------------------------------ Indexing Terms ------------------------------
REPORTNUM: HEHS-95-33W
TITLE: Health, Education, Employment, Social Security, Welfare,
and Veterans Reports
DATE: 11/94
SUBJECT: Health care services
Medicare programs
Long-term care
Educational programs
Employment or training programs
Aid for training or employment
Social security benefits
Welfare benefits
Veterans benefits
Health care costs
IDENTIFIER: Bibliographies
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Cover
================================================================ COVER
Health, Education, and Human
Services Division Reports
November 1994
HEALTH
EDUCATION
EMPLOYMENT
SOCIAL SECURITY
WELFARE
VETERANS
GAO/HEHS-95-33W
Abbreviations
=============================================================== ABBREV
AIDS - acquired immunodeficiency syndrome
CDC - Centers for Disease Control and Prevention
CDR - continuing disability review
CHAMPUS - Civilian Health and Medical Program of the Uniformed
Services
CRS - Congressional Research Service, Library of Congress
DEA - Drug Enforcement Agency
DC - District of Columbia
DOD - Department of Defense
DOE - Department of Energy
EEO - Equal Employment Opportunity
EEOC - Equal Employment Opportunity Commission
ERISA - Employee Retirement Income Security Act of 1974
ESEA - Elementary and Secondary Education Act
FDA - Food and Drug Administration
GAO - General Accounting Office
HEAF - Higher Education Assistance Foundation, Department of
Education
HEHS - Health, Education, and Human Services Division, GAO
HCFA - Health Care Financing Administration
HealthPASS - Philadelphia Accessible Services System
HHS - Department of Health and Human Services
HMO - health maintenance organization
HRD - Human Resources Division, U.S. General Accounting Office
INS - Immigration and Naturalization Service
IRS - Internal Revenue Service
JOBS - Job Opportunities and Basic Skills program
JTPA - Job Training Partnership Act
NAGB - National Assessment Governing Board, Department of Education
OBRA - Omnibus Budget Reconciliation Act of 1990
PBGC - Pension Benefit Guarantee Corporation
PATH - Projects for Assistance in Transition from Homelessness
PFIA - Pension Funding Improvement Act of 1993
PPA - Pension Protection Act
RPA - Retirement Protection Act of 1993
SBA - Small Business Administration
SEA - state education agency
SSA - Social Security Administration
SSI - Supplemental Security Income
UMWA - United Mine Workers of America Combined Benefit Fund
VA - Department of Veterans Affairs
VAMC - Vetarans Affairs Medical Center
WARN - Worker Adjustment and Retraining Notification Act
WIC - Special Supplemental Food Program for Women, Infants, and
Children
PREFACE
============================================================ Chapter 0
The General Accounting Office (GAO), an arm of the Congress, was
established to independently audit government agencies. GAO's
Health, Education, and Human Services (HEHS) Division reviews the
government's health, education, employment, social security, welfare,
and veterans programs administered in the Departments of Health and
Human Services, Labor, Education, Veterans Affairs, and some other
agencies.
This booklet lists the GAO products issued on these programs. It is
divided into two major sections:
Most Recent GAO Products: This section identifies reports and
testimonies issued during the past 2 months and provides summaries
for selected key products.
Comprehensive 2-Year Listings: This section lists all products
published in the last 2 years, organized chronologically by subject
as shown in the table of contents. When appropriate, products may be
included in more than one subject area.
You may obtain single copies of the products free of charge, by
telephoning your request to (202) 512-6000 or faxing it to (301)
258-4066. Additional ordering details, as well as instructions for
getting on our mailing list, appear at the end of this booklet.
Janet L. Shikles
Assistant Comptroller General
MOST RECENT GAO PRODUCTS
(SEPTEMBER - OCTOBER 1994)
============================================================ Chapter 1
HEALTH
---------------------------------------------------------- Chapter 1:1
SELECTED SUMMARIES
-------------------------------------------------------- Chapter 1:1.1
Medical Education: Curriculum and Financing Strategies Need to
Encourage Primary Care Training (Report, 10/21/94, GAO/HEHS-95-9).
Choice of career paths in medicine is associated with the
characteristics of students admitted to medical schools and with the
curriculum and training opportunities they receive during their
medical education. We found that some features of medical schools
were associated with an increased likelihood that students would go
into primary care. Foremost among these was whether the medical
school had a family practice department--students who attended
schools with family practice departments were more likely to pursue
primary care than students who attended schools without such
departments. The way residency training is financed contributes to a
specialist orientation for the clinical education of medical
students.
Medicare: Referrals to Physician-Owned Imaging Facilities Warrant
HCFA's Scrutiny (Report, 10/20/94, GAO/HEHS-95-2).
Florida physicians with a financial interest in joint-venture imaging
centers had higher referral rates for almost all types of imaging
services than other Florida physicians. Florida physicians with
imaging facilities in their offices, group practices, or other
practice settings also had high imaging rates compared with those of
other physicians. The Department of Health and Human Services (HHS)
has not yet finalized the regulations or procedures needed to
implement and enforce the OBRA 1993 self-referral restrictions as
they apply to physicians with a financial interest in joint ventures.
Family Planning Clinics: Strain of Norplant's High Up-Front Costs
Has Subsided (Report, 10/7/94, GAO/HEHS-95-7).
When Norplant was first introduced in the United States in 1990, its
high up- front cost made it difficult for Title X clinics to provide
Norplant to all clients requesting it. To help meet the initial
demand for the implant, HHS, the states, and Title X grantees took
action soon after Norplant's introduction to lessen Norplant's
budgetary burden on family planning clinics. HHS allowed the clinics
to limit Norplant services based on budget constraints, and permitted
Title X grantees to concentrate Norplant services in magnet or hub
locations into which clinics could channel patients. The subsequent
decline in demand for Norplant appears to be due to the fact that it
lasts 5 years and is reported to have adverse side effects. Further,
women have turned to another more recently introduced injectable
contraceptive that does not involve surgery.
Health Care: Employers Urge Hospitals to Battle Costs Using
Performance Data Systems (Report, 10/3/94, GAO/HEHS-95-1).
In the communities GAO reviewed, the introduction of
severity-adjusted performance measurement systems has given hospitals
an impetus to initiate efficiency improvements. Employer coalitions
in Cincinnati, Cleveland, and Orlando have made severity-adjusted
performance measurement systems an important element of their
communities' cost containment strategies. In the communities GAO
examined, hospitals generally regard the systems as one of several
useful internal tools for identifying efficiency problems.
Hospitals, physicians, and experts in the field of outcomes research
caution employers that the results of these systems should not be the
sole guide for health care purchasing decisions.
Health Care Reform: Considerations for Risk Adjustment Under
Community Rating (Report, 9/22/94, GAO/HEHS-94-173).
Unless payments received by insurers are risk adjusted, the goal of
community rating--to have affordable, comprehensive health insurance
available to those who need it most--may be compromised. Community
rating creates strong incentives for insurers to avoid the less
healthy, undermining the intent of community rating to expand access
to those same beneficiaries. The federal government has more than a
decade of risk adjustment experience through Medicare's risk contract
program for health maintenance organizations (HMO). However, the
various reform proposals do not replicate many characteristics of the
Medicare program. Therefore, lessons from Medicare experience with
risk adjustment for health care reform need to be drawn cautiously.
OTHER HEALTH PRODUCTS
-------------------------------------------------------- Chapter 1:1.2
Health Care Reform: "Report Cards" Are Useful but Significant Issues
Need to Be Addressed (Report, 9/29/94, GAO/HEHS-94-219).
Health and Safety: Protecting Workers and the Public Continues to
Challenge DOE (Testimony, 9/22/94, GAO/T-RCED-94-283).
Nuclear Health and Safety: Consensus on Acceptable Radiation Risk to
the Public Is Lacking (Report, 9/19/94, GAO/RCED-94-190).
Long-Term Care Reform: States' Views on Key Elements of
Well-Designed Programs for the Elderly (Report, 9/6/94,
GAO/HEHS-94-227).
Small Business: SBA's Health Care Reform Activities (Report, 9/6/94,
GAO/RCED-94-240).
Medicare: Changes to HMO Rate Setting Method Are Needed to Reduce
Program Costs (Report, 9/2/94, GAO/HEHS-94-119).
EDUCATION
---------------------------------------------------------- Chapter 1:2
SELECTED SUMMARIES
-------------------------------------------------------- Chapter 1:2.1
Early Childhood Programs: Multiple Programs and Overlapping Target
Groups (Report, 10/31/94, GAO/HEHS-95-4FS).
GAO found that in federal fiscal years 1992 and 1993, the federal
government funded over 90 early childhood programs in 11 federal
agencies and 20 offices. Of these programs, we identified 34 as key
programs. These key programs provided services to at least 2 million
children below age 5 and spent at least $3.66 billion in federal
fiscal year 1992. However, data are limited on the exact number of
children served and the dollars spent on children below age 5.
Although these programs have some similarities, they may target
different populations, use different eligibility criteria, and
provide a different mix of services to children and their families.
Education Finance: Extent of Federal Funding in State Education
Agencies (Report, 10/14/94, GAO/HEHS-95-3).
In fiscal year 1993, although the federal government only provided
about 7 percent of elementary and secondary school funding, states
relied on federal support for 41 percent of the funding and 41
percent of the staff for their state education agencies (SEAs).
However, the situation is complex and comparisons among SEAs based
solely on their total federal share of funding and staff can be
misleading. Using the core of 10 federal programs common to nearly
all SEAs, the extent of funding retained for state-level
operations--primarily oversight, technical assistance and training
related to specific federal programs--was 29 percent. Overall,
states reserved a greater share of federal than state funds for
state-level operations--by a ratio of 4 to 1. This difference may be
due, state officials report, to the administrative and regulatory
requirements imposed by federal programs.
Precollege Math and Science Education: Department of Energy's
Precollege Program Managed Ineffectively (Report, 9/13/94,
GAO/HEHS-94-208).
Although the Department of Energy invested more than $50 million in
precollege education in fiscal years 1990-93, it did not effectively
oversee or direct the program. To compound problems, Energy did not
link budget decisions to project evaluation results. As a result,
Energy had not evaluated almost half of its 17 most
resource-intensive projects at the time of our review; for those
projects with evaluation reports, all were inadequate. In addition,
it is doubtful whether Energy's precollege program will help achieve
National Education Goal 5. In this regard, Energy's projects
typically do not focus on student achievement, which is central to
achieving this goal. During our review, Energy indicated recognition
of the need to pay closer attention to managing its precollege
program.
OTHER EDUCATION PRODUCTS
-------------------------------------------------------- Chapter 1:2.2
Pell Grant Costs (Letter, 9/28/94, GAO/HEHS-94-215R).
Youth Training (Letter, 9/6/94, GAO/PEMD-94-32R).
EMPLOYMENT
---------------------------------------------------------- Chapter 1:3
EMPLOYMENT PRODUCTS
-------------------------------------------------------- Chapter 1:3.1
U.S. Postal Service: Labor-Management Problems Persist on the
Workroom Floor (Volume I) (Report, 9/29/94, GAO/GGD-94-201A).
Multiple Employment Training Programs: Basic Program Data Often
Missing (Testimony, 9/28/94, GAO/T-HEHS-94-239).
Equal Employment Opportunity: Displacement Rates, Unemployment
Spells, and Reemployment Wages by Race (Report, 9/16/94,
GAO/HEHS-94-229FS).
SOCIAL SECURITY AND WELFARE
---------------------------------------------------------- Chapter 1:4
SELECTED SUMMARIES
-------------------------------------------------------- Chapter 1:4.1
Private Pensions: Funding Rule Change Needed to Reduce PBGC's
Multibillion Dollar Exposure (Report, 10/5/94, GAO/HEHS-95-5).
The current funding rules for underfunded plans are not working well.
Despite the intent of the Pension Protection Act (PPA) in 1987 that
funding in underfunded plans be improved, in 1990 sponsors of most
underfunded plans in our sample made no additional contributions to
reduce underfunding. The proposed Pension Funding Improvement Act of
1993 (PFIA) would actually reduce the percentage of sponsors making
increased contributions to their underfunded plans. The
administration's proposed Retirement Protection Act of 1993 (RPA)
would increase the percentage of underfunded plan sponsors making
additional contributions to about 50 percent. Under both bills, most
affected sponsors would make substantially larger contributions.
However, we believe additional changes are necessary to improve
funding in most underfunded plans.
