Justice Department Files Lawsuit Against Tampa-Area Physician, Pharmacy, and Clinic Owners for Controlled Substances Act Violations

The United States filed a civil complaint seeking to permanently enjoin the owners of a Tampa-area clinic and pharmacy from unlawfully dispensing opioids and other controlled substances, the Department of Justice announced today.

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    In U.S GAO News
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    In U.S GAO News
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    In U.S GAO News
    The Department of Defense (DOD) has made progress in establishing valid and reliable cost baselines for its enterprise business operations and has additional efforts ongoing. DOD's January 2020 report responding to section 921 of the John S. McCain National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2019 addressed most of the key requirements from that section but also had some limitations, which DOD acknowledged. For example, the baselines included only labor and information technology costs because DOD's financial data do not attribute costs to other specific activities required under section 921. However, DOD officials told GAO they have developed and are continuing to refine baselines for all of the department's enterprise business operations, such as financial and human resource management, to enable DOD to better track the resources devoted to these operations and the progress of reform. While still in progress, this effort shows promise in addressing the weaknesses in DOD's section 921 report and in meeting the need for consistent baselines for DOD's reform efforts that GAO has previously identified. GAO found that DOD's reported savings of $37 billion from its reform efforts and a Defense-Wide Review to better align resources are largely reflected in its budget materials; however, the savings were not always well documented or consistent with the department's definitions of reform. Specifically: DOD had limited information on the analysis underlying its savings estimates, including (1) economic assumptions, (2) alternative options, and (3) any costs of taking the actions to realize savings, such as opportunity costs. Therefore, GAO was unable to determine the quality of the analysis that led to DOD's savings decisions. Further, some of the cost savings initiatives were not clearly aligned with DOD's definitions of reform, and thus DOD may have overstated savings that came from its reform efforts rather than other sources of savings, like cost avoidance. For example, one initiative was based on the delay of military construction projects. According to DOD officials, this was done to fund higher priorities. But if a delayed project is still planned, the costs will likely be realized in a future year. Without processes to standardize development and documentation of savings and to consistently identify reform savings based on reform definitions, decision makers may lack reliable information on DOD's estimated reform savings. In coordinating its reform efforts, DOD has generally followed leading practices for collaboration, but there is a risk that this collaboration may not be sustained in light of any organizational changes that Congress or DOD may make. This risk is increased because the Office of the Chief Management Officer (OCMO) and other offices have not formalized and institutionalized these efforts through written policies or agreements. Without written policies or formal agreements that define how organizations should collaborate with regard to DOD's reform and efficiency efforts, current progress may be lost, and future coordination efforts may be hindered. DOD spends billions of dollars each year to maintain key business operations. Section 921 of the NDAA for FY 2019 established requirements for DOD to reform these operations and report on their efforts. DOD has also undertaken additional efforts to reform its operations in recent years. Section 921 called for GAO to assess the accuracy of DOD's reported cost baselines and savings, and section 1753 of the NDAA for FY 2020 called for GAO to report on the OCMO's efficiency initiatives. This report assesses the extent to which DOD has (1) established valid and reliable baseline cost estimates for its business operations; (2) established well-documented cost savings estimates reflecting its reforms; and (3) coordinated its reform efforts. GAO assessed documents supporting costs, savings estimates, and coordination efforts; interviewed DOD officials; observed demonstrations of DOD's reform tracking tools; and assessed DOD's efforts using selected criteria. GAO is making three recommendations—specifically, that DOD establish formal processes to standardize development and documentation of cost savings; ensure that reported savings are consistent with the department's definition of reform; and formalize policies or agreements on its reform efforts. DOD concurred with GAO's recommendations. For more information, contact Elizabeth Field at (202) 512-2775 or fielde1@gao.gov.
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    The Department of Defense (DOD) has made progress implementing initiatives to enhance capabilities that are used to identify friendly force locations during close air support (CAS) missions, but GAO identified additional actions that are needed to strengthen these efforts. Specifically, DOD has made limited progress in implementing 10 changes the department approved to address gaps in the interoperability of digital communications systems used to conduct CAS, hindering efforts to improve the speed and accuracy of information exchanges. DOD's efforts to assess the interoperability of digital systems used to perform CAS have been limited in scope. GAO found that DOD had formally assessed two out of 10 approved changes during joint service and multinational events, and these assessments were not conducted in a training environment that replicated capabilities of near-peer adversaries. DOD implemented a new capability in the U.S. Central Command area of responsibility to help identify the positions of friendly forces during CAS missions. However, GAO found that DOD did not provide adequate training for personnel who operate it or conduct an evaluation to resolve implementation challenges that have hampered its performance. DOD conducts evaluations of training programs for forces that participate in CAS missions, but GAO identified two areas where DOD can improve its efforts. First, the Army and Marine Corps have not systematically evaluated the effectiveness of periodic training for ground observers providing targeting information due to a lack of centralized systems for tracking training data and the absence of designated entities to monitor service-wide training. Second, the use of contract aircraft for training increased substantially between 2017 and 2019, but DOD has not fully evaluated the use of non-military contract aircraft to train air controllers for CAS (see fig.). GAO found that differences between U.S. military aircraft and contract aircraft (e.g., airspeed) can result in a misalignment of aircraft capabilities for certain types of training events. Without evaluating CAS training fully, DOD cannot have assurance that its forces are prepared to conduct CAS missions safely and effectively. Number of Hours Non-Military Aircraft Were Used to Train for Close Air Support for Fiscal Years 2017 through 2019 The use of ordnance delivered by aircraft to support U.S. military forces that are in close proximity to enemy forces on the ground requires detailed planning, seamless communications, and effective training. Mistakes in communications or procedures used to identify and maintain an awareness of the positions of friendly forces on the battlefield during CAS can result in the loss of U.S. military personnel. Senate Report 116-48 and House Report 116-120, accompanying bills for the National Defense Authorization Act for Fiscal Year 2020, included provisions for GAO to evaluate issues related to friendly-force identification capabilities in CAS missions. Among other things, this report evaluates the extent to which DOD has (1) implemented initiatives to enhance friendly-force identification capabilities during CAS, and (2) evaluated training for forces that participate in CAS. GAO analyzed documentation and interviewed officials regarding DOD efforts to develop and implement friendly force tracking capabilities for CAS; reviewed CAS training programs; and analyzed training data, including the number of hours that DOD used non-military contract aircraft for CAS training from 2017 through 2019. GAO is making 11 recommendations to DOD, including that DOD implement and assess initiatives to improve the interoperability of digital systems used in CAS and take additional steps to evaluate the training for certain forces that participate in CAS missions. DOD concurred with the recommendations. For more information, contact Cary Russell at (202) 512-5431 or RussellC@gao.gov.
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    In U.S GAO News
    This 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 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