What GAO Found
The 24 agencies participating in the Office of Management and Budget’s (OMB) Data Center Optimization Initiative (DCOI) continue to report progress toward meeting OMB’s goals for closing data centers and achieving the related cost savings. According to data submitted by the 24 agencies, almost all of them met or planned to meet their closure and cost savings goals for fiscal years 2019 and 2020. As of August 2020, the agencies reported that they expected to achieve 230 data center closures, resulting in $1.1 billion in savings, over the 2-year period. Agencies expected to realize a cumulative total of $6.24 billion in cost savings and avoidances from fiscal years 2012 through 2020.
However, agencies have excluded approximately 4,500 data centers from their inventories since May 2019 due to a change in the definition of a data center. Specifically, in June 2019, OMB narrowed the definition of a data center to exclude certain facilities it had previously identified as having potential cybersecurity risks. GAO reported that each such facility provided a potential access point, and that unsecured access points could aid cyber attacks. Accordingly, GAO recommended that OMB require agencies to report those facilities previously reported as data centers so that visibility of the risks of these facilities was retained. However, OMB has not taken action to address the recommendation. Overall, GAO has made 125 recommendations since 2016 to help agencies meet their DCOI goals, but agencies have not implemented 53.
The 24 agencies reported varied progress against OMB’s data center optimization targets for fiscal year 2020 (see figure).
Agency-Reported Progress towards Meeting Office of Management and Budget (OMB) Data Center Optimization Targets, as of August 2020
Notes: Virtualization measures the number of servers and mainframes serving as a virtual host. Advanced energy metering counts data centers with metering to measure energy efficiency. A metric is not applicable if an agency does not have any agency-owned data centers or if its remaining centers are exempted from optimization by OMB.
In June 2019, OMB revised the server utilization metric to direct agencies to develop their own definitions of underutilization, and then count their underutilized servers. As a result, agencies adopted widely varying definitions and were no longer required to report actual utilization, a key measure of server efficiency.
Why GAO Did This Study
In December 2014, Congress enacted federal IT acquisition reform legislation known as FITARA, which included provisions related to ongoing federal data center consolidation efforts. OMB’s federal Chief Information Officer launched DCOI to build on prior data center consolidation efforts and improve federal data centers’ performance.
FITARA included a provision for GAO to annually review agencies’ data center inventories and strategies. This report addresses (1) agencies’ progress on data center closures and the related savings that have been achieved, and agencies’ plans for future closures and savings; (2) agencies’ progress against OMB’s data center optimization targets; and (3) the effectiveness of OMB’s metric for server utilization and how the agencies are implementing it. To do so, GAO reviewed the 24 DCOI agencies’ data center inventories as of August 2020, their reported cost savings documentation and data center optimization strategic plans, and OMB’s revised utilization metric.
What GAO Recommends
GAO reiterates that agencies need to address the 53 recommendations previously made to them that have not yet been implemented. GAO is making one new recommendation to OMB to revise its server utilization metric to more consistently address server efficiency. OMB had no comments on the report and the recommendation directed to the agency. Of the 24 DCOI agencies, five agreed with the information in the report, six did not state whether they agreed or disagreed, and 13 had no comments.
For more information, contact Carol C. Harris at (202) 512-4456 or firstname.lastname@example.org.
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- Disaster Housing: Improved Cost Data and Guidance Would Aid FEMA Activation DecisionsBy Sam NewsDecember 15, 2020The Federal Emergency Management Agency (FEMA) relied primarily on rental assistance payments to assist 2017 and 2018 hurricane survivors but also used direct housing programs to address housing needs, as shown in the table below. GAO found that FEMA provided rental assistance to about 746,000 households and direct housing assistance to about 5,400 households. FEMA did not use the Disaster Housing Assistance Program (DHAP)—a pilot grant program managed jointly with the Department of Housing and Urban Development (HUD)—because FEMA viewed its direct housing programs to be more efficient and cost-effective