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Testimony: 

Before the Committee on Homeland Security and Governmental Affairs, 
U.S. Senate: 

United States Government Accountability Office: 
GAO: 

For Release on Delivery: 
Expected at 10:00 a.m. EST:
Thursday, March 5, 2009: 

American Recovery And Reinvestment Act: 

GAO's Role in Helping to Ensure Accountability and Transparency: 

Statement of Gene L. Dodaro:
Acting Comptroller General of the United States: 

GAO-09-453T: 

GAO Highlights: 

Highlights of GAO-09-453T, a report to the Committee on Homeland 
Security and Governmental Affairs, U.S. Senate. 

Why GAO Did This Study: 

This testimony discusses GAO’s plans to carry out its oversight role 
related to the American Recovery and Reinvestment Act of 2009 (Recovery 
Act). The Recovery Act funds are provided for purposes including: 
preserving and creating jobs and promoting economic recovery; assisting 
those most impacted by the recession; investing in transportation, 
environmental protection, and other infrastructure to provide long-term 
economic benefits; and stabilizing state and local government budgets. 

The Recovery Act assigns GAO a range of responsibilities to help 
promote accountability and transparency. Some are recurring 
requirements such as providing bimonthly reviews of the use of funds by 
selected states and localities. Others include targeted studies in 
several areas such as small business lending, education, and trade 
adjustment assistance. 

This statement discusses (1) GAO’s plans to carry out its 
responsibilities under the Recovery Act, (2) how GAO’s responsibilities 
relate to other oversight authorities, such as the Inspectors General 
(IG) and the Recovery Accountability and Transparency Board (Board), 
and (3) the challenges posed in ensuring accountability over the use of 
funds and associated lessons learned and best practices that can be 
helpful in addressing those challenges. 

What GAO Found: 

The Recovery Act delineates an important set of responsibilities for 
GAO and others in the accountability community. GAO’s bimonthly reviews 
of selected states’ and localities’ uses of the Recovery Act funds will 
examine how funds are being used and achieving the stated purposes of 
the Recovery Act. GAO has selected a core group of 16 states to follow 
over the next few years to provide an ongoing longitudinal analysis of 
the use of funds under the Recovery Act. These states contain about 65 
percent of the U.S. population and are estimated to receive about two-
thirds of the intergovernmental grants funds available through the 
Recovery Act. In addition, GAO will sample localities within these 
states to provide a perspective on the use of funds at the local level. 
In addition to reporting on the core group of 16 states, GAO will be 
reviewing the recipient reports from all 50 states as part of its 
responsibilities to review these filings. Depending on those 
assessments and other risk-based analyses, GAO’s reviews may include 
additional states, localities, or other recipients as implementation 
proceeds. 

GAO is charged with reviewing the use of funds by selected states and 
localities. IGs across government are expected to audit the efforts of 
federal agencies’ operations and programs related to the Recovery Act, 
both individually within their particular entities and collectively, as 
many of them are members of the Board. Because funding streams for the 
Recovery Act will flow to states and localities from different federal 
agencies, it is important for GAO to coordinate with the IGs and the 
Board, which is charged with coordinating and conducting oversight of 
Recovery Act funds in order to prevent fraud, waste, and abuse. Among 
other things, the Board is to review contracts and grants to ensure 
they meet applicable standards. It is also important for GAO to 
coordinate with the Office of Management and Budget, especially with 
regard to reporting requirements and other guidance to fund recipients 
and on what information should be collected in order to adequately 
evaluate how well the Recovery Act achieves its objectives. 

There are many implementation challenges to ensuring adequate 
accountability and efficient and effective implementation of the 
Recovery Act. Experience tells us that the risk for fraud and abuse 
grows when billions of dollars are going out quickly, eligibility 
requirements are being established or changed, and new programs are 
being created. This suggests the need for a risk-based approach for 
targeting attention on specific programs and funding structures early 
on based on known strengths, vulnerabilities, and weaknesses such as a 
track record of improper payments or contracting problems. In that 
regard, the accountability community has, in recent years, produced a 
wide variety of best practices and related guides, which are available 
to agencies to assist them in ensuring they have the needed internal 
controls in place from the outset. These best practices and related 
guides cover such areas as fraud prevention, contract management, and 
grants accountability. 

