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Ambulance Services: Medicare Payments Can Be Better Targeted to Trips in Less Densely Populated Rural Areas

Description: A letter report issued by the General Accounting Office with an abstract that begins "The Centers for Medicare & Medicaid Services (CMS) recently implemented a Medicare ambulance fee schedule in which providers are paid a base payment per trip plus a mileage payment. An adjustment is made to the mileage rate for rural trips to account for higher costs. CMS has stated that this rural adjustment may not sufficiently target providers serving sparsely populated rural areas. The Medicare, Medicaid, … more
Date: September 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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DOD Business Systems Modernization: Important Progress Made to Develop Business Enterprise Architecture, but Much Work Remains

Description: A letter report issued by the General Accounting Office with an abstract that begins "The National Defense Authorization Act for Fiscal Year 2003 directed the Department of Defense (DOD) to develop an enterprise architecture and a transition plan that meets certain requirements. The act also directed DOD to have a process for controlling its system investments. As required by the act, GAO assessed DOD's actions to comply with the act's requirements and recently issued a report to congressional … more
Date: September 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Homeland Security: Risks Facing Key Border and Transportation Security Program Need to Be Addressed

Description: A letter report issued by the General Accounting Office with an abstract that begins "The Department of Homeland Security (DHS) plans to establish a program to strengthen management of the pre-entry, entry, status, and exit of foreign nationals who travel to the United States. The goals of the program, known as the United States Visitor and Immigrant Status Indicator Technology (US-VISIT), are to facilitate legitimate trade and travel, enhance national security, and adhere to U.S. privacy laws … more
Date: September 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Regulatory Takings: Implementation of Executive Order on Government Actions Affecting Private Property Use

Description: A letter report issued by the General Accounting Office with an abstract that begins "Each year federal agencies issue numerous proposed or final rules or take other regulatory actions that may potentially affect the use of private property. Some of these actions may result in the property owner being owed just compensation under the Fifth Amendment. In 1988 the President issued Executive Order 12630 on property rights to ensure that government actions affecting the use of private property are … more
Date: September 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Prescription Drugs: OxyContin Abuse and Diversion and Efforts to Address the Problem

Description: A letter report issued by the General Accounting Office with an abstract that begins "Amid heightened awareness that many patients with cancer and other chronic diseases suffer from undertreated pain, the Food and Drug Administration (FDA) approved Purdue Pharma's controlled-release pain reliever OxyContin in 1995. Sales grew rapidly, and by 2001 OxyContin had become the most prescribed brandname narcotic medication for treating moderate-to-severe pain. In early 2000, reports began to surface a… more
Date: December 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Electronic Procurement: Business Strategy Needed for GSA's Advantage System

Description: A letter report issued by the General Accounting Office with an abstract that begins "The Congress has been seeking to increase federal agency purchases of equipment and services on line. The General Services Administration's (GSA) Advantage Internet-based ordering system is meant for conducting market research and ordering all types of products and services on line. About $84 million has already been invested in this endeavor. GAO was asked to assess how effectively GSA has managed this invest… more
Date: February 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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The Worker Adjustment and Retraining Notification Act: Revising the Act and Educational Materials Could Clarify Employer Responsibilities and Employee Rights

Description: A letter report issued by the General Accounting Office with an abstract that begins "In 2001, 1.75 million workers lost jobs through extended mass layoffs. The Worker Adjustment and Retraining Notification (WARN) Act requires advance notice of plant closures and mass layoffs. The report discusses (1) the extent to which plant closures and mass layoffs were subject to WARN's requirements, (2) the extent to which employers with mass layoffs and plant closures provided notice, and (3) what issues… more
Date: September 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Internal Revenue Service: Challenges Remain in Combating Abusive Tax Schemes

Description: A letter report issued by the General Accounting Office with an abstract that begins "Abusive tax avoidance schemes could threaten our tax system's integrity and fairness if honest taxpayers believe that significant numbers of individuals are not paying their fair share of taxes. Abusive schemes encompass such distortions of the tax system as falsely describing the law (saying, for example, that the income tax is unconstitutional), misrepresenting facts (for instance, promoting the deduction of… more
Date: November 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Federal Real Property: Vacant and Underutilized Properties at GSA, VA, and USPS

Description: A letter report issued by the General Accounting Office with an abstract that begins "The federal government has many vacant and underutilized properties that are no longer needed. Retaining unneeded real properties presents federal agencies with significant potential risks for (1) lost dollars because such properties are costly to maintain; and (2) lost opportunities because the properties could be put to more cost-beneficial uses, exchanged for other needed property, or sold to generate reven… more
Date: August 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Military Munitions: DOD Needs to Develop a Comprehensive Approach for Cleaning Up Contaminated Sites

Description: A letter report issued by the General Accounting Office with an abstract that begins "Over 15 million acres in the United States are suspected of being, or known to be, contaminated with military munitions. These sites include ranges on closing military installations, closed ranges on active installations, and formerly used defense sites. Under the Defense Environmental Restoration Program, established in 1986, the Department of Defense (DOD) must identify, assess, and clean up military munitio… more
Date: December 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Defense Health Care: Quality Assurance Process Needed to Improve Force Health Protection and Surveillance