and did not consider DHAP to be a standard post-disaster housing assistance program. Number of Households Affected by the 2017 and 2018 Hurricanes That Received Rental and Direct Temporary Housing Assistance, by State or Territory State or territory Rental assistance Direct housing assistance Florida 422,230 1,241 North Carolina 20,198 656 Puerto Rico 147,620 414 Texas 143,465 2,988 U.S. Virgin Islands 12,147 69 Total number of households 745,660 5,368 Source: Federal Emergency Management Agency (FEMA). | GAO-21-116 Notes: FEMA provided the vast majority of its direct housing assistance through transportable temporary housing units such as manufactured housing. Rental assistance data are as of February 13, 2020, and direct housing assistance data are as of July 15, 2020. FEMA's analyses of the cost-effectiveness of housing assistance programs were limited because program cost data were incomplete or not readily useable. The Robert T. Stafford Disaster Relief and Emergency Assistance Act requires FEMA to consider factors including cost-effectiveness when determining which types of housing assistance to provide. Although FEMA has stated its direct housing programs were relatively more cost-effective than DHAP, FEMA generally could not support these statements with cost data. Specifically, FEMA does not collect key program data in its system, such as monthly subsidy and administrative costs, in a manner that would allow it to analyze the full costs of providing the assistance. Without such information, the agency's program activation decisions will not be well informed, particularly with regard to cost-effectiveness. FEMA policy guidance also says that FEMA is to compare the projected costs of the direct housing programs it is considering activating, but does not consistently specify what cost information to consider, such as whether to use both programmatic and administrative costs. Without such guidance, FEMA cannot reasonably assure that its assessments and their results incorporate consistent and comparable data. The 2017 and 2018 hurricanes (Harvey, Irma, Maria, Florence, and Michael) caused $325 billion in damage. FEMA provided post-disaster assistance, including rental and direct housing assistance. DHAP was a pilot grant program that provided temporary rental assistance and was used to respond to several hurricanes before 2017. GAO was asked to review issues related to major disasters in 2018 and housing assistance provided after the 2017 and 2018 hurricanes. This report (1) describes the assistance FEMA provided in response to those hurricanes, and (2) evaluates the extent to which FEMA considered cost-effectiveness in activating programs. GAO reviewed FEMA and HUD policies, communications, and other documentation; analyzed FEMA data; and interviewed officials at FEMA headquarters and regional offices, HUD, and Texas state and local government offices. GAO makes two recommendations to FEMA for its temporary housing programs: (1) identify and make changes to its data systems to allow for capture and analysis of programs' full costs, and (2) specify the information needed to compare projected program costs in its guidance on activating programs. DHS agreed with both recommendations, and said it planned to implement them in 2021–2022. For more information, contact John Pendleton at (202) 512-8678 or firstname.lastname@example.org.[Read More…]
- Federal Charges Against Stanford University Researcher ExpandedBy Sam NewsFebruary 19, 2021A federal grand jury issued a superseding indictment charging Chen Song with visa fraud, obstruction of justice, destruction of documents, and false statements in connection with a scheme to conceal and lie about her status as a member of the People’s Republic of China’s military forces while in the United States, the Justice Department announced yesterday.[Read More…]
- Veterans Affairs: Ongoing Financial Management System Modernization Program Would Benefit from Improved Cost and Schedule EstimatingBy Sam NewsApril 20, 2021What GAO Found The Department of Veterans Affairs (VA) Financial Management Business Transformation (FMBT) program has begun implementing the Integrated Financial and Acquisition Management System (iFAMS), with the first deployment of certain capabilities at the National Cemetery Administration (NCA) on November 9, 2020. FMBT program officials identified various challenges, such as FMBT program funding shortfalls, which represent the difference between VA's original requirement and the President's budget request, and coordination with other major initiatives. VA has taken various steps to address its challenges. For example, because of the COVID-19 pandemic, VA postponed the initial NCA deployment 4 months and converted planning, training, and testing activities to virtual events. In addition, the FMBT program and Veterans