Title X of the Public Health Service Act established the National Family Planning Program at HHS in 1970. For 50 years, Title X clinics have ensured access to a broad range of family planning methods and related health services for millions of women, men, and adolescents with priority given to persons from low-income families. These services are voluntary, confidential, and intended to assist in preventing or achieving pregnancy. Since the program’s inception, Title X clinics have provided more than 190 million client visits.
Each decade has brought changes to the program but the dedication of Title X grantees to help clients meet their family planning goals has remained constant. Today, Title X grantees comprise a network of public and private nonprofit entities providing services to their communities in the U.S. and in eight U.S. territories and freely associated states.
The program’s contribution to the prevention of sexually transmitted infections and related adverse health consequences is substantial. Our Family Planning Annual Report (FPAR) data show that from 1999 to 2019, Title X clinics performed 34.1 million chlamydia tests, 18.3 million HIV tests, and 76.5 million non-HIV STD tests. During this same period, Title X-funded cancer screenings provided 37 million Pap tests and 42 million clinical breast exams.
From 1970 to 2020, Title X grantees have served clients despite a variety of complex challenges. The U.S. Virgin Islands Department of Health Family Planning Program (VIFPP), which has received Title X funding since 1975, is an example of this resiliency. The devastating 2017 hurricanes Irma and Maria destroyed much of VIFPP’s materials and supplies. “We served patients in a flooded building on St. Thomas for weeks, and we had to evacuate our sites on both St. Thomas and St. Croix,” says the program director. “As soon as tents and tarps could be raised, we were seeing clients. We’re pretty tough.” Learn more about how Title X grantees tackle challenges.
The onset of the COVID-19 pandemic in early 2020 created widespread and unprecedented hurdles for Title X grantees across the U.S. Many grantees implemented rapid response plans to provide high-quality healthcare while stay-at-home orders were in effect. Within days of the pandemic’s onset staff began planning for telehealth services. Soon thereafter clinics accessed clinical trainings and began providing services to clients by phone, video, curbside, and other innovative technologies.
Title X grantees are the key component of the program’s success. The grantees’ experience, dedication, resilience, and innovative flexibility are the foundation that will help them tackle future challenges.
The most recent report from the CDC highlighted the grim reality that sexually transmitted infections reached an all-time high in 2018, marking the fifth consecutive year of increases for chlamydia, gonorrhea, and syphilis. Young women (ages 15-24) account for 44 percent of reported cases and face the most severe consequences of an undiagnosed infection. Optimal health for our clients requires that we adopt a patient-centered approach that sensitizes providers to identify and support each client’s care, recognizing that some methods very effective in preventing pregnancy, leave clients unprotected against sexually transmitted infections and make their ability to achieve pregnancy in the future more difficult.
Family planning was declared one of the top ten greatest public health achievements in the 20th century. Access to these services has continued to assist many Americans achieve desired birth spacing and family size in the early years of this century. As we celebrate 50 years of Title X, we applaud the program’s accomplishments and embrace continued resiliency and innovative change. We look with confidence and excitement towards a bright future of promoting health across the reproductive lifespan.
Greetings I’m Sam.
I edit, report and maintain this site. If you have any questions You can mail below me but it could be a while before I get back to you.
- Information Technology: DOD Software Development Approaches and Cybersecurity Practices May Impact Cost and ScheduleBy Sam NewsDecember 23, 2020GAO reported in June 2020 that, of the 15 major Department of Defense (DOD) information technology (IT) programs selected for review, 11 had decreased their cost estimates as of December 2019. The decreases in cost estimates ranged from a .03 percent decrease to a 33.8 percent decrease. In contrast, the remaining four programs experienced increases in their life-cycle cost estimates—--two with increases exceeding 20 percent. Program officials reported several reasons for the increases, including testing delays and development challenges. Ten of the 15 programs had schedule delays when compared to their original acquisition program baselines. Schedule delays ranged from a delay of 1 month to a delay of 5 years. Program officials reported a variety of reasons for significant delays (delays of over 1 year) in their planned schedules, including cyber and performance issues. Regarding software development, officials from the 15 selected major IT programs that GAO reviewed reported using software development approaches that may help to limit risks to cost and schedule outcomes. For example, 10 of the 15 programs reported using commercial off-the-shelf software, which is consistent with DOD guidance to use this software to the extent practicable. Such software can help reduce software development time, allow for faster delivery, and lower life-cycle costs. In addition, 14 of the 15 programs reported using an iterative software development approach which, according to leading practices, may help reduce cost growth and deliver better results to the customer. However, programs also reported using an older approach to software development, known as waterfall, which could introduce risk for program cost growth because of its linear and sequential phases of development that may be implemented over a longer period of time. Specifically, two programs reported using a waterfall approach in conjunction with an iterative approach, while one was solely using a waterfall approach. With respect to cybersecurity, programs reported mixed implementation of specific practices, contributing to program risks that might impact cost and schedule outcomes. For example, all 15 programs reported developing cybersecurity strategies, which are intended to help ensure that programs are planning for and documenting cybersecurity risk management efforts. In contrast, only eight of the 15 programs reported conducting cybersecurity vulnerability assessments—systematic examinations of an information system or product intended to, among other things, determine the adequacy of security measures and identify security deficiencies. These eight programs experienced fewer increases in planned program costs and fewer schedule delays relative to the programs that did not report using cybersecurity vulnerability assessments. For fiscal year 2020, DOD requested approximately $36.1 billion for IT investments. Those investments included major IT programs, which are intended to help the department sustain key operations. The National Defense Authorization Act for Fiscal Year 2019 included a provision for GAO to assess selected IT programs annually through March 2023. GAO's objectives for this review were to, among other things, (1) describe the extent to which selected major IT programs have changed their planned costs and schedules since the programs' initial baselines; and (2) describe what selected software development and cybersecurity risks or challenges, if any, may impact major IT programs' acquisition outcomes. GAO selected programs based on DOD's list of major IT programs, as of April 10, 2019. From this list, GAO identified 15 major IT programs that had established an initial acquisition program baseline and that were not fully deployed by December 31, 2019. GAO compared the 15 programs' initial cost and schedule baselines to current acquisition program estimates. In addition, GAO aggregated DOD program office responses to a GAO questionnaire about software development approaches and cybersecurity practices used by the 15 programs. GAO compared this information to leading practices to identify risks and challenges affecting cost, schedule, and performance outcomes. This report is a public version of a “for official use only” report issued in June 2020. For more information, contact Kevin Walsh at (202) 512-6151 or firstname.lastname@example.org.[Read More…]
