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Ambulance Providers: Costs and Expected Medicare Margins Vary Greatly

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In 2002, Medicare implemented a national fee schedule designed to standardize payments for ambulance services. The Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) required GAO to study ambulance service costs. GAO examined providers' costs of ground ambulance transports in 2004 and factors that contributed to cost differences; average Medicare ambulance payments expected unde… more
Date: May 23, 2007
Creator: United States. Government Accountability Office.
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Defense Acquisitions: Navy Faces Challenges Constructing the Aircraft Carrier Gerald R. Ford within Budget

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Navy is investing over $3 billion to develop technologies for a new type of aircraft carrier--the Ford class--and it expects to spend almost $11 billion to design and construct the USS Gerald R. Ford (CVN 78)--the lead ship of the class. New technologies are to improve the carrier's performance and reduce crew size. The Navy requested authorization of CVN 78 in its fiscal year 2008 budget. GAO was a… more
Date: August 23, 2007
Creator: United States. Government Accountability Office.
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Defense Trade: National Security Reviews of Foreign Acquisitions of U.S. Companies Could Be Improved

Description: Testimony issued by the Government Accountability Office with an abstract that begins "The Exon-Florio amendment to the Defense Production Act of 1950, enacted in 1988, authorized the President to suspend or prohibit foreign acquisitions of U.S. companies that pose a threat to national security. The Committee on Foreign Investment in the United States--chaired by the Department of Treasury with 11 other members, including the Departments of Commerce, Defense, and Homeland Security--implements E… more
Date: March 23, 2007
Creator: United States. Government Accountability Office.
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Energy Markets: Mergers and Other Factors That Influence Gasoline Prices

Description: Testimony issued by the Government Accountability Office with an abstract that begins "Few issues generate more attention and anxiety among American consumers than the price of gasoline. The most current upsurge in prices is no exception. According to data from the Energy Information Administration (EIA), the average retail price of regular unleaded gasoline in the United States has increased almost every week this year since January 29th and reached an all-time high of $3.21 the week of May 21… more
Date: May 23, 2007
Creator: United States. Government Accountability Office.
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Federal Capital: Three Entities' Implementation of Capital Planning Principles Is Mixed

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2005, the federal government spent nearly $117 billion on capital investments intended to yield long-term benefits for its operations. Effective capital planning ensures that the sizable investments made by federal agencies result in the most efficient return to taxpayers. Accordingly, GAO evaluated (1) how well selected entities followed the planning phase principles of GAO's Executive G… more
Date: February 23, 2007
Creator: United States. Government Accountability Office.
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Financial Audit: Significant Internal Control Weaknesses Remain in the Preparation of the Consolidated Financial Statements of the U.S. Government

Description: A letter report issued by the Government Accountability Office with an abstract that begins "For the past 10 years, since GAO's first audit of the consolidated financial statements of the U.S. government (CFS), certain material weaknesses in internal control and in selected accounting and financial reporting practices have prevented GAO from expressing an opinion on the CFS. GAO has consistently reported that the U.S. government did not have adequate systems, controls, and procedures to properl… more
Date: July 23, 2007
Creator: United States. Government Accountability Office.
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Freight Railroads: Updated Information on Rates and Other Industry Trends

Description: Testimony issued by the Government Accountability Office with an abstract that begins "The Staggers Rail Act of 1980 largely deregulated the freight railroad industry, encouraging greater reliance on competition to set rates. The act recognized the need for railroads to recover costs by setting higher rates for shippers with fewer transportation alternatives but also recognized that some shippers might be subject to unreasonably high rates. It established a threshold for rate relief and granted… more
Date: October 23, 2007
Creator: United States. Government Accountability Office.
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Geostationary Operational Environmental Satellites: Further Actions Needed to Effectively Manage Risks

Description: Testimony issued by the Government Accountability Office with an abstract that begins "The National Oceanic and Atmospheric Administration (NOAA), with the aid of the National Aeronautics and Space Administration (NASA), plans to procure the next generation of geostationary operational environmental satellites, called the Geostationary Operational Environmental Satellites-R series (GOES-R). This new series is considered critical to the United States' ability to maintain the continuity of data r… more
Date: October 23, 2007
Creator: United States. Government Accountability Office.
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Geostationary Operational Environmental Satellites: Progress Has Been Made, but Improvements Are Needed to Effectively Manage Risks