Health Administration (VHA) worked together to address the FMBT program funding shortfall by postponing iFAMS implementation at VHA for at least 2 years to coordinate with the implementation of a new logistics system. Following information technology (IT) management best practices on major transformation efforts, such as the FMBT program, can help build a foundation for ensuring responsibility, accountability, and transparency. VA has generally met such practices for program governance, Agile project management, and testing and defect management. However, it has not fully met certain best practices for developing and managing cost and schedule estimates. As a result, its estimates were not reliable. Specifically, VA's estimates substantially met one, and partially or minimally met three of the four characteristics associated with reliable cost and schedule estimates, respectively. For example, VA minimally met the “credible” characteristic associated with reliable cost estimates, in part, because it did not compare its cost estimate to an independently developed estimate. GAO Assessment of VA Cost and Schedule Estimates against Best Practice Characteristics Cost estimate characteristic Assessment of cost estimate Schedule estimate characteristic Assessment of schedule estimate Comprehensive Partially met Comprehensive Partially met Well-documented Substantially met Well-constructed Partially met Accurate Partially met Credible Partially met Credible Minimally met Controlled Substantially met Legend: substantially met = VA provided evidence that satisfies a large portion of the criterion; partially met = VA provided evidence that satisfies about one-half of the criterion; minimally met = VA provided evidence that satisfies a small portion of the criterion Source: GAO assessment of the Department of Veterans Affairs Financial Management Business Transformation program documentation. | GAO-21-227 Reliable cost and schedule estimates provide a road map for project execution and are critical elements to delivering large-scale IT systems. Without reliable estimates, VA management may not have the information necessary for informed decision-making. Further, following cost and schedule best practices helps minimize the risk of cost overruns and schedule delays and would better position the FMBT program for effective and successful implementation on future deployments. Why GAO Did This Study VA's core financial system is approximately 30 years old and is not integrated with other relevant IT systems, resulting in inefficient operations and complex work-arounds. The FMBT program is VA's current effort and third attempt to replace its aging financial and acquisition systems with one integrated system. The first two attempts were unsuccessful after years of development and hundreds of millions of dollars in cost. GAO was asked to review the progress of the FMBT program. This report (1) describes the status of the FMBT program, including steps VA has taken to address challenges it has identified, and (2) examines the extent to which VA has followed certain IT management best practices. GAO summarized FMBT program risks and challenges that VA identified, reviewed FMBT program documentation and compared it with relevant guidance and best practices, and interviewed cognizant VA officials.[Read More…]
- Papua New Guinea Travel AdvisoryBy Sam NewsSeptember 26, 2020Reconsider travel [Read More…]
- Secretary Pompeo to Deliver Remarks to the Media in the Press Briefing RoomBy Sam NewsNovember 10, 2020
- Connecticut Man Charged with Assaulting an Officer During U.S. Capitol BreachBy Sam NewsJanuary 20, 2021A Connecticut man was charged yesterday in the U.S. District Court for the District of Columbia with assaulting an officer during the breach of the U.S. Capitol grounds on Jan. 6, 2021. He will be presented in U.S. District Court for the Southern District of New York today, before appearing in Washington D.C.[Read More…]
- Six Additional Individuals Indicted On Antitrust Charges In Ongoing Broiler Chicken InvestigationBy Sam NewsOctober 7, 2020A federal grand jury in the U.S. District Court in Denver, Colorado, returned a superseding indictment charging six additional defendants for their roles in a previously indicted conspiracy to fix prices and rig bids for broiler chicken products, and containing additional allegations against the previously charged defendants in the same conspiracy, the Department of Justice announced today. The superseding indictment also charges one defendant with making false statements and obstruction of justice.[Read More…]
- Three Tribal Officials Charged in Bribery SchemeBy Sam NewsJuly 30, 2020Two current tribal government officials and one former tribal government official of the Three Affiliated Tribes of the Mandan, Hidatsa, and Arikara Nation (MHA Nation) were charged by criminal complaint unsealed today for their alleged acceptance of bribes and kickbacks from a contractor providing construction services on the Fort Berthold Indian Reservation (FBIR), which is the home of the MHA Nation.[Read More…]