- The Houthis Must Cease the Assault on MaribBy Sam NewsFebruary 16, 2021Ned Price, Department [Read More…]
- Secretary Blinken’s Call with Canadian Foreign Minister GarneauBy Sam NewsJanuary 27, 2021
- United States Files Complaint Against Nutter Home Loans for Forging Certifications and Using Unqualified Underwriters to Approve Government-Insured Reverse MortgagesBy Sam NewsSeptember 25, 2020The United States has filed a complaint under the Financial Institutions Reform, Recovery and Enforcement Act of 1989 and the False Claims Act against Nutter Home Loans, f/k/a James B. Nutter & Co. (Nutter), for forging certifications and using unqualified underwriters to approve Federal Housing Administration (FHA) insured Home Equity Conversion Mortgages (HECM), the Department of Justice announced today.[Read More…]
- USAJOBS Website: OPM Has Taken Actions to Assess and Enhance the User ExperienceBy Sam NewsOctober 13, 2020The Office of Personnel Management (OPM) uses a variety of sources to assess the user experience with USAJOBS, the central website for posting federal job openings. GAO found that OPM's assessments generally track key measures in accordance with selected government-wide guidance. Specifically, OPM collects data on most of the website performance measures recommended by selected guidance from Digital.gov, including the number of times pages were viewed, the percentage of users who use the USAJOBS search box, and overall customer experience. Additionally, consistent with guidance from the Office of Management and Budget (OMB), OPM surveys USAJOBS users about their experiences with the site. OPM also assesses user experience through usability testing, focus groups, and analysis of data on questions submitted to the USAJOBS help desk. Through these assessments, OPM found variations in user experience across the job search and application process, including variations in how people find job announcements and how long it takes them to complete job applications. Since the agency's redesign of USAJOBS in 2016, OPM has taken a number of actions in an effort to address feedback from these assessments and improve the USAJOBS user experience. For example, in 2017, OPM created a set of categories, called Hiring Paths, that describe who is eligible to apply for specific federal jobs and guide job seekers to positions for which they are eligible. Other OPM actions taken from 2016 to 2020 include implementing a new process for logging in to the system to improve website security; updating job search filters and adding a keyword autocomplete function, which suggests search terms as a job seeker types in the search box; revising its job announcement template for hiring agencies to help eliminate duplicative language, increase clarity, and avoid jargon; adding guidance to help job seekers complete federal applications and understand federal hiring authorities; and highlighting jobs related to COVID-19 response. OPM continues to update and refine these efforts. OPM also expects to take a number of additional actions intended to help enhance the USAJOBS website. For example, according to OPM officials, in early fiscal year 2021 they expect to add a “job status” indicator for each job announcement posted on USAJOBS. The job status indicator would provide information such as the number of applicants and when the job has been filled. According to OPM, this would improve transparency and accountability and also provide applicants with updates at each stage of the hiring process. GAO provided a draft of this report to OPM for review and comment. OPM stated that it did not have comments. The USAJOBS website, which is managed by OPM, is the entry point to the federal hiring process for most agencies. It facilitates hiring of new employees as well as the movement of talent across government through merit-based promotions and transfers. OPM uses USAJOBS to help achieve the agency's mission to recruit and retain a world-class government workforce. OPM is responsible for ensuring the usability of USAJOBS and collecting feedback on the user experience. Hiring agencies are responsible for the content of job opportunity announcements. Report language accompanying the Financial Services and General Government Appropriations Bill, 2020, and the Consolidated Appropriations Act of 2020 included provisions for GAO to review the user experience on USAJOBS. This report examines (1) the extent to which OPM assesses the user experience with USAJOBS and the results of OPM's assessments; and (2) actions OPM has taken to improve the user experience with USAJOBS. GAO reviewed OPM data and documentation, interviewed OPM officials, and compared OPM's assessments of user experience to OMB guidance for federal service providers and selected guidance from Digital.gov on performance measures for federal websites. For more information, contact Michelle B. Rosenberg at (202) 512-6806 or email@example.com.[Read More…]
- Joint Statement on the Signing of the U.S.-Taliban AgreementBy Sam NewsMarch 9, 2020
- Justice Department Announces Civil Investigation into Chemical Restraint Use at Two Nevada Juvenile FacilitiesBy Sam NewsJanuary 7, 2021The Justice Department announced today that it has opened an investigation into the use of pepper spray at two juvenile correctional facilities run by the Nevada Juvenile Justice Services Agency: the Nevada Youth Training Center and the Summit View Youth Center. The investigation will examine whether staff at the two facilities use pepper spray in a manner that violates youth’s rights under the Constitution.[Read More…]
- Man Sentenced to Prison for Producing Images of Child Sexual AbuseBy Sam NewsMarch 17, 2021A Nevada man was sentenced Tuesday to 25 years in prison for producing images of child sexual abuse involving multiple minor victims under the age of 12 years old.[Read More…]
- Judiciary Addresses Cybersecurity Breach: Extra Safeguards to Protect Sensitive Court RecordsBy Sam NewsIn U.S CourtsJanuary 6, 2021After the recent disclosure of widespread cybersecurity breaches of both private sector and government computer systems, federal courts are immediately adding new security procedures to protect highly sensitive confidential documents filed with the courts.[Read More…]
- Opening Remarks by Secretary of State Antony J. Blinken Before the House Committee on Foreign AffairsBy Sam NewsJune 7, 2021
- Nord Stream 2 and Potential Sanctionable ActivityBy Sam NewsMarch 18, 2021
- Department of Justice Publishes Proposed Regulations Articulating the Registration Requirements for Sex Offenders under the Sex Offender Registration and Notification ActBy Sam NewsAugust 17, 2020The Department of Justice has published proposed regulations that provide a clear and comprehensive statement of sex offenders’ registration requirements under the federal Sex Offender Registration and Notification Act (SORNA). SORNA requires convicted sex offenders to register in the states in which they live, work, or attend school, and it directs the Attorney General to issue regulations and guidelines to implement SORNA.[Read More…]
- Department of Justice Awards $16 Million in Grants to Advance Community Policing Efforts and Provide Active Shooter Training to First Responders Across the CountryBy Sam NewsSeptember 9, 2020The Department of [Read More…]
- Secretary Blinken’s Call with Danish Foreign Minister KofodBy Sam NewsMarch 14, 2021