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Commerce's National Oceanic and Atmospheric Administration (NOAA), with the aid of the National Aeronautics and Space Administration (NASA), plans to procure the next generation of geostationary operational environmental satellites, called the Geostationary Operational Environmental Satellites-R series (GOES-R). This series is considered critical to the United States' ability to mainta… more
Date: October 23, 2007
Creator: United States. Government Accountability Office.
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Highlights of a GAO Forum: Global Competitiveness: Implications for the Nation's Higher Education System

Description: Other written product issued by the Government Accountability Office with an abstract that begins "The United States has long been one of the most desired higher education destinations for international students. Students from other countries bring needed skills to the increasingly knowledge-based U.S. economy, build bridges between the United States and their own countries, and make other valuable contributions. Yet recent trends and changes after September 11, 2001, have raised concerns about… more
Date: January 23, 2007
Creator: United States. Government Accountability Office.
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Highway Emergency Relief: Reexamination Needed to Address Fiscal Imbalance and Long-term Sustainability

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Since 1972, Congress has authorized $100 million a year for highway disaster recovery needs through the Federal Highway Administration's (FHWA) Emergency Relief (ER) program. Increasingly, the program's actual costs have exceeded this amount, and Congress has provided additional funding. Because of this fiscal imbalance between program funding and program needs, we reviewed ER under the Comptroller Gene… more
Date: February 23, 2007
Creator: United States. Government Accountability Office.
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Information Technology: Treasury Needs to Strengthen Its Investment Board Operations and Oversight

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Department of the Treasury relies extensively on information technology (IT) to carry out its mission. For fiscal year 2007, Treasury requested about $2.8 billion--the third largest planned IT expenditure among civilian agencies. GAO's objectives included (1) assessing Treasury's capabilities for managing its IT investments and (2) determining any plans the agency has for improving its capabilities.… more
Date: July 23, 2007
Creator: United States. Government Accountability Office.
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Inspectors General: Activities of the Department of State Office of Inspector General

Description: A letter report issued by the Government Accountability Office with an abstract that begins "GAO was asked to review the Department of State Office of Inspector General (State IG) including its (1) organization, budget levels, and accomplishments; (2) audit and inspection coverage of the department; (3) role of inspections in the oversight of the department; (4) quality assurance process including assurance of independence; and (5) coordination of State IG investigations with the State Departme… more
Date: March 23, 2007
Creator: United States. Government Accountability Office.
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Internet Access Tax Moratorium: Revenue Impacts Will Vary by State

Description: Testimony issued by the Government Accountability Office with an abstract that begins "According to one report, at the end of 2006, about 92 million U.S. adults used the Internet on a typical day. As public use of the Internet grew from the mid-1990s onward, Internet access became a potential target for state and local taxation. In 1998, Congress imposed a moratorium temporarily preventing state and local governments from imposing new taxes on Internet access. Existing state and local taxes wer… more
Date: May 23, 2007
Creator: United States. Government Accountability Office.
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Internet Infrastructure: Challenges in Developing a Public/Private Recovery Plan

Description: Testimony issued by the Government Accountability Office with an abstract that begins "Since the early 1990s, growth in the use of the Internet has revolutionized the way that our nation communicates and conducts business. While the Internet originated as a U.S. government-sponsored research project, the vast majority of its infrastructure is currently owned and operated by the private sector. Federal policy recognizes the need to prepare for debilitating Internet disruptions and tasks the Depa… more
Date: October 23, 2007
Creator: United States. Government Accountability Office.
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Long-Term Budget Outlook: Deficits Matter--Saving Our Future Requires Tough Choices Today

Description: Testimony issued by the Government Accountability Office with an abstract that begins "The Comptroller General testified before Congress for a hearing entitled "Why Deficits Matter." The presentation touched on several points. First, the current financial condition in the United States is worse than is widely understood. Second, the current fiscal path is both imprudent and unsustainable. Third, improvements in information and processes are needed and can help. And finally, meeting the long-ter… more
Date: January 23, 2007
Creator: United States. Government Accountability Office.
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Military Operations: The Department of Defense's Use of Solatia and Condolence Payments in Iraq and Afghanistan