- Briefing with Special Presidential Envoy for Climate John KerryBy Sam NewsApril 23, 2021John Kerry, Special [Read More…]
- المساعدات المُقَدّمة للضفة الغربية وقطاع غزة: في حالة إستئناف التمويل، فإن زيادة الرقابة على إمتثال الجهة الفرعية الحاصلة على المنح لسياسات وإجراءات مكافحة الارهاب الخاصة بالوكالة الأمريكية للتنمية الدولية قد يُقلل من المخاطرBy Sam NewsApril 14, 2021This is the Arabic language highlights associated with GAO-21-332, which issued on Monday, March 29. لماذا أجرى مكتب مساءلة الحكومة ھذه الدراسة قدمت الحكومة الأمريكية منذ عام 1993 أكثر من 6.3 مليار دولار على شكل مساعدات ثنائية للفلسطينيين في الضفة الغربية وقطاع غزة. ووفقا للوكالة الأمريكية للتنمية الدولية ووزارة الخارجية الأمريكية، تم إيقاف تمويل صندوق الدعم الاقتصادي (ESF) منذ يناير/ كانون الثاني 2019 بسبب مجموعة من الإجراءات السياساتية والقانونية. إن الوكالة الأمريكية للتنمية الدولية مسؤولة بشكل رئيسي عن إدارة المساعدات المقدمة من صندوق الدعم الاقتصادي للضفة الغربية وقطاع غزة وضمان الامتثال لسياساته وإجراءاته الخاصة بمكافحة الإرهاب. تتضمن قوانين التخصيص للسنوات المالية 2015-2019 أحكاماً لمكتب مساءلة الحكومة لمراجعة استخدامات أموال صندوق الدعم الاقتصادي الخاصة ببرنامج الضفة الغربية وقطاع غزة. كما طُلِبَ من مكتب مساءلة الحكومة مُراجعة كيف يؤثر وقف هذه المساعدات على موارد التوظيف في الوكالة الأمريكية للتنمية الدولية. يدرس هذا التقرير (1) حالة مساعدات صندوق الدعم الاقتصادي المقدمة من الوكالة الأمريكية للتنمية الدولية للبرنامج في السنوات المالية 2015-2019، وذلك اعتباراً من 30 سبتمبر/ أيلول 2020؛ (2) الخطوات التي اتخذتها الوكالة الأمريكية للتنمية الدولية تجاه المشاريع الجارية ومستويات التوظيف عندما توقفت مساعدات صندوق الدعم الاقتصادي؛ (3) مدى امتثال الوكالة الأمريكية للتنمية الدولية لسياساتها وإجراءاتها الخاصة بمكافحة الإرهاب للسنوات المالية 2015-2019. وقد راجع مكتب مساءلة الحكومة القوانين وسياسات الوكالة وإجراءاتها ووثائقها وبياناتها وقام بتقييم عيّنة قابلة للتعميم من 245 من الجهات الفرعية الحاصلة على المنح للتأكد من الامتثال لسياسات واجراءات الوكالة الأمريكية للتنمية الدولية الخاصة بمكافحة الإرهاب. النتائج التي توصل إليها مكتب مساءلة الحكومة قدمت الحكومة الأمريكية مساعدات للفلسطينيين في الضفة الغربية وقطاع غزة لتعزيز السلام في الشرق الأوسط منذ عام 1993، جزئيا من خلال البرامج التي تُديرها الوكالة الأمريكية للتنمية الدولية ويمولها صندوق الدعم الاقتصادي. وقد توقف هذا التمويل منذ 31 يناير/ كانون الثاني 2019. وبحلول 30 سبتمبر/ أيلول 2020، كانت الوكالة الأمريكية للتنمية الدولية قد انفقت معظم أموال صندوق الدعم الاقتصادي التي تم تخصيصها لبرنامج الضفة الغربية وقطاع غزة في السنوات المالية 2015-2019. على وجه التحديد، انفقت الوكالة الأمريكية للتنمية الدولية 487.3 مليون دولار من أصل 540.4 مليون دولار من مساعدات صندوق الدعم الاقتصادي للبرنامج في السنتين الماليتين 2015 و2016. وأعادت إدارة الرئيس ترامب برمجة الـ 230.1 مليون دولار التي كانت مخصصة للسنة المالية 2017 لبرامج أخرى ولم تخصص مبالغ للسنتين الماليتين 2018 و2019. وأعلنت السلطة الفلسطينية في شهر ديسمبر/ كانون الأول 2018 بأنها لن تقبل المساعدة بعد 31 يناير/ كانون الثاني 2019 بسبب مخاوف لديها بشأن قانون توضيح مكافحة الإرهاب (Anti-Terrorism Clarification Act) لعام 2018. ووفقاً لمسؤولين من وزارة الخارجية الأمريكية والوكالة الأمريكية للتنمية الدولية فإن القانون يتضمن أحكاماً يمكن أن تجعل الجهات المتلقية للمساعدات من صندوق الدعم الاقتصادي خاضعة لدعاوى قضائية أمريكية. وفي شهر يناير/ كانون الثاني 2021، أعلنت إدارة الرئيس بايدن نيتها إستئناف تقديم المساعدات الأمريكية للبرامج في الضفة الغربية وقطاع غزة. اتخذت الوكالة الأمريكية للتنمية الدولية عدة خطوات بشأن المشاريع الجارية ومستويات التوظيف في بعثتها في الضفة الغربية وقطاع غزة بعد توقف تقديم المساعدة للبرنامج اعتبارا من 31 يناير/ كانون الثاني 2019. وقد أوقفت الوكالة الأمريكية للتنمية الدولية 27 مشروعاً جارياً. كما توقفت الوكالة الأمريكية للتنمية الدولية عن إعادة شغل الوظائف المصرح بها في بعثتها في الضفة الغربية وقطاع غزة، واقترحت تخفيضا في قوة العمل، ووضعت حوالي 50 موظفا في مَهام مؤقتة لأنشطة أخرى. ووفقا للوكالة الأمريكية للتنمية الدولية، فإنه اعتبارا من شهر مايو/ أيار 2019، طلبت لجان الكونجرس من الوكالة الأمريكية للتنمية الدولية تعليق تخفيض الوظائف المُخطط له انتظاراً لاستمرار المداولات. وفي حين أن الوكالة الأمريكية للتنمية الدولية لم تنهِ عمل موظفيها، إلا أن عدد موظفي البعثة انخفض بنسبة 39 بالمئة من ديسمبر/ كانون الأول 2017 وحتى سبتمبر/ أيلول 2020 بسبب مُغادرة الموظفين للبعثة وعمليات النقل والاستقالات. تُحدد سياسات وإجراءات مكافحة الإرهاب للوكالة الأمريكية للتنمية الدولية والخاصة بالضفة الغربية وقطاع غزة ثلاثة متطلبات لمُتلقي التمويل من صندوق الدعم الاقتصادي: الفحص بالنسبة للعديد من الجهات غير الأمريكية التي تتلقى المساعدات، وشهادات مكافحة الإرهاب لمُتلقي المِنَح أو الاتفاقيات التعاونية، وأحكام إلزامية تهدف لمنع الدعم المالي للإرهاب في جميع مِنَح المساعدات للجهات الرئيسية والفرعية. توصل مكتب