- Defense Science and Technology: Opportunities to Better Integrate Industry Independent Research and Development into DOD PlanningBy Sam NewsSeptember 3, 2020Why This Matters Research and development (R&D) projects in high-tech areas like cybersecurity and biotechnology can help the U.S. military reassert its technological edge. Contractors decide what independent R&D projects to conduct and the Department of Defense (DOD) reimburses them about $4 billion-$5 billion annually. More information about those projects could help DOD guide its own R&D investments. Key Takeaways DOD does not know how contractors’ independent R&D projects fit into the department’s technology goals. As a result, DOD risks making decisions about its multi-billion dollar science and tech investments that could duplicate work or miss opportunities to fill in gaps that the contributions of private industry do not cover. DOD has a database of independent R&D projects, but it is not very useful for informing investment decisions because DOD does not obtain information in these and other areas: Priority. Contractors do not identify whether a project aligns with any of 10 modernization priorities. The department uses those priorities to make decisions about R&D investments. Cost. The database does not capture a project’s complete cost, which could help DOD understand cost implications of future related work. Innovation. The database does not include whether a project is a lower-risk, incremental development or a more innovative “disruptive” technology. Disruptive projects carry higher risk of failure but offer possible significant rewards in the long term. While DOD is not required to review independent R&D projects to understand how they support DOD’s priorities, GAO analysis showed 38 percent of industry projects aligned with DOD’s priorities. To help DOD better understand the scope and nature of independent projects, we recommend DOD determine whether to require additional information in the project database and review projects annually as part of its strategic planning process. DOD agreed with both recommendations. How GAO Did This Study We categorized a sample of completed projects from 2014–2018 by innovation type and analyzed projects completed in 2018 for alignment with DOD's modernization priorities. We also reviewed DOD policies on independent R&D and interviewed representatives from 10 defense contractors. For more information, contact Timothy J. DiNapoli at (202) 512-4841 or firstname.lastname@example.org.[Read More…]
- Child Care: Subsidy Eligibility and Receipt, and Wait ListsBy Sam NewsFebruary 18, 2021An estimated 1.9 million children received child care subsidies in fiscal year 2017, representing approximately 14 percent of all children estimated to be eligible under federal rules – and 22 percent of all children estimated to be eligible under state rules -- in an average month. These figures are from the Department of Health and Human Services' (HHS) analysis of fiscal year 2017 data, the most recent year for which such analysis is available. Generally, fewer families qualify for subsidies under state eligibility rules than under federal eligibility rules since most states use flexibility provided by HHS to set their income eligibility limits below the federal maximum. Health and Human Services’ Estimated Number of Children Eligible Under Federal and State Rules, and Estimated Number Receiving Child Care Subsidies, Fiscal Year 2017 GAO found that the extent to which children who meet federal child care eligibility requirements also meet state eligibility requirements varies by state as does the share of eligible children who receive Child Care and Development Fund (CCDF) subsidies. Under state requirements, the CCDF subsidy receipt rate ranged from 5 percent to 32 percent of eligible children. Under federal requirements, the CCDF subsidy receipt rate ranged from 4 percent to 18 percent of federally eligible children. According to HHS estimates, among families who met federal child care eligibility criteria, children from lower-income families were more likely to receive child care subsidies compared to children from higher-income families. These estimates also showed that preschool-age children were more likely to receive subsidies compared to older, school-age children and that Black children were more likely to receive subsidies compared to children of other races / ethnicities. As reported in previous GAO work, states have varied strategies for managing their wait lists. Some states have a single statewide list while others have sub-state lists that allow sub-state areas to have their own policies. Some states conduct full or partial eligibility determinations prior to placing families on wait lists, and many states require periodic reviews of their wait lists. According to state administrators GAO interviewed, the strategies that states use to manage their wait lists pose certain challenges. For example, state administrators told GAO that sub-state lists can contain duplication, making state-wide estimates of families in need difficult. And administrators told GAO that maintaining up-to-date contact information is challenging, in part due to insufficient technology. The Coronavirus Disease 2019 (COVID-19) pandemic has impacted child care in several ways, including cost, eligibility and subsidy receipt, according to some members of the National Association of State Child Care Administrators (NASCCA). These members told GAO that despite initial declines in the number of families receiving subsidies, some states are seeing their child care costs increase due to, for example, more school-age children using full-day care; increased expenses for additional health and safety measures; paying for more absences and for parent co-pays; and families applying for subsidies for relative care. NASCCA members noted that some states have made changes to policies to help families and providers. To help families access child care, some states have increased income eligibility for subsidies to 85 percent of the state median income; temporarily waived work requirements to receive subsidies; and covered family fees for parents when a family must quarantine due to a COVID-19 exposure. Changes to some state policies aimed at helping providers include providing funds to providers to help with increased costs, such as personal protective equipment (PPE) and additional cleaning supplies; paying providers based on their pre-COVID-19 level authorized enrollments; and raising the state's provider reimbursement rate to help providers cover overhead costs. The federal child care subsidy program known as CCDF is one of the primary sources of federal funding dedicated to assisting low-income families with child care who are working or participating in education and training. Funding for CCDF, which is administered by HHS at the federal level, comes from two funding streams: discretionary funding in the form of block grants authorized by the Child Care and Development Block Grant (CCDBG Act) of 1990, as amended, and mandatory and matching funding authorized under section 418 of the Social Security Act. CCDF was appropriated more than $8 billion in federal funds in 2019. For more information, contact Kathryn Larin at (202) 512-7215 or email@example.com.[Read More…]
- Law Clerk Hiring Plan ExtendedBy Sam NewsIn U.S CourtsNovember 12, 2020The Judiciary’s Federal Law Clerk Hiring Pilot Plan, which makes the judicial clerkship hiring process more transparent and uniform, has been extended for two years after getting good reviews from both law school deans and judges.[Read More…]
- Secretary Michael R. Pompeo at a Naturalization Ceremony with U.S. Citizenship and Immigration ServicesBy Sam NewsOctober 22, 2020
- Pennsylvania Man Charged with Trafficking in Endangered and Invasive FishBy Sam NewsNovember 16, 2020A Pennsylvania man has been indicted in the Western District of Pennsylvania for violating the Lacey Act.[Read More…]
- Briefing With Assistant Secretary for African Affairs Tibor P. Nagy and U.S. Ambassador to Ethiopia Michael A. Raynor on the Situation in Ethiopia’s Tigray RegionBy Sam NewsNovember 19, 2020Tibor P. Nagy, Jr., [Read More…]
- Kenyan National Indicted for Conspiring to Hijack Aircraft on Behalf of the Al Qaeda-Affiliated Terrorist Organization Al ShabaabBy Sam NewsDecember 16, 2020The Department of Justice announced the unsealing of an indictment charging Cholo Abdi Abdullah with six counts of terrorism-related offenses arising from his activities as an operative of the foreign terrorist organization al Shabaab, including conspiring to hijack aircraft in order to conduct a 9/11-style attack in the United States. Abdullah was arrested in July 2019 in the Philippines on local charges, and was subsequently transferred on Dec. 15, 2020 in connection with his deportation from the Philippines to the custody of U.S. law enforcement for prosecution on the charges in the indictment. Abdullah was transported from the Phillippines to the United States yesterday, and is expected to be presented today before Magistrate Judge Robert W. Lehrburger in Manhattan federal court. The case is assigned to United States District Judge Analisa Torres.[Read More…]
- Houston consulting company admits to H-1B visa fraud conspiracyBy Sam NewsIn Justice NewsJune 2, 2021Cloudgen LLC has pleaded [Read More…]