To view the full product, including the scope and methodology, click on 
[hyperlink, http://www.gao.gov/products/GAO-09-453T] .For more 
information, contact Stanley J. Czerwinski, (202) 512-6806, 
czerwinskis@gao.gov. 

[End of section] 

Chairman Lieberman, Ranking Member Collins, and Members of the 
Committee: 

I am pleased to be here today to discuss how GAO plans to carry out its 
oversight role related to the American Recovery and Reinvestment Act of 
2009 (Recovery Act).[Footnote 1] Congress and the administration have 
fashioned a significant response to what is generally reported to be 
the Nation's most serious economic crisis since the Great Depression. 
The Congressional Budget Office (CBO) estimates that the Recovery Act's 
combined spending and tax provisions will cost $787 billion, of which 
over $580 billion will be in additional spending. 

The Recovery Act assigns GAO a range of responsibilities to help 
promote accountability and transparency.[Footnote 2] Some are recurring 
requirements such as, most prominently, conducting bimonthly reviews of 
the use by selected states and localities of funds made available under 
the act and commenting on the estimates of the number of jobs created 
and the number of jobs retained in the quarterly reports filed by 
recipients of funds under the Recovery Act. Others relate to specific 
areas including trade adjustment assistance, new education incentive 
grants, and efforts by the head of the Small Business Administration 
(SBA) to, among other things, increase the liquidity in the secondary 
market for small business loans. Still others include performing longer-
term studies of the new health care tax credits and of the effects of 
national economic downturns on states over the past several decades--
especially in the Medicaid area--leading to recommendations to help 
address those effects in the future. 

As I will outline today, we have already begun the work of meeting 
these responsibilities and have reached out to the broader 
accountability community to start coordinating our respective roles, 
planned approaches, and timelines. This includes the Inspectors General 
(IG), state auditors, and local government auditors as well as the 
Chair of the Recovery Accountability and Transparency Board (Board). 
Collectively, the accountability community will play important roles in 
helping to ensure that Recovery Act funds are spent properly and 
meeting their intended purposes, as well as in identifying management 
or funding issues that need attention. 

My statement today discusses (1) GAO's plans to carry out its 
responsibilities under the Recovery Act, (2) how GAO's responsibilities 
relate to other oversight authorities, such as the IGs and the Board, 
and (3) the challenges posed in ensuring accountability and 
transparency of funds and the associated lessons learned and best 
practices that can be helpful in addressing those challenges. 

GAO's Plans to Carry Out Its Recovery Act Responsibilities: 

Our bimonthly reviews of selected states' and localities' will examine 
how Recovery Act funds are being used and whether they are achieving 
the stated purposes of the act. These purposes include: 

* to preserve and create jobs and promote economic recovery; 

* to assist those most impacted by the recession; 

* to invest in transportation, environmental protection, and other 
infrastructure that will provide long-term economic benefits; and: 

* to stabilize state and local government budgets in order to minimize 
and avoid reductions in essential services and counterproductive state 
and local tax increases. 

We have selected a core group of 16 states that we will follow over the 
next few years to provide an ongoing longitudinal analysis of the use 
of funds under the Recovery Act. The states are Arizona, California, 
Colorado, Florida, Georgia, Iowa, Illinois, Massachusetts, Michigan, 
Mississippi, New Jersey, New York, North Carolina, Ohio, Pennsylvania, 
and Texas. These states contain about 65 percent of the U.S. population 
and are estimated to receive about two-thirds of the intergovernmental 
grants funds available through the Recovery Act. We selected these 
states on the basis of outlay projections, percentage of the U.S. 
population represented, unemployment rates and changes, and a mix of 
states' poverty levels, geographic coverage and representation of both 
urban and rural areas. In addition, we will sample localities within 
these states to provide a perspective on the use of Recovery Act funds 
at a local level.[Footnote 3] 

GAO will be reaching out to the respective governors' and state 
auditors' offices to begin the work needed for our first bimonthly 
review to be completed this April. In addition to reporting on the core 
group of 16 states, we will be reviewing the recipient reports from all 
50 states as part of our responsibilities to review these filings. 
These recipient reports are to include information on funds received, 
the amount of recovery funds obligated or expended to projects or 
activities, and the projects or activities for which funds were 
obligated or expended. Depending on our assessments, we may visit 
states other than the 16 core group to review targeted areas. Finally, 
our Forensic Audits and Special Investigations unit (FSI) will be 
undertaking ongoing risk assessments to identify specific programs and 
funding streams that are especially vulnerable to fraud, and it will 
conduct targeted investigations based on its assessments. 