Description: A letter report issued by the General Accounting Office with an abstract that begins "Following the 1990-91 Persian Gulf War, many servicemembers experienced health problems that they attributed to their military service in the Persian Gulf. However, a lack of servicemember health and deployment data hampered subsequent investigations into the nature and causes of these illnesses. Public Law 105-85, enacted in November 1997, required the Department of Defense (DOD) to establish a system to asse… more
Date: September 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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State Department: Targets for Hiring, Filling Vacancies Overseas Being Met, but Gaps Remain in Hard-to-Learn Languages

Description: A letter report issued by the General Accounting Office with an abstract that begins "During the 1990s, the State Department lost more people than it hired. The resultant shortfalls in the number and skills of Foreign Service officers have endangered U.S. diplomatic readiness. Furthermore, recent studies, including several by GAO, have questioned whether State's recruitment system identifies people with the appropriate skills and whether State is assigning officers with specialized skills, such… more
Date: November 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Medicare: Modest Eligibility Expansion for Critical Access Hospital Program Should Be Considered

Description: A letter report issued by the General Accounting Office with an abstract that begins "Critical Access Hospitals (CAHs) are small rural hospitals that receive payment for their reasonable costs of providing inpatient and outpatient services to Medicare beneficiaries, rather than being paid fixed amounts under Medicare's prospective payment systems. Between fiscal years 1997 and 2002, 681 hospitals have become CAHs. In the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 20… more
Date: September 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Military Recruiting: DOD Needs to Establish Objectives and Measures to Better Evaluate Advertising's Effectiveness

Description: A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense (DOD) must convince more than 200,000 people each year to join the military. To assist in recruiting, the military services advertise on television, on radio, and in print and participate in other promotional activities. In the late 1990s, some of the services missed their overall recruiting goals. In response, DOD added recruiting resources by increasing its advertising, number of re… more
Date: September 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Defense Infrastructure: Changes in Funding Priorities and Strategic Planning Needed to Improve the Condition of Military Facilities

Description: A letter report issued by the General Accounting Office with an abstract that begins "GAO prepared this report in response to its basic legislative responsibilities. Its objectives are threefold: (1) to examine the historical funding trends and their impact on the condition of the active forces' facilities, (2) to evaluate the consistency of the services' information on facility conditions, and (3) to assess the Department of Defense's (DOD) long-term strategic plan and objectives to improve fa… more
Date: February 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Military Readiness: DOD Needs to Reassess Program Strategy, Funding Priorities, and Risks for Selected Equipment

Description: A letter report issued by the General Accounting Office with an abstract that begins "GAO was asked to assess the condition of key equipment items and to determine if the services have adequate plans for sustaining, modernizing, or replacing them. To address these questions, we selected 25 major equipment items, and determined (1) their current condition, (2) whether the services have mapped out a program strategy for these items, (3) whether current and projected funding is consistent with the… more
Date: December 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Freight Transportation: Strategies Needed to Address Planning and Financing Limitations

Description: A letter report issued by the General Accounting Office with an abstract that begins "The strong productivity gains in the U.S. economy have hinged in part on transportation networks working more efficiently. The nation's ports, which handle 95 percent of overseas freight tonnage, are a key link in this network, and efficient intermodal links between ship, rail, and highways are vital to continued productivity gains. GAO was asked to address (1) the challenges to freight mobility, (2) the limit… more
Date: December 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Aviation Security: Federal Air Marshal Service Is Addressing Challenges of Its Expanded Mission and Workforce, but Additional Actions Needed

Description: A letter report issued by the General Accounting Office with an abstract that begins "To help strengthen aviation security after the September 11, 2001, terrorist attacks, the Congress expanded the size and mission of the Federal Air Marshal Service (the Service) and located the Service within the newly created Transportation Security Administration (TSA). Between November 2001 and July 1, 2002, the Service grew from fewer than 50 air marshals to thousands, and its mission expanded to include t… more
Date: November 19, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department
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Plutonium/High-Level Vitrified Waste Bdbe Dose Calculation

Description: In accordance with the Nuclear Waste Policy Amendments Act of 1987, Yucca Mountain was designated as the site to be investigated as a potential repository for the disposal of high-level radioactive waste. The Yucca Mountain site is an undeveloped area located on the southwestern edge of the Nevada Test Site (NTS), about 100 miles northwest of Las Vegas. The site currently lacks rail service or an existing right-of-way. If the Yucca Mountain site is found suitable for the repository, rail servic… more
Date: March 19, 2003
Creator: Richardson, D. C.
Partner: UNT Libraries Government Documents Department
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Campaign Finance Law: The Supreme Court Upholds Key Provisions of BCRA in McConnell v. FEC

Description: This report discusses the Supreme Court's decision in McConnell v. FEC. The court upheld against facial constitutional challenges key portions of the Bipartisan Campaign Reform Act of 2002 (BCRA), (P.L. 107-155, commonly known as the McCain-Feingold or Shays-Meehan campaign finance reform law).
Date: December 19, 2003
Creator: Whitaker, L. Paige
Partner: UNT Libraries Government Documents Department
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Amendments in the Senate: Types and Forms

Description: The amending process is central to the consideration of legislation by the Senate. This report briefly describes the various types of amendments that take place in the Senate.
Date: May 19, 2003
Creator: Saturno, James V.
Partner: UNT Libraries Government Documents Department
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