- U.S. Announces Humanitarian Assistance at the International Conference on Sustaining Support for the Rohingya Refugee ResponseBy Sam NewsOctober 22, 2020
- Anniversary of Protests in IranBy Sam NewsNovember 15, 2020
- Lesotho National DayBy Sam NewsOctober 4, 2020
- United States Seizes More Domain Names Used by Foreign Terrorist OrganizationBy Sam NewsOctober 21, 2020The United States has [Read More…]
- Information Technology: Key Attributes of Essential Federal Mission-Critical AcquisitionsBy Sam NewsSeptember 8, 2020Federal agencies are undertaking information technology (IT) acquisitions that are essential to their missions. GAO identified 16 of these acquisitions as particularly critical to missions ranging from national security, to public health, to the economy (see table). GAO has previously reported on these acquisitions and the programs they support, and has made numerous recommendations to agencies for improvement. The amount agencies expect to spend on the selected acquisitions vary greatly depending on their scope and complexity, as well as the extent of transformation and modernization that agencies envision once the acquisitions are fully deployed. For example, the Department of Defense plans to spend $10.21 billion over 21 years on its health care modernization initiative, while the Department of Homeland Security intends to spend $3.19 billion over 30 years on its system supporting immigration benefits processing. Agencies reported potential cost savings associated with 13 of the 16 mission-critical acquisitions after deployment due to factors such as shutting down legacy systems, eliminating physical paper processing, and improving security, monitoring, and management. Eleven of the 16 selected acquisitions were rebaselined during their development, meaning that the project's cost, schedule, or performance goals were modified to reflect new circumstances. Agencies reported a number of reasons as to why their acquisitions were rebaselined, including delays in defining the cost, schedule, and scope; budget cuts and hiring freezes; technical challenges; and changes in development approach. As shown below, ten of the acquisitions relate to an additional programmatic area that GAO has designated high risk. Federal Agency Mission-Critical Information Technology Acquisitions Department of Agriculture Modernize and Innovate the Delivery of Agricultural Systems Department of Commerce 2020 Decennial Census* Department of Defense Defense Healthcare Management System Modernization* Global Combat Support System-Army* Department of Homeland Security Student and Exchange Visitor Information System Modernization* U.S. Citizenship and Immigration Services Transformation* Department of the Interior Automated Fluid Minerals Support System II* Department of Justice Next Generation Identification System Terrorist Screening System Department of State Consular System Modernization Department of Transportation Automatic Dependent Surveillance-Broadcast Department of the Treasury Customer Account Data Engine 2* Integrated Enterprise Portal* Department of Veterans Affairs Electronic Health Record Modernization* Small Business Administration Application Standard Investment Social Security Administration Disability Case Processing System 2* Legend: *= Acquisition relates to a programmatic area that GAO has previously designated as being high risk. Source: GAO analysis of agency data. | GAO-20-249SP The acquisition of IT systems has presented challenges to federal agencies. Accordingly, in 2015 GAO identified the management of IT acquisitions and operations as a high-risk area, a designation it retains today. GAO was asked to report on federal IT acquisitions. GAO's specific objective was to identify essential mission-critical IT acquisitions across the federal government and determine their key attributes. To identify acquisitions for the review, GAO administered a questionnaire to the 24 agencies covered by the Chief Financial Officers Act of 1990 asking them to identify their five most important mission-critical IT acquisitions. From a total of 101 acquisitions that were identified, GAO selected 16 mission-critical IT acquisitions to profile in this report. The selection was based on various factors, including the acquisition's criticality to providing service to the nation, its total life cycle costs, and its applicability to the President's Management Agenda. For each of the 16 selected acquisitions, GAO obtained and analyzed documents on cost, schedule, risks, governance, and related information; and interviewed cognizant agency officials. GAO requested comments from the 12 agencies with acquisitions profiled in its draft report and the Office of Management and Budget. In response, one agency (the Social Security Administration) provided comments that discussed the planned use of its system. For more information, contact Carol C. Harris at (202) 512-4456 or firstname.lastname@example.org.[Read More…]
- Comparative Effectiveness Research: Patient-Centered Outcomes Research Institute and HHS Continue Activities and Plan New EffortsBy Sam NewsNovember 18, 2020GAO found that the Patient-Centered Outcomes Research Institute (PCORI)—a federally funded, nonprofit corporation—and the Department of Health and Human Services (HHS) have continued to perform comparative clinical effectiveness research (CER) activities required by law since our prior report issued in 2015. CER evaluates and compares health outcomes, risks, and benefits of medical treatments, services, or items. The requirements direct PCORI and HHS to, among other things, fund CER and disseminate and facilitate the implementation of CER findings. GAO's analysis of PCORI and HHS documents show that they allocated a total of about $3.6 billion for CER activities and program support during fiscal years 2010 through 2019 from the Patient Centered Outcomes Research Trust Fund (Trust Fund). Specifically, PCORI allocated about $2 billion for research awards and another $542 million for other awards, to be paid over multiple years. HHS allocated about $598 million for activities such as the dissemination and implementation of CER findings. PCORI and HHS also allocated about $470 million for program support. PCORI and HHS Allocations for Comparative Clinical Effectiveness Research (CER) Activities, Fiscal Years 2010 through 2019 aTotals may not add up due to rounding. bPCORI and HHS allocated $457 million and $13 million for program support, respectively. PCORI assessed the effectiveness of its activities using performance measures and targets. Since fiscal year 2017, when early CER projects were completed, PCORI officials reported that the institute met its performance targets, such as an increased number of research citations of its CER findings in news and online sources. HHS described accomplishments or assessed the effectiveness of its dissemination and implementation activities. PCORI and HHS officials told GAO they are planning comprehensive evaluations of their CER dissemination and implementation activities as part of their strategic plans for the next 10 years. The 2010 Patient Protection and Affordable Care Act (PPACA) authorized establishment of PCORI to conduct CER and improve its quality and relevance. PPACA also established new requirements for HHS to, among other things, disseminate findings from federally funded CER and coordinate federal programs to build data capacity for this research. To fund CER activities, PPACA established the Trust Fund, which provided a total of about $3.6 billion to PCORI and HHS for CER activities during fiscal years 2010 through 2019. The Further Consolidated Appropriations Act, 2020, added new CER requirements and extended funding at similar levels through fiscal year 2029. PPACA and the Appropriations Act 2020 included provisions that GAO review PCORI and HHS's CER activities. This report describes (1) the CER activities PCORI and HHS carried out to meet legislative requirements, (2) how PCORI and HHS allocated funding to those CER activities, and (3) PCORI and HHS efforts to evaluate the effectiveness of their CER dissemination and implementation activities, such as changes in medical practice. GAO reviewed legislative requirements and PCORI and HHS documentation and data for fiscal years 2010-2019. GAO also interviewed PCORI and HHS officials and obtained information from nine selected stakeholder groups that were familiar with PCORI's or HHS's CER activities. These groups included payer, provider, and patient organizations. GAO incorporated technical comments from PCORI and HHS as appropriate. For more information, contact John Dicken at (202) 512-7114 or email@example.com.[Read More…]
