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Open Recommendations

National Institutes of Health: Assessing Efforts to Improve Animal Research Could Lead to Greater Human Health Benefits
GAO-25-107140
Dec 19, 2024
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2 Open Recommendations
Agency Affected Recommendation Status
National Institutes of Health The Director of NIH should define short-term goals with measurable targets and time frames related to enhancing reproducibility and translatability in animal research that the agency conducts and supports. For example, some initial goals could include targets for the number of NIH-funded publications that report certain factors that affect reproducibility and translatability, such as randomization and appropriate sample sizes. (Recommendation 1)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
National Institutes of Health The Director of NIH should collect evidence needed to assess NIH's efforts to enhance reproducibility and translatability in animal research. This could include steps such as (1) analyzing attempts to reproduce NIH-funded studies or (2) collecting information from projects that attempt to reproduce significant lines of research. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Opioid Use Disorder Grants: Opportunities Exist to Improve Data Collection, Share Information, and Ease Reporting Burden
GAO-25-106944
Dec 17, 2024
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3 Open Recommendations
Agency Affected Recommendation Status
Substance Abuse and Mental Health Services Administration The Assistant Secretary for Mental Health and Substance Use should complete and implement a documented plan for collecting and reporting information about Opioid Response grant subrecipients. (Recommendation 1)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Substance Abuse and Mental Health Services Administration The Assistant Secretary for Mental Health and Substance Use should complete and implement a documented plan to share data or other information about the use of Opioid Response grant funding to allow grant recipients to compare their information with that of other grant recipients. (Recommendation 2)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Substance Abuse and Mental Health Services Administration The Assistant Secretary for Mental Health and Substance Use should assess options for reducing the administrative burden faced by Tribes when applying for and using Tribal Opioid Response grant funding and make changes, as appropriate, in accordance with relevant executive orders. (Recommendation 3)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Veterans Health Administration: Additional Actions Needed to Improve Oversight of Health Care System
GAO-25-106969
Dec 09, 2024
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4 Open Recommendations
Agency Affected Recommendation Status
Veterans Health Administration The Under Secretary for Health should develop a workforce plan for its oversight offices based on evaluating the staff needed to effectively conduct compliance, risk management, internal audit, and medical investigations functions. (Recommendation 1)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Veterans Health Administration The Under Secretary for Health should take steps to fully meet leading practices for managing risk as the Office of Integrity and Compliance implements the agency's risk management function. (Recommendation 2)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Veterans Health Administration The Under Secretary for Health should clearly define the purpose of VHA's internal audit function in an updated policy directive for the Office of Internal Audit. Such a policy should include a clear reporting structure and a defined oversight role with the types of audit activities and priorities for which the office is responsible. (Recommendation 3)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Veterans Health Administration The Under Secretary for Health should take action to ensure the Audit, Risk, and Compliance Committee's ability to monitor oversight findings and to provide recommendations to VHA leadership to help inform potential system-wide improvements, as appropriate. (Recommendation 4)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Health Insurance Marketplaces: CMS Has Limited Assurance That Premium Tax Credits Exclude Certain State Benefit Costs
GAO-25-107220
Dec 04, 2024
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1 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should conduct a risk assessment to determine whether its oversight approach is sufficient to ensure that APTCs exclude the costs of non-EHB mandated benefits or whether additional oversight is needed. CMS should make changes as appropriate based on the results of this assessment. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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