مساءلة الحكومة إلى أنه بالنسبة للسنوات المالية 2015-2019، امتثلت الوكالة الأمريكية للتنمية الدولية بشكل كامل لجميع المتطلبات الثلاثة عند منح المساعدات للجهات الرئيسية، غير أنها لم تتأكد بشكل متسق من إمتثال الجهات الفرعية الحاصلة على المساعدات. بالإضافة لذلك، أظهر تحليل مكتب مساءلة الحكومة لعيّنة المنح الفرعية القابلة للتعميم ومراجعات الامتثال الخاصة بالوكالة الأمريكية للتنمية الدولية وجود فجوات في الامتثال لمتطلبات الفحص والأحكام الإلزامية على مستوى المنح الفرعية. فعلى سبيل المثال، توصل التحليل الذي أجراه مكتب مساءلة الحكومة لمُراجعات الامتثال الخاصة بالوكالة الأمريكية للتنمية الدولية إلى أن 13 من أصل 86 تقريراً كان فيها حالة أو أكثر من عدم قيام الجهة الرئيسية الحاصلة على المنح بتضمين الأحكام الإلزامية، والتي تُغطي 420 من المنح الفرعية. قدمت الوكالة الأمريكية للتنمية الدولية تدريباً للجهات الرئيسية الحاصلة على المنح سابقاً على تقديم المساعدة حول متطلبات مكافحة الإرهاب بالنسبة للجهات التي تحصل على المنح الفرعية، غير أنها لم تتحقق من أن الجهات الحاصلة على المنح لديها إجراءات للامتثال لهذه المتطلبات. وبالإضافة لذلك، أجرت الوكالة الأمريكية للتنمية الدولية مراجعات للامتثال لاحقة على تقديم المنح الفرعية تمت بعد انتهاء المنحة الفرعية في بعض الأحيان، حيث كان الأوان قد فات لاتخاذ اجراءات تصحيحية. و في حالة استئناف تمويل صندوق الدعم الاقتصادي، فإن التحقق من أن الجهات الرئيسية الحاصلة على المنح لديها هذه الاجراءات، وإجراء مراجعات للامتثال لاحقة على تقديم المساعدة في وقت يسمح بإجراء التصحيحات من شأنه أن يضع الوكالة الأمريكية للتنمية الدولية في وضع أفضل بالنسبة لتقليل مخاطر تقديم المساعدة للكيانات أو الافراد المرتبطين بالإرهاب. توصيات مكتب مساءلة الحكومة يوصي مكتب مساءلة الحكومة، في حالة استئناف التمويل، أن تقوم الوكالة الأمريكية للتنمية الدولية بـ (1) التحقق من أن الجهات الرئيسية الحاصلة على المساعدة لديها إجراءات لضمان الامتثال للمتطلبات قبل تقديم المنح للجهات الفرعية، و (2) إجراء مراجعات الامتثال بعد منح المساعدات في وقت يسمح بإجراء التصحيحات قبل إنتهاء المنحة. وقد وافقت الوكالة الأمريكية للتنمية الدولية على هذه التوصيات. هذه نسخة بلغة أجنبية لتقرير صدر في مارس/ آذار2021. أﻧﻈﺮ اﻟﻮﺛﯿﻘﺔ21-332-GAO. ﻟﻠﻤﺰﯾﺪ ﻣﻦ اﻟﻤﻌﻠﻮﻣﺎت،ﯾﺮُ ﺟﻰ اﻻﺗﺼﺎل ﺑـ ﻻﺗﯿﺸﺎ ﻟﻮف Latesha Love ﻋﻠﻰ رﻗﻢ اﻟﮭﺎﺗﻒ: 4409-512 (202)، أو ﻣﻦ ﺧﻼل اﻹﯾﻤﯿﻞ: email@example.com[Read More…]
- Travel of Special Envoy for the Sahel Region Dr. J. Peter Pham to MaliBy Sam NewsSeptember 30, 2020
- Opioid Use Disorder: Treatment with Injectable and Implantable BuprenorphineBy Sam NewsAugust 4, 2020Of the medications used to treat opioid use disorder (OUD), only buprenorphine is both a controlled substance and available as an injection or implant. Buprenorphine is used to treat patients with OUD because it reduces or eliminates opioid withdrawal symptoms and blunts the euphoria or dangerous side effects of other opioids, such as heroin. When used to treat OUD, buprenorphine, in any form, is subject to additional laws and regulations that are overseen by the Drug Enforcement Administration (DEA), within the Department of Justice (DOJ) and the Substance Abuse and Mental Health Services Administration (SAMHSA), within the Department of Health and Human Services (HHS). To ensure patient safety when injectable and implantable buprenorphine is used, the Food and Drug Administration (FDA), within HHS has also required drug companies to establish risk evaluation and mitigation strategies to help ensure the benefits of these medications outweigh their risks. Providers and pharmacies must follow a number of specific steps based on federal requirements when providing treatment with injectable and implantable buprenorphine. Providers are responsible for prescribing, storing, and administering injectable and implantable buprenorphine, while pharmacies are responsible for dispensing these medications (see figure). Representatives GAO interviewed from provider groups and pharmacies said they did not find the steps involved in treating patients to be difficult overall. However, they stated that careful and timely coordination with each other and patients is needed at key steps of the process to ensure that the patient receives treatment. Representatives from provider groups and pharmacies reported that the risk of diversion of injectable and implantable buprenorphine is low. For example, all of the provider groups GAO spoke with said that diversion of injectable or implantable buprenorphine is unlikely, and representatives from three of the six provider groups said that the design of these formulations reduces opportunities for diversion due to how they are administered. Process for Treating Opioid Use Disorder with Injectable and Implantable Buprenorphine The use of injectable and implantable buprenorphine to treat OUD is relatively low compared to oral forms of buprenorphine. HHS has reported that about 7,250 prescriptions were issued for injectable and implantable buprenorphine in fiscal year 2019, compared to over 700,000 patients who received buprenorphine prescriptions