- Higher Education: IRS and Education Could Better Address Risks Associated with Some For-Profit College ConversionsBy Sam NewsJanuary 27, 2021GAO identified 59 for-profit college conversions that occurred from January 2011 through August 2020, almost all of which involved the college's sale to a tax-exempt organization. In about one-third of the conversions, GAO found that former owners or other officials were insiders to the conversion—for example, by creating the tax-exempt organization that purchased the college or retaining the presidency of the college after its sale (see figure). While leadership continuity can benefit a college, insider involvement in a conversion poses a risk that insiders may improperly benefit—for example, by influencing the tax-exempt purchaser to pay more for the college than it is worth. Once a conversion has ended a college's for-profit ownership and transferred ownership to an organization the Internal Revenue Service (IRS) recognizes as tax-exempt, the college must seek Department of Education (Education) approval to participate in federal student aid programs as a nonprofit college. Since January 2011, Education has approved 35 colleges as nonprofit colleges and denied two; nine are under review and 13 closed prior to Education reaching a decision. Figure: Example of a For-Profit College Conversion with Officials in Insider Roles IRS guidance directs staff to closely scrutinize whether significant transactions with insiders reported by an applicant for tax-exempt status will exceed fair-market value and improperly benefit insiders. If an application contains insufficient information to make that assessment, guidance says that staff may need to request additional information. In two of 11 planned or final conversions involving insiders that were disclosed in an application, GAO found that IRS approved the application without certain information, such as the college's planned purchase price or an appraisal report estimating the college's value. Without such information, IRS staff could not assess whether the price was inflated to improperly benefit insiders, which would be grounds to deny the application. If IRS staff do not consistently apply guidance, they may miss indications of improper benefit. Education has strengthened its reviews of for-profit college applications for nonprofit status, but it does not monitor newly converted colleges to assess ongoing risk of improper benefit. In two of three cases GAO reviewed in depth, college financial statements disclosed transactions with insiders that could indicate the risk of improper benefit. Education officials agreed that they could assess this risk through its audited financial statement review process and could develop procedures to do so. Until Education develops and implements such procedures for new conversions, potential improper benefit may go undetected. A for-profit college may convert to nonprofit status for a variety of reasons, such as wanting to align its status and mission. However, in some cases, former owners or other insiders could improperly benefit from the conversion, which is impermissible under the Internal Revenue Code and Higher Education Act of 1965, as amended. GAO was asked to examine for-profit college conversions. This report reviews what is known about insider involvement in conversions and to what extent IRS and Education identify and respond to the risk of improper benefit. GAO identified converted for-profit colleges and reviewed their public IRS filings. GAO also examined IRS and Education processes for overseeing conversions, interviewed agency officials, and reviewed federal laws, regulations and agency guidance. GAO selected five case study colleges based on certain risk factors, obtained information from college officials, and reviewed their audited financial statements. In three cases, GAO also reviewed Education case files. Because of the focus on IRS and Education oversight, GAO did not audit any college in this review to determine whether its conversion improperly benefitted insiders. GAO is making three recommendations, including that IRS assess and improve conversion application reviews and that Education develop and implement procedures to monitor newly converted colleges. IRS said it will assess its review process and will evaluate GAO's other recommendation, as discussed in the report. Education agreed with GAO's recommendation. For more information, contact Melissa Emrey-Arras at (617) 788-0534 or firstname.lastname@example.org.[Read More…]
- Assistant Attorney General John C. Demers Delivers Remarks Announcing People’s Republic of China Related ArrestsBy Sam NewsOctober 28, 2020Good morning. Today, I’m joined by FBI Director Chris Wray and, remotely, by the Acting U.S. Attorney for the Eastern District of New York, Seth DuCharme, to announce charges against eight individuals for acting as agents of the People’s Republic of China while taking part in an illegal Chinese law enforcement operation known as Fox Hunt here in the United States. Five of these individuals were arrested across the country this morning. The rest, we believe, are in China.[Read More…]
- Secretary Blinken’s Call with Honduran Foreign Minister RosalesBy Sam NewsFebruary 19, 2021
- Get to Know PreclearanceBy Sam NewsSeptember 30, 2020Information for [Read More…]
- The United States Condemns the Attack on Eritrea by the Tigray People’s Liberation FrontBy Sam NewsNovember 17, 2020
- Lead Paint in Housing: Key Considerations for Adopting Stricter Lead Evaluation Methods in HUD’s Voucher ProgramBy Sam NewsMay 13, 2021What GAO Found GAO found that the Housing Choice Voucher program had 1.1 million voucher holders living in units built before 1978, the year the U.S. banned lead paint in housing. Of these units, roughly 171,000 were occupied by approximately 229,000 young children (under age 6)––putting these children at an increased risk of lead exposure. The voucher program requires visual assessments for identifying deteriorated paint, with no testing of paint or dust. Any change to stricter evaluation methods would need to consider that certain states have a larger portion of pre-1978 voucher units occupied by families with young children. Estimated costs for adopting stricter lead evaluation methods for the voucher program would vary substantially depending on the method used and what units were included (see figure). Estimated initial costs range from about $60 million for a less expensive method applied only to units with young children to about $880 million for a more expensive method applied to all pre-1978 units. These estimated costs range from 3 percent to 41 percent, respectively, of the fiscal year 2021 budget dedicated to public housing agencies' administrative expenses for the voucher program. Total costs would also depend on the mobility of voucher households and the frequency of any additional lead evaluations. Total Estimated Cost to Change the Lead Evaluation Methods for Housing Choice Voucher Units Would Vary by Evaluation Method Used and Units Included Note: A combination evaluation includes all components of a lead inspection and a risk assessment. Estimated costs may vary by up to plus or minus 14 percentage points at the 95 percent level of confidence. GAO analysis estimated that nearly 6,000 lead professionals can conduct lead evaluations in the U.S. While there is no indication of a national shortage of lead professionals, areas with high numbers of pre-1978 voucher units and low numbers of lead professionals may face implementation challenges. Selected cities offer observations from their implementation of a change in lead evaluation method. For example, education of landlords can help clarify new evaluation requirements and encourage landlords to continue to rent to voucher holders. Further, implementing a new method in phases could target areas with the greatest need and help landlords and the industry adapt to the new requirement and the increased demand for lead evaluations. Why GAO Did This Study Exposure to lead paint, which was used in housing built before 1978, can have serious health effects, especially for young children. The Department of Housing and Urban Development (HUD) has primary responsibility for identifying lead paint hazards in