OTHER SOCIAL SECURITY &
WELFARE PRODUCTS
-------------------------------------------------------- Chapter 1:4.2
Financial Audit: House Child Care Center--Fiscal Years Ended
9-30-93, 9-30-92, and Month Ended 9-30-91 (Report, 10/14/94,
GAO/AIMD-95-2).
Child Care: Current System Could Undermine Goals of Welfare Reform
(Testimony, 9/20/94, GAO/T-HEHS-94-238).
Social Security Administration: Risks Associated With Information
Technology Investment Continue (Report, 9/19/94, GAO/AIMD-94-143).
Social Security: GAO's Analysis of the Notch Issue (Testimony,
9/16/94, GAO/T-HEHS-94-236).
Social Security: Rapid Rise in Children on SSI Disability Rolls
Follows New Regulations (Report, 9/9/94, GAO/HEHS-94-225).
Social Security: Trust Funds Can Be More Accurately Funded (Report,
9/2/94, GAO/HEHS-94-48).
VETERANS AFFAIRS AND MILITARY
HEALTH
---------------------------------------------------------- Chapter 1:5
SELECTED SUMMARIES
-------------------------------------------------------- Chapter 1:5.1
VA/DOD Health Care: More Guidance Needed to Implement CHAMPUS-Funded
Sharing Agreements (Report, 10/28/94, GAO/HEHS-95-15).
In February 1994, after nearly 3 years of negotiation, the Department
of Veterans Affairs (VA) and the Department of Defense (DOD) agreed
on a framework for VA to treat Civilian Health and Medical Program of
the Uniformed Services (CHAMPUS)- eligible beneficiaries and receive
reimbursement from CHAMPUS funds. The first sharing agreement using
CHAMPUS funds to buy VA services in noncatchment areas was signed by
DOD and the Asheville, North Carolina, Vetarans Affairs Medical
Center (VAMC) officials. Although the Asheville VAMC began treating
CHAMPUS patients in February 1994, neither DOD nor VA has conducted a
systemwide search to identify other opportunities for sharing
agreements. Within catchment areas, we found that DOD hospital
commanders have not used CHAMPUS funds for sharing agreements between
their hospitals and VA hospitals and, consequently, potential sharing
opportunities have been missed.
Veterans' Health Care: Use of VA Services by Medicare-Eligible
Veterans (Report, 10/24/94, GAO/HEHS-95-13).
Medicare-eligible veterans make substantial use of VA services not
extensively covered under Medicare. Our analysis suggests that many
Medicare-eligible veterans turn to VA specifically to obtain several
of these services, particularly prescription drugs, inpatient
psychiatric care, and long-term nursing care. Changes in Medicare or
veterans health benefits made as a result of health care reform could
significantly affect future demand for VA health care services.
OTHER VETERANS AND MILITARY
HEALTH PRODUCTS
-------------------------------------------------------- Chapter 1:5.2
Veterans' Health Care: Implications of Other Countries' Reforms for
the United States (Report, 9/27/94, GAO/HEHS-94-210BR).
Veterans' Benefits: Lack of Timeliness, Poor Communication Cause
Customer Dissatisfaction (Report, 9/20/94, GAO/HEHS-94-179).
HEALTH
(COMPREHENSIVE
2-YEAR LISTING)
============================================================ Chapter 2
ACCESS AND INFRASTRUCTURE
---------------------------------------------------------- Chapter 2:1
Health Care: Federal and State Antitrust Actions Concerning the
Health Care Industry (Report, 8/5/94, GAO/HEHS-94-220).
Health Professions Education: Role of Title VII/VIII Programs in
Improving Access to Care Is Unclear (Report, 7/8/94,
GAO/HEHS-94-164).
Health Reform: Purchasing Cooperatives Have an Increasing Role in
Providing Access to Insurance (Testimony, 6/30/94,
GAO/T-HEHS-94-196). Report on same topic (5/31/94, GAO/HEHS-94-142).
Primary Care Physicians: Managing Supply in Canada, Germany, Sweden,
and the United Kingdom (Report, 5/18/94, GAO/HEHS-94-111).
Health Care Access: Innovative Programs Using Nonphysicians (Report,
8/27/93, GAO/HRD-93-128).
Nonprofit Hospitals: For-Profit Ventures Pose Access and Capacity
Problems (Report, 7/22/93, GAO/HRD-93-124).
Organ Transplants: Increased Effort Needed to Boost Supply and
Ensure Equitable Distribution of Organs (Report, 4/22/93,
GAO/HRD-93-56). Testimony on same topic (4/22/93, GAO/T-HRD-93-17).
Indian Health Service: Basic Services Mostly Available; Substance
Abuse Problems Need Attention (Report, 4/9/93, GAO/HRD-93-48).
Health Care: Rochester's Community Approach Yields Better Access,
Lower Costs (Report, 1/29/93, GAO/HRD-93-44).
Emergency Departments: Unevenly Affected by Growth and Change in
Patient Use (Report, 1/4/93, GAO/HRD-93-4).
District of Columbia: Barriers to Medicaid Enrollment Contribute to
Hospital Uncompensated Care (Report, 12/29/92, GAO/HRD-93-28).
Bone Marrow Transplants: National Program Has Greatly Increased Pool
of Potential Donors (Report, 11/4/92, GAO/HRD-93-11).
EMPLOYEE AND RETIREE HEALTH
BENEFITS
---------------------------------------------------------- Chapter 2:2
Early Retiree Health: Health Security Act Would Shift Billions in
Costs to Federal Government (Report, 7/21/94, GAO/HEHS-94-203FS).
Retiree Health Plans: Health Benefits Not Secure Under
Employer-Based System (Report, 7/9/93, GAO/HRD-93-125).
Family and Medical Leave Cost Estimate (Letter, 2/1/93,
GAO/HRD-93-14R).
Federal Health Benefits Program: Analysis of Contingency and Special
Reserves (Report, 12/4/92, GAO/GGD-93-26).
FINANCING
---------------------------------------------------------- Chapter 2:3
Health Care: Employers Urge Hospitals to Battle Costs Using
Performance Data Systems (Report, 10/3/94, GAO/HEHS-95-1).
Hospital Compensation: Nationally Representative Data on Chief
Executives' Compensation (Report, 8/16/94, GAO/HEHS-94-189).
Health Insurance For The Elderly: Owning Duplicate Policies Is
Costly and Unnecessary (Report, 8/3/94, GAO/HEHS-94-185).
Indian Health Service: Efforts to Recruit Health Care Professionals
(Report, 7/7/94, GAO/HEHS-94-180FS).
Health Care: Antitrust Enforcement Under Maryland Hospital All-Payer
System (Report, 4/27/94, GAO/HEHS-94-81).
Blue Cross and Blue Shield: Experiences of Weak Plans Underscore the
Role of Effective State Oversight (Report, 4/13/94, GAO/HEHS-94-71).
Medigap Loss Ratios, First 2 Years (Letter, 4/4/94,
GAO/HEHS-94-131R).
Medical Review Saving (Letter, 2/28/94, GAO/HEHS-94-93R).
Medigap Insurance: Insurers' Compliance With Federal Minimum Loss
Ratio Standards, 1988-91 (Report, 2/7/94, GAO/HEHS-94-47).
Health Insurance Regulation: Wide Variation in States' Authority,
Oversight, and Resources (Report, 12/27/93, GAO/HRD-94-26).
Testimony on same topic (11/5/93, GAO/T-HRD-94-55).
Hospitals: Chief Executives' Compensation (Testimony, 12/7/93,
GAO/T- HRD-94-70).
Health Insurance: California Public Employees' Alliance Has Reduced
Recent Premium Growth (Report, 11/22/93, GAO/HRD-94-40).
1993 German Health Reforms: Initiatives Tighten Cost Controls
(Testimony, 10/13/93, GAO/T-HRD-94-2). Report on same topic (7/7/93,
GAO/HRD-93-103).
1993 German Health Reforms: New Cost Control Initiatives (Report,
7/7/93, GAO/HRD-93-103). Testimony on same topic (10/13/93,
GAO/T-HRD-94-2).
Health Insurance: Remedies Needed to Reduce Losses From Fraud and
Abuse (Testimony, 3/8/93, GAO/T-HRD-93-8).
Health Insurance: Legal and Resource Constraints Complicate Efforts
to Curb Fraud and Abuse (Testimony, 2/4/93, GAO/T-HRD-93-3). Report
on same topic (5/7/92, GAO/HRD-92-69). Testimony on same topic
(5/7/92, GAO/T-HRD-92-29).
Health Care: Rochester's Community Approach Yields Better Access,
Lower Costs (Report, 1/29/93, GAO/HRD-93-44).
Removal of Breast Implants (Letter, 12/7/92, GAO/HRD-93-5R).
HEALTH CARE REFORM RELATED
ISSUES
---------------------------------------------------------- Chapter 2:4
Health Care Reform: "Report Cards" Are Useful but Significant Issues
Need to Be Addressed (Report, 9/29/94, GAO/HEHS-94-219).
Health Care Reform: Considerations for Risk Adjustment Under
Community Rating (Report, 9/22/94, GAO/HEHS-94-173).
Small Business: SBA's Health Care Reform Activities (Report, 9/6/94,
GAO/RCED-94-240).
Early Retiree Health: Health Security Act Would Shift Billions in
Costs to Federal Government (Report, 7/21/94, GAO/HEHS-94-203FS).
Health Security Act: Analysis of Veterans' Health Care Provisions
(Report, 7/15/94, GAO/HEHS-94-205FS).
Health Care Reform: Potential Difficulties in Determining
Eligibility for Low- Income People (Report, 7/11/94,
GAO/HEHS-94-176).
Veterans' Health Care: Efforts to Make VA Competitive May Create
Significant Risks (Testimony, 6/29/94, GAO/T-HEHS-94-197).
Health Reform: Purchasing Cooperatives Have an Increasing Role in
Providing Access to Insurance (Testimony, 6/30/94,
GAO/T-HEHS-94-196). Report on same topic (5/31/94, GAO/HEHS-94-142).
Federal Administrative Costs Under Health Security Act (Letter,
6/15/94, GAO/HEHS-94-187R).
Health Care Reform: Proposals Have Potential to Reduce
Administrative Costs (Report, 5/31/94, GAO/HEHS-94-158).
Health Care Reform: School-Based Health Centers Can Promote Access
to Care (Report, 5/13/94, GAO/HEHS-94-166).
VA and the Health Security Act (Letter, 5/9/94, GAO/HEHS-94-159R).
VA Health Care Reform: Financial Implications of the Proposed Health
Security Act (Testimony, 5/5/94, GAO/T-HEHS-94-148).
Health Care Alliances: Issues Relating to Geographic Boundaries
(Report, 4/8/94, GAO/HEHS-94-139). Testimony on same topic (2/24/94,
GAO/T-HEHS-94-108).
Health Care Reform: How Proposals Address Fraud and Abuse
(Testimony, 3/17/94, GAO/T-HEHS-94-124).
Health Care in Hawaii: Implications for National Reform (Testimony,
3/16/94, GAO/T-HEHS-94-123). Report on same topic (2/11/94,
GAO/HEHS-94-68).
Health Care Reform: Supplemental and Long-Term Care Insurance
(Testimony, 11/9/93, GAO/T-HRD-94-58).
Health Insurance: How Health Care Reform May Affect State Regulation
(Testimony, 11/5/93, GAO/T-HRD-94-55).
Veterans' Health Care: Potential Effects of Health Financing Reforms
on Demand for VA Services (Testimony, 3/31/93, GAO/T-HRD-93-12).
Veterans' Health Care: Potential Effects of Health Reforms on VA
Construction (Testimony, 3/3/93, GAO/T-HRD-93-7).
Transition Series: Health Care Reform (Report, 12/92,
GAO/OCG-93-8TR).
HHS PUBLIC HEALTH SERVICE
AGENCIES
---------------------------------------------------------- Chapter 2:5
Food and Drug Administration: Carrageenan Food Additive From the
Philippines Conforms to Regulations (Report, 8/2/94,
GAO/HEHS-94-141).
FDA User Fees: Current Measures Not Sufficient for Evaluating Effect
on Public Health (Report, 7/22/94, GAO/PEMD-94-26).
FDA Regulation: Compliance by Dietary Supplement and Conventional
Food Establishments (Report, 6/13/94, GAO/HEHS-94-134).
FDA Drug Enforcement Actions (Letter, 5/6/94, GAO/HEHS-94-136R).
