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                    Most Recent Reports**1 - 20 of 55 Reports**
	
	

	
	  **Released on   Apr 16, 2024**
          Medicare and Medicaid: Additional Actions Needed to Enhance Program Integrity and Save Billions
    GAO-24-107487
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    Both Medicare and Medicaid are susceptible to payment errors—over $100 billion worth in 2023. Known as "improper payments," these are payments that are either made in an incorrect amount or should not have been made at all. We testified about our numerous recommendations to CMS and Congress that reduced improper payments, enhanced program integrity, and saved billions of dollars in Medicare and Medicaid. Other recommendations...
          Counternarcotics: DOD Should Improve Coordination and Assessment of Its Activities
    GAO-24-106281
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    According to the U.S. government, illicit drugs and the criminal organizations that produce and traffic them are a significant threat. DOD leads federal efforts to monitor the air and water transport of drugs like cocaine and fentanyl into the U.S. DOD set up a joint operation area including the western U.S. border and parts of Latin America. But 3 of DOD's regional components' areas of...
          Homeland Security: DHS Internal Entities Facilitate Information Sharing in Key Areas and Collaborate as Needed
    GAO-24-106896
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    Nine formal groups within the Department of Homeland Security routinely share information to advise leaders, guide internal policies, and identify potential threats. We found no unnecessary duplication among the groups, but some of their purposes and activities had the potential for overlap. Agency officials said groups collaborate to avoid duplication. For example, the Homeland Security Intelligence Council—composed of less-senior staff than the Counter Threats Advisory...
          Restrictive Housing: Actions Needed to Enhance BOP and ICE Management and Oversight
    GAO-24-107494
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    We testified about our prior work related to use of restrictive housing, formerly referred to as "solitary confinement," in federal prison and detention facilities. In some cases, this includes isolating 1-2 people in cells for nearly 24 hours per day. The Bureau of Prisons uses restrictive housing for about 8% of its prison population each year—about 11,000 people in FY 2023. U.S. Immigration and Customs...
          Fraud Risk Management: 2018-2022 Data Show Federal Government Loses an Estimated $233 Billion to $521 Billion Annually to Fraud, Based on Various Risk Environments
    GAO-24-105833
      Published:   Apr 16, 2024
. 
        Publicly Released:   Apr 16, 2024
.
    No area of the federal government is immune to fraud. We estimated that the federal government could lose between $233 billion and $521 billion annually to fraud. Given the scope of this problem, a government-wide approach is required to address it. The Office of Management and Budget, working with agencies and the oversight community, should develop guidance to improve fraud-related data—providing a more uniform approach...
      **Released on   Apr 15, 2024**
          Prescription Drugs: Selected States' Regulation of Pharmacy Benefit Managers
    GAO-24-106898
      Published:   Mar 18, 2024
. 
        Publicly Released:   Apr 15, 2024
.
    Private health plans contract with pharmacy benefit managers—companies that help oversee prescription drug benefits and control costs. We studied 5 states that have laws to regulate these companies. We found, for example, that all 5 states regulated the companies' drug pricing and pharmacy payments—including by limiting companies' use of manufacturer rebates and their ability to pay pharmacies less than health plans are charged. State regulators...
          Persistent Chemicals: Navy Efforts to Address PFAS at Joint Base Pearl Harbor-Hickam
    GAO-24-106812
      Published:   Apr 15, 2024
. 
        Publicly Released:   Apr 15, 2024
.
    PFAS—a group of synthetic chemicals called per- and polyfluoroalkyl substances—are used in firefighting foams and other products. Some PFAS are linked to environmental contamination and human health problems. This Q&A covers our work on the Department of Defense's detection and treatment of PFAS contamination at Joint Base Pearl Harbor-Hickam in Hawaii. In 2022, 1,300 gallons of firefighting foam was accidentally released there. As of February...
          F-35 Sustainment: Costs Continue to Rise While Planned Use and Availability Have Decreased
    GAO-24-106703
      Published:   Apr 15, 2024
. 
        Publicly Released:   Apr 15, 2024
.
    The F-35 aircraft is DOD's most advanced and costly weapon system. DOD currently has about 630 F-35s, plans to buy about 1,800 more, and intends to use them through 2088. We reported in this Q&A that DOD's projected costs to sustain the F-35 fleet keep increasing—from $1.1 trillion in 2018 to $1.58 trillion in 2023. Yet DOD plans to fly the F-35 less than originally...
      **Released on   Apr 11, 2024**
          Military Health Care: DOD Should Improve Its Process for Clinical Adverse Actions against Providers
    GAO-24-106107
      Published:   Apr 11, 2024
. 
        Publicly Released:   Apr 11, 2024
.
    The Defense Health Agency investigates concerns about the quality and safety of care that individual health care providers deliver in DOD medical facilities. If DHA finds evidence for those concerns, it can prohibit providers from DOD facilities or limit the services they can provide. DHA must also report the provider to a federal database that hospitals and others can use to screen providers. But DHA...
          Economic Development: Additional Training Could Help Small Lenders Implement Technology
    GAO-24-106226
      Published:   Mar 28, 2024
. 
        Publicly Released:   Apr 11, 2024
.
    People in low- and moderate-income communities can't always access loans through traditional banks. Community Development Financial Institutions are organizations that provide financial services to fill this gap. Our survey of these institutions found that many small CDFIs don't have the technology to best serve their customers, manage operations, and conduct outreach. The Department of the Treasury receives funding to support CDFIs and has increased the...
      **Released on   Apr 10, 2024**