housing receiving HUD assistance, including private rental units in the voucher program. Some members of Congress have raised questions about whether the voucher program should change from visual assessments to a stricter lead evaluation method. The 2017 Consolidated Appropriations Act, Joint Explanatory Statement, includes a provision for GAO to review HUD's efforts to address lead paint hazards. This report identifies considerations for policymakers related to changing to stricter lead evaluation methods for the voucher program, specifically regarding the (1) number and characteristics of voucher housing units and their occupants, (2) costs for lead evaluations based on method used and units included, (3) availability of lead professionals, and (4) observations from selected cities that use lead evaluation methods stricter than visual assessments. GAO analyzed HUD data on the voucher program (as of year-end 2019, the most recent available) and information on lead professionals from the Environmental Protection Agency (EPA) and states. GAO also conducted a nationwide, generalizable survey of lead professionals to estimate the costs of lead evaluation methods. In addition, GAO interviewed staff from HUD, EPA, and public housing agencies, and representatives from two national organizations that represent lead professionals. For more information, contact John H. Pendleton at (202) 512-8678 or email@example.com.[Read More…]
- North Carolina Man Sentenced for Violating Fair Housing Act and Threatening a Family Because of Their RaceBy Sam NewsNovember 23, 2020The Justice Department announced today that Douglas Matthew Gurkins, 34,was sentenced to 28 months in prison, followed by three years supervised release, for using threats of force against an African American family because of the family members’ race and because they were renting a dwelling.[Read More…]
- Former Chattanooga Police Officer Sentenced to 20 Years in Prison for Sexual AssaultBy Sam NewsAugust 19, 2020Desmond Logan, 35, a former officer with the Chattanooga Police Department (CPD), was sentenced by the Honorable Curtis L. Collier, U.S. District Court Judge in the Eastern District of Tennessee at Chattanooga.[Read More…]
- Indiana Man Charged with Hate Crime for Making Racially-Motivated Threats Towards Black Neighbor, and With Unlawful Possession of FirearmsBy Sam NewsAugust 6, 2020The Justice Department announced today that Shepherd Hoehn, 50, has been charged by criminal complaint in federal district court with one count of violating 42 U.S.C. § 3631 for making threats to intimidate and interfere with his African-American neighbor because of the neighbor’s race and because of his use and enjoyment of his property, as well as two counts of violating 18 U.S.C. § 922(g) for unlawfully possessing firearms.[Read More…]
- Justice Department Settles Sexual Harassment and Race Discrimination Lawsuit Against Manager and Owners of Virginia Rental PropertiesBy Sam NewsSeptember 29, 2020The Justice Department today announced that Gary T. Price, a manager of rental properties in and around Harrisonburg, Virginia, together with owners of the properties, Alberta Lowery and GTP Investment Properties, LLC, will pay $335,000 to resolve allegations that Price sexually harassed multiple female tenants and discriminated in housing on the basis of race in violation of the federal Fair Housing Act.[Read More…]
- Panama’s Independence DayBy Sam NewsNovember 3, 2020
- NASA’s Perseverance Rover Attached to Atlas V RocketBy Sam NewsIn SpaceSeptember 26, 2020Ready for its launch [Read More…]
- The United States Continues To Recognize Interim President Guaidó and the Last Democratically Elected National Assembly in VenezuelaBy Sam NewsJanuary 5, 2021
- Presentation of the Sherman Award to the Honorable Judge Douglas H. GinsburgBy Sam NewsOctober 23, 2020Welcome to the Conference Center of the historic Robert F. Kennedy Department of Justice Building. It is an honor to present the Sherman award to Judge Douglas H. Ginsburg this afternoon. We’re joined today by Judge Ginsburg’s wife Deecy and many of Judge Ginsburg’s colleagues and admirers. We’re particularly honored by the presence of Justice Gorsuch, a champion of liberty, who in his short time on the Supreme Court has reconfirmed his reputation for brilliance, clarity of thought and expression, and for holding the government to its word, whether in the statutes that it enacts or the treaties that it makes. I also welcome the distinguished guests who are with us virtually.[Read More…]
- Performance and Accountability Report Fiscal Year 2020By Sam NewsNovember 16, 2020Presented is GAO's Performance and Accountability Report for fiscal year 2020. In the spirit of the Government Performance and Results Act, this annual report informs the Congress and the American people about what we have achieved on their behalf. The financial information and the data measuring GAO's performance contained in this report are complete and reliable. This report describes GAO's performance measures, results, and accountability processes for fiscal year 2020. In assessing our performance, we compared actual results against targets and goals that were set in our annual performance plan and performance budget and were developed to help carry out our strategic plan. An overview of our annual measures and targets for 2020 is available here, along with links to a complete set of our strategic planning and performance and accountability reports. This report includes A Fiscal Year 2020 Performance and Financial Snapshot for the American Taxpayer, an introduction, four parts, and supplementary appendixes as follows: A Fiscal Year 2020 Performance and Financial Snapshot for the American Taxpayer This section provides an overview of GAO's performance and financial information for fiscal year 2020 and outlines GAO's near-term and future work priorities. Introduction This section includes the letter from the Comptroller General and a statement attesting to the completeness and reliability of the performance and financial data in this report and the effectiveness of our internal control over financial reporting. This section also includes a summary discussion of our mission, strategic planning process, and organizational structure, strategies we use to achieve our goals, and process for assessing our performance. Management's Discussion and Analysis This section discusses our agency-wide performance results and use of resources in fiscal year 2020. It also includes, among other things, information on our internal controls and the management challenges and external factors that affect our performance. Performance Information This section includes details on our performance results by strategic goal in fiscal year 2020 and the targets we are aiming for in fiscal year 2021. Financial Information This section includes details on our finances in fiscal year 2020, including a letter from our Chief Financial Officer, audited financial statements and notes, and the reports from our external auditor and Audit Advisory Committee. This section also includes an explanation of the information each of our financial statements conveys. Inspector General's View of GAO's Management Challenges This section includes our Inspector General's perspective on our agency's management challenges. Appendixes This section provides the report's abbreviations and describes how we ensure the completeness and reliability of the data for each of our performance measures. For more information, contact Timothy Bowling (202) 512-6100 or firstname.lastname@example.org.[Read More…]
- Convicted Sex Trafficker Sentenced to 270 Months in PrisonBy Sam NewsSeptember 21, 2020The Justice Department today announced that Senior Judge William K. Sessions III sentenced Brian Folks, 45, to 270 months in prison today.[Read More…]