Safe Medical Devices (Letter, 2/10/94, GAO/HEHS-94-86R).
FDA Safety Devices (Letter, 2/2/94, GAO/HEHS-94-90R).
CDC Activities Are Appropriate and Non-Duplicative (Letter, 8/30/93,
GAO/HRD-93-32R).
FDA Regulation of Dietary Supplements (Letter, 7/2/93,
GAO/HRD-93-28R).
Hospital Sterilants: Insufficient FDA Regulation May Pose a Public
Health Risk (Report, 6/14/93, GAO/HRD-93-79).
Alleged Lobbying Activities: Office for Substance Abuse Prevention
(Report, 5/4/93, GAO/HRD-93-100).
FDA Premarket Approval: Process of Approving Lodine as a Drug
(Report, 4/12/93, GAO/HRD-93-81).
Public Health Service: Evaluation Set-Aside Has Not Realized Its
Potential to Inform the Congress (Report, 4/8/93, GAO/PEMD-93-13).
LONG-TERM CARE
---------------------------------------------------------- Chapter 2:6
Long-Term Care Reform: States' Views on Key Elements of
Well-Designed Programs for the Elderly (Report, 9/6/94,
GAO/HEHS-94-227).
Long-Term Care: Other Countries Tighten Budgets While Seeking Better
Access (Report, 8/30/94, GAO/HEHS-94-154).
Survey of Long-Term Care for the Elderly (Letter, 7/21/94,
GAO/HEHS-94- 214R).
Long-Term Care Reform: Program Eligibility, States' Service
Capacity, and Federal Role in Reform Need More Consideration
(Testimony, 4/14/94, GAO/T- HEHS-94-144).
Long-Term Care: The Need for Geriatric Assessment in Publicly Funded
Home and Community-Based Programs (Testimony, 4/14/94,
GAO/T-PEMD-94-20).
Long-Term Care: Demography, Dollars, and Dissatisfaction Drive
Reform (Testimony, 4/12/94, GAO/T-HEHS-94-140).
Long-Term Care: Status of Quality Assurance and Measurement in Home
and Community Based Services (Report, 3/31/94, GAO/PEMD-94-19).
Long-Term Care: Support for Elder Care Could Benefit the Government
Workplace and the Elderly (Report, 3/4/94, GAO/HEHS-94-64).
Long-Term Care: Private Sector Elder Care Could Yield Multiple
Benefits (Report, 1/31/94, GAO/HEHS-94-60).
Health Care Reform: Supplemental and Long-Term Care Insurance
(Testimony, 11/9/93, GAO/T-HRD-94-58).
Long-Term Care Insurance: High Percentage of Policyholders Drop
Policies (Report, 8/25/93, GAO/HRD-93-129).
VA Health Care: Potential for Offsetting Long-Term Care Costs
Through Estate Recovery (Report, 7/27/93, GAO/HRD-93-68).
Long-Term Care Forum (Discussion Paper, 7/13-14/93, GAO/HRD-93-1-SP).
Long-Term Care Insurance: Tax Preferences Reduce Costs More for
Those in Higher Tax Brackets (Report, 6/22/93, GAO/GGD-93-110).
Massachusetts Long-Term Care (Letter, 5/17/93, GAO/HRD-93-22R).
Long-Term Care Case Management: State Experiences and Implications
for Federal Policy (Report, 4/6/93, GAO/HRD-93-52).
MALPRACTICE
---------------------------------------------------------- Chapter 2:7
Medical Malpractice Insurance Options (Letter, 2/28/94,
GAO/HEHS-94-105R).
Medical Malpractice: Maine's Use of Practice Guidelines to Reduce
Costs (Report, 10/25/93, GAO/HRD-94-8).
Medical Malpractice: Estimated Savings and Costs of Federal
Insurance at Health Centers (Report, 9/24/93, GAO/HRD-93-130).
Medical Malpractice: Medicare/Medicaid Beneficiaries Account for a
Relatively Small Percentage of Malpractice Losses (Report, 8/11/93,
GAO/HRD-93-126).
Medical Malpractice: Experience With Efforts to Address Problems
(Testimony, 5/20/93, GAO/T-HRD-93-24).
Health Information Systems: National Practitioner Data Bank
Continues to Experience Problems (Report, 1/29/93, GAO/IMTEC-93-1).
MANAGED CARE
---------------------------------------------------------- Chapter 2:8
Managed Health Care: Effect on Employers' Costs Difficult to Measure
(Testimony, 2/2/94, GAO/T-HEHS-94-91). Report on same topic
(10/19/93, GAO/HRD-94-3).
Managed Health Care: Effect on Employers' Costs Difficult to Measure
(Report, 10/19/93, GAO/HRD-94-3).
Medicaid Managed Care: Healthy Moms, Healthy Kids--A New Program for
Chicago (Report, 9/7/93, GAO/HRD-93-121).
Defense Health Care: Lessons Learned From DOD's Managed Health Care
Initiative (Testimony, 5/10/93, GAO/T-HRD-93-21).
Medicaid: HealthPASS--An Evaluation of a Managed Care Program for
Certain Philadelphia Recipients (Report, 5/7/93, GAO/HRD-93-67).
Medicaid: States Turn to Managed Care to Improve Access and Control
Costs (Report, 3/17/93, GAO/HRD-93-46). Testimony on same topic
(3/17/93, GAO/T- HRD-93-10).
MEDICARE AND MEDICAID
---------------------------------------------------------- Chapter 2:9
Veterans' Health Care: Use of VA Services by Medicare-Eligible
Veterans (Report, 10/24/94, GAO/HEHS-95-13).
Medicare: Referrals to Physician-Owned Imaging Facilities Warrant
HCFA's Scrutiny (Report, 10/20/94, GAO/HEHS-95-2).
Medicare: Changes to HMO Rate Setting Method Are Needed to Reduce
Program Costs (Report, 9/2/94, GAO/HEHS-94-119).
Medicaid: Changes in Best Price for Outpatient Drugs Purchased by
HMOs and Hospitals (Report, 8/5/94, GAO/HEHS-94-194FS).
Medicaid Long-Term Care: Successful State Efforts to Expand Home
Services While Limiting Costs (Report, 8/11/94, GAO/HEHS-94-167).
Medicare: HCFA's Contracting Authority for Processing Medicare
Claims (Report, 8/2/94, GAO/HEHS-94-171).
Medicaid: States Use Illusory Approaches to Shift Program Costs to
Federal Government (Report, 8/1/94, GAO/HEHS-94-133).
Medicare: Technology Assessment and Medical Coverage Decisions
(Report, 7/20/94, GAO/HEHS-94-195FS).
Medicare Transportation Benefits (Letter, 7/8/94, GAO/HEHS-94-184R).
Medicare: Shared System Conversion Led to Disruptions in Processing
Maryland Claims (Report, 5/23/94, GAO/HEHS-94-66).
Medicaid Prenatal Care: States Improve Access and Enhance Services,
but Face New Challenges (Report, 5/10/94, GAO/HEHS-94-152BR).
Medicare/Medicaid: Data Bank Unlikely to Increase Collections From
Other Insurers (Report, 5/6/94, GAO/HEHS-94-147). Testimony on same
topic (5/6/94, GAO/T-HEHS-94-162).
Medicare: Graduate Medical Education Payment Policy Needs to be
Reexamined (Report, 5/5/94, GAO/HEHS-94-33).
Medicare: Inadequate Review of Claims Payments Limits Ability to
Control Spending (Report, 4/29/94, GAO/HEHS-94-42).
Medicare: Impact of OBRA-90's Dialysis Provision on Providers and
Beneficiaries (Report, 4/25/94, GAO/HEHS-94-65).
Medicare Transaction System (Letter, 4/20/94, GAO/HEHS-94-143R).
Medicare: Beneficiary Liability for Certain Paramedic Services May
Be Substantial (Report, 4/15/94, GAO/HEHS-94-122BR).
Medicare Diagnostic Imaging Rates (Letter, 4/5/94, GAO/HEHS-94-129R).
Medicare Part B: Inconsistent Denial Rates for Medical Necessity
Across Six Carriers (Testimony, 3/29/94, GAO/T-PEMD-94-17).
Los Angeles County Medi-Cal (Letter, 3/18/94, GAO/HEHS-94-116R).
Medicare: Greater Investment in Claims Review Would Save Millions
(Report, 3/2/94, GAO/HEHS-94-35).
Medicaid: A Program Highly Vulnerable to Fraud (Testimony, 2/25/94,
GAO/T- HEHS-94-106).
Medicare: New Claims Processing System Benefits and Acquisition
Risks (Report, 1/25/94, GAO/HEHS/AIMD-94-79).
Medicare and Medicaid: Many Eligible People Not Enrolled in
Qualified Medicare Beneficiary Program (Report, 1/20/94,
GAO/HEHS-94-52).
Medicare/Medicaid Data Bank Issues (Letter, 11/15/93,
GAO/HRD-94-63R).
Medicare: Adequate Funding and Better Oversight Needed to Protect
Benefit Dollars (Testimony, 11/12/93, GAO/T-HRD-94-59).
Medicare: Better Guidance Is Needed To Preclude Inappropriate
General and Administrative Charges (Report, 10/15/93,
GAO/NSIAD-94-13).
HCFA Payment Rate for Erythropoietin (Letter, 10/13/93,
GAO/HRD-94-1R).
Psychiatric Fraud and Abuse: Increased Scrutiny of Hospital Stays is
Needed for Federal Health Programs (Report, 9/17/93, GAO/HRD-93-92).
Medicaid Managed Care: Healthy Moms, Healthy Kids--A New Program for
Chicago (Report, 9/7/93, GAO/HRD-93-121).
Medicaid: Alternatives for Improving the Distribution of Funds to
States (Report, 8/20/93, GAO/HRD-93-112FS).
Medical Malpractice: Medicare/Medicaid Beneficiaries Account for a
Relatively Small Percentage of Malpractice Losses (Report, 8/11/93,
GAO/HRD-93-126).
Medicare Part B: Reliability of Claims Processing Across Four
Carriers (Report, 8/11/93, GAO/PEMD-93-27).
Medicaid Drug Fraud: Federal Leadership Needed to Reduce Program
Vulnerabilities (Report, 8/2/93, GAO/HRD-93-118). Testimony on same
topic (8/2/93, GAO/T-HRD-93-28).
Medicare: Separate Payment for Fitting Braces and Artificial Limbs
Is Not Needed (Report, 7/21/93, GAO/HRD-93-98).
Medicare Physician Payment: Geographic Adjusters Appropriate But
Could Be Improved With New Data (Report, 7/20/93, GAO/HRD-93-93).
Medicaid Estate Planning (Letter, 7/20/93, GAO/HRD-93-29R).
Overhead Costs: Unallowable and Questionable Costs Charged to
Medicare by Hospital Corporation of America (Testimony, 6/23/93,
GAO/T-NSIAD-93-16).
Medicare: Renal Facility Cost Reports Probably Overstate Costs of
Patient Care (Report, 5/18/93, GAO/HRD-93-70).
Medicaid: Data Improvements Needed to Help Manage Health Care
Program (Report, 5/13/93, GAO/IMTEC-93-18).
Medicaid: HealthPASS--An Evaluation of a Managed Care Program for
Certain Philadelphia Recipients (Report, 5/7/93, GAO/HRD-93-67).
Medicaid: The Texas Disproportionate Share Program Favors Public
Hospitals (Report, 4/30/93, GAO/HRD-93-86).
Screening Mammography: Higher Medicare Payments Could Increase Costs
Without Increasing Use (Report, 4/22/93, GAO/HRD-93-50).
Medicare: Physicians Who Invest in Imaging Centers Refer More
Patients for More Costly Services (Testimony, 4/20/93,
GAO/T-HRD-93-14). Report on same topic (5/27/92, GAO/HRD-92-59).
Medicare Secondary Payer Program: Identifying Beneficiaries With
Other Insurance Coverage Is Difficult (Testimony, 4/2/93,
GAO/T-HRD-93-13).
Medicaid Formula Alternatives (Letter, 3/31/93, GAO/HRD-93-18R).
Letter on same topic (3/2/93, GAO/HRD-93-17R).
Medicaid: Outpatient Drug Costs and Reimbursements for Selected
Pharmacies in Illinois and Maryland (Report, 3/18/93,
GAO/HRD-93-55FS).
Medicaid: States Turn to Managed Care to Improve Access and Control
Costs (Report, 3/17/93, GAO/HRD-93-46). Testimony on same topic
(3/17/93, GAO/T- HRD-93-10).