for oral formulations to treat OUD or pain in that year. In 2018, SAMHSA estimated that about one-quarter of the estimated 2 million people with OUD had received some form of substance use treatment in the prior year. One form of treatment—medication-assisted treatment (MAT)— combines behavioral therapy with the use of certain medications. HHS has identified expanding access to treatment for OUD as an important strategy for reducing opioid morbidity and mortality, which includes increasing the number of injectable and implantable buprenorphine prescriptions. Congress included a provision in the SUPPORT Act for GAO to review access to and the potential for the diversion of controlled substances administered by injection or implantation. This report focuses on injectable and implantable controlled substances that can be used to treat OUD and specifically, describes the process for treating OUD with injectable and implantable buprenorphine and what is known about their use. GAO reviewed laws, regulations, and documentation from DEA, FDA, and SAMHSA governing the process of providing treatment with buprenorphine and interviewed officials from those agencies. GAO also interviewed representatives from stakeholder groups representing MAT providers; drug companies that manufacture injectable or implantable buprenorphine; and pharmacies that dispense these medications. HHS and DOJ reviewed a draft of this report, and GAO incorporated their technical comments, as appropriate. For more information, contact James Cosgrove at (202) 512-7114 or firstname.lastname@example.org.[Read More…]
- Medical Device Maker Merit Medical To Pay $18 Million To Settle Allegations Of Improper Payments To PhysiciansBy Sam NewsOctober 14, 2020Medical device maker Merit Medical Systems Inc. (MMSI), of South Jordan, Utah, has agreed to pay $18 million to resolve allegations that the company caused the submission of false claims to the Medicare, Medicaid, and TRICARE programs by paying kickbacks to physicians and hospitals to induce the use of MMSI products, the Department of Justice announced today.[Read More…]
- Statement from Acting Solicitor General Jeffrey B. Wall on the Passing of Former Solicitor General Drew S. Days IIIBy Sam NewsNovember 17, 2020Today, Acting Solicitor General Jeffrey B. Wall issued the following statement on the passing of former Solicitor General Drew S. Days III:[Read More…]
- KuuHuub Inc., Kuu Huub Oy and Recolor Oy to Pay Civil Penalty for Children’s Online Privacy ViolationsBy Sam NewsJuly 21, 2021The Department of Justice, together with the Federal Trade Commission (FTC), today announced that KuuHuub Inc., a Canadian corporation, and two Finnish corporations, Kuu Huub Oy and Recolor Oy, have agreed to a settlement to resolve alleged violations of the FTC Act and the Children’s Online Privacy Protection Act of 1998 (COPPA) associated with the companies’ “Recolor” mobile app and digital coloring book.[Read More…]
- On the Passing of Ivoirian Prime Minister Hamed BakayokoBy Sam NewsMarch 12, 2021
- Pennsylvania Marketer Pleads Guilty to Filing False Tax ReturnsBy Sam NewsDecember 3, 2020A Bryn Mawr resident pleaded guilty today to filing false tax returns, announced Principal Deputy Assistant Attorney General Richard E. Zuckerman of the Justice Department’s Tax Division and U.S. Attorney William M. McSwain for the Eastern District of Pennsylvania.[Read More…]
- Member of White Supremacist Prison Gang Guilty of Violent Crime in Aid of RacketeeringBy Sam NewsJanuary 26, 2021A Texas man pleaded guilty today to violent gang-related activities in the Eastern District of Texas.[Read More…]
- Music “tourist” sent to prison for cocaine traffickingBy Sam NewsIn Justice NewsMay 2, 2021A 40-year-old felon from [Read More…]
- Man Charged with Attempting to Provide Material Support to a Foreign Terrorist OrganizationBy Sam NewsJune 1, 2021A Washington man was arrested on Friday, May 28, at Seattle-Tacoma International Airport on criminal charges related to his alleged efforts to join Islamic State of Iraq and al-Sham (ISIS), a designated foreign terrorist organization, in order to engage in violent acts of terrorism in the Middle East or the United States.[Read More…]
- Justice Department Requires Divestiture In Order For Anheuser-Busch To Acquire Craft Brew AllianceBy Sam NewsSeptember 18, 2020The Department of Justice announced today that it is requiring Anheuser-Busch InBev SA/NV (ABI), its wholly-owned subsidiary Anheuser-Busch Companies LLC (AB Companies), and Craft Brew Alliance Inc. (CBA) to divest CBA’s entire Kona brand business in the state of Hawaii and to license to the acquirer the Kona brand in Hawaii in order for AB Companies, a minority shareholder in CBA, to proceed with its proposed acquisition of the remaining shares of CBA. The department has approved PV Brewing Partners, LLC as the acquirer. The proposed settlement will maintain competition in the beer industry in Hawaii benefitting consumers.[Read More…]