          Broadband Deployment: Agencies Should Take Steps to Better Meet Deadline for Processing Permits
    GAO-24-106157
      Published:   Apr 10, 2024
. 
        Publicly Released:   Apr 10, 2024
.
    The federal government is investing billions of dollars in expanding broadband access. Some new infrastructure—such as broadband towers—will be situated on federal lands. Federal agencies are required to process applications for such permits within 270 days. The Bureau of Land Management and the Forest Service process most of these applications. Between 2018-2022, both agencies missed the deadline for some applications and for others couldn't determine...
          Coast Guard Health Care: Information on Telehealth Usage
    GAO-24-106784
      Published:   Apr 10, 2024
. 
        Publicly Released:   Apr 10, 2024
.
    The Coast Guard began offering video and telephone telehealth appointments to its personnel in 2021 during the COVID-19 pandemic. In this Q&A , we reported that the benefits of the Coast Guard's telehealth program include increasing access to medical care for personnel located in remote locations. However, there are challenges. For instance, inconsistent internet connectivity aboard Coast Guard vessels could limit the use of telehealth...
          Justice40: Additional Efforts Needed to Improve Tribal Applicants' Access to Federal Programs   Under Environmental Justice Initiative
    GAO-24-106511
      Published:   Apr 10, 2024
. 
        Publicly Released:   Apr 10, 2024
.
    Underserved communities, such as Tribes, face barriers to accessing federal funding—like cost-share requirements that require participants to contribute some funding up front. The Justice40 Initiative aims to increase underserved communities' access to funding, with a goal of directing 40% of the benefits of covered federal programs to such communities. However, some Justice40 program requirements also create access barriers. For example, competitive grants can include significant...
          COVID-19 Relief: State and Local Fiscal Recovery Funds Spending as of September 30, 2023
    GAO-24-107472
      Published:   Apr 10, 2024
. 
        Publicly Released:   Apr 10, 2024
.
    The Department of the Treasury has awarded billions of dollars to state and local governments to help them cover COVID-19 recovery costs. In this Snapshot , we update our prior work on the status of this funding, including spent funds and more. As of September 30, 2023: States, including the District of Columbia, have reported spending $103.7 billion, or 53% of their awards Localities have...
          Fiscal Year 2025 Budget Request: U.S. Government Accountability Office
    GAO-24-107438
      Published:   Apr 10, 2024
. 
        Publicly Released:   Apr 10, 2024
.
    In fiscal year 2023, GAO's work yielded $70.4 billion in financial benefits. Our average return on investment for the past 6 years is $133 for every $1 invested in GAO. In this testimony before the House Subcommittee on Legislative Branch Appropriations, U.S. Comptroller General Gene L. Dodaro discusses GAO's FY 2025 budget request. Our budget request will enable GAO to continue to meet key areas...
      **Released on   Apr 9, 2024**
          Higher Education: Employment Discrimination Case Referrals Between Education and the Equal Employment Opportunity Commission Could Be Improved
    GAO-24-105516
      Published:   Mar 6, 2024
. 
        Publicly Released:   Apr 9, 2024
.
    Despite recent increases in Black and Hispanic employees on higher education faculties, they're still underrepresented. Current or prospective higher education faculty can file complaints of employment discrimination with the Equal Employment Opportunity Commission. They also file complaints with the Department of Education—which refers almost all of them to EEOC. About 90% of Education's referrals to EEOC are required to be sent within 30 days, but...
          Coast Guard: Aircraft Fleet and Aviation Workforce Assessments Needed
    GAO-24-106374
      Published:   Apr 9, 2024
. 
        Publicly Released:   Apr 9, 2024
.
    The Coast Guard protects and defends the U.S. coastline and inland waterways. It relies heavily on its fleet of about 200 aircraft to do so—especially for search and rescue missions. The Coast Guard is working to modernize its fleet. For example, it intends to consolidate its helicopters from 98 short-range and 48 medium-range helicopters to an all medium-range helicopter fleet. This would reduce the number...
          Aircraft Registrations: Risks Remain from Efforts to Obscure Ownership Information
    GAO-24-107495
      Published:   Apr 9, 2024
. 
        Publicly Released:   Apr 9, 2024
.
    This testimony discusses our prior work on the FAA's management of the U.S. registry for civil aircraft. Accurate registry information can, for example, facilitate aircraft purchases or help investigators combat drug trafficking or money laundering. But the FAA generally relies on self-certification and doesn't verify information such as applicant identity or ownership. Shell company or limited liability company ownership can also make it hard to...
          IRS Direct File: Actions Needed during Pilot to Improve Information on Costs and Benefits
    GAO-24-107236
      Published:   Apr 9, 2024
. 
        Publicly Released:   Apr 9, 2024
.
    IRS is piloting Direct File during the 2024 tax filing season. It is a system that will guide certain taxpayers through preparing and filing their tax returns on IRS's website for free. IRS estimated that Direct File could cost $64-$249 million annually—depending on assumptions such as the number of taxpayers served. IRS estimated that participating taxpayers may save $21 million in tax preparation costs. However...
      **Released on   Apr 8, 2024**
          Health Centers: Revenue, Grant Funding, and Methods for Meeting Certain Access-To-Care Requirements
    GAO-24-106815
      Published:   Mar 7, 2024
. 
        Publicly Released:   Apr 8, 2024
.
    Health centers provide primary care in places with a shortage of health care services. They served over 30 million people in 2022—regardless of their ability to pay. We reviewed health centers' revenue and more for 2018-2022. Annual revenue increased from $28.7 billion to $42.9 billion over this period. The Health Resources and Services Administration provided $34 billion in grants to support these centers over that...
    
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