, and 2/22/95, GAO/T-HEHS-95-91). Correspondence on same

topic (2/14/95, GAO/HEHS-95-79R, and 3/31/95, GAO/HEHS-95-119R).

Community Health Center Grants (Letter, 10/11/95, GAO/HEHS-96-13R).

Medigrant: Florida (Letter, 10/2/95, GAO/HEHS-96-11R).

Medical Liability: Impact on Hospital and Physician Costs Extends Beyond

Insurance (Report, 9/29/95, GAO/AIMD-95-169).

Health Insurance Portability: Reform Could Ensure Continued Coverage

for up to 25 Million Americans (Report, 9/19/95, GAO/HEHS-95-257).

Cost Factors in CARE Act Formula (Letter, 9/15/95, GAO/HEHS-95-256R).

Medigap Insurance: Insurers’ Compliance With Federal Minimum Loss

Ratio Standards, 1988-93 (Report, 8/23/95, GAO/HEHS-95-151).

Page 14 GAO/HEHS-96-69W
Health

(Comprehensive

1-Year Listing)

Health Insurance For Children: Many Remain Uninsured Despite Medicaid

Expansion (Report, 7/19/95, GAO/HEHS-95-175).

Health Insurance Regulation: National Portability Standards Would

Facilitate Changing Health Plans (Testimony, 7/18/95, GAO/T-HEHS-95-205).

Health Insurance Regulation: Variation in Recent State Small Employer

Health Insurance Reforms (Report, 6/12/95, GAO/HEHS-95-161FS).

German Health Reforms: Changes Result in Lower Health Costs in 1993

(Report, 12/16/94, GAO/HEHS-95-27).

Biotech R & D, Reform, and Market Change (Letter, 12/15/94,

GAO/HEHS-95-34R).

Hospital Costs: Cost Control Efforts at 17 Texas Hospitals (Report,

12/9/94, GAO/AIMD-95-21).

Health Care Reform

Related Issues

For more information, contact Michael F. Gutowski, Rosamond

Katz, or Scott L. Smith at (202) 512-7119.

Health Care Task Force (Letter, 11/9/95, GAO/GGD-96-45R).

Cost of Health Care Task Force Related Activities (Testimony, 3/14/95,

GAO/T-GGD-95-114).

HHS Public Health

Service Agencies

For more information, contact Bruce D. Layton, James O. McClyde,

or Sarah F. Jaggar at (202) 512-7119.

Medical Devices: FDA Review Time (Letter Report, 10/30/95,

GAO/PEMD-96-2).

FDA Drug Approval: Review Time Has Decreased in Recent Years (Report,

10/20/95, GAO/PEMD-96-1).

FDA Import Automation: Serious Management and Systems Development

Problems Persist (Report, 9/28/95, GAO/AIMD-95-188).

Cancer Drug Research: Contrary to Allegation, NIH Hydrazine Sulfate

Studies Were Not Flawed (Report, 9/13/95, GAO/HEHS-95-141).

Page 15 GAO/HEHS-96-69W
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(Comprehensive

1-Year Listing)

Health Care Shortage Areas: Designations Not a Useful Tool for Directing

Resources to the Underserved (Report, 9/8/95, GAO/HEHS-95-200).

Health Research Misconduct: HHS’ Handling of Cases is Appropriate, but

Timeliness Remains a Concern (Report, 8/3/95, GAO/HEHS-95-134).

Practice Guidelines: Overview of Agency for Health Care Policy and

Research Efforts (Testimony, 7/25/95, GAO/T-HEHS-95-221).

Reassignment of Two NIH Employees (Letter, 7/5/95, GAO/OSI-95-14R).

Immunization: HHS Could Do More to Increase Vaccination Among Older

Adults (Report, 6/8/95, GAO/PEMD-95-14).

Health and Human Services: Opportunities to Realize Savings (Testimony,

1/12/95, GAO/T-HEHS-95-57).

Long-Term Care and

Aging

For more information, contact James C. Musselwhite or William J.

Scanlon at (202) 512-7119.

Immunization: HHS Could Do More to Increase Vaccination Among Older

Adults (Report, 6/8/95, GAO/PEMD-95-14).

Long-Term Care: Current Issues and Future Directions (Report, 4/13/95,

GAO/HEHS-95-109).

Aging Issues: Related GAO Reports and Activities in Fiscal Year 1994

(Report, 12/29/94, GAO/HEHS-95-44).

Long-Term Care: Diverse, Growing Population Includes Millions of

Americans of All Ages (Report, 11/7/94, GAO/HEHS-95-26).

Managed Care For more information, contact Sarah F. Jaggar, Jonathan Ratner,

or William J. Scanlon at (202) 512-7119.

Medicare Managed Care Growth (Letter, 10/18/95, GAO/HEHS-96-47R).

Medicare Managed Care: Enrollment Growth Underscores Need to

Revamp HMO Payment Methods (Testimony, 7/12/95, GAO/T-HEHS-95-207).

Page 16 GAO/HEHS-96-69W
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Medicare Managed Care: Program Growth Highlights Need to Fix HMO

Payment Problems (Testimony, 5/24/95, GAO/T-HEHS-95-174).

Community Health Centers: Challenges in Transitioning to Prepaid

Managed Care (Report, 5/4/95, GAO/HEHS-95-138). Testimony on same topic

(5/4/95, GAO/T-HEHS-95-143).

Defense Health Care: DOD’s Managed Care Program Continues to Face

Challenges (Testimony, 3/28/95, GAO/T-HEHS-95-117).

Medicare and

Medicaid

For more information, contact Kathryn G. Allen, Thomas G.

Dowdal, or Barry D. Tice at (202) 512-7119.