- Military Child Care: Off-Base Financial Assistance and Wait Lists for On-Base CareBy Sam NewsDecember 1, 2020The Department of Defense (DOD) has reviewed the financial assistance it provides for off-base child care services and taken steps to standardize this assistance across the military services. Specifically, in August 2018, representatives of each service agreed to work toward a goal of standardizing the only element of the fee assistance calculation that varies among the services—the maximum provider rate. DOD officials said that they assess progress toward this goal each year, but have not set a definite deadline for full standardization. With respect to assistance for off-base child care at high-cost duty stations, DOD's 2020 report on its child care programs states that the Air Force, Marines, and Navy review high-cost locations annually, and the services may approve increased provider rate caps for specific high-cost locations. In addition, it states that the services may grant waivers allowing increased fee assistance for individual families experiencing hardship. DOD has also assessed factors that contribute to wait lists for on-base child care. According to DOD’s report, DOD found that wait lists are the result of a myriad of factors, including staff shortages and facility conditions that vary across service locations. Officials said DOD has worked for several years to analyze and address wait lists. In 2017, DOD launched a web portal that consolidates child care data across the services and in August 2019, DOD officials began monthly monitoring of wait list data from this portal. These data allowed DOD to identify four geographic regions and six additional locations that account for the majority of wait lists, and focus their efforts on addressing the issues affecting these regions and locations, according to the report. DOD officials said that any requests for additional resources to help address wait lists must be handled through the individual services’ budgeting processes. DOD offers child care in a variety of on- and off-base settings for children of military families. In fiscal year 2020 these child care programs received nearly $1.2 billion in federal funds; in addition, parents pay a portion of the costs. The National Defense Authorization Act for Fiscal Year 2020 required DOD to report on elements of its financial assistance to off-base child care providers and wait lists for on-base child care, and included a provision for GAO to review DOD's report. This report describes DOD's assessment of (1) financial assistance provided to off-base child care providers, and (2) its efforts to reduce wait lists for child care at military bases. GAO reviewed DOD's report on this assessment, interviewed DOD officials, and reviewed relevant federal law. For more information, contact Kathryn A. Larin at (202) 512-7215 or email@example.com.[Read More…]
- Three New Views of Mars’ Moon PhobosBy Sam NewsIn SpaceSeptember 26, 2020Taken with the infrared [Read More…]
- Medicaid: Information on the Use of Electronic Asset Verification to Determine Eligibility for Selected BeneficiariesBy Sam NewsApril 23, 2021What GAO Found Individuals who receive assistance from the federal Supplemental Security Income (SSI) program may also become eligible for Medicaid. SSI provides cash assistance to eligible individuals who are over age 65, blind, or disabled; and who have limited resources (i.e., assets) and income. Medicaid programs in 42 states and the District of Columbia use the SSI asset limit of $2,000 for an individual or $3,000 for a married couple. Medicaid programs in the remaining eight states may set an asset limit that differs from the current SSI asset limit. The Social Security Administration (SSA), which administers the SSI program, and state Medicaid programs electronically verify the assets of these individuals when determining financial eligibility: In the 42 states and the District of Columbia that use the SSI asset limit, SSA is the entity that verifies applicants' assets. SSA has two data sources to detect assets among SSI beneficiaries. The first data source is the Access to Financial Institutions initiative. This initiative verifies reported bank accounts and can detect potential undisclosed accounts from financial institutions within geographic proximity of an SSI recipient's residence. The second data source is Non-home Real Property, which uses a commercial data source to help investigate potential ownership of real property other than a primary residence. In the eight states that may set their own asset limits, the state's Medicaid program must verify Medicaid eligibility for SSI recipients using an electronic asset verification system (AVS). An AVS provides a portal between state eligibility systems and banks or other third-party systems with electronic access to financial information. Once a state has an AVS in place, state eligibility workers can submit a request through the portal to perform an asset check for a Medicaid applicant. The request is sent to different financial institutions. A vendor gathers the information from the financial institutions and returns it to the state, and eligibility workers use the information to make an eligibility determination. Some states also use their AVS to check on applicants' property information, which may come from commercial data sources. Why GAO Did This Study GAO was asked to review the use of electronic asset verification to determine eligibility for selected Medicaid beneficiaries. This report provides an overview of what is known about how state Medicaid programs verify assets of applicants who are eligible because they receive SSI, and how SSA verifies assets of SSI applicants, among other issues. To describe what is known about how state Medicaid programs and SSA verify applicants' assets, GAO reviewed its prior work, as well as related research by other organizations. GAO also obtained input from officials from the Centers for Medicare & Medicaid Services and SSA; and reviewed relevant federal laws, regulations, and guidance. The Department of Health and Human Services and SSA reviewed a draft of this report and provided technical comments, which GAO incorporated as appropriate. For more information, contact Carolyn L. Yocom at (202) 512-7114 or firstname.lastname@example.org.[Read More…]
- The 53rd Anniversary of the Founding of the Association of Southeast Asian NationsBy Sam NewsSeptember 26, 2020
- Timor-Leste National DayBy Sam NewsMay 19, 2021
- Attorney General Barr Chairs Meeting of the Federal Interagency Council on Crime Prevention and Improving ReentryBy Sam NewsAugust 7, 2020Attorney General William [Read More…]
- Justice Department Sues Yale University for Illegal Discrimination Practices in Undergraduate AdmissionsBy Sam NewsOctober 8, 2020The Justice Department today filed suit against Yale University for race and national origin discrimination. The complaint alleges that Yale discriminated against applicants to Yale College on the grounds of race and national origin, and that Yale’s discrimination imposes undue and unlawful penalties on racially-disfavored applicants, including in particular most Asian and White applicants.[Read More…]
- Contractor Oversight: Information on the National Nuclear Security Administration’s Report on Burdensome Regulatory RequirementsBy Sam NewsJune 17, 2021What GAO Found In 2019, the Department of Energy's (DOE)'s National Nuclear Security Administration (NNSA) provided a report to Congress on its findings from its survey of the seven contractors that manage and operate its nuclear security enterprise sites to identify requirements the contractors viewed as burdensome. This survey was congressionally mandated after reports by external groups found that the environment in which NNSA carried out its oversight of such management and operating (M&O) contractors was strained. GAO reviewed information on the following three areas related to NNSA's report: Comparison of NNSA's findings with related reports. GAO found that during the past 10 years, three external groups carried out studies and assessments of the nuclear security enterprise and issued reports citing ways NNSA's oversight has contributed to burden for M&O contractors. These groups were all directed by Congress to complete their studies, which were published between 2014 and 2020. Their reports also cite ways in which NNSA's oversight may have contributed to increased costs or reduced mission capabilities. NNSA's Burdensome Regulatory Requirements report explicitly identifies 91 requirements that M&O contractors found burdensome; these include requirements found in sources such as DOE and NNSA directives, federal regulations, and statutes. NNSA's approach to collecting and reporting information on requirements that M&O contractors identified as burdensome. NNSA first collected information on the requirements the contractors viewed as burdensome, and second, asked the contractors to rate these requirements based on the likelihood that the requirement could be changed and the effects such a change would