In addition to our bimonthly reviews of selected states and localities, 
we also have efforts underway to meet two other short-term 
requirements. Specifically, within 45 days after the Recovery Act was 
signed--by April 3, 2009--we must make 13 appointments to the Health 
Information Technology (HIT) Policy Committee, which is to recommend a 
policy framework for development and adoption of a nationwide health 
information infrastructure to permit the electronic exchange and use of 
health information. On February 25, 2009, we placed a notice in the 
Federal Register to solicit nominations to the HIT Policy Committee. 
Also, within 60 days, we must report on the Small Business 
Administration's efforts to, among other things, increase liquidity in 
the secondary market for SBA loans, and our work on this review is well 
underway. 

How GAO's Responsibilities Relate to Other Oversight Authorities: 

The Recovery Act delineates an important set of responsibilities for 
the accountability community. GAO is charged with reviewing the use of 
funds by selected states and localities. IGs across government are 
expected to audit the efforts of federal agencies' operations and 
programs related to the Recovery Act, both individually within their 
particular entities and collectively, as many of them are members of 
the Board. The Recovery Act established the Board to help prevent 
waste, fraud, and abuse. The Board is to review contracts and grants to 
ensure they meet applicable standards, follow competition requirements, 
and are overseen by sufficient numbers of trained acquisition and 
grants personnel. The Board has a range of authorities and is charged 
with reporting to the President and Congress any potential problems 
requiring immediate attention in addition to reporting quarterly and 
annually. 

Because funding streams of the Recovery Act will flow to the states and 
localities from different federal agencies, it is important for us to 
coordinate with the IGs and the Board. Consequently, soon after the act 
was passed, I reached out to the IG community and, with Ms. Phyllis 
Fong, the Chair of the Council of Inspectors General on Integrity and 
Efficiency (CIGIE), hosted an initial coordination meeting on February 
25, 2009, with Inspectors General or their representatives from 17 
agencies. It was a very productive discussion in which we outlined 
coordination approaches going forward. 

Soon after the President appointed him as Chair of the Board on 
February 23, 2009, I talked with Mr. Earl Devaney, former Inspector 
General at the Department of the Interior. I am confident that we will 
coordinate our respective efforts well, both with the IG community and 
the Board. We work well together on other large coordination efforts 
such as the audit of the U.S. government's consolidated financial 
statements whereby GAO relies on the individual efforts of the IG's 
financial audits of their departments and entities across government. 

We also have already reached out to the state and local audit community 
to have initial discussions and establish coordination approaches. On 
February 26, 2009, we participated in a conference call arranged by the 
National Association of State Auditors, Comptrollers and Treasurers 
with state auditors or their representatives from 46 states and the 
District of Columbia. On February 27, 2009, we held a similar 
discussion with local auditors from many localities throughout the 
country. State and local auditors perform very important oversight 
functions in their jurisdictions and have unique knowledge about their 
governments; we plan to coordinate with them closely in carrying out 
our responsibilities. 

It is also important for us to coordinate with the Office of Management 
and Budget (OMB), especially in regard to reporting requirements and 
other guidance to fund recipients and on what information is to be 
collected in order to adequately evaluate how well the Recovery Act 
achieves its objectives. For example, OMB Director Peter Orszag and I 
have received a letter from the National Association of State Auditors, 
Comptrollers and Treasurers; the National Association of State Budget 
Officers; the National Association of State Chief Information Officers; 
and the National Association of State Procurement Officials. This 
letter expresses their strong interest in coordinating reporting and 
compliance aspects of the Recovery Act. I have been in contact with OMB 
and these groups, and we and OMB are undertaking discussions with them. 

While there are many reporting and other implementation issues that lie 
ahead, we are encouraged by OMB's initial implementation guidance. In 
its guidance, OMB points out the need to balance the desire to get 
funds out quickly to help turn the economy around with the equally 
important need to make sure funds are spent properly, efficiently, and 
effectively. 