Medicare: Enrollment Growth and Payment Practices for Kidney Dialysis

Services (Report, 11/22/95, GAO/HEHS-96-33).

Medicare Transaction System: Strengthened Management and Sound

Development Approach Critical to Success (Testimony, 11/16/95,

GAO/T-AIMD-96-12).

Medicaid Section 1115 Waivers: Flexible Approach to Approving

Demonstrations Could Increase Federal Costs (Report, 11/8/95,

GAO/HEHS-96-44).

Medicare Managed Care: Growing Enrollment Adds Urgency to Fixing HMO

Payment Problem (Report, 11/8/95, GAO/HEHS-96-21).

Fraud and Abuse: Medicare Continues to Be Vulnerable to Exploitation by

Unscrupulous Providers (Testimony, 11/2/95, GAO/T-HEHS-96-7).

Medicaid and Children’s Insurance (Letter, 10/20/95, GAO/HEHS-96-50R).

Medicare Managed Care Growth (Letter, 10/18/95, GAO/HEHS-96-47R).

Fraud and Abuse Provisions in H.R. 2425 (Letter, 10/7/95, GAO/HEHS-96-37R).

Arizona Medicaid: Competition Among Managed Care Plans Lowers

Program Costs (Report, 10/4/95, GAO/HEHS-96-2).

Medicare Spending: Modern Management Strategies Needed to Curb

Billions in Unnecessary Payments (Report, 9/19/95, GAO/HEHS-95-210).

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Durable Medical Equipment: Regional Carriers’ Coverage Criteria Are

Consistent With Medicare Law (Report, 9/19/95, GAO/HEHS-95-185).

Preventing Abusive Medicare Billing (Letter, 9/5/95, GAO/HEHS-95-260R).

Medicaid: Tennessee’s Program Broadens Coverage but Faces Uncertain

Future (Report, 9/1/95, GAO/HEHS-95-186).

Medicare: Antifraud Technology Offers Significant Opportunity to Reduce

Health Care Fraud (Report, 8/11/95, GAO/AIMD-95-77).

Medicare Competitive Bidding (Letter, 8/11/95, GAO/HEHS-95-238R).

Medicare: Excessive Payments for Medical Supplies Continue Despite

Improvements (Report, 8/8/95, GAO/HEHS-95-171).

Medicare: Increased HMO Oversight Could Improve Quality and Access to

Care (Report, 8/3/95, GAO/HEHS-95-155). Testimony on same topic (8/3/95,

GAO/T-HEHS-95-229).

Medicare: Modern Management Strategies Could Curb Fraud, Waste, and

Abuse (Testimony, 7/31/95, GAO/T-HEHS-95-227).

Medicaid: Local Contributions (Letter, 7/28/95, GAO/HEHS-95-215R).

Medicare: Enhancing Health Care Quality Assurance (Testimony, 7/27/95,

GAO/T-HEHS-95-224).

Medicaid: Matching Formula’s Performance and Potential Modifications

(Testimony, 7/27/95, GAO/T-HEHS-95-226).

Medicare: Adapting Private Sector Techniques Could Curb Losses to Fraud

and Abuse (Testimony, 7/19/95, GAO/T-HEHS-95-211).

Health Insurance For Children: Many Remain Uninsured Despite Medicaid

Expansion (Report, 7/19/95, GAO/HEHS-95-175).

Medicare: Allegations Against ABC Home Health Care (Testimony, 7/19/95,

GAO/T-OSI-95-18). Report on same topic (7/19/95, GAO/OSI-95-17).

Medicare Providers’ Legal Expenses (Letter, 7/18/95, GAO/HEHS-95-214R).

Page 18 GAO/HEHS-96-69W
Health

(Comprehensive

1-Year Listing)

Medicare Managed Care: Enrollment Growth Underscores Need to

Revamp HMO Payment Methods (Testimony, 7/12/95, GAO/T-HEHS-95-207).

Medicaid: State Flexibility in Implementing Managed Care Programs

Requires Appropriate Oversight (Testimony, 7/12/95, GAO/T-HEHS-95-206).

Medicare: Rapid Spending Growth Calls for More Prudent Purchasing

(Testimony, 6/28/95, GAO/T-HEHS-95-193).

Medicaid: Statewide Section 1115 Demonstrations’ Impact on Eligibility,

Service Delivery, and Program Cost (Testimony, 6/21/95, GAO/T-HEHS-95-182).

Medicare: Modern Management Strategies Needed to Curb Program

Exploitation (Testimony, 6/15/95, GAO/T-HEHS-95-183).

Medicare Managed Care: Program Growth Highlights Need to Fix HMO

Payment Problems (Testimony, 5/24/95, GAO/T-HEHS-95-174).

Medicare: Reducing Fraud and Abuse Can Save Billions (Testimony,

5/16/95, GAO/T-HEHS-95-157).

Medicare Claims: Commercial Technology Could Save Billions Lost to

Billing Abuse (Report, 5/5/95, GAO/AIMD-95-135).

Medicaid Managed Care: More Competition and Oversight Would Improve

California’s Expansion Plan (Report, 4/28/95, GAO/HEHS-95-87).

Medicaid: Spending Pressures Drive States Toward Program Reinvention

(Report, 4/4/95, GAO/HEHS-95-122). Testimony on same topic

(GAO/T-HEHS-95-129).

Medicaid: Restructuring Approaches Leave Many Questions (Report,

4/4/95, GAO/HEHS-95-103).

Medicare: Tighter Rules Needed to Curtail Overcharges for Therapy in

Nursing Homes (Report, 3/30/95, GAO/HEHS-95-23).

Medicaid: Experience With State Waivers to Promote Cost Control and

Access to Care (Testimony, 3/23/95, GAO/T-HEHS-95-115).

