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                    As of April 17, 2024, there are 5090 open recommendations that still need to be addressed. 440 of these are priority recommendations, those that we believe warrant priority attention. Learn more about our priority designation on our Recommendations page.
    Search for open recommendations by agency, topic, subject, or keyword/phrase below, or view all open recommendations by agency.Skip to main search resultsPriority Recommendations Only
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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
        Apr 16, 2024
        Rebecca Shea, Jared B. Smith

  Show
    3Open Recommendations

  Agency
                                                          Recommendation
                                                          StatusOffice of Management and Budget
                                                                                                      The Director of the Office of Management and Budget, in collaboration with the Council of the Inspectors General on Integrity and Efficiency, should develop guidance on the collection of Office of Inspector General (OIG) data to support fraud estimation. The guidance should (1) identify and establish consistent data elements and terminology for use across OIGs; (2) include a timeline for implementation and key milestones; and (3) leverage existing data systems and processes, as appropriate. (Recommendation 1)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Office of Management and Budget
                                                                                                      The Director of the Office of Management and Budget, with input from executive branch agencies, should develop guidance on the collection of executive agency data to support fraud estimation. The guidance should (1) identify and establish consistent data elements and terminology for use across agencies; (2) include a timeline for implementation and key milestones; and (3) leverage existing data systems and processes, as appropriate. (Recommendation 2)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Department of the Treasury
                                                                                                      The Secretary of the Treasury, in consultation with the Office of Management and Budget, should establish an effort to evaluate and identify methods to expand government-wide fraud estimation to support fraud risk management. This effort should (1) initially prioritize program areas at increased risk of fraud; (2) be responsive to changes in the availability or quality of data; and (3) leverage data-analytics capabilities, such as within the Office of Payment Integrity, which includes the Do Not Pay program. (Recommendation 3)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Counternarcotics: DOD Should Improve Coordination and Assessment of Its Activities
GAO-24-106281
        Apr 16, 2024
        Chelsa L. Kenney

  Show
    4Open Recommendations

  Agency
                                                          Recommendation
                                                          StatusDepartment of Defense
                                                                                                      The Secretary of Defense should ensure that the Deputy Assistant Secretary of Defense for Counternarcotics and Stabilization Policy updates standard operating procedures for the C2IE data system to specify the quality control measures that should be reviewed and to assign responsibility for verifying that the information is accurate and consistent across combatant commands. (Recommendation 1)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Department of Defense
                                                                                                      The Secretary of Defense should ensure that the Deputy Assistant Secretary of Defense for Counternarcotics and Stabilization Policy works with INDOPACOM, SOUTHCOM, and NORTHCOM to develop up-to-date agreements that clarify and define their and their task forces' respective roles and responsibilities in the overlapping operation area. (Recommendation 2)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Department of Defense
                                                                                                      The Secretary of Defense should ensure that the Deputy Assistant Secretary of Defense for Counternarcotics and Stabilization Policy identifies measurable outcomes for each of DOD's CN/CTOC strategic objectives that can be used to assess progress toward the objective. (Recommendation 3)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Department of Defense
                                                                                                      The Secretary of Defense should ensure that the Deputy Assistant Secretary of Defense for Counternarcotics and Stabilization Policy develops a plan to assess DOD-wide progress toward its CN/CTOC strategic objectives. (Recommendation 4)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Military Health Care: DOD Should Improve Its Process for Clinical Adverse Actions against Providers
GAO-24-106107
        Apr 11, 2024
        Sharon M. Silas