One particular area that also needs attention is identifying the data 
to be collected concerning the use and results of the Recovery Act's 
various tax provisions. Accountability and transparency are perhaps 
easier to envision for the outlay portions of the stimulus package, but 
the billions of dollars in tax provisions in the Recovery Act are 
considerably different than outlay programs in their implementation, 
privacy protections, and oversight. Most tax benefits are entirely 
administered by the Internal Revenue Service (IRS), and all taxpayer 
information, including the identity of those using the benefits, is 
protected by law from disclosure. Further, unlike for most outlay 
programs, IRS does not know who makes use of the tax benefit until 
after the fact, if then. 

In general, IRS does not collect information on who claims tax benefits 
and to what extent, unless it determines such information is necessary 
for tax administration. In part because of the Paperwork Reduction Act, 
IRS generally avoids collecting information not directly needed for tax 
administration because both taxpayers and IRS incur costs and other 
burdens associated with any information-reporting requirements. As a 
result, in the past, information often has not been available to help 
Congress determine the effectiveness of some tax provisions or even 
identify the numbers of taxpayers using some provisions. 

For example, information was not available to Congress to determine the 
effect of the Empowerment Zone and Enterprise Community program on 
poverty, unemployment, and economic growth.[Footnote 4] IRS did not 
collect information on who used some of the tax benefits or the 
communities where benefits were used, or both. The lack of data on the 
use of the Empowerment Zone and Enterprise Community tax benefits was 
of particular concern because the estimated amount of the tax benefits 
was greater than the amount of grant funds dedicated to the program. 
For instance, in the first round of the program, recipients received 
about $1 billion in grants; the Joint Committee on Taxation had 
estimated that tax benefits would reduce federal revenues by $2.5 
billion between 1994 and 1998. 

Absent direction from the Department of the Treasury (Treasury) or OMB, 
IRS is unlikely to collect sufficient information to support 
congressional oversight of the act's tax provisions because some 
provisions have characteristics similar to existing provisions in other 
laws where we found insufficient information was collected to enable 
congressional oversight. Accordingly, we have reached out to both OMB 
and Treasury about their plans to collect and report data on the 
Recovery Act tax provisions. Both OMB and Treasury indicated they 
initially focused on the spending programs and not the tax provisions 
in the Recovery Act. They acknowledged that additional data beyond what 
IRS would normally collect may be needed and that they would consider 
the tax-data needs as they proceed. 

Lessons Learned and Best Practices That Can Be Helpful in Addressing 
Challenges to Implementing the Recovery Act: 

There are many implementation challenges to ensuring adequate 
accountability and efficient and effective implementation of the 
Recovery Act. Experience tells us that the risk for fraud and abuse 
grows when billions of dollars are going out quickly, eligibility 
requirements are being established or changed, new programs are being 
created, or a mix of these characteristics. This suggests the need for 
a risk-based approach to target for attention specific programs and 
funding structures based on known strengths, vulnerabilities, and 
weaknesses, such as a track record of improper payments or contracting 
problems. In that regard, the accountability community has, in recent 
years, produced a wide variety of best practice and related guides, 
which are available to agencies to assist them in ensuring they have 
the needed internal controls in place from the outset. These best 
practice and related guides cover such areas as: 

Fraud Prevention: By establishing an effective fraud prevention 
program, agencies can provide reasonable assurance that Recovery Act 
funds benefit intended recipients. A well-designed fraud prevention 
program--which can also minimize waste and abuse--should consist of 
preventive controls, detection and monitoring, and investigations and 
prosecutions. Our work has shown that building internal controls in up 
front is of the utmost importance and that fraud prevention is the most 
efficient and effective means to minimize fraud, waste, and abuse. Once 
federal dollars are disbursed fraudulently or improperly, the 
government is only likely to recover a few pennies on the dollar. Thus, 
preventive controls are the most important component of a fraud 
prevention system. These controls prevent ineligible individuals and 
questionable firms from gaining access to government funds in the first 
place. 

Our work across the government shows that agencies sometimes do not 
focus on the importance of preventive controls. Examples of preventive 
controls, based in part on our body of work that was focused on 
disaster relief after Hurricanes Katrina and Rita[Footnote 5] include 
the following: 

* validating data used in decision making against other government or 
third-party sources; 

* inspecting whenever possible to confirm information prior to payment; 

* conducting system edit checks to identify problems before payments 
are made; and: 

* training staff on fraud awareness. 