Medicare and Medicaid: Opportunities to Save Program Dollars by

Reducing Fraud and Abuse (Testimony, 3/22/95, GAO/T-HEHS-95-110).

Page 19 GAO/HEHS-96-69W
Health

(Comprehensive

1-Year Listing)

Medicare Secondary Payer Program (Letter, 3/6/95, GAO/HEHS-95-101R).

GAO’s 1995 High Risk Reports: Medicare Claims (Report, 2/95, GAO/HR-95-8).

Medicare Secondary Payer Program: Actions Needed to Realize Savings

(Testimony, 2/23/95, GAO/T-HEHS-95-92).

Uninsured and Children on Medicaid (Letter, 2/14/95, GAO/HEHS-95-83R).

Medicare: Opportunities Are Available to Apply Managed Care Strategies

(Testimony, 2/10/95, GAO/T-HEHS-95-81).

Medicare: High Spending Growth Calls for Aggressive Action (Testimony,

2/6/95, GAO/T-HEHS-95-75).

Medicare Part B: Regional Variation in Denial Rates for Medical Necessity

(Report, 12/19/94, GAO/PEMD-95-10). Testimony on same topic (12/19/94,

GAO/T-PEMD-95-11).

Prescription Drugs For more information, contact John C. Hansen at (202) 512-7119.

Pharmacy Benefit Managers: Early Results on Ventures With Drug

Manufacturers (Report, 11/9/95, GAO/HEHS-96-45).

Nonprescription Drugs: Value of a Pharmacist-Controlled Class Has Yet to

Be Demonstrated (Report, 8/24/95, GAO/PEMD-95-12).

Prescription Drugs and the Elderly: Many Still Receive Potentially Harmful

Drugs Despite Recent Improvements (Report, 7/24/95, GAO/HEHS-95-152).

Prescription Drug Prices: Official Index Overstates Producer Price

Inflation (Report, 4/28/95, GAO/HEHS-95-90).

Provider Issues For more information, contact Sarah F. Jaggar at (202) 512-7119.

National Health Service Corps: Opportunities to Stretch Scarce Dollars

and Improve Provider Placement (Report, 11/24/95, GAO/HEHS-96-28).

Indian Health Service: Improvements Needed in Credentialing Temporary

Physicians (Report, 4/21/95, GAO/HEHS-95-46).

Page 20 GAO/HEHS-96-69W
Health

(Comprehensive

1-Year Listing)

Medical Education: Curriculum and Financing Strategies Need to

Encourage Primary Care Training (Report, 10/21/94, GAO/HEHS-95-9).

Public Health and

Education

For more information, contact Sarah F. Jaggar at (202) 512-7119.

Community Health Center Grants (Letter, 10/11/95, GAO/HEHS-96-13R).

Montana’s Medical Assistance Facilities (Letter, 10/2/95, GAO/HEHS-96-12R).

Planned Parenthood (Letter, 8/9/95, GAO/HEHS-95-216R).

Hospital-Based Home Health Agencies (Letter, 7/19/95, GAO/HEHS-95-209R).

Vaccines for Children: Reexamination of Program Goals and

Implementation Needed to Ensure Vaccination (Report, 6/22/95,

GAO/PEMD-95-22).

Immunization: HHS Could Do More to Increase Vaccination Among Older

Adults (Report, 6/8/95, GAO/PEMD-95-14).

Vaccines for Children: Barriers to Immunization (Testimony, 5/4/95,

GAO/T-PEMD-95-21).

Community Health Centers: Challenges in Transitioning to Prepaid

Managed Care (Report, 5/4/95, GAO/HEHS-95-138). Testimony on same topic

(5/4/95, GAO/T-HEHS-95-143).

Tuberculosis: Costly and Preventable Cases Continue in Five Cities

(Report, 3/16/95, GAO/HEHS-95-11).

Health Care: School-Based Health Centers Can Expand Access for

Children (Report, 12/22/94, GAO/HEHS-95-35).

Quality and Practice

Standards

For more information, contact Sandra K. Isaacson at

(202) 512-7174 or George F. Poindexter at (202) 512-7213.

Mammography Services: Initial Impact of New Federal Law Has Been

Positive (Report, 10/27/95, GAO/HEHS-96-17).

Page 21 GAO/HEHS-96-69W
Health

(Comprehensive

1-Year Listing)

Health Care: Employers and Individual Consumers Want Additional

Information on Quality (Report, 9/29/95, GAO/HEHS-95-201).

Patient Self-Determination Act: Providers Offer Information on Advance

Directives but Effectiveness Uncertain (Report, 8/28/95, GAO/HEHS-95-135).

Impact of Organ Allocation Variances (Letter, 7/31/95, GAO/HEHS-95-203R).

Medicare: Enhancing Health Care Quality Assurance (Testimony, 7/27/95,

GAO/T-HEHS-95-224).

Maine Practice Guidelines (Letter, 4/4/95, GAO/HEHS-95-118R).

Electromagnetic Interference with Medical Devices (Letter, 3/17/95,

GAO/RCED-95-96R).

Cholesterol Measurement: Variability in Methods and Test Results

(Testimony, 2/13/95, GAO/T-PEMD-95-17). Report on same topic (12/30/94,

GAO/PEMD-95-8).

Substance Abuse and

Drug Treatment

For more information, contact Sarah F. Jaggar at (202) 512-7119.

Treatment of Hardcore Cocaine Users (Letter, 7/31/95, GAO/HEHS-95-179R).

Other Health Issues For more information, contact Sarah F. Jaggar at (202) 512-7119.

Environmental Impact on

Health

Superfund: Information on Current Health Risks (Report, 7/19/95,

GAO/RCED-95-205).