- Secretary Antony J. Blinken and Danish Foreign Minister Jeppe Kofod at a Joint Press AvailabilityBy Sam NewsMay 17, 2021
- Secretary Blinken’s Call with the United Arab Emirates Minister of Foreign Affairs and International Cooperation Sheikh Abdullah bin Zayed Al NahyanBy Sam NewsFebruary 3, 2021
- Secretary Blinken’s Call with Libyan Interim Foreign Minister MangoushBy Sam NewsJune 17, 2021
- Designation of a United States Special Coordinator for Tibetan IssuesBy Sam NewsOctober 14, 2020
- Medicaid: CMS Needs to Implement Risk-Based Oversight of Puerto Rico’s Procurement ProcessBy Sam NewsFebruary 5, 2021Like other U.S. territories and states, Puerto Rico implements major functions of its Medicaid program by procuring services from contractors, such as the delivery of managed care services to Medicaid beneficiaries. In 2018, procurement costs represented $2.4 billion of Puerto Rico's $2.5 billion in total Medicaid expenditures. A 2019 federal indictment alleging Puerto Rico officials unlawfully steered Medicaid contracts to certain individuals has raised concerns about Puerto Rico's Medicaid procurement process, including whether this process helps ensure appropriate competition. The Centers for Medicare & Medicaid Services (CMS), within the Department of Health and Human Services, is responsible for overseeing the Medicaid program. CMS requires states and territories to use the same process for Medicaid procurements as they do for their non-federal procurements. However, CMS has not taken steps to ensure Puerto Rico has met this requirement. Instead, CMS has relied on Puerto Rico to oversee the territory's procurement process and to attest to its compliance. CMS approved Puerto Rico's attestation of compliance in 2004 and has not required subsequent updates. CMS officials told GAO that states and territories are in the best position to ensure compliance with their respective procurement laws. GAO and others have found that competition is a cornerstone of procurement. Using competition can reduce costs, improve contractor performance, curb fraud, and promote accountability. GAO reviewed selected Puerto Rico Medicaid procurements against federal procurement standards designed to promote competition and reduce risks of fraud. States and territories are generally not required to meet such standards. However, GAO and others have found that such standards can indicate whether a state's or territory's procurement process includes necessary steps to achieve fair competition. GAO found that seven of the eight selected Puerto Rico procurements did not include important steps to promote competition and mitigate the risk for fraud, waste, and abuse, underscoring the need for federal oversight. Competitive procurements. The requests for proposals for two of the three competitive procurements GAO reviewed did not include certain information on factors used to evaluate proposals and make awards. In contrast, Puerto Rico's managed care procurement—the largest procurement reviewed—included this information. Noncompetitive procurements. None of the five noncompetitive procurements GAO reviewed documented circumstances to justify not using competitive procurements, such as a lack of competition or an emergency. Puerto Rico officials explained that territorial law allows noncompetitive procurement for professional services regardless of circumstances. Because CMS does not oversee Puerto Rico's procurement process, the agency lacks assurance that Puerto Rico's Medicaid program is appropriately managing the risk of fraud, waste, and abuse. Procurements that did not include important steps to promote competition could have unnecessarily increased Medicaid costs, reducing funding for Medicaid services to beneficiaries. States' and U.S. territories' Medicaid procurement processes can directly affect their ability to prevent fraud, waste, and abuse in the program. A 2019 federal indictment alleging fraudulent Medicaid procurements in Puerto Rico has raised questions about the program's oversight. The Consolidated Appropriations Act, 2020 includes a provision for GAO to review oversight of Puerto Rico's Medicaid procurement process and its use of competition. This report examines CMS oversight of Puerto Rico's procurement process from its initial steps through the award, and how it helps ensure competition. GAO reviewed federal regulations, guidance, and Puerto Rico's December 2020 procurement reform plan; interviewed Puerto Rico and federal officials; and reviewed eight awards that represented about 97 percent of the costs of Puerto Rico's procurements in effect as of April 2020. These procurements were selected based on variation in cost, use of competition, and other factors. GAO assessed whether CMS addressed risks in Puerto Rico's procurement process by reviewing selected procurements against certain federal standards that apply to other non-federal entities and aim to mitigate the risk of fraud, waste, and abuse. GAO also assessed CMS's policies and procedures against federal internal control standards. GAO recommends that CMS implement risk-based oversight of the Medicaid procurement process in Puerto Rico. The Department of Health and Human Services concurred with this recommendation. For more information, contact Carolyn L. Yocom at (202) 512-7114 or YocomC@gao.gov.[Read More…]