Medicare: Funding and Management Problems Result in Unnecessary
Expenditures (Testimony, 2/17/93, GAO/T-HRD-93-4).
Medicaid: Changes in Drug Prices Paid by HMOs and Hospitals Since
Enactment of Rebate Provisions (Report, 1/15/93, GAO/HRD-93-43).
High-Risk Series: Medicare Claims (Report, 12/92, GAO/HR-93-6).
Medicare: Millions in End-Stage Renal Disease Expenditures Shifted
to Employer Health Plans (Report, 12/31/92, GAO/HRD-93-31).
District of Columbia: Barriers to Medicaid Enrollment Contribute to
Hospital Uncompensated Care (Report, 12/29/92, GAO/HRD-93-28).
Medicaid: Disproportionate Share Policy (Letter, 12/22/92,
GAO/HRD-93-3R).
Removal of Breast Implants (Letter, 12/7/92, GAO/HRD-93-5R).
PRESCRIPTION DRUGS
--------------------------------------------------------- Chapter 2:10
Family Planning Clinics: Strain of Norplant's High Up-Front Costs
Has Subsided (Report, 10/7/94, GAO/HEHS-95-7).
Prescription Drug Prices in France (Letter, 8/12/94,
GAO/HEHS-94-200R).
Prescription Drugs: Automated Prospective Review Systems Offer
Significant Potential Benefits for Medicaid (Report, 8/5/94,
GAO/AIMD-94-130).
Medicaid: Changes in Best Price for Outpatient Drugs Purchased by
HMOs and Hospitals (Report, 8/5/94, GAO/HEHS-94-194FS).
Immunosuppressant Drugs (Letter, 8/1/94, GAO/HEHS-94-207R).
Prescription Drugs: Prices and Regulation in Canada and Europe
(Testimony, 7/27/94, GAO/T-HEHS-94-213). Reports on same topic
(5/17/94, GAO/HEHS-94-30; 1/12/94, GAO/HEHS-94-29; and 9/30/92,
GAO/HRD-92-110). Testimony on same topic (2/22/93, GAO/T-HRD-93-5).
Prescription Drugs: Spending Controls in Four European Countries
(Report, 5/17/94, GAO/HEHS-94-30).
Prescription Drugs: Companies Typically Charge More in the United
States Than in the United Kingdom (Report, 1/12/94, GAO/HEHS-94-29).
HCFA Payment Rate for Erythropoietin (Letter, 10/13/93,
GAO/HRD-94-1R).
Medicaid: Outpatient Drug Costs and Reimbursements for Selected
Pharmacies in Illinois and Maryland (Report, 3/18/93,
GAO/HRD-93-55FS).
Prescription Drugs: Companies Typically Charge More in the United
States Than in Canada (Testimony, 2/22/93, GAO/T-HRD-93-5). Report
with same title (9/30/92, GAO/HRD-92-110).
Prescription Drug Prices: Analysis of Canada's Patented Medicine
Prices Review Board (Report, 2/17/93, GAO/HRD-93-51).
Medicaid: Changes in Drug Prices Paid by HMOs and Hospitals Since
Enactment of Rebate Provisions (Report, 1/15/93, GAO/HRD-93-43).
PROVIDER ISSUES
--------------------------------------------------------- Chapter 2:11
Medical Education: Curriculum and Financing Strategies Need to
Encourage Primary Care Training (Report, 10/21/94, GAO/HEHS-95-9).
Health Professions Education: Role of Title VII/VIII Programs in
Improving Access to Care Is Unclear (Report, 7/8/94,
GAO/HEHS-94-164).
Primary Care Physicians: Managing Supply in Canada, Germany, Sweden,
and the United Kingdom (Report, 5/18/94, GAO/HEHS-94-111).
Student Loans: Millions Loaned Inappropriately to U.S. Nationals at
Foreign Medical Schools (Report, 1/21/94, GAO/HEHS-94-28).
Health Care: Reduction in Resident Physician Work Hours Will Not Be
Easy to Attain (Report, 11/20/92, GAO/HRD-93-24BR).
PUBLIC HEALTH AND EDUCATION
--------------------------------------------------------- Chapter 2:12
Vaccines for Children: Major Implementation Hurdles Remain
(Testimony, 7/21/94, GAO/T-PEMD-94-29). Report on same topic
(7/18/94, GAO/PEMD-94-28).
Public Health Services: Agencies Use Different Approaches to Protect
Public Against Disease and Injury (Report, 4/29/94,
GAO/HEHS-94-85BR).
Homelessness: Appropriate Controls Implemented for 1990 McKinney
Amendments' PATH Program (Report, 2/22/94, GAO/HEHS-94-82).
Residential Care: Some High-Risk Youth Benefit, but More Study
Needed (Report, 1/28/94, GAO/HEHS-94-56).
Breastfeeding: WIC's Efforts to Promote Breastfeeding Have Increased
(Report, 12/16/93, GAO/HRD-94-13).
Preventive Health Care for Children: Experience From Selected
Foreign Countries (Report, 8/4/93, GAO/HRD-93-62).
Drug Education: Limited Progress in Program Evaluation (Testimony,
3/31/93, GAO/T-PEMD-93-2).
Childhood Immunization: Opportunities to Improve Immunization Rates
at Lower Cost (Report, 3/24/93, GAO/HRD-93-41). Testimony on same
topic (6/1/92, GAO/T-HRD-92-36).
Community-Based Drug Prevention: Comprehensive Evaluations of
Efforts Are Needed (Report, 3/24/93, GAO/GGD-93-75).
Needle Exchange Programs: Research Suggests Promise as an AIDS
Prevention Strategy (Report, 3/23/93, GAO/HRD-93-60).
Childhood Immunizations (Letter, 2/8/93, GAO/HRD-93-12R).
QUALITY AND PRACTICE STANDARDS
--------------------------------------------------------- Chapter 2:13
Health Care Quality: How Does the United States Compare With Other
Countries on Cancer Survival and Access to Bone Marrow
Transplantation? (Testimony, 4/14/94, GAO/T-PEMD-94-21).
Long-Term Care: Status of Quality Assurance and Measurement in Home
and Community Based Services (Report, 3/31/94, GAO/PEMD-94-19).
Cancer Survival: An International Comparison of Outcomes (Report,
3/7/94, GAO/PEMD-94-5).
Bone Marrow Transplantation (Report, 3/7/94, GAO/PEMD-94-10).
Bureau of Prisons Health Care: Inmates' Access to Health Care Is
Limited by Lack of Clinical Staff (Report, 2/10/94, GAO/HEHS-94-36).
VA Health Care: VA Medical Centers Need to Improve Monitoring of
High-Risk Patients (Report, 12/10/93, GAO/HRD-94-27).
Psychiatric Fraud and Abuse: Increased Scrutiny of Hospital Stays is
Needed for Federal Health Programs (Report, 9/17/93, GAO/HRD-93-92).
Medicaid: HealthPASS--An Evaluation of a Managed Care Program for
Certain Philadelphia Recipients (Report, 5/7/93, GAO/HRD-93-67).
Cataract Surgery: Patient-Reported Data on Appropriateness and
Outcomes (Testimony, 4/21/93, GAO/T-PEMD-93-3). Report on same topic
(4/20/93, GAO/PEMD-93-14).
Indian Health Service: Basic Services Mostly Available; Substance
Abuse Problems Need Attention (Report, 4/9/93, GAO/HRD-93-48).
VA Health Care: Medical Centers Are Not Correcting Identified
Quality Assurance Problems (Report, 12/30/92, GAO/HRD-93-20).
Utilization Review: Information on External Review Organizations
(Report, 11/24/92, GAO/HRD-93-22FS).
Health Care: Reduction in Resident Physician Work Hours Will Not Be
Easy to Attain (Report, 11/20/92, GAO/HRD-93-24BR).
SUBSTANCE ABUSE AND DRUG
TREATMENT
--------------------------------------------------------- Chapter 2:14
Drug Use Among Youth: No Simple Answers to Guide Prevention (Report,
12/29/93, GAO/HRD-94-24).
Drug Control: Reauthorization of the Office of National Drug Control
Policy (Report, 9/29/93, GAO/GGD-93-144).
Drug Use Measurement: Strengths, Limitations, and Recommendations
for Improvement (Report, 6/25/93, GAO/PEMD-93-18).
Indian Health Service: Basic Services Mostly Available; Substance
Abuse Problems Need Attention (Report, 4/9/93, GAO/HRD-93-48).
Drug Education: Limited Progress in Program Evaluation (Testimony,
3/31/93, GAO/T-PEMD-93-2).
Community-Based Drug Prevention: Comprehensive Evaluations of
Efforts Are Needed (Report, 3/24/93, GAO/GGD-93-75).
Needle Exchange Programs: Research Suggests Promise as an AIDS
Prevention Strategy (Report, 3/23/93, GAO/HRD-93-60).
OTHER HEALTH ISSUES
--------------------------------------------------------- Chapter 2:15
ENVIRONMENTAL IMPACT ON
HEALTH
------------------------------------------------------- Chapter 2:15.1
Health and Safety: Protecting Workers and the Public Continues to
Challenge DOE (Testimony, 9/22/94, GAO/T-RCED-94-283).
Nuclear Health and Safety: Consensus on Acceptable Radiation Risk to
the Public Is Lacking (Report, 9/19/94, GAO/RCED-94-190).
Electromagnetic Fields: Federal Efforts to Determine Health Effects
Are Behind Schedule (Report, 6/21/94, GAO/RCED-94-115).
Nuclear Health and Safety: Examples of Post World War II Radiation
Releases at U.S. Nuclear Sites (Report, 11/24/93, GAO/RCED-94-51FS).
Environmental Tobacco Smoke (Letter, 2/8/93, GAO/RCED-93-77R).
MISCELLANEOUS
------------------------------------------------------- Chapter 2:15.2
Tax Policy: Pharmaceutical Industry's Use of the Research Tax Credit
(Report, 5/13/94, GAO/GGD-94-139).
Health Care: Benefits and Barriers to Automated Medical Records
(Testimony, 5/6/94, GAO/T-AIMD-94-117).
Tax Policy: Health Insurance Tax Credit Participation Rate Was Low
(Report, 5/2/94, GAO/GGD-94-99).
Automating Medical Information (Letter, 10/22/93, GAO/AIMD-94-47R).
Medical Technology: Quality Assurance Systems and Global Markets
(Report, 8/18/93, GAO/PEMD-93-15).
Federal Health Care: Increased Information Sharing Could Improve
Service, Reduce Costs (Report, 6/29/93, GAO/IMTEC-93-33BR).
Automated Medical Records: Leadership Needed to Expedite Standards
Development (Report, 4/30/93, GAO/IMTEC-93-17).
Health Reports (Bibliography, 12/92, GAO/HRD-93-66).
Health and Human Services Issues (Report, 12/92, GAO/OCG-93-20TR).
EDUCATION
(COMPREHENSIVE
2-YEAR LISTING)
============================================================ Chapter 3
DEPARTMENT OF EDUCATION
---------------------------------------------------------- Chapter 3:1
Buyouts at the Department of Education (Letter, 8/17/94,
GAO/GGD-94-197R).
Financial Audit: Federal Family Education Loan Program's Financial
Statements for Fiscal Years 1993 and 1992 (Report, 6/30/94,
GAO/AIMD-94-131).
Student Loans: Millions Loaned Inappropriately to U.S. Nationals at
Foreign Medical Schools (Report, 1/21/94, GAO/HEHS-94-28).
HEAF 1992 Financial Condition (Letter, 6/18/93, GAO/HRD-93-21R).
Direct Student Loans: The Department of Education's Implementation
of Direct Lending (Testimony, 6/10/93, GAO/T-HRD-93-26).
Financial Audit: Federal Family Education Loan Programs' Financial
Statements (Report, 6/30/93, GAO/AIMD-93-4).
Department of Education: Long-Standing Management Problems Hamper
Reforms (Report, 5/28/93, GAO/HRD-93-47).
Systemwide Education Reform: Federal Leadership Could Facilitate
District- Level Efforts (Testimony, 5/4/93, GAO/T-HRD-93-20).
Testimony on same topic (4/30/93, GAO/HRD-93-97).
Transition Series: Education Issues (Report, 12/92, GAO/OCG-93-18TR)
Department of Education Grant Award (Letter, 12/9/92, GAO/HRD-93-8R).