Health and Safety: DOE’s Epidemiological Data Base Has Limited Value for

Research (Report, 6/6/95, GAO/RCED-95-126).

Health and Safety: Status of Federal Efforts to Disclose Cold War

Radiation Experiments Involving Humans (Testimony, 12/01/94,

GAO/T-RCED-95-40).

Miscellaneous Financial Audit: U.S. Senate Health Promotion Revolving Fund for the

Periods Ended 9/30/93 and 12/31/92 (Report, 5/3/95, GAO/AIMD-95-105).

Page 22 GAO/HEHS-96-69W
Education

(Comprehensive

1-Year Listing)

Department of

Education

For more information, contact Joseph J. Eglin, Jr., at

(202) 512-7009, Wayne B. Upshaw at (202) 512-7006, Beatrice F.

Birman at (202) 512-7008, or Eleanor L. Johnson at

(202) 512-7209.

Adult Education: Measuring Program Results Has Been Challenging

(Report, 9/6/95, GAO/HEHS-95-153).

Student Financial Aid: Data Not Fully Utilized to Identify Inappropriately

Awarded Loans and Grants (Report, 7/11/95, GAO/HEHS-95-89).

Federal Family Education Loan Information System: Weak Computer

Controls Increase Risk of Unauthorized Access to Sensitive Data (Report,

6/12/95, GAO/AIMD-95-117).

Department of Education: Information on Consolidation Opportunities

and Student Aid (Testimony, 4/6/95, GAO/T-HEHS-95-130).

Adult Education Act (Letter, 2/16/95, GAO/HEHS-95-65R).

Department of Education: Opportunities to Realize Savings (Testimony,

1/18/95, GAO/T-HEHS-95-56).

Early Childhood

Development

For more information, contact Beatrice F. Birman at

(202) 512-7008 or Eleanor L. Johnson at (202) 512-7209.

Early Childhood Centers: Services to Prepare Children for School Often

Limited (Report, 3/21/95, GAO/HEHS-95-21).

Early Childhood Programs: Promoting the Development of Young Children

in Denmark, France, and Italy (Report, 2/22/95, GAO/HEHS-95-45BR).

Early Childhood Programs: Parent Education and Income Best Predict

Participation (Report, 12/28/94, GAO/HEHS-95-47).

Early Childhood Programs: Local Perspectives on Barriers to Providing

Head Start Services (Report, 12/21/94, GAO/HEHS-95-8).

Page 23 GAO/HEHS-96-69W
Education

(Comprehensive

1-Year Listing)

Elementary and

Secondary Education

For more information, contact Beatrice F. Birman at

(202) 512-7008, Eleanor L. Johnson at (202) 512-7209, or Fred E.

Yohey, Jr., at (202) 512-7218.

School Finance: Trends in U.S. Education Spending (Report, 9/15/95,

GAO/HEHS-95-235).

DOD Dependents Schools: Enrollment Categories, Numbers, and

Locations(Report, 9/18/95, GAO/HEHS-95-149).

Schools and Workplaces: An Overview of Successful and Unsuccessful

Practices (Report, 8/31/95, GAO/PEMD-95-28).

D.C. Public School Enrollment (Letter, 8/28/95, GAO/AIMD-95-229R).

Vocational Education: Changes at High School Level After Amendments to

Perkins Act (Report, 7/12/95, GAO/HEHS-95-144).

District of Columbia: Weaknesses in Personnel Records and Public

Schools’ Management Information and Controls (Testimony, 6/14/95,

GAO/T-AIMD-95-170).

School Safety: Promising Initiatives for Addressing School Violence

(Report, 4/25/95, GAO/HEHS-95-106).

School Facilities: America’s Schools Not Designed or Equipped for 21st

Century (Report, 4/4/95, GAO/HEHS-95-95). Testimony on same topic (4/4/95,

GAO/T-HEHS-95-127).

School Facilities: Condition of America’s Schools (Report, 2/1/95,

GAO/HEHS-95-61).

Multiple Youth Programs (Letter, 1/19/95, GAO/HEHS-95-60R).

Charter Schools: New Model for Public Schools Provides Opportunities

and Challenges (Report, 1/18/95, GAO/HEHS-95-42). Testimony on same topic

(1/19/95, GAO/T-HEHS-95-52).

Health Care: School-Based Health Centers Can Expand Access for

Children (Report, 12/22/94, GAO/HEHS-95-35).

Page 24 GAO/HEHS-96-69W
Education

(Comprehensive

1-Year Listing)

Higher Education For more information, contact Josepth J. Eglin, Jr., at

(202) 512-7009 or Wayne B. Upshaw at (202) 512-7006.

Higher Education: Selected Information on Student Financial Aid Received

by Legal Immigrants (Report, 11/24/95, GAO/HEHS-96-7).

National Service Programs AmeriCorps*USA—Early Program Resource

and Benefit Information (Testimony, 10/17/95, GAO/T-HEHS-96-14). Report on

same topic (8/29/95, GAO/HEHS-95-222).

Land-Grant College Revenues (Letter, 10/20/95, GAO/HEHS-96-10R).

AmeriCorps*USA Clarifications (Letter, 9/11/95, GAO/HEHS-95-267R).

AmeriCorps*USA Benefit-Cost Study (Letter, 9/7/95, GAO/HEHS-95-255R).

Direct Student Loans (Letter, 8/25/95, GAO/HEHS-95-225R).

College Savings: Information on State Tuition Prepayment Programs

(Report, 8/3/95, GAO/HEHS-95-131).

Vocational Education: 2-Year Colleges Improve Programs, Maintain Access

for Special Populations (Report, 7/26/95, GAO/HEHS-95-163).