Description: A letter report issued by the Government Accountability Office with an abstract that begins "There are a number of ways that the U.S. government provides assistance to Iraqi or Afghan civilians who are killed, injured, or suffer property damage as a result of U.S. and coalition forces' actions. For instance, the U.S. Agency for International Development funds projects to assist Iraqi and Afghan civilians and communities directly impacted by actions of U.S. or coalition forces. Also, the Departm… more
Date: May 23, 2007
Creator: United States. Government Accountability Office.
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The Nation's Long-Term Fiscal Outlook: January 2007 Update

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "Since 1992, GAO has published long-term fiscal simulations of what might happen to federal deficits and debt levels under varying policy assumptions. GAO developed its long-term model in response to a bipartisan request from Members of Congress who were concerned about the long-term effects of fiscal policy. In 1992 GAO said: "The federal budget is structurally unbalanced. This will do increasing damage … more
Date: February 23, 2007
Creator: United States. Government Accountability Office.
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No Child Left Behind Act: Education Assistance Could Help States Better Measure Progress of Students with Limited English Proficiency

Description: Testimony issued by the Government Accountability Office with an abstract that begins "The No Child Left Behind Act of 2001 (NCLBA) focused attention on the academic achievement of more than 5 million students with limited English proficiency. Obtaining valid test results for these students is challenging, given their language barriers. This testimony describes (1) the extent to which these students are meeting annual academic progress goals, (2) what states have done to ensure the validity of … more
Date: March 23, 2007
Creator: United States. Government Accountability Office.
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Project Bioshield: Actions Needed to Avoid Repeating Past Mistakes

Description: Testimony issued by the Government Accountability Office with an abstract that begins "The anthrax attacks in September and October 2001 highlighted the need to develop medical countermeasures. The Project BioShield Act of 2004 authorized the Department of Health and Human Services (HHS) to procure countermeasures for a Strategic National Stockpile. However, in December 2006, HHS terminated the contract for a recombinant protective antigen (rPA) anthrax vaccine because VaxGen failed to meet a c… more
Date: October 23, 2007
Creator: United States. Government Accountability Office.
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Project Bioshield: Actions Needed to Avoid Repeating Past Problems with Procuring New Anthrax Vaccine and Managing the Stockpile of Licensed Vaccine

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The anthrax attacks in September and October 2001 highlighted the need to develop medical countermeasures. The Project BioShield Act of 2004 authorized the Department of Health and Human Services (HHS) to procure countermeasures for a Strategic National Stockpile. However, in December 2006, HHS terminated the contract for a recombinant protective antigen (rPA) anthrax vaccine because VaxGen failed to me… more
Date: October 23, 2007
Creator: United States. Government Accountability Office.
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Public Health and Hospital Emergency Preparedness Programs: Evolution of Performance Measurement Systems to Measure Progress

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "The September 11, 2001, terrorist attacks, the anthrax incidents during the fall of 2001, Hurricane Katrina, and concerns about the possibility of an influenza pandemic have raised public awareness and concerns about the nation's public health and medical systems' ability to respond to bioterrorist events and other public health emergencies. From 2002 to 2006, the Congress appropriated about $6.1 billion… more
Date: March 23, 2007
Creator: United States. Government Accountability Office.
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September 11: HHS Needs to Ensure the Availability of Health Screening and Monitoring for All Responders

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Responders to the World Trade Center (WTC) attack were exposed to many hazards, and concerns remain about long-term health effects of the disaster and the availability of health care services for those affected. In 2006, GAO reported on problems with the Department of Health and Human Services' (HHS) WTC Federal Responder Screening Program and on the Centers for Disease Control and Prevention's (CDC) di… more
Date: July 23, 2007
Creator: United States. Government Accountability Office.
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Stabilizing and Rebuilding Iraq: Conditions in Iraq Are Conducive to Fraud, Waste, and Abuse

Description: Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses some of the systemic conditions in Iraq that contribute to the fraud, waste, or abuse of U.S.-provided funds. Since 2003, DOD has reported total costs of about $257.5 billion for military operations in Iraq; these have increased from about $38.8 billion in fiscal year 2003 to about $83.4 billion in fiscal year 2006. The largest increase has been in operation and maintenance expenses, … more
Date: April 23, 2007
Creator: United States. Government Accountability Office.
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