have on cost savings, morale, recruitment and retention, and mission capability. While NNSA did not provide a definition to its contractors of what constituted a "burdensome" requirement, some contractors created their own definitions, while others told us the definition was understood based on the previously published related reports. GAO interviewed M&O contractor representatives and found that their definitions of what constituted a "burdensome requirement" varied. Also, the seven M&O contractors used different approaches to identify and rate requirements they considered burdensome. However, multiple M&O contractors identified the same requirements, or sources of those requirements, as burdensome. For example, one contractor identified the entire DOE Order for Program and Project Management of the Acquisition of Capital Assets (DOE Order 413.3B) as burdensome, while another contractor identified specific requirements within the same order as burdensome. NNSA actions to address matters that M&O contractors identified as burdensome. In its report, NNSA included a list of 16 matters that it committed to reviewing based on the rating data it collected from M&O contractors and input from members of the Operations and Efficiencies Board, an internal body established to improve coordination and collaboration across NNSA's sites. According to NNSA officials, 10 matters are under revision or have been changed; two matters were reviewed, but no changes were made; and four matters were reviewed, and M&O contractor input will be considered should the regulation undergo a revision in the future. NNSA's list of matters included DOE directives, federal requirements, and an M&O contract change. According to agency officials, NNSA chose to prioritize its review of certain matters because the agency did not have the resources to review all 91 requirements that M&O contractors identified as burdensome. NNSA provided technical comments on a draft of this report, which were incorporated as appropriate. Why GAO Did This Study NNSA is responsible for maintaining a safe, secure, and reliable nuclear stockpile and relies on and oversees contractors who manage and operate its laboratory and production sites. NNSA's M&O contracts include requirements for contractors to adhere to laws, regulations, and DOE and NNSA directives. NNSA also has processes to hold contractors accountable for meeting these requirements. Senate Report 115-262, accompanying the John S. McCain National Defense Authorization Act for Fiscal Year 2019, directed NNSA to collect information from its M&O contractors on specific requirements they deemed particularly burdensome and to publish this information in a report. Senate Report 115-262 also included a provision for GAO to review NNSA's report. GAO's report provides information on (1) a comparison of NNSA's findings with findings reported by external groups, (2) NNSA's approach to collecting and reporting information on requirements the M&O contractors identified as burdensome, and (3) NNSA's actions to address the requirements that the M&O contractors identified. GAO reviewed NNSA's 2019 report and supplemental documents and interviewed NNSA officials and M&O contractor representatives. For more information, contact Allison Bawden at (202) 512-3841 or email@example.com.[Read More…]
- Namibia Travel AdvisoryBy Sam NewsSeptember 26, 2020Do not travel to Namibia [Read More…]
- Public Designation of Current and Former Members of the Guatemalan Congress Due to Involvement in Significant CorruptionBy Sam NewsOctober 28, 2020
- Mongolia Travel AdvisoryBy Sam NewsSeptember 26, 2020Reconsider travel to [Read More…]
- Man Sentenced for Engaging in Illicit Sexual Conduct with Minors in the Republic of KenyaBy Sam NewsFebruary 4, 2021A Pennsylvania man was sentenced today to over 15 years in prison plus a lifetime of supervised release, and ordered to pay $16,000 in restitution for engaging in illicit sexual conduct in a foreign place.[Read More…]
- Homelessness: Better HUD Oversight of Data Collection Could Improve Estimates of Homeless PopulationBy Sam NewsAugust 13, 2020Data collected through the Point-in-Time (PIT) count—a count of people experiencing homelessness on a single night—have limitations for measuring homelessness. The PIT count is conducted each January by Continuums of Care (CoC)—local homelessness planning bodies that apply for grants from the Department of Housing and Urban Development (HUD) and coordinate homelessness services. The 2019 PIT count estimated that nearly 568,000 people (0.2 percent of the U.S. population) were homeless, a decline from the 2012 count of about 621,500 but a slight increase over the period's low of about 550,000 in 2016. While HUD has taken steps to improve data quality, the data likely underestimate the size of the homeless population because identifying people experiencing homelessness is inherently difficult. Some CoCs' total and unsheltered PIT counts have large year-over-year fluctuations, which raise questions about data accuracy. GAO found that HUD does not closely examine CoCs' methodologies for collecting data to ensure they meet HUD's standards. HUD's instructions to CoCs on probability sampling techniques to estimate homelessness were incomplete. Some CoC representatives also said that the assistance HUD provides on data collection does not always meet their needs. By strengthening its oversight and guidance in these areas, HUD could further improve the quality of homelessness data. To understand factors associated with homelessness in recent years, GAO used PIT count data to conduct an econometric analysis, which found that rental prices were associated with homelessness. To mitigate data limitations, GAO used data from years with improved data quality and took other analytical steps to increase confidence in the results. CoC representatives GAO interviewed also identified rental prices and other factors such as job loss as contributing to homelessness. Estimated Homelessness Rates and Household Median Rent in the 20 Largest Continuums of Care (CoC), 2018 Note: This map shows the 20 largest Point-in-Time counts by CoC in 2018. GAO estimated 2018 homelessness rates because the U.S. Census Bureau data used to calculate these rates were available up to 2018 at the time of analysis. GAO used 2017 median rents (in 2018 dollars) across all unit sizes and types. Policymakers have raised concerns about the extent to which recent increases in homelessness are associated with the availability of affordable housing. Moreover, counting the homeless population is a longstanding challenge. GAO was asked to review the current state of homelessness in the United States. This report examines (1) efforts to measure homelessness and HUD's oversight of these efforts and (2) factors associated with recent changes in homelessness. GAO analyzed three HUD data sources on homelessness and developed an econometric model of the factors influencing changes in homelessness. GAO also conducted structured interviews with 12 researchers and representatives of 21 CoCs and four focus groups with a total of 34 CoC representatives responsible for collecting and maintaining homelessness data. CoCs were selected for interviews and focus groups to achieve diversity in size and geography. GAO also visited three major cities that experienced recent increases in homelessness. GAO recommends that HUD (1) conduct quality checks on CoCs' data-collection methodologies, (2) improve its instructions for using probability sampling techniques to estimate homelessness, and (3) assess and enhance the assistance it provides to CoCs on data collection. HUD concurred with the recommendations. For more information, contact Alicia Puente Cackley at (202) 512-8678 or firstname.lastname@example.org.[Read More…]
- U.S. Rescues American Held Hostage in Nigeria By Sam NewsOctober 31, 2020
- Regional 100,000 Strong in the Americas Innovation Fund Competition to Build Partnerships between the United States and the Dominican Republic and Central AmericaBy Sam NewsMarch 19, 2021
- Former Medical Director of Suboxone Manufacturer Indivior Sentenced in Connection with Drug Safety ClaimsBy Sam NewsDecember 17, 2020Timothy Baxter, the former medical director of Indivior PLC, was sentenced today in federal court in Abingdon, Virginia, to six months of home detention and 100 hours of community service in connection with the company’s marketing of an opioid drug.[Read More…]