Teacher Training: Status and Participants’ Views of Delta Teachers

Academy (Report, 6/29/95, GAO/RCED-95-208).

Student Loan Defaults: Department of Education Limitations in

Sanctioning Problem Schools (Report, 6/19/95, GAO/HEHS-95-99).

Direct Student Loans: Selected Characteristics of Participating Schools

(Testimony, 3/30/95, GAO/T-HEHS-95-123).

Higher Education: Restructuring Student Aid Could Reduce Low-Income

Student Dropout Rate (Report, 3/23/95, GAO/HEHS-95-48).

GAO’s 1995 High Risk Reports: Student Financial Aid (Report, 2/95,

GAO/HR-95-10).

Guaranteed Student Loans: Actions to Ensure Continued Student Access

to Subsidized Loans (Report, 2/24/95, GAO/HEHS-95-64).

Page 25 GAO/HEHS-96-69W
Education

(Comprehensive

1-Year Listing)

Multiple Teacher Training Programs: Information on Budgets, Services,

and Target Groups (Report, 2/22/95, GAO/HEHS-95-71FS).

Adult Education Act (Letter, 2/16/95, GAO/HEHS-95-65R).

GAO Education Reports (Letter, 2/3/95, GAO/HEHS-72R).

NCAA Student Athlete Pell Grants (Letter, 1/10/95, GAO/OSI-95-13R).

Women’s Educational Equity Act: A Review of Program Goals and

Strategies Needed (Report, 12/27/94, GAO/PEMD-95-6).

Page 26 GAO/HEHS-96-69W
Employment

(Comprehensive

1-Year Listing)

Equal Employment

Opportunities

For more information, contact Lawrence J. Horinko at

(202) 512-7001.

Military Equal Opportunity: Certain Trends in Racial and Gender Data May

Warrant Further Analysis (Report, 11/17/95, GAO/NSIAD-96-17).

Equal Employment Opportunity: Women and Minority Representation at

Interior, Agriculture, Navy, and State (Report, 9/29/95, GAO/GGD-95-211).

Equal Employment Opportunity: DOL Contract Compliance Reviews Could

Better Target Federal Contractors (Report, 9/28/95, GAO/HEHS-95-177).

Employment Discrimination: Most Private-Sector Employers Use

Alternative Dispute Resolution (Report, 7/5/95, GAO/HEHS-95-150).

Federal Affirmative Employment: Progress of Women and Minority

Criminal Investigators at Selected Agencies (Report, 4/25/95, GAO/GGD-95-85).

Equal Employment Opportunity: Group Representation in Key Jobs at the

National Institutes of Health (Report, 3/16/95, GAO/GGD-95-83).

Equal Opportunity: DOD Studies on Discrimination in the Military (Report,

3/95, GAO/NSIAD-95-103).

Discrimination Complaints: Monetary Awards in Federal EEO Cases

(Report, 1/3/95, GAO/GGD-95-28FS).

Managing DOE: Further Review Needed of Suspensions of Security

Clearances for Minority Employees (Report, 12/8/94, GAO/RCED-95-15).

Labor and

Management

Relations

For more information, contact Charles A. Jeszeck at

(202) 512-7036 or Sigurd R. Nilsen at (202) 512-7003.

Federal Employee Redress: An Opportunity for Reform (Testimony,

11/29/95, GAO/T-GGD-96-42).

Worker Protection: Federal Contractors and Violations of Labor Law

(Report, 10/24/95, GAO/HEHS-96-8).

Federal Personnel Management: Views on Selected NPR Human Resource

Recommendations (Report, 9/18/95, GAO/GGD-95-221BR).

Page 27 GAO/HEHS-96-69W
Employment

(Comprehensive

1-Year Listing)

Training and

Employment

Assistance

For more information, contact Charles A. Jeszeck at

(202) 512-7036, Sigurd R. Nilsen at (202) 512-7003, or Wayne B.

Upshaw at (202) 512-7006, .

Job Corps Program (Letter, 11/9/95, GAO/HEHS-96-61R).

Department of Labor: Senior Community Service Employment Program

Delivery Could Be Improved Through Legislative and Administrative

Actions (Report, 11/2/95, GAO/HEHS-96-4). Testimony on same topic (11/2/95,

GAO/T-HEHS-96-57).

Job Corps: High Costs and Mixed Results Raise Questions About

Program’s Effectiveness (Report, 6/30/95, GAO/HEHS-95-180).

Department of Labor: Rethinking the Federal Role in Worker Protection

and Workforce Development (Testimony, 4/4/95, GAO/T-HEHS-95-125).

Multiple Employment Training Programs: Information Crosswalk on 163

Employment Training Programs (Report, 2/14/95, GAO/HEHS-95-85FS).

Multiple Employment Training Programs: Major Overhaul Needed to

Create a More Efficient, Customer-Driven System (Testimony, 2/6/95).

Multiple Employment Training Programs: Major Overhaul Needed to

Reduce Costs, Streamline the Bureaucracy, and Improve Results

(Testimony, 1/10/95, GAO/T-HEHS-95-53).

Workplace Quality For more information, contact Lawrence J. Horinko at

(202) 512-7001, Charles A. Jeszeck at (202) 512-7036, or Sigurd R.

Nilsen at (202) 512-7003.

OSHA: Potential to Reform Regulatory Enforcement (Testimony, 10/17/95,

GAO/T-HEHS-96-42).

Schools and Workplaces: An Overview of Successful and Unsuccessful

Practices (Report, 8/31/95, GAO/PEMD-95-28).

Department of Labor: Rethinking the Federal Role in Worker Protection

and Workforce Development (Testimony, 4/4/95, GAO/T-HEHS-95-125).