- Man Sentenced for Advertising Videos and Images of Children Being Sexually AbusedBy Sam NewsFebruary 3, 2021A Washington, D.C., man was sentenced today to over 17 years in prison for advertising videos and images of children being sexually abused.[Read More…]
- Missile Defense: Fiscal Year 2020 Delivery and Testing Progressed, but Annual Goals UnmetBy Sam NewsApril 28, 2021What GAO Found In fiscal year 2020, the Missile Defense Agency (MDA) made progress toward achieving its delivery and testing goals for some of the individual systems—known as elements—that combine and integrate to create the Missile Defense System (also known as the Ballistic Missile Defense System). However, MDA did not complete its overall planned deliveries or annual testing. The figure below shows MDA's progress delivering assets and conducting flight tests against its fiscal year 2020 plans. Percentage of Missile Defense Agency Planned Deliveries and Flight Tests Completed for Fiscal Year 2020 Deliveries— In fiscal year 2020, MDA delivered many assets it had planned. Specifically, MDA was able to deliver 82 missile interceptors for 3 elements. However, MDA was not able to deliver all planned interceptors, including one originally planned for 2018 for the Ground-based Midcourse Defense program, as the program experienced delays related to qualifying parts from a new supplier. Flight testing— MDA conducted two planned flight tests, but neither was successful. The issues were due to problems with non-MDA assets, but the agency was able to collect important data. In addition, COVID-19 restrictions also affected the planned schedule. However, the delays continue a trend of MDA's inability to conduct planned annual flight testing, resulting in assets and capabilities that are subsequently delayed or delivered with less data than planned. Ground testing— In fiscal year 2020, MDA continued to implement a new ground testing approach that the agency began in fiscal year 2019. In addition, MDA successfully completed three planned ground tests demonstrating defense capabilities for the U.S., U.S. forces and regional allies. However, MDA delayed two other ground tests to future fiscal years and expects disruptions in fiscal year 2021, in part due to ongoing COVID-19 disruptions. Cyber— Despite failing to meet annual operational cybersecurity assessments since 2017, MDA canceled its planned fiscal year 2020 operational assessments, instead taking steps to implement a new approach designed to improve cyber system requirements while streamlining cyber test planning. It is premature to assess whether this new approach will achieve its intended goals. Why GAO Did This Study For over half a century, the Department of Defense has funded efforts to defend the U.S. from ballistic missile attacks. This effort consists of diverse and highly complex land-, sea-, and space-based systems and assets located across the globe. From 2002 through 2019, MDA—the agency charged with developing, testing, integrating, and fielding this system of systems—received about $162.5 billion. The agency also requested about $45 billion from fiscal year 2020 through fiscal year 2024. In fiscal year 2020, MDA's mission broadened to include evolving threats beyond ballistic missiles such as defending against hypersonic missile attacks. With the inclusion of non-ballistic missile threats, the Ballistic Missile Defense System is in the process of transitioning to the Missile Defense System. Congress included a provision in statute that GAO annually assess and report on MDA's progress. This, our 18th annual review, addresses the progress MDA made in achieving fiscal year 2020 delivery and testing goals. GAO reviewed planned fiscal year 2020 baselines, along with program changes due to COVID-19 restrictions, and other program documentation and assessed them against responses to GAO detailed question sets and program and baseline reviews. GAO also interviewed officials from MDA and various Department of Defense Combatant Commands. We do not make any new recommendations in this report but continue to track the status of prior recommendations. For more information, contact John D. Sawyer at (202) 512-4841 or SawyerJ@gao.gov.[Read More…]