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Implementation of HIPAA: Progress Slow in Enforcing Federal Standards in Nonconforming States

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) enforcement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), focusing on: (1) HCFA's progress in enforcing HIPAA and related laws in states lacking conforming statutes; (2) HCFA's role in enforcing HIPAA for state and local government health plans; and (3) the status of pending federal regulations regarding HIPAA's nondiscrimination provisions that restrict health plans from excluding employees, or varying benefits, premiums, or employer contributions, on the basis of health status."
Date: March 31, 2000
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Annual report of groundwater monitoring at Centralia, Kansas, in 2010.

Description: In September 2005, periodic sampling of groundwater was initiated by the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) in the vicinity of a grain storage facility formerly operated by the CCC/USDA at Centralia, Kansas. The sampling at Centralia is performed on behalf of the CCC/USDA by Argonne National Laboratory, in accord with a monitoring program approved by the Kansas Department of Health and Environment (KDHE). The objective is to monitor levels of carbon tetrachloride contamination identified in the groundwater at Centralia (Argonne 2003, 2004, 2005a). Under the KDHE-approved monitoring plan (Argonne 2005b), the groundwater was sampled twice yearly from September 2005 until September 2007 for analyses for volatile organic compounds (VOCs), as well as measurement of selected geochemical parameters to aid in the evaluation of possible natural contaminant degradation processes (reductive dechlorination) in the subsurface environment (Argonne 2006, 2007a, 2008a). The results from the two-year sampling program demonstrated the presence of carbon tetrachloride contamination at levels exceeding the KDHE Tier 2 risk-based screening level (RBSL) of 5 {micro}g/L for this compound, in a localized groundwater plume that has shown little movement. The relative concentrations of chloroform, the primary degradation product of carbon tetrachloride, suggested that some degree of reductive dechlorination or natural biodegradation was talking place in situ at the former CCC/USDA facility on a localized scale. The CCC/USDA subsequently developed an Interim Measure Conceptual Design (Argonne 2007b), proposing a pilot test of the Adventus EHC technology for in situ chemical reduction (ISCR). The proposed interim measure (IM) was approved by the KDHE in November 2007 (KDHE 2007). Implementation of the pilot test occurred in November-December 2007. The objective was to create highly reducing conditions that would enhance both chemical and biological reductive dechlorination in the injection test area (Argonne 2009a). The KDHE (2008a) requested that sitewide ...
Date: March 16, 2011
Creator: LaFreniere, L. M.
Partner: UNT Libraries Government Documents Department

Final phase I report and phase II work plan: QuickSite{reg_sign} investigation, Centralia, Kansas.

Description: The Commodity Credit Corporation (CCC), an agency of the U.S. Department of Agriculture (USDA), formerly operated a grain storage facility approximately 1,100 ft north of Centralia (Figure 1.2). The CCC/USDA operated this facility from 1949 until 1971. None of the CCC/USDA structures remain. Two additional grain storage facilities currently exist in and near Centralia: the Nemaha County Co-op, approximately 4,000 ft south of the former CCC/USDA facility, and a private grain storage facility near the Don Morris residence, 3,500 ft north of the former CCC/USDA facility. Prior to 1986, commercial grain fumigants containing carbon tetrachloride were commonly used by the CCC/USDA and the grain storage industry to preserve grain. In April 1998, the Kansas Department of Health and Environment (KDHE) sampled the domestic well at the Don Morris residence near Centralia (Figure 1.2) as part of the CCC/USDA Private Well Sampling Program, which was initiated to determine whether carbon tetrachloride was present in domestic wells located near former CCC/USDA grain storage facilities in Kansas. Carbon tetrachloride was detected in the Morris well at 19.3 mg/L and confirmed at 25.4 mg/L, both concentrations above the maximum contaminant level (MCL) of 5 mg/L for carbon tetrachloride in drinking water. On the basis of the detection of carbon tetrachloride in the Morris well, the KDHE in August-September 1998 conducted preliminary investigations at the former CCC/USDA facility. For the details of previous investigations in the area and a summary of their findings, see the QuickSite{reg_sign} Phase I Work Plan for Centralia (Argonne 2002a). Because the KDHE found carbon tetrachloride at the former CCC/USDA facility at Centralia that might, in part, be linked to historical use of carbon tetrachloride-based grain fumigants at the facility, the CCC/USDA is conducting an environmental site investigation at Centralia. However, the KDHE established in 1998 that the probable groundwater flow ...
Date: March 1, 2003
Creator: LaFreniere, L. M.
Partner: UNT Libraries Government Documents Department