Page 28 GAO/HEHS-96-69W
Employment

(Comprehensive

1-Year Listing)

Other Employment

Issues

For more information, contact Lawrence J. Horinko at

(202) 512-7001, Charles A. Jeszeck at (202) 512-7036, or Sigurd R.

Nilsen at (202) 512-7003.

Federal Job Classification: Comparison of Job Content with Grades

Assigned in Selected Occupations (Report, 11/6/95, GAO/GGD-96-20).

Review of Compensation Comparability Report (Letter, 10/30/95,

GAO/GGD-96-34R).

Defense Contractors: Pay, Benefits, and Restructuring During Defense

Downsizing (Report, 10/10/95, GAO/NSIAD-96-19BR).

Federal Reorganization: Congressional Proposal to Merge Education,

Labor, and EEOC (Report, 6/7/95, GAO/HEHS-95-140). Testimony on same topic

(6/29/95, GAO/T-HEHS-95-188).

Personnel Practices: Selected Characteristics of Recent Ramspeck Act

Appointments (Testimony, 5/24/95, GAO/T-GGD-95-173).

Title 6 T&A Data (NASA) (Letter, 5/23/95, GAO/AIMD-95-140R).

Title 6 T&A Data (NRC) (Letter, 5/23/95, GAO/AIMD-95-139R).

Administratively Uncontrollable Overtime (Letter, 4/14/95, GAO/GGD-95-129R).

Federal Quality Management: Strategies for Involving Employees (Report,

4/18/95, GAO/GGD-95-79).

Federal Downsizing: The Administration’s Management of Workforce

Reductions (Testimony, 3/2/95, GAO/T-GGD-95-108).

Labor’s Regional Structure and Trust Funds (Letter, 2/10/95,

GAO/HEHS-95-82R).

Block Grants: Characteristics, Experience, and Lessons Learned (Report,

2/9/95, GAO/HEHS-95-74). Testimony on same topic (2/9/95, GAO/T-HEHS-95-80).

GAO Labor Products (1990-1995) (Letter, 2/3/95, GAO/HEHS-95-73R).

Department of Labor: Opportunities to Realize Savings (Testimony,

1/18/95, GAO/T-HEHS-95-55).

Page 29 GAO/HEHS-96-69W
Employment

(Comprehensive

1-Year Listing)

Federal Personnel: Federal/Private Sector Pay Comparisons (Report,

12/14/94, GAO/OCE-95-1).

Page 30 GAO/HEHS-96-69W
Social Security, Disability, and Welfare

(Comprehensive

1-Year Listing)

Children’s Issues For more information, contact David P. Bixler at (202) 512-7201,

Diana S. Eisenstat at (202) 512-5562, or Robert L. MacLafferty at

(415) 904-2123.

Child Support Child Support Enforcement: States and Localities Move to Privatized

Services (Report, 11/20/95, GAO/HEHS-96-43FS).

Child Support Enforcement: Families Could Benefit From Stronger

Enforcement Program (Report, 12/27/94, GAO/HEHS-95-24).

Other Children’s Issues Child Welfare: Complex Needs Strain Capacity to Provide Services

(Report, 9/26/95, GAO/HEHS-95-208).

Children and Families Services Programs (Letter, 9/1/95, GAO/HEHS-95-191R).

Federal Reimbursement for Foster Care (Letter, 8/11/95, GAO/HEHS-95-197R).

Child Welfare: Opportunities to Further Enhance Family Preservation and

Support Activities (Report, 6/15/95, GAO/HEHS-95-112).

Child Support Enforcement: Opportunity to Reduce Federal and State

Costs (Testimony, 6/13/95, GAO/T-HEHS-95-181).

Foster Care: Health Needs of Many Young Children Are Unknown and

Unmet (Report, 5/26/95, GAO/HEHS-95-114).

Child Care: Recipients Face Service Gaps and Supply Shortages

(Testimony, 3/1/95, GAO/T-HEHS-95-96).

Child Care: Narrow Subsidy Programs Create Problems for Mothers Trying

to Work (Testimony, 1/31/95, GAO/T-HEHS-95-69).

Low-Income Families: Comparison of Incomes of AFDC and Working Poor

Families (Testimony, 1/25/95, GAO/T-HEHS-95-63).

Child Care: Child Care Subsidies Increase Likelihood That Low-Income

Mothers Will Work (Report, 12/30/94, GAO/HEHS-95-20).

Child Care: Promoting Quality in Family Child Care (Report, 12/7/94,

GAO/HEHS-95-36). Testimony on same topic (12/9/94, GAO/T-HEHS-95-43).

Page 31 GAO/HEHS-96-69W
Social Security, Disability, and Welfare

(Comprehensive

1-Year Listing)

Pensions For more information, contact Michael D. Packard at

(202) 512-7250 or Donald C. Snyder at (202) 512-7204.

Pension Bennefit Guaranty

Corporation

PBGC (Letter, 8/24/95, GAO/AIMD-95-225R).

Public and Private Pension

Issues

Proposed Pension Reversion (Letter, 10/24/95, GAO/HEHS-96-54R).

Federal Pensions: Thrift Savings Plan Has Key Role in Retirement Benefits

(Report, 10/19/95, GAO/HEHS-96-1).

Private Pension Plans: Efforts to Encourage Infrastructure Investment

(Report, 9/8/95, GAO/HEHS-95-173).

Penson COLAs (Letter, 8/11/95, GAO/HEHS-95-219R).

Combined Fund Analysis (Letter, 8/7/95, GAO/HEHS-95-230R).

Federal Retirement System Financing (Testimony, 6/28/95,

GAO/T-GGD-95-197).