In addition, we testified last week that businesses and individuals 
that have been excluded for egregious offenses ranging from national 
security violations to tax fraud are improperly receiving federal 
contracts and other funds.[Footnote 6] Most recently, in February 2009, 
the National Procurement Fraud Task Force (NPFTF)[Footnote 7] published 
a white paper[Footnote 8] that identified best practices and made 
recommendations for agencies to consider in preventing fraud, waste, 
and abuse in grants they administer. These recommendations included 
enhanced certifications, increased training, improved communications 
with grant recipients, increased information sharing concerning 
potential fraud, and rigorous oversight of how grant dollars are spent 
after they are awarded. 

Contract Management: Agencies that administer the Recovery Act funds 
will be expected to minimize fraud, waste, and abuse in contracting. 
Their procurement offices will need to be able to report data and 
statistics on the use of noncompetitive contract awards, contract 
types, the recipients of contracts, amounts of awards and the type of 
projects for which government funds are awarded. We have also learned 
from our body of work examining contracting after Hurricanes Katrina 
and Rita that best practices include developing knowledge of 
contracting capabilities before they are needed, establishing scalable 
operations plans that can adjust to the level of capacity required to 
effectively respond to the need, and providing sufficient numbers of 
field-level staff with the authority needed to meet mission 
requirements.[Footnote 9] To prevent some of the problems that have 
affected previous federal contract spending such as for the Iraq war 
and recovery operations related to Hurricane Katrina, we have developed 
the following basic principles: 

* Have transparent lines of procurement responsibility, authority, and 
oversight defined and in place; 

* Ensure contracts are well structured by establishing clear 
requirements prior to award; 

* Award contracts competitively; 

* Use fixed-price contracts to the maximum extent possible; 

* Ensure adherence to high ethical standards, including appropriately 
limiting state and local officials' employment by firms they supervised 
as government employees; 

* Appoint contract surveillance personnel as early on as possible--
preferably prior to or as soon as contracts are awarded--and ensure 
that these personnel have clear guidance and training as to their role 
and responsibilities and that there is clear responsibility for 
approving payments; 

* Enforce penalties for companies and individuals that commit severe 
ethics violations or fail to demonstrate acceptable performance and 
refer suspected fraud to the appropriate agency promptly; 

* Coordinate with state and local program officials and auditors in the 
planning and execution of contracts, agreements, and audits and other 
reviews. 

In addition, we recently issued the GAO Cost Estimating and Assessment 
Guide as a helpful resource to agencies.[Footnote 10] It will be 
especially helpful to agencies that will be administering large project 
contracts stemming from the use of Recovery Act funds. Congress, 
agencies, and the American public want to know whether government 
programs are achieving their goals and what their costs are. To make 
those evaluations, reliable cost information is required. We developed 
the Cost Guide in order to establish a consistent methodology that is 
based on best practices and that can be used across the federal 
government for developing, managing, and evaluating capital program 
cost estimates. 

Grants Accountability: In 2005, the Domestic Working Group, made up of 
federal, state, and local audit organizations and chaired by the 
Comptroller General, developed a set of suggestions for improving grant 
accountability. In its report,[Footnote 11] the Domestic Working Group 
highlighted what it called "promising practices" in the areas of 
internal control systems, performance measures, managing performance, 
the preaward process, and assessing and using results. Some specific 
examples of these practices included: 

* assessing applicant capability to account for funds, 

* including clear terms and conditions in grant award documents, 

* providing grant-management training to staff and grantees, 

* consolidating information systems to assist in managing grants, 

* coordinating programs with similar goals and purposes, 

* linking activities with program goals and working with grantees to 
develop performance measures, and: 

* monitoring the financial status of grants and monitoring 
subrecipients as a critical element of grant success. 

In summary, GAO welcomes the responsibility that Congress has placed on 
us to assist it in the oversight, accountability, and transparency of 
the Recovery Act. We will continue to coordinate closely with the rest 
of the accountability community. We also are committed to completing 
our Recovery Act work on the timetable envisioned by the act and will 
keep the Congress fully informed as our plans evolve. 