Guaranty Agency Solvency: Can the Government Recover HEAF's
First-Year Liquidation Cost of $212 Million? (Report, 11/13/92,
GAO/HRD-93-12BR).
EARLY CHILDHOOD DEVELOPMENT
---------------------------------------------------------- Chapter 3:2
Early Childhood Programs: Multiple Programs and Overlapping Target
Groups (Report, 10/31/94, GAO/HEHS-95-4FS).
Early Childhood Programs: Many Poor Children and Strained Resources
Challenge Head Start (Report, 5/17/94, GAO/HEHS-94-169BR).
Poor Preschool-Aged Children: Numbers Increase but Most Not in
Preschool (Report, 7/21/93, GAO/HRD-93-111BR).
ELEMENTARY AND SECONDARY
EDUCATION
---------------------------------------------------------- Chapter 3:3
Education Finance: Extent of Federal Funding in State Education
Agencies (Report, 10/14/94, GAO/HEHS-95-3).
Precollege Math and Science Education: Department of Energy's
Precollege Program Managed Ineffectively (Report, 9/13/94,
GAO/HEHS-94-208).
Education Reform: School-Based Management Results in Changes in
Instruction and Budgeting (Report, 8/23/94, GAO/HEHS-94-135).
Hispanics' Schooling: Risk Factors for Dropping Out and Barriers to
Resuming Their Education (Report, 7/24/94, GAO/PEMD-94-24).
Title I Formula in S. 1513 (Letter, 6/7/94, GAO/HEHS-94-190R).
School-Age Children: Poverty and Diversity Challenge Schools
Nationwide (Report, 4/29/94, GAO/HEHS-94-132). Testimony on same
topic (3/16/94, GAO/T- HEHS-94-125).
Regulatory Flexibility in Schools: What Happens When Schools Are
Allowed to Change the Rules (Report, 4/29/94, GAO/HEHS-94-102).
Special Education Reform: Districts Grapple With Inclusion Programs
(Testimony, 4/28/94, GAO/T-HEHS-94-160).
Military Dependents' Education: Current Program Information and
Potential Savings in DODDS (Testimony, 4/26/94, GAO/T-HEHS-94-155).
GAO Work Related to ESEA of 1965 (Letter, 4/26/94, GAO/HEHS-94-156R).
Immigrant Education: Federal Funding Has Not Kept Pace With Student
Increases (Testimony, 4/14/94, GAO/T-HEHS-94-146).
Hispanic Dropouts and Federal Programs (Letter, 4/6/94,
GAO/PEMD-94-18R).
Total Quality Education (Letter, 2/10/94, GAO/HEHS-94-76R).
Elementary School Children: Many Change Schools Frequently, Harming
Their Education (Report, 2/4/94, GAO/HEHS-94-45).
Limited English Proficiency: A Growing and Costly Educational
Challenge Facing Many School Districts (Report, 1/28/94,
GAO/HEHS-94-38).
Rural Children: Increasing Poverty Rates Pose Educational Challenges
(Report, 1/11/94, GAO/HEHS-94-75BR).
School-Linked Human Services: A Comprehensive Strategy for Aiding
Students at Risk of School Failure (Report, 12/30/93, GAO/HRD-94-21).
Food Assistance: Schools That Left the National School Lunch Program
(Report, 12/3/93, GAO/RCED-94-36BR).
Food Assistance: Information on Meal Costs in the National School
Lunch Program (Report, 12/1/93, GAO/RCED-94-32BR).
States' Regulatory Reform Efforts (Letter, 11/3/93, GAO/HRD-94-51R).
School Age Demographics: Recent Trends Pose New Educational
Challenges (Report, 8/5/93, GAO/HRD-93-105BR).
Exchange Programs: Inventory of International Educational, Cultural
and Training Programs (Report, 6/23/93, GAO/NSIAD-93-157BR).
Educational Achievement Standards: NAGB's Approach Yields Misleading
Interpretations (Report, 6/23/93, GAO/PEMD-93-12).
Systemwide Education Reform: Federal Leadership Could Facilitate
District- Level Efforts (Testimony, 5/4/93, GAO/T-HRD-93-20).
Testimony on same topic (4/30/93, GAO/HRD-93-97).
Educational Testing: The Canadian Experience with Standards,
Examinations, and Assessments (Report, 4/28/93, GAO/PEMD-93-11).
School Construction: Sallie Mae Financing Activities (Report,
4/13/93, GAO/HRD-93-61).
Planning for Education Standards (Letter, 4/12/93, GAO/PEMD-93-21R).
Exiting Program Improvement (Letter, 3/30/93, GAO/HRD-93-2R).
Chapter 1 Accountability: Greater Focus on Program Goals Needed
(Report, 3/29/93, GAO/HRD-93-69).
Exchange Programs: Observations on International, Educational,
Cultural and Training Programs (Report, 3/23/93, GAO/NSIAD-93-7).
Compensatory Education: Difficulties in Measuring Comparability of
Resources Within School Districts (Report, 3/11/93, GAO/HRD-93-37).
Compensatory Education: Additional Funds Help More Private School
Students Receive Chapter 1 Services (Report, 2/26/93, GAO/HRD-93-65).
Student Achievement Standards and Testing (Testimony, 2/18/93,
GAO/T-PEMD- 93-1).
Student Testing: Current Extent and Expenditures, With Cost
Estimates for a National Examination (Report, 1/13/93,
GAO/PEMD-93-8). Testimony on same topic (2/18/93, GAO/T-PEMD-93-1).
Department of Education: The Eisenhower Math and Science State Grant
Program (Report, 11/10/92, GAO/HRD-93-25).
HIGHER EDUCATION
---------------------------------------------------------- Chapter 3:4
Pell Grant Costs (Letter, 9/28/94, GAO/HEHS-94-215R).
Pell Grants for Prison Inmates (Letter, 8/5/94, GAO/HEHS-94-224R).
Delta Teachers Academy (Letter, 5/19/94, GAO/RCED-94-213R).
Higher Education: Grants Effective at Increasing Minorities' Chances
of Graduating (Testimony, 5/17/94, GAO/T-HEHS-94-168).
Default Rates at Historically Black Colleges and Universities
(Letter, 3/9/94, GAO/HEHS-94-97R).
Peace Corps: Status of the Educational Assistance Grants
Demonstration Program (Report, 2/25/94, GAO/NSIAD-94-89).
Higher Education: Information on Minority-Targeted Scholarships
(Report, 1/14/94, GAO/HEHS-94-77).
Deaf Education: Improved Oversight Needed for National Technical
Institute for the Deaf (Report, 12/16/93, GAO/HRD-94-23).
Student Financial Aid Programs: Pell Grant Program Abuse (Testimony,
10/27/93, GAO/T-OSI-94-8).
Financial Management: Education's Student Loan Program Controls Over
Lenders Need Improvement (Report, 9/9/93, GAO/AIMD-93-33).
Vocational Rehabilitation: Evidence for Federal Program's
Effectiveness Is Mixed (Report, 8/27/93, GAO/PEMD-93-19).
Student Loans: Default Rates at Historically Black Colleges and
Universities (Report, 8/19/93, GAO/HRD-93-117FS).
Direct Student Loan Savings (Letter, 7/15/93, GAO/HRD-93-25R).
HEAF 1992 Financial Condition (Letter, 6/18/93, GAO/HRD-93-21R).
Direct Student Loans: The Department of Education's Implementation
of Direct Lending (Testimony, 6/10/93, GAO/T-HRD-93-26).
Department of Education: Long-Standing Management Problems Hamper
Reforms (Report, 5/28/93, GAO/HRD-93-47).
Athletic Department Profiles (Letter, 5/21/93, GAO/HRD-93-24R).
Comments on CRS Direct Loan Report (Letter, 4/29/93, GAO/HRD-93-20R).
Financial Audit: Guaranteed Student Loan Program's Internal Controls
and Structure Need Improvement (Report, 3/16/93, GAO/AFMD-93-20).
Direct Loan Debate (Letter, 2/8/93, GAO/HRD-93-15R).
Sallie Mae Activities (Letter, 12/1/92, GAO/HRD-93-6R).
High Risk Series: Guaranteed Student Loans (Report, 12/92,
GAO/HR-93-2)
Student Loans: Direct Loans Could Save Billions in First 5 Years
With Proper Implementation (Report, 11/25/92, GAO/HRD-93-27).
Guaranty Agency Solvency: Can the Government Recover HEAF's
First-Year Liquidation Cost of $212 Million? (Report, 11/13/92,
GAO/HRD-93-12BR).
SCHOOL-TO-WORK TRANSITION
---------------------------------------------------------- Chapter 3:5
Youth Training (Letter, 9/6/94, GAO/PEMD-94-32R).
Transition From School to Work: S. 1361 Addresses Components of
Comprehensive Strategy (Testimony, 9/28/93, GAO/T-HRD-93-31). Report
on same topic (9/7/93, GAO/HRD-93-139).
Vocational Education: Status in 2-Year Colleges in 1990-91 and Early
Signs of Change (Report, 8/16/93, GAO/HRD-93-89).
School Age Demographics: Recent Trends Pose New Educational
Challenges (Report, 8/5/93, GAO/HRD-93-105BR).
Vocational Education: Status in School Year 1990-91 and Early Signs
of Change at Secondary Level (Report, 7/13/93, GAO/HRD-93-71).
Skill Standards: Experience in Certification Systems Shows Industry
Involvement to Be Key (Report, 5/18/93, GAO/HRD-93-90). Testimony on
same topic (5/14/93, GAO/T-HRD-93-23).
Systemwide Education Reform: Federal Leadership Could Facilitate
District- Level Efforts (Testimony, 5/4/93, GAO/T-HRD-93-20).
Testimony on same topic (4/30/93, GAO/HRD-93-97).
EMPLOYMENT
(COMPREHENSIVE
2-YEAR LISTING)
============================================================ Chapter 4
EQUAL EMPLOYMENT OPPORTUNITIES
---------------------------------------------------------- Chapter 4:1
Equal Employment Opportunity: Displacement Rates, Unemployment
Spells, and Reemployment Wages by Race (Report, 9/16/94,
GAO/HEHS-94-229FS).
Federal Affirmative Employment: Better Guidance Needed for Small
Agencies (Report, 7/21/94, GAO/GGD-94-71).
Application of Laws: Comments on the Congressional Accountability
Act--S. 2071 (Testimony, 6/29/94, GAO/T-OGC-94-2).
Employment Discrimination: How Registered Representatives Face
Discrimination (Report, 3/30/94, GAO/HEHS-94-17).
Sex Discrimination: Agencies' Handling of Sexual Harassment and
Related Complaints (Testimony, 3/8/94, GAO/T-OSI-94-22).
Sex Discrimination: DEA's Handling of Sexual Harassment and Other
Complaints (Report, 3/4/94, GAO/OSI-94-10).
EEO at the National Park Service (Letter, 3/3/94, GAO/GGD-94-54R).
EEOC's Expanding Workload: Increases in Age Discrimination and Other
Charges Call for New Approach (Report, 2/9/94, GAO/HEHS-94-32).
Federal Personnel: The EEO Implications of Reductions-In-Force
(Testimony, 2/1/94, GAO/T-GGD-94-87).
Pay Equity: Experiences of Canada and the Province of Ontario
(Report, 11/2/93, GAO/GGD-94-27BR).
EEOC: An Overview (Testimony, 7/27/93, GAO/T-HRD-93-30).
Assessing EEO Progress at INS (Letter, 7/15/93, GAO/GGD-93-54R).
Legislative Employment: EEO Complaint Processing by the Office of
Fair Employment Practices (Testimony, 5/27/93, GAO/T-GGD-93-30).
Federal Employment: Progress of Women and Minorities in Key Federal
Jobs and Handling EEO Complaints at the Bureau of Arms, Tobacco, and
Firearms (Testimony, 5/26/93, GAO/T-GGD-93-33).
Monetary Payments in Federal EEO Cases (Letter, 5/25/93,
GAO/GGD-93-45R).
Information on Black Employment at INS (Letter, 5/17/93,
GAO/GGD-93-44R).
LABOR AND MANAGEMENT RELATIONS
---------------------------------------------------------- Chapter 4:2
U.S. Postal Service: Labor-Management Problems Persist on the
Workroom Floor (Volume I) (Report, 9/29/94, GAO/GGD-94-201A).
Workplace Regulation: Information on Selected Employer and Union
Experiences (Report, 6/30/94, GAO/HEHS-94-138, vols. I and II).