Overview of Federal Retirement Programs (Testimony, 5/22/95,

GAO/T-GGD-95-172).

Federal Retirement: Benefits for Members of Congress, Congressional

Staff, and Other Employees (Report, 5/15/95, GAO/GGD-95-78). Testimony on

same topic (5/15/95, GAO/T-GGD-95-165).

CSRS Funding (Letter, 4/3/95, GAO/GGD-95-200R).

Federal Retirement Issues (Testimony, 3/10/95, GAO/T-GGD-95-111).

District Pensions: Federal Options for Sharing Burden to Finance

Unfunded Liability (Report, 12/28/94, GAO/HEHS-95-40).

Page 32 GAO/HEHS-96-69W
Social Security, Disability, and Welfare

(Comprehensive

1-Year Listing)

Social Security and

Disability

For more information, contact Cynthia A. Bascetta at

(202) 512-7207, Michael T. Blair at (404) 679-1944, Christopher C.

Crissman at (202) 512-7051, Cynthia M. Fagnoni at (202) 512-7202,

or Rolland H. Miller at (202) 512-7246.

Disability Disability Insurance: Broader Management Focus Needed to Better

Control Caseload (Testimony, 5/23/95, GAO/T-HEHS-95-164).

D.C. Disability Retirement Rate (Report, 3/31/95, GAO/GGD-95-133).

Supplemental Security Income: Recipient Population Has Changed as

Caseloads Have Burgeoned (Testimony, 3/27/95, GAO/T-HEHS-95-120).

Social Security: New Functional Assessments for Children Raise Eligibility

Questions (Report, 3/10/95, GAO/HEHS-95-66).

Social Security: Federal Disability Programs Face Major Issues

(Testimony, 3/2/95, GAO/T-HEHS-95-97).

Supplemental Security Income: Recent Growth in the Rolls Raises

Fundamental Program Concerns (Testimony, 1/27/95, GAO/T-HEHS-95-67).

Social Security

Administration

Supplemental Security Income: Disability Program Vulnerable to Applicant

Fraud When Middlemen Are Used (Report, 8/31/95, GAO/HEHS-95-116).

OHA Backlogs (Letter, 7/28/95, GAO/HEHS-95-228R).

Supplemental Security Income: Growth and Changes in Recipient

Population Call for Reexamining Program (Report, 7/7/95, GAO/HEHS-95-137).

Social Security Administration: Leadership Challenges Accompany

Transition to an Independent Agency (Report, 2/15/95, GAO/HEHS-95-59).

SSA Services to Employers (Letter, 12/6/94, GAO/HEHS-95-38R).

Other Social Security

Programs

SSA’s Rehabilitation Programs (Letter, 9/7/95, GAO/HEHS-95-253R).

Page 33 GAO/HEHS-96-69W
Social Security, Disability, and Welfare

(Comprehensive

1-Year Listing)

Welfare For more information, contact David P. Bixler at (202) 512-7201.

Welfare To Work: Approaches That Help Teenage Mothers Complete High

School (Report, 9/29/95, GAO/HEHS/PEMD-95-202).

Welfare To Work: Child Care Assistance Limited; Welfare Reform May

Expand Needs (Report, 9/21/95, GAO/HEHS-95-220).

Welfare to Work: State Programs Have Tested Some of the Proposed

Reforms (Report, 7/14/95, GAO/PEMD-95-26).

Low-Income Families (Letter, 6/28/95, GAO/HEHS-95-162R).

Welfare Benefits: Potential to Recover Hundreds of Millions More in

Overpayments (Report, 6/20/95, GAO/HEHS-95-111).

Welfare Programs: Opportunities to Consolidate and Increase Program

Efficiencies (Report, 5/31/95, GAO/HEHS-95-139).

Welfare to Work: Most AFDC Training Programs Not Emphasizing Job

Placement (Report, 5/19/95, GAO/HEHS-95-113).

Welfare to Work: Measuring Outcomes for JOBS Participants (Report,

4/17/95, GAO/HEHS-95-86).

Means-Tested Programs (Letter, 2/24/95, GAO/HEHS-95-94R).

Welfare Reform: Implications of Proposals on Legal Immigrants’ Benefits

(Report, 2/2/95, GAO/HEHS-95-58).

Welfare to Work: AFDC Training Program Spends Billions, but Not Well

Focused on Employment (Testimony, 1/10/95, GAO/T-HEHS-95-51). Report on

same topic (12/19/94, GAO/HEHS-95-28).

Other Products

Related to Social

Security, Disability,

and Welfare

For more information, contact Diana S. Eisenstat at

(202) 512-5562.

Thrift Savings Plan (Letter, 11/14/95, GAO/HEHS-96-66R).

Page 34 GAO/HEHS-96-69W
Social Security, Disability, and Welfare

(Comprehensive

1-Year Listing)

Federal Grants to New Jersey (Letter, 11/8/95, GAO/AIMD-96-8R). Block

Grants: Issues in Designing Accountability Provisions (Report, 9/1/95,

GAO/AIMD-95-226).

Illegal Aliens: National Net Cost Estimates Vary Widely (Report, 7/25/95,

GAO/HEHS-95-133).

Health and Human Services: Opportunities to Realize Savings (Testimony,

1/12/95, GAO/T-HEHS-95-57).

Page 35 GAO/HEHS-96-69W
Veterans Affairs and Military Health

(Comprehensive

1-Year Listing)

Military Health Care For more information, contact Daniel M. Brier at (202) 512-6803 or

George F. Poindexter at (202) 512-7213.

Military Physicians: DOD’s Medical School and Scholarship Program

(Report, 9/29/95, GAO/HEHS-95-244).