Mr. Chairman, Senator Collins, and Members of the Committee this 
concludes my statement. I would be pleased to respond to any questions 
you may have. 

[End of section] 

Appendix I: GAO Mandates in the American Recovery and Reinvestment Act 
of 2009: 

Table: 

Review or reporting date: April 3, 2009; 
Title: Health IT Policy Committee Appointments; 
Section of the Recovery Act: Division A, title XII, § 13101; 
Summary: The Comptroller General is required to appoint 13 members of 
the Health Information Technology (HIT) Policy Committee. The HIT 
Policy Committee is to make policy recommendations to the National 
Coordinator of Health Information Technology relating to the 
implementation of a nationwide health information technology 
infrastructure, including implementation of a strategic plan. 

Review or reporting date: Bimonthly starting in April 2009; 
Title: State and Local Use of Funds; 
Section of the Recovery Act: Division A, title IX, § 901; 
Summary: GAO is required to conduct bimonthly reviews and prepare 
reports on such reviews on the use by selected states and localities of 
funds made available in the Recovery Act. The Recovery Act does not 
specify the criteria by which the states and localities will be 
selected. The reports are to be available online. 

Review or reporting date: April 20, 2009; 
Title: SBA Report; 
Section of the Recovery Act: Division A, title V, § 507; 
Summary: GAO is required to report on the actions of the Small Business 
Administration (SBA) in implementing the authorities established in 
certain provisions of the Recovery Act. The report is to include a 
summary of the activity of SBA under these provisions and an analysis 
of whether SBA is increasing liquidity in the secondary market for SBA 
loans. 

Review or reporting date: Each calendar quarter starting on August 25, 
2009; 
Title: Comments on Recipient Reports; 
Section of the Recovery Act: Division A, title XV, § 1512; 
Summary: GAO, along with the Congressional Budget Office, is to comment 
on estimates of the numbers of jobs created and retained by projects 
and activities as reported by recipients of federal funds appropriated 
by the Recovery Act. 

Review or reporting date: February 18, 2010; 
Title: Treatment Disclosures; 
Section of the Recovery Act: Division A, title XIII, § 13424; 
Summary: GAO is required to report on the best practices related to the 
disclosure among health care providers of protected health information 
of individuals for purposes of treatment. The report is to include an 
examination of the best practices implemented by states and other 
entities; the extent to which these best practices improve the quality 
of the health care provided to individuals; the ability of health care 
providers to manage the best practices; and the use of electronic 
informed consent for disclosing protected health information for 
treatment, payment, and health care operations. 

Review or reporting date: March 1, 2010; 
Title: Health Tax Credit; 
Section of the Recovery Act: Division B, title I, § 1899L; 
Summary: GAO is required to perform a study regarding the health care 
credit allowed under section 35 of the Internal Revenue Code, and 
report on the results of the study and include in the report an 
analysis of the administrative costs of the federal government and 
qualified health insurance providers; the health status and relative 
risk status of individuals covered under by qualified health insurance; 
the participation in the health care credit any advance payments under 
the credit; and the extent to which covered individuals obtained health 
insurance other than qualifying health insurance or went without health 
insurance. 

Review or reporting date: Each year starting between March 15 and April 
15, 2010, until the minimum wage in the respective territory is $7.25 
per hour; 
Title: Minimum Wage; 
Section of the Recovery Act: Division A, title VIII, § 802; 
Summary: GAO is required to study and report on the impact of 2007 and 
2008 increases in the minimum wage in American Samoa and the 
Commonwealth of the Northern Mariana Islands on the rates of employment 
and the living standards of workers, and estimate the impact of any 
further wage increases on rates of employment and the living standards 
of workers in those territories, with full consideration of other 
factors that may impact the rates of employment and the living 
standards of workers, including how the profitability of major private 
sector firms may be impacted by wage increases in comparison to other 
factors such as energy costs and the value of tax benefits. 

Review or reporting date: August 18, 2010; 
Title: HIPPA Enforcement; 
Section of the Recovery Act: Division A, title XIII, § 13410; 
Summary: GAO is required to submit a report including a recommendation 
of a methodology under which an individual who is harmed by certain 
offenses under HIPPA relating to privacy or security may receive a 
percentage of any civil monetary penalty or monetary settlement. 