Federal Trade Commission: Enforcement of the Trade Regulation Rule
on Franchising (Report, 7/13/93, GAO/HRD-93-83).
TRAINING AND EMPLOYMENT
ASSISTANCE
---------------------------------------------------------- Chapter 4:3
Multiple Employment Training Programs: How Legislative Proposals
Address Concerns (Testimony, 8/4/94, GAO/T-HEHS-94-221).
Multiple Employment Training Programs: Overlap Among Programs Raises
Questions About Efficiency (Report, 7/11/94, GAO/HEHS-94-193).
Multiple Employment Training Programs: Conflicting Requirements
Underscore Need for Change (Testimony, 3/10/94, GAO/T-HEHS-94-120).
Job Training Partnership Act: Labor Title IV Could Improve Relations
With Native Americans (Report, 3/4/94, GAO/HEHS-94-67).
Multiple Employment Training Programs: Major Overhaul is Needed
(Testimony, 3/3/94, GAO/T-HEHS-94-109).
Multiple Employment Training Programs: Most Federal Agencies Do Not
Know If Their Programs Are Working Effectively (Report, 3/2/94,
GAO/HEHS-94-88).
Multiple Employment Training Programs: Overlapping Programs Can Add
Unnecessary Administrative Costs (Report, 1/28/94, GAO/HEHS-94-80).
Multiple Employment Training Programs: Conflicting Requirements
Hamper Delivery of Services (Report, 1/28/94, GAO/HEHS-94-78).
Military Downsizing: Persons Returning to Civilian Life Need More
Help from DOD (Report, 1/21/94, GAO/HEHS-94-39).
Dislocated Workers: A Look Back at the Redwood Employment Training
Programs (Report, 12/13/93, GAO/HRD-94-16BR).
Dislocated Workers: Proposed Re-employment Assistance Program
(Report, 11/12/93, GAO/HRD-94-61).
Occupational Safety and Health: Changes Needed in the Combined
Federal-State Approach (Testimony, 10/20/93, GAO/T-HRD-94-3).
Dislocated Workers: Trade Adjustment Assistance Program Flawed
(Testimony, 10/19/93, GAO/T-HRD-94-4).
Transition From School to Work: S. 1361 Addresses Components of
Comprehensive Strategy (Testimony, 9/28/93, GAO/T-HRD-93-31). Report
on same topic (9/7/93, GAO/HRD-93-139).
Unemployment Insurance: Program's Ability to Meet Objectives
Jeopardized (Report, 9/28/93, GAO/HRD-93-107).
Vocational Rehabilitation: Evidence for Federal Programs
Effectiveness is Mixed (Report, 8/27/93, GAO/PEMD-93-19).
Multiple Employment Programs: National Employment Training Strategy
Needed (Testimony, 6/18/93, GAO/T-HRD-93-27).
Multiple Employment Programs (Letter, 6/15/93, GAO/HRD-93-26R).
Prisoner Labor: Perspectives on Paying the Federal Minimum Wage
(Report, 5/20/93, GAO/GGD-93-98).
The Job Training Partnership Act: Potential for Program Improvements
but National Job Training Strategy Needed (Testimony, 4/29/93,
GAO/T-HRD-93-18).
Acquisition Management: Waivers to Acquisition Workforce Training,
Education, and Experience Requirements (Report, 3/30/93,
GAO/NSIAD-93-128).
Dislocated Workers: Implementation of the Worker Adjustment and
Retraining Notification Act (WARN) (Testimony, 2/23/93,
GAO/T-HRD-93-6). Report on same topic (2/23/93, GAO/HRD-93-18).
Job Corps Costs and Outcomes (Letter, 2/19/93, GAO/HRD-93-16R).
Transition Series: Labor Issues (Report, 12/92, GAO/OCG-93-19TR).
WORKPLACE QUALITY
---------------------------------------------------------- Chapter 4:4
Health and Safety: Protecting Department of Energy Workers' Health
and Safety (Testimony, 3/9/94, GAO/T-RCED-94-143).
Nuclear Health and Safety: Safety and Health Oversight at DOE
Defense Nuclear Facilities (Testimony, 3/1/94, GAO/T-RCED-94-138).
Occupational Safety and Health: Changes Needed in the Combined
Federal-State Approach (Report, 2/28/94, GAO/HEHS-94-10). Testimony
on same topic (10/20/93, GAO/T-HRD-94-3).
Pesticides on Farms: Limited Capability Exists to Monitor
Occupational Illnesses and Injuries (Letter Report, 12/15/93,
GAO/PEMD-94-6).
Aviation Safety: FAA Can Better Prepare General Aviation Pilots for
Mountain Flying Risks (Report, 12/9/93, GAO/RCED-94-15).
Occupational Safety and Health: Differences Between Programs in the
United States and Canada (Report, 12/6/93, GAO/HRD-94-15FS).
Toxic Substances: Information on Lead Hazards in Child Care
Facilities and Schools is Limited (Testimony, 9/15/93,
GAO/T-RCED-93-48).
Pesticide Reregistration May Not Be Completed Until 2006 (Report,
5/21/93, GAO/RCED-93-94).
Americans With Disabilities Act: Initial Accessibility Good but
Important Barriers Remain (Report, 5/19/93, GAO/PEMD-93-16).
Safety and Health: Key Independent Oversight Program at DOE Needs
Strengthening (Report, 5/17/93, GAO/RCED-93-85).
Nuclear Health and Safety: Corrective Actions on Tigers Teams'
Findings Progressing Slower Than Planned (Report, 3/25/93,
GAO/RCED-93-66).
Mine Safety and Health: Tampering Scandal Led to Improved Sampling
Devices (Report, 2/25/93, GAO/HRD-93-63).
OTHER EMPLOYMENT ISSUES
---------------------------------------------------------- Chapter 4:5
The Public Service: Issues Confronting the Federal Civilian
Workforce (Report, 8/25/94, GAO/GGD-94-157).
Federal Employment: H.R. 4361, Federal Employees Family Friendly
Leave Act (Testimony, 5/18/94, GAO/T-GGD-94-152).
Federal Employment: Impact of the President's Budget on Federal
Employees (Testimony, 3/10/94, GAO/T-GGD-94-108).
Davis-Bacon Act (Letter, 2/7/94, GAO/HEHS-94-95R).
Department of Labor: Noncompetitive, Discretionary Grants (Report,
2/22/94, GAO/HEHS-94-9).
U.S.-Mexico Trade: The Work Environment at Eight U.S.-Owned
Maquiladora Auto Parts Plants (Report, 11/1/93, GAO/GGD-94-22).
North American Free Trade Agreement: A Focus on the Substantive
Issues (Testimony, 9/21/93, GAO/T-GGD-93-44). Report on same topic
(9/9/93, GGD-93-137).
U.S.-Mexico Trade: The Maquiladora Industry and U.S. Employment
(Report, 7/20/93, GAO/GGD-93-129).
The Public Service: Issues Confronting the Federal Civilian
Workforce (Report, 3/16/93, GAO/GGD-93-53).
SOCIAL SECURITY AND WELFARE
(COMPREHENSIVE
2-YEAR LISTING)
============================================================ Chapter 5
AGING
---------------------------------------------------------- Chapter 5:1
Survey of Long-Term Care for the Elderly (Letter, 7/21/94,
GAO/HEHS-94- 214R).
Older Americans Act: Funding Formula Could Better Reflect State
Needs (Report, 5/12/94, GAO/HEHS-94-41).
Older Americans Act: The National Eldercare Campaign (Report,
2/23/94, GAO/PEMD-94-7).
Older Americans Act: Title III Funds Not Distributed According to
Statute (Report, 1/18/94, GAO/HEHS-94-37).
Aging Issues: Related GAO Reports and Activities in Fiscal Year 1993
(Report, 12/22/93, GAO/HRD-94-73).
Older Americans Act: Eldercare Partnerships Generate Few Additional
Funds for Public Services (Testimony, 5/27/93, GAO/T-PEMD-93-4).
Older Americans Act: Eldercare Public-Private Partnerships (Report,
4/16/93, GAO/PEMD-93-20).
Rental Housing: Serving the Elderly Through the Section 8 Program
(Report, 3/29/93, GAO/RCED-93-12FS).
Aging Issues: Related GAO Reports and Activities in Fiscal Year 1992
(Report, 12/23/92, GAO/HRD-93-57).
CHILDREN'S ISSUES
---------------------------------------------------------- Chapter 5:2
CHILD SUPPORT
-------------------------------------------------------- Chapter 5:2.1
Child Support Enforcement: Federal Efforts Have Not Kept Pace With
Expanding Program (Testimony, 7/20/94, GAO/T-HEHS-94-209).
Child Support Enforcement: Credit Bureau Reporting Shows Promise
(Report, 6/3/94, GAO/HEHS-94-175).
Child Support Enforcement: States Proceed With Immediate Wage
Withholding; More HHS Action Needed (Report, 6/15/93, GAO/HRD-93-99).
Child Support Assurance: Effect of Applying State Guidelines to
Determine Fathers' Payments (Report, 1/21/93, GAO/HRD-93-26).
OTHER CHILDREN'S ISSUES
-------------------------------------------------------- Chapter 5:2.2
Dependent Exemption (Letter, 8/31/94, GAO/GGD-94-200R).
Child Welfare: HHS Begins to Assume Leadership to Implement National
and State Systems (Report, 6/8/94, GAO/AIMD-94-37).
Lead-Based Paint Poisoning: Children in Section 8 Tenant-Based
Housing Are Not Adequately Protected (Report, 5/13/94,
GAO/RCED-94-137).
Child Care: Working Poor and Welfare Recipients Face Service Gaps
(Report, 5/13/94, GAO/HEHS-94-87).
Infants and Toddlers: Dramatic Increases in Numbers Living in
Poverty (Report, 4/7/94, GAO/HEHS-94-74).
Foster Care: Parental Drug Abuse Has Alarming Impact on Young
Children (Report, 4/4/94, GAO/HEHS-94-89).
Child Care Quality: States' Difficulties Enforcing Standards
Confront Welfare Reform Plans (Testimony, 2/11/94, GAO/T-HEHS-94-99).
Residential Care: Some High-Risk Youth Benefit, But More Study
Needed (Report, 1/28/94, GAO/HEHS-94-56).
Foster Care: Federal Policy on Title IV-E Share of Training Costs
(Report, 11/3/93, GAO/HRD-94-7).
Lead-Based Paint Poisoning: Children in Public Housing Are Not
Adequately Protected (Report, 9/17/93, GAO/RCED-93-138).
Toxic Substances: The Extent of Lead Hazards in Child Care
Facilities and Schools Is Unknown (Report, 9/14/93, GAO/RCED-93-197).
Testimony on same topic (9/15/93, GAO/T-RCED-93-48).
Foster Care: Services to Prevent Out-of-Home Placements Are Limited
by Funding Barriers (Report, 6/29/93, GAO/HRD-93-76).
Intercountry Adoption: Procedures Are Reasonable, but Sometimes
Inefficiently Administered (Report, 4/26/93, GAO/NSIAD-93-83).
Lead-Based Paint Poisoning: Children Not Fully Protected When
Federal Agencies Sell Homes to Public (Report, 4/5/93,
GAO/RCED-93-38).
Foster Care: State Agencies Other Than Child Welfare Can Access
Title IV-E Funds (Report, 2/9/93, GAO/HRD-93-6).
Child Care: States Face Difficulties Enforcing Standards and
Promoting Quality (Report, 11/20/92, GAO/HRD-93-13).
PENSIONS
---------------------------------------------------------- Chapter 5:3
PENSION BENEFIT GUARANTY
CORPORATION
-------------------------------------------------------- Chapter 5:3.1
Management Letter: Pension Benefit Guaranty Corporation's Accounting
Procedures (Report, 8/29/94, AIMD-94-168ML).
Proposal to Strengthen H.R. 3396 (Letter, 6/24/94,
GAO/HEHS-94-181R). Testimony on same topic (6/15/94,
GAO/T-HEHS-94-191), and 4/19/94, GAO/T-HEHS-94- 149).
Financial Audit: Pension Benefit Guaranty Corporation's 1993 and
1992 Financial Statements (Report, 5/4/94, GAO/AIMD-94-109).
Underfunded Pension Plans: Stronger Funding Rules Needed to Reduce
Federal Government's Growing Exposure (Testimony, 6/15/94,
GAO/T-HEHS-94-191). Testimony on same topic (4/19/94,
GAO/T-HEHS-94-149).