Defense Health Care: Despite TRICARE Procurement Improvements,

Problems Remain (Report, 8/3/95, GAO/HEHS-95-142).

Defense Health Care: Problems With Medical Care Overseas Are Being

Addressed (Report, 7/12/95, GAO/HEHS-95-156).

Operation Desert Storm: Health Concerns of Selected Indiana Persian Gulf

War Veterans (Report, 5/16/95, GAO/HEHS-95-102).

Wartime Medical Care: Aligning Sound Requirements with New Combat

Care Approaches Is Key to Restructuring Force (Testimony, 3/30/95,

GAO/T-NSIAD-95-129).

Defense Health Care: DOD’s Managed Care Program Continues to Face

Challenges (Testimony, 3/28/95, GAO/T-HEHS-95-117).

Defense Health Care: Issues and Challenges Confronting Military Medicine

(Report, 3/22/95, GAO/HEHS-95-104).

Veterans’ Benefits For more information, contact Irene P. Chu at (202) 512-7102.

Hispanic Veterans (Letter, 11/2/95, GAO/HEHS-96-25R).

VA Student Financial Aid: Opportunity to Reduce Overlap in Approving

Education and Training Programs (Report, 10/30/95, GAO/HEHS-96-22).

Veterans’ Benefits: Effective Interaction Needed Within VA to Address

Appeals Backlog (Report, 9/27/95, GAO/HEHS-95-190).

Veterans Benefits Modernization: Further Service Improvement Depends

on Coordinated Approach (Testimony, 6/22/95, GAO/T-AIMD-95-184).

Veterans’ Benefits: VA Can Prevent Millions in Compensation and Pension

Overpayments (Report, 4/28/95, GAO/HEHS-95-88).

Page 36 GAO/HEHS-96-69W
Veterans Affairs and Military Health

(Comprehensive

1-Year Listing)

Concurrent Receipt (Letter, 4/27/95, GAO/HEHS-95-136R).

Veterans Compensation: Offset of DOD Separation Pay and VA Disability

Compensation (Report, 4/3/95, GAO/NSIAD-95-123).

Veterans’ Benefits: Basing Survivors’ Compensation on Veterans’ Disability

Is a Viable Option (Report, 3/6/95, GAO/HEHS-95-30).

Veterans’ Benefits: Better Assessments Needed to Guide Claims

Processing Improvements (Report, 1/13/95, GAO/HEHS-95-25).

Veterans’ Health Care For more information, contact James R. Linz at (202) 512-7110 or

Paul R. Reynolds at (202) 512-7109.

VA Health Care: Effects of Facility Realignment on Construction Needs Are

Unknown (Report, 11/17/95, GAO/HEHS-96-19).

Fiscal Year 1996 VA Certification (Letter, 11/14/95, GAO/HEHS-96-67R).

VA Health Care: Efforts to Increase Sharing With DOD and the Private

Sector (Testimony, 10/18/95, GAO/T-HEHS-96-41).

VA Health Care Delivery: Top Management Leadership Critical to Success

of Decision Support Systems (Report, 9/29/95, GAO/AIMD-95-182).

VA Clinic Funding (Letter, 9/19/95, GAO/HEHS-95-273R).

Proposed VA Hospital at Travis Air Force Base (Letter, 9/19/95,

GAO/HEHS-95-268R).

VA Medical Resources Allocation (Letter, 9/12/95, GAO/HEHS-95-252R).

Medical Care Budget Alternatives (Letter, 9/12/95, GAO/HEHS-95-247R).

VA Health Care: Need for Brevard Hospital Not Justified (Report, 8/29/95,

GAO/HEHS-95-192).

VA Construction Contract Award Delays (Letter, 8/25/95, GAO/HEHS-95-240R).

VA Health Care: Issues Affecting Eligibility Reform (Testimony, 7/19/95,

GAO-T-HEHS-95-213).

Page 37 GAO/HEHS-96-69W
Veterans Affairs and Military Health

(Comprehensive

1-Year Listing)

VA Health Care: Physician Peer Review Identifies Quality of Care Problems

but Actions to Address Them Are Limited (Report, 7/7/95, GAO/HEHS-95-121).

Brockton Substance Abuse (Letter, 6/2/95, GAO/HEHS-95-172R).

VA Savings Options (Letter, 5/18/95, GAO/HEHS-95-165R).

VA’s Florida Network Planning (Letter, 5/16/95, GAO/HEHS-95-160R).

Operation Desert Storm: Health Concerns of Selected Indiana Persian Gulf

War Veterans (Report, 5/16/95, GAO/HEHS-95-102).

VA Health Care: Challenges and Options for the Future (Testimony, 5/9/95,

GAO/T-HEHS-95-147).

VA Health Care: Retargeting Needed to Better Meet Veterans’ Changing

Needs (Report, 4/21/95, GAO/HEHS-95-39).

Barriers to VA Managed Care (Letter, 4/20/95, GAO/HEHS-95-84R).

VA Health Care: Albuquerque Medical Center Not Recovering Full Costs of

Lithotripsy Services (Report, 12/28/94, GAO/HEHS-95-19).

Veterans’ Health Care: Veterans’ Perceptions of VA Services and VA’s Role

in Health Care Reform (Report, 12/23/94, GAO/HEHS-95-14).

VA Health Care: Inadequate Planning in the Chesapeake Network (Report,

12/22/94, GAO/HEHS-95-6).

Page 38 GAO/HEHS-96-69W
Major Contributors

Jessie L. Battle

David W. Bieritz

Susan Y. Higgins

James L. Kirkman

Stephen F. Palincsar

Page 39 GAO/HEHS-96-69W
Major Contributors

Page 40 GAO/HEHS-96-69W
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Change of Address Notification Form

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