Review or reporting date: April 1, 2011; 
Title: Economic Downturn; 
Section of the Recovery Act: Division B, title V, § 5008; 
Summary: GAO is to study and report on periods of national economic 
downturn since 1974, including the current one, for the purpose of 
developing recommendations for addressing the needs of states during 
such periods. The study is to include an analysis of the past and 
projected effects of temporary increases in the federal medical 
assistance percentage under the Medicare program with respect to such 
periods. The report is to include, among other things, recommendations 
for modifying the national economic downturn assistance formula for 
temporary adjustment of the federal medical assistance percentage under 
Medicaid to improve the effectiveness of the application of such 
percentage in addressing the needs of states. 

Review or reporting date: September 30, 2012; 
Title: Trade Report; 
Section of the Recovery Act: Division B, title I, § 1894; 
Summary: GAO is to comprehensively report on the operation and 
effectiveness of certain amendments made by the Recovery Act to the 
Trade Act of 1974. 

Review or reporting date: February 18, 2014; 
Title: Health Report; 
Section of the Recovery Act: Division A, title XIII, § 13424; 
Summary: GAO is to report on the impact of the Recovery Act on health 
insurance premiums, overall health care costs, adoption of electronic 
health records by providers, and reduction in medical errors and other 
quality improvements. 

Review or reporting date: No deadline specified in the Recovery Act; 
Title: Education Grants; 
Section of the Recovery Act: Division A, title XIV, § 14009; 
Summary: GAO is to evaluate certain programs related to education. The 
evaluation is to include the criteria used for the awards made, the 
states selected for awards, award amounts, how each state used the 
award received, and the impact of this funding on progress made toward 
closing achievement gaps. 

[End of table] 

[End of section] 

Footnotes: 

[1] Pub. L. No. 111-5 (February 17, 2009). 

[2] Appendix I to this statement lists the responsibilities assigned to 
GAO in the Recovery Act. 

[3] We will also include Washington D.C. in our selection of 
localities. 

[4] GAO, Empowerment Zone and Enterprise Community Program: 
Improvements Occurred in Communities, but the Effect of the Program Is 
Unclear, [hyperlink, http://www.gao.gov/products/GAO-06-727] 
(Washington, D.C.: Sept. 22, 2006). 

[5] GAO, Individual Disaster Assistance Programs: Framework for Fraud 
Prevention, Detection, and Prosecution, [hyperlink, 
http://www.gao.gov/products/GAO-06-954T] (Washington, D.C.: July 12, 
2006); and GAO, Hurricanes Katrina and Rita Disaster Relief: Prevention 
Is the Key to Minimizing Fraud, Waste and Abuse in Recovery Efforts, 
[hyperlink, http://www.gao.gov/products/GAO-07-418T] (Washington, D.C.: 
Jan. 29, 2007). 

[6] GAO, Excluded Parties List System: Suspended and Debarred 
Businesses and Individuals Improperly Receive Federal Funds, 
[hyperlink, http://www.gao.gov/products/GAO-09-419T] (Washington, D.C.: 
February 26, 2009). 

[7] The NPFTF includes 58 prosecutorial and investigative agencies, 
including 35 Offices of Inspectors General. It is chaired by the 
Department of Justice's Assistant Attorney General of the Criminal 
Division and its goal is to detect, investigate, and prosecute 
procurement fraud, grant fraud, and associated corruption. 

[8] National Procurement Fraud Task Force, Grant Fraud Committee, A 
Guide to Grant Oversight and Best Practices for Combating Grant Fraud 
(Washington, D.C.: February 2009). 

[9] GAO, Hurricane Katrina: Improving Federal Contracting Practices in 
Disaster Recovery Operations, [hyperlink, 
http://www.gao.gov/products/GAO-06-714T] (Washington, D.C.: May 4, 
2006). 

[10] GAO, GAO Cost Estimating and Assessment Guide: Best Practices for 
Developing and Managing Capital Program Costs, [hyperlink, 
http://www.gao.gov/products/GAO-09-3SP] (Washington, D.C.: March 2009). 

[11] Domestic Working Group, Grant Accountability Project, Guide to 
Opportunities for Improving Grant Accountability (Washington, D.C.: 
October 2005). 

[End of section] 

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