Financial Audit: Pension Benefit Guaranty Corporation's 1992 and
1991 Financial Statements (Report, 9/29/93, GAO/AIMD-93-21).
Private Pensions: Most Underfunded Plan Sponsors Are Not Making
Additional Contributions (Testimony, 4/20/93, GAO/T-HRD-93-16).
Pension Plans: Underfunded Plans Threaten PBGC (Testimony, 2/4/93,
GAO/T- HRD-93-2). Report on same topic (12/30/92, GAO/HRD-93-7).
Government Management: Status of Progress in Correcting Selected
High-Risk Areas (Testimony, 2/3/93, GAO/T-AFMD-93-1). Report on same
topic (3/2/92, GAO/AFMD-92-35).
Assessing PBGC's Short-Run and Long-Run Conditions. (Testimony,
2/2/93, GAO/T-HRD-93-1). Report on same topic (12/30/92,
GAO/HRD-93-7).
Pension Plans: Hidden Liabilities Increase Claims Against Government
Insurance Program (Report, 12/30/92, GAO/HRD-93-7). Testimonies on
same topic (2/4/93, GAO/T-HRD-93-2), (2/3/93, GAO/T-AFMD-93-1),
(2/2/93, GAO/T-HRD-93-1), (9/25/92, GAO/T-HRD-92-60), and (8/11/92,
GAO/T-HRD-92-52). Report on same topic (3/2/92, GAO/AFMD-92-35).
Pension Restoration Act (Letter, 12/18/92, GAO/HRD-93-7R).
High-Risk Series (Report, 12/92, GAO/HR-93-5).
PUBLIC AND PRIVATE PENSION
ISSUES
-------------------------------------------------------- Chapter 5:3.2
Private Pensions: Funding Rule Change Needed to Reduce PBGC's
Multibillion Dollar Exposure (Report, 10/5/94, GAO/HEHS-95-5).
Pension Plans: Stronger Labor ERISA Enforcement Should Better
Protect Plan Participants (Report, 8/8/94, GAO/HEHS-94-157).
Early Retiree Health: Health Security Act Would Shift Billions in
Costs to Federal Government (Report, 7/21/94, GAO/HEHS-94-203FS).
D.C. Pensions: Plans Consuming Growing Share of District Budget
(Testimony, 6/14/94, GAO/T-HEHS-94-192).
D.C. Pension Benefits (Report, 11/4/93, GAO/HRD-94-18).
ERISA Targeting (Letter, 9/30/93, GAO/HRD-93-34R).
Federal Personnel: Employment Policy Challenges Created by an Aging
Workforce (Report, 9/23/93, GAO/GGD-93-138).
Small Pension Plans: Concerns About the IRS Actuarial Audit Program
(Report, 6/30/93, GAO/HRD-93-64).
Private Pensions: Protections for Retirees' Insurance Annuities Can
Be Strengthened (Report, 3/31/93, GAO/HRD-93-29).
District's Workforce: Annual Report Required by the District of
Columbia Retirement Reform Act (Report, 3/31/93, GAO/GGD-93-81).
Pension Plans: Labor Should Not Ignore Some Small Plans That Report
Violations (Report, 3/26/93, GAO/HRD-93-45).
The Public Service: Issues Confronting the Federal Civilian
Workforce (Report, 3/16/93, GAO/GGD-93-53).
Underfunded State and Local Pensions Plans (Letter, 12/3/92,
GAO/HRD-93-9R).
District's Pensions: Billions of Dollars in Liability Not Funded
(Report, 11/30/92, GAO/HRD-93-32).
SOCIAL SECURITY
---------------------------------------------------------- Chapter 5:4
SOCIAL SECURITY PROGRAMS
-------------------------------------------------------- Chapter 5:4.1
Accuracy of Form SSA 1099 (Letter, 9/26/94, GAO/HEHS-94-234R).
Social Security: GAO's Analysis of the Notch Issue (Testimony,
9/16/94, GAO/T-HEHS-94-236).
Social Security: Rapid Rise in Children on SSI Disability Rolls
Follows New Regulations (Report, 9/9/94, GAO/HEHS-94-225).
Social Security: Trust Funds Can Be More Accurately Funded (Report,
9/2/94, GAO/HEHS-94-48).
Social Security: Most Social Security Death Information Accurate But
Improvements Possible (Report, 8/29/94, GAO/HEHS-94-211).
Social Security Retirement Accounts (Letter, 8/12/94,
GAO/HEHS-94-226R).
CDR Process Could Be Enhanced (Letter, 7/29/94, GAO/HEHS-94-212R).
Social Security: New Continuing Disability Review Process Could Be
Enhanced (Report, 6/27/94, GAO/HEHS-94-118).
Disability Benefits for Addicts (Letter, 6/8/94, GAO/HEHS-94-178R).
Social Security Disability: SSA Quality Assurance Improvements Can
Produce More Accurate Payments (Report, 6/3/94, GAO/HEHS-94-107).
Social Security Disability: Most of Gender Difference Explained
(Report, 5/27/94, GAO/HEHS-94-94).
Social Security: Major Changes Needed for Disability Benefits for
Addicts (Report, 5/13/94, GAO/HEHS-94-128). Testimony on same topic
(2/10/94, GAO/T- HEHS-94-101).
Social Security: Continuing Disability Review Process Improved, But
More Targeted Reviews Needed (Testimony, 3/10/94, GAO/T-HEHS-94-121).
Report on same topic (7/8/93, GAO/HRD-93-109).
Social Security: Disability Rolls Keep Growing, While Explanations
Remain Elusive (Report, 2/8/94, GAO/HEHS-94-34).
Social Security: Increasing Number of Disability Claims and
Deteriorating Service (Report, 11/10/93, GAO/HRD-94-11). Testimony
on same topic (3/25/93, GAO/T-HRD-93-11).
Social Security Disability: SSA Needs to Improve Continuing
Disability Review Program (Report, 7/8/93, GAO/HRD-93-109).
Social Security: Rising Disability Rolls Raise Questions That Must
Be Answered (Testimony, 4/22/93, GAO/T-HRD-93-15).
Social Security: SSA's Processing of Continuing Disability Reviews
(Testimony, 3/9/93, GAO/T-HRD-93-9).
SOCIAL SECURITY
ADMINISTRATION
-------------------------------------------------------- Chapter 5:4.2
Social Security Administration: Risks Associated With Information
Technology Investment Continue (Report, 9/19/94, GAO/AIMD-94-143).
Social Security Administration: Major Changes in SSA's Business
Processes Are Imperative (Testimony, 4/14/94, GAO/T-AIMD-94-106).
Social Security Administration: Many Letters Difficult to Understand
(Testimony, 3/22/94, GAO/T-HEHS-94-126).
Social Security: Sustained Effort Needed to Improve Management and
Prepare for the Future (Report, 10/27/93, GAO/HRD-94-22). Testimony
on same topic (10/28/93, GAO/T-HRD-94-46).
Social Security Administration as an Independent Agency (Testimony,
9/14/93, GAO/T-HRD-93-31).
Status of Agency Use of SSA Death Information (Letter, 7/20/93,
GAO/HRD-93-31R).
Social Security: Need to Improve Postentitlement Service to the
Public (Report, 5/7/93, GAO/HRD-93-21).
Social Security: IRS Tax Identity Data Can Help Improve SSA Earnings
Records (Report, 3/29/93, GAO/HRD-93-42).
Social Security: Telephone Busy Signal Rates at Local SSA Field
Offices (Report, 3/4/93, GAO/HRD-93-49).
SSA Problems in Processing Wage Reports (Letter, 1/27/93,
GAO/HRD-93-10R).
WELFARE
---------------------------------------------------------- Chapter 5:5
JOBS and JTPA: Tracking Spending Outcomes and Program Performance
(Report, 7/15/94, GAO/HEHS-94-177).
Efforts to Assist the Homeless in Baltimore (Letter, 7/11/94,
GAO/RCED-94- 239R).
Efforts to Assist the Homeless in St. Louis (Letter, 7/11/94,
GAO/RCED-94- 97R).
Efforts to Assist the Homeless in San Antonio (Letter, 7/11/94,
GAO/RCED- 94-238R).
Efforts to Assist the Homeless in Seattle (Letter, 7/11/94,
GAO/RCED-94- 237R).
Welfare to Work: JOBS Automated Systems Do Not Focus on Program's
Employment Objective (Report, 6/8/94, GAO/AIMD-94-44).
Families on Welfare: Teenage Mothers Least Likely to Become
Self-Sufficient (Report, 5/31/94, GAO/HEHS-94-115).
Families on Welfare: Focus on Teenage Mothers Could Enhance Welfare
Reform Efforts (Report, 5/31/94, GAO/HEHS-94-112).
Families on Welfare: Sharp Rise in Never-Married Women Reflects
Societal Trend (Report, 5/31/94, GAO/HEHS-94-92).
Child Care: Working Poor and Welfare Recipients Face Service Gaps
(Report, 5/13/94, GAO/HEHS-94-87).
Homelessness: McKinney Act Programs Provide Assistance but Are Not
Designed to Be the Solution (Report, 5/94, GAO/RCED-94-37).
Automated Welfare Systems: Historical Costs and Projections (Report,
2/25/94, GAO/AIMD-94-52FS).
Tax Policy: Earned Income Tax Credit: Design and Administration
Could Be Improved (Report, 9/24/93, GAO/GGD-93-145).
Homelessness: Information on and Barriers to Assistance Programs
Providing Foreclosed Property (Report, 9/30/93, GAO/RCED-93-182).
Self-Sufficiency: Opportunities and Disincentives on the Road to
Economic Independence (Report, 8/6/93, GAO/HRD-93-23).
Public Housing: Low-Income Housing Tax Credit as an Alternative
Development Method (Report, 7/16/93, GAO/RCED-93-31).
Welfare to Work: States Move Unevenly to Serve Teen Parents in JOBS
(Report, 7/7/93, GAO/HRD-93-74).
Welfare to Work: JOBS Participation Rate Data Unreliable for
Assessing States' Performance (Report, 5/5/93, GAO/HRD-93-73).
Earned Income Tax Credit: Effectiveness of Design and Administration
(Testimony, 3/30/93, GAO/T-GGD-93-20).
Homelessness: McKinney Act Programs and Funding Through Fiscal Year
1991 (Report, 12/21/92, GAO/RCED-93-39).
Health and Human Services Issues (Letter, 12/92, OCG-93-20TR).
Food Stamp Program Provisions (Letter, 11/25/92, GAO/RCED-93-70R).
Welfare to Work: States Serve Least Job-Ready While Meeting JOBS
Participation Rates (Report, 11/12/92, GAO/HRD-93-2).
OTHER PRODUCTS RELATED TO
SOCIAL SECURITY & WELFARE
---------------------------------------------------------- Chapter 5:6
Financial Audit: House Child Care Center--Fiscal Years Ended
9-30-93, 9-30-92, and Month Ended 9-30-91 (Report, 10/14/94,
GAO/AIMD-95-2).
UMWA's Combined Fund Finances (Letter, 6/30/94, GAO/HEHS-94-201R).
Americans with Disabilities Act: Effects of the Law on Access to
Goods and Services (Report, 6/21/94, GAO/PEMD-94-14).
Federal Aid: Revising Poverty Statistics Affects Fairness of
Allocation Formulas (Report, 5/18/94, GAO/HEHS-94-165).
Local Tax Abatement (Letter, 4/21/94, GAO/HEHS-94-84R).
Quality Assurance Independence (Letter, 4/28/94, GAO/HEHS-94-151R).
Federal Mandates: Unfunded Requirements Concern State and Local
Officials (Letter, 4/5/94, GAO/HEHS-94-110R).
Vietnamese Amerasian Resettlement: Education, Employment, and Family
Outcomes in the United States (Report, 3/31/94, GAO/PEMD-94-15).
Grant Administration: CDC Oversight of Grantees' Activities Needs
Improvement (Report, 12/10/93, GAO/HRD-94-12).
Refugee Resettlement: Unused Federal Funds in 1991 and 1992 (Report,
12/7/93, GAO/HRD-94-44).
State and Local Finances: Some Jurisdictions Confronted by Short-
and Long- Term Problems (Report, 10/6/93, GAO/HRD-94-1). Testimony
on same topic (10/6/93, GAO/T-HRD-94-1).
Benefits for Illegal Aliens: Some Program Costs Increasing, But
Total Costs Unknown (Testimony, 9/29/93, GAO/T-HRD-93-33).