  Show
    6Open Recommendations

  Agency
                                                          Recommendation
                                                          StatusDefense Health Agency
                                                                                                      The Director of DHA should modify its monitoring reports or audit tools to capture information needed to effectively assess adherence to certain requirements, such as notification to other health care entities of a provider's summary suspension and state licensing board reporting. (Recommendation 1)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Defense Health Agency
                                                                                                      The Director of DHA should strengthen its monitoring of MTFs' and DHA's timeliness in completing the steps in the clinical adverse action process. (Recommendation 2)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Defense Health Agency
                                                                                                      The Director of DHA should clarify in the DHA procedures manual for clinical adverse actions that MTFs must summarily suspend providers at the initiation of all clinical adverse action cases. (Recommendation 3)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Defense Health Agency
                                                                                                      The Director of DHA should clarify in the DHA procedures manual for clinical adverse actions the requirements for documenting the MTFs' final privileging authority decisions. This should include specifying that implementation of the privileging authority decision should be documented in a timely manner. (Recommendation 4)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Defense Health Agency
                                                                                                      The Director of DHA should establish timeliness requirements for the DHA-level procedures in the clinical adverse action process, including the DHA audit, legal sufficiency review, clinical peer review, appeal panel meeting and recommendation, and final report authority decision. (Recommendation 5)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Office of the Assistant Secretary of Defense (Health Affairs)
                                                                                                      The Assistant Secretary of Defense for Health Affairs should require DHA to report data on its adherence to clinical adverse action reporting requirements, such as the number of providers with reportable actions and the timeliness of reports, and should use this information to improve its oversight of DHA. (Recommendation 6)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Justice40: Additional Efforts Needed to Improve Tribal Applicants' Access to Federal Programs   Under Environmental Justice Initiative
GAO-24-106511
        Apr 10, 2024
        Anna Maria Ortiz

  Show
    7Open Recommendations

  Agency
                                                          Recommendation
                                                          StatusEnvironmental Protection Agency
                                                                                                      The Administrator of EPA should ensure that the program offices of EPA Justice40 covered programs document previously identified statutory and regulatory barriers to access for tribal applicants informing their implementation of the Justice40 Initiative. As a part of this process, the agency should—with input from Tribes—identify any additional changes necessary to address remaining statutory and regulatory barriers, recommending legislative changes where the agency determines appropriate. The agency should make a summary of the results of this process publicly available. (Recommendation 1)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Federal Emergency Management Agency
                                                                                                      The Administrator of FEMA should ensure that program offices of FEMA Justice40 covered programs document previously identified statutory and regulatory barriers to access for tribal applicants informing their implementation of the Justice40 Initiative. As a part of this process, the agency should—with input from Tribes—identify any additional changes necessary to address remaining statutory and regulatory barriers, recommending legislative changes where the agency determines appropriate. The agency should make a summary of the results of this process publicly available. (Recommendation 2)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Department of Agriculture
                                                                                                      The Secretary of Agriculture should ensure that program offices of USDA Justice40 covered programs document previously identified statutory and regulatory barriers to access for tribal applicants informing their implementation of the Justice40 Initiative. As a part of this process, the agency should—with input from Tribes—identify any additional changes necessary to address remaining statutory and regulatory barriers, recommending legislative changes where the agency determines appropriate. The agency should make a summary of the results of this process publicly available. (Recommendation 3)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Environmental Protection Agency
                                                                                                      The Administrator of EPA should ensure that program offices implementing Justice40 covered programs maintain records of related consultations with Tribes and consider—with tribal input—publicly sharing a high-level summary of consultation results, as appropriate, to improve tribal applicants' access to information about tribal input on federal programs and decrease the burden on Tribes and eligible Indigenous communities. (Recommendation 4)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Federal Emergency Management Agency
                                                                                                      The Administrator of FEMA should ensure that program offices implementing Justice40 covered programs maintain records of related consultations with Tribes and consider—with tribal input—publicly sharing a high-level summary of consultation results, as appropriate, to improve tribal applicants' access to information about tribal input on federal programs and decrease the burden on Tribes and eligible Indigenous communities. (Recommendation 5)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Department of Agriculture
                                                                                                      The Secretary of the USDA should ensure that program offices implementing Justice40 covered programs maintain records of related consultations with Tribes and consider—with tribal input—publicly sharing a high-level summary of consultation results, as appropriate, to improve tribal applicants' access to information about tribal input on federal programs and decrease the burden on Tribes and eligible Indigenous communities. (Recommendation 6)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Environmental Protection Agency
                                                                                                      The Administrator of EPA should ensure that program offices consult with federally recognized Tribes and conduct outreach to eligible Indigenous communities to ensure meaningful involvement when determining benefits for Justice40 covered programs in accordance with EOP guidance and determine how to incorporate the input into future Justice40 implementation efforts. (Recommendation 7)
                                                                                                      Open
  

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.Go back to search filters
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