Federal Personnel: Employment Policy Challenges Created by an Aging
Workforce (Report, 9/23/93, GAO/GGD-93-138).
Illegal Aliens: Despite Data Limitations, Current Methods Provide
Better Population Estimates (Report, 8/5/93, GAO/PEMD-93-25).
Refugee Resettlement: Initial Reception and Placement Assistance
(Report, 6/18/93, GAO/NSIAD-93-193BR).
Rural Disaster Assistance (Letter, 6/14/93, GAO/RCED-93-170R).
Puerto Rico: Confusion Over Applicability of the Electoral Law to
Referendum Process (Report, 5/28/93, GAO/HRD-93-84).
Tax Abatement (Letter, 5/21/93, GAO/HRD-93-27R).
Income Security: Reports Issued During 1990-92 and Testimonies
Delivered in 1992 (Bibliography, 3/93, GAO/HRD-93-80).
Legal Services Corporation: National Support Center Grantees'
Activities (Report, 2/5/93, GAO/HRD-93-9).
VETERANS AFFAIRS AND MILITARY
HEALTH (COMPREHENSIVE
2-YEAR LISTING)
============================================================ Chapter 6
MILITARY HEALTH CARE
---------------------------------------------------------- Chapter 6:1
VA/DOD Health Care: More Guidance Needed to Implement CHAMPUS-Funded
Sharing Agreements (Report, 10/28/94, GAO/HEHS-95-15).
Operation Desert Storm: Questions Remain on Possible Exposure to
Reproductive Toxicants (Report, 8/5/94, GAO/PEMD-94-30). Testimony
on same topic (8/5/94, GAO/T-PEMD-94-31).
Defense Health Care: Uniformed Services Treatment Facility Health
Care Program (Report, 6/2/94, GAO/HEHS-94-174).
Medical Records Control (Letter, 5/4/94, GAO/HEHS-94-161R).
Defense Health Care: Challenges Facing DOD in Implementing
Nationwide Managed Care (Testimony, 4/19/94, GAO/T-HEHS-94-145).
Reserve Forces: DOD Policies Do Not Ensure That Personnel Meet
Medical and Physical Fitness Standards (Report, 3/23/94,
GAO/NSIAD-94-36).
Defense Health Care: Expansion of CHAMPUS Reform Initiative Into
DOD's Region 6 (Report, 2/9/94, GAO/HEHS-94-100).
Defense Health Care: Expansion of the CHAMPUS Reform Initiative Into
Washington and Oregon (Report, 9/20/93, GAO/HRD-93-149).
Psychiatric Fraud and Abuse: Increased Scrutiny of Hospital Stays is
Needed for Federal Health Programs (Report, 9/17/93, GAO/HRD-93-92).
Operation Desert Storm: Army Medical Supply Issues (Report, 8/11/93,
GAO/NSIAD-93-206).
Operation Desert Storm: Improvements Required in the Navy's Wartime
Medical Care Program (Report, 7/28/93, GAO/NSIAD-93-189).
Medical Readiness Training: Limited Participation by Army Medical
Personnel (Report, 6/30/93, GAO/NSIAD-93-205).
DOD Health Care: Further Testing and Evaluation of Case-Managed Home
Care Is Needed (Report, 5/21/93, GAO/HRD-93-59).
Defense Health Care: Lessons Learned From DOD's Managed Health Care
Initiative (Testimony, 5/10/93, GAO/T-HRD-93-21).
Defense Health Care: Additional Improvements Needed to CHAMPUS's
Mental Health Program (Report, 5/6/93, GAO/HRD-93-34).
DOD Mental Health Review Efforts (Letter, 3/31/93, GAO/HRD-93-19R).
Defense Health Care: CHAMPUS Mental Health Demonstration Project in
Virginia (Report, 12/30/92, GAO/HRD-93-53).
Composite Health Care System: Outpatient Capability Is Nearly Ready
for Worldwide Deployment (Report, 12/15/92, GAO/IMTEC-93-11).
VETERANS' HEALTH CARE
---------------------------------------------------------- Chapter 6:2
VA/DOD Health Care: More Guidance Needed to Implement CHAMPUS-Funded
Sharing Agreements (Report, 10/28/94, GAO/HEHS-95-15).
Veterans' Health Care: Use of VA Services by Medicare-Eligible
Veterans (Report, 10/24/94, GAO/HEHS-95-13).
Veterans' Health Care: Use of VA Services by Medicare-Eligible
Veterans (Report, 10/24/94, GAO/HEHS-95-13).
Veterans Health Care: Implications of Other Countries' Reforms for
the United States (Report, 9/27/94, GAO/HEHS-94-210BR).
Health Security Act: Analysis of Veterans' Health Care Provisions
(Report, 7/15/94, GAO/HEHS-94-205FS).
Universal Health Care: Effects on Military Systems in Other
Countries and the United States (Report, 7/11/94, GAO/HEHS-94-182BR).
Veterans' Health Care: Efforts to Make VA Competitive May Create
Significant Risks (Testimony, 6/29/94, GAO/T-HEHS-94-197).
VA Health Care: Delays in Awarding Major Construction Contracts
(Report, 6/17/94, GAO/HEHS-94-170).
VA and the Health Security Act (Letter, 5/9/94, GAO/HEHS-94-159R).
VA Health Care Reform: Financial Implications of the Proposed Health
Security Act (Testimony, 5/5/94, GAO/T-HEHS-94-148).
Medical Records Control (Letter, 5/4/94, GAO/HEHS-94-161R).
Veterans' Health Care: Most Care Provided Through Non-VA Programs
(Report, 4/25/94, GAO/HEHS-94-104BR).
Veterans' Health Care: Veterans' Perceptions of VA Services and Its
Role in Health Care Reform (Testimony, 4/20/94, GAO/T-HEHS-94-150).
VA Health Care: A Profile of Veterans Using VA Medical Centers in
1991 (Report, 3/29/94, GAO/HEHS-94-113FS).
VA Appropriations (Letter, 3/29/94, GAO/HEHS-94-127R).
VA Health Care For Women: In Need of Continued VA Attention
(Testimony, 3/9/94, GAO/T-HEHS-94-114). Testimony on same topic
(7/2/92, GAO/T-HRD-92-33, and 7/19/92, GAO/T-HRD-92-42). Report on
same topic (1/23/92, GAO/HRD-92-23).
Homelessness: Demand for Services to Homeless Veterans Exceeds VA
Program Capacity (Report, 2/23/94, GAO/HEHS-94-98).
VA Health Care: VA Medical Centers Need to Improve Monitoring of
High-Risk Patients (Report, 12/10/93, GAO/HRD-94-27).
VA Appropriations (Letter, 12/10/93, GAO/HRD-94-72R).
Department of Veterans Affairs Appropriation (Letter, 11/12/93,
GAO/HRD-94-57R).
VA Health Care: Tuberculosis Control Receiving Greater Emphasis at
VA Medical Centers (Report, 11/9/93, GAO/HRD-94-5).
Veterans Affairs: Service Delays at VA Outpatient Facilities
(Testimony, 10/27/93, GAO/T-HRD-94-5). Testimony on same topic
(7/21/93, GAO/T-HRD-93-29). Report on same topic (10/15/93,
GAO/HRD-94-4).
VA Health Care: Restructuring Ambulatory Care System Would Improve
Services to Veterans (Report, 10/15/93, GAO/HRD-94-4).
VA Health Care: Medical Care Cost Recovery Activities Improperly
Funded (Report, 10/12/93, GAO/HRD-94-2)
VA Health Care: Labor Management and Quality-of-Care Issues at the
Salem VA Medical Center (Report, 9/23/93, GAO/HRD-93-108).
VA Health Care: Comparison of VA Benefits With Other Public and
Private Programs (Report, 7/29/93, GAO/HRD-93-94).
VA Health Care: Potential for Offsetting Long-Term Care Costs
Through Estate Recovery (Report, 7/27/93, GAO/HRD-93-68).
Veterans Affairs: Accessibility of Outpatient Care at VA Medical
Centers (Testimony, 7/21/93, GAO/T-HRD-93-29).
VA Health Care: Variabilities in Outpatient Care Eligibility and
Rationing Decisions (Report, 7/16/93, GAO/HRD-93-106).
VA Health Care: Veterans' Efforts to Obtain Outpatient Care From
Alternative Sources (Report, 7/14/93, GAO/HRD-93-123).
VA Health Care: Delays in Awarding Major Construction Contracts
(Report, 5/26/93, GAO/HRD-93-101).
VA Health Care: Problems in Implementing Locality Pay for Nurses Not
Fully Addressed (Report, 5/21/93, GAO/HRD-93-54).
VA Health Care: Enforcement of Federal Ethics Requirements at VA
Medical Centers (Testimony, 5/19/93, GAO/T-HRD-93-22). Reports on
same topic (5/12/93, GAO/HRD-93-39S) and (4/30/93, GAO/HRD-93-39).
Veterans' Health Care: Potential Effects of Health Care Reforms on
VA's Major Construction Program (Testimony, 5/6/93, GAO/T-HRD-93-19).
Veterans' Affairs: Establishing Patient Smoking Areas at VA
Facilities (Report, 5/3/93, GAO/HRD-93-104).
Veterans' Health Care: Potential Effects of Health Financing Reforms
on Demand for VA Services (Testimony, 3/31/93, GAO/T-HRD-93-12).
Management of VA: Improved Human Resource Planning Needed to Achieve
Strategic Goals (Report, 3/18/93, GAO/HRD-93-10).
Veterans' Health Care: Potential Effects of Health Reforms on VA
Construction (Testimony, 3/3/93, GAO/T-HRD-93-7).
VA Health Care: Selection of a Planned Medical Center in East
Central Florida (Report, 3/1/93, GAO/HRD-93-77). Letter on same
topic (6/2/93, GAO/HRD-93-23R).
VA Health Care: Actions Needed to Control Major Construction Costs
(Report, 2/26/93, GAO/HRD-93-75).
Veterans Disability: Information From Military May Help VA Assess
Claims Related to Secret Tests (Report, 2/18/93, GAO/NSIAD-93-89).
Transition Series: Veterans' Affairs Issues (Report, 12/92,
GAO/OCG-93-21TR).
VA Health Care: Medical Centers Are Not Correcting Identified
Quality Assurance Problems (Report, 12/30/92, GAO/HRD-93-20).
VA Health Care: Closure and Replacement of the Medical Center in
Martinez, California (Report, 12/1/92, GAO/HRD-93-15).
VETERANS' BENEFITS
---------------------------------------------------------- Chapter 6:3
Veterans' Benefits: Lack of Timeliness, Poor Communication Cause
Customer Dissatisfaction (Report, 9/20/94, GAO/HEHS-94-179).
Veterans' Benefits: Status of Claims Processing Initiative in VA's
New York Regional Office (Report, 6/17/94, GAO/HEHS-94-183BR).
Military Downsizing: Persons Returning to Civilian Life Need More
Help From DOD (Report, 1/21/94, GAO/HEHS-94-39).
Veterans Benefits: Redirected Modernization Shows Promise (Report,
12/9/93, GAO/AIMD-94-26).
Disabled Veterans Programs: U.S. Eligibility and Benefit Types
Compared With Five Other Countries (Report, 11/24/93, GAO/HRD-94-6).
Armed Forces Retirement Home (Letter, 11/3/93, GAO/HRD-94-49R).
DOD Military Disability Retirement (Report, 11/3/93,
(GAO/HRD-94-50R).
Homeownership: Appropriations Made to Finance VA's Housing Program
May Be Overestimated (Report, 9/8/93, GAO/RCED-93-173).
Veterans' Compensation: Premature Closing of VA Office in the
Philippines Could Be Costly (Report, 7/15/93, GAO/HRD-93-96).
Transition Series: Veterans Affairs Issues (Report, 12/92,
GAO/OCG-93-21TR).
Veterans' Benefits: Availability of Benefits in American Samoa
(Report, 11/18/92, GAO/HRD-93-16).
MAJOR CONTRIBUTORS
============================================================ Chapter 7
David W. Bieritz
Susan Y. Higgins
James L. Kirkman
Tara J. Toliver
Stephen F. Palincsar
ORDER FORM
============================================================ Chapter 8
MAILING LIST REQUEST FORM
============================================================ Chapter 9
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------------------------------------------------------ Chapter 9:0.0.1
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------------------------------------------------------ Chapter 9:0.0.3
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