Health, Education, Employment, Social Security, Welfare, and Veterans
Reports (Letter Report, 07/01/95, GAO/HEHS-95-204W).

--------------------------- Indexing Terms -----------------------------

 REPORTNUM:  HEHS-95-204W
     TITLE:  Health, Education, Employment, Social Security, Welfare, 
             and Veterans Reports
      DATE:  07/01/95
   SUBJECT:  Health care services
             Educational programs
             Welfare benefits
             Veterans benefits
             Medicare programs
             Aid for training or employment
             Pensions
             Medicaid programs
             Social security benefits
IDENTIFIER:  Bibliographies
             
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Cover
================================================================ COVER


Health, Education, and Human
Services Division Reports

July 1995

HEALTH
EDUCATION
EMPLOYMENT
SOCIAL SECURITY
WELFARE
VETERANS

GAO/HEHS-95-204W



Abbreviations
=============================================================== ABBREV

  AFDC - Aid to Families With Dependent Children
  CDC - Centers for Disease Control and Prevention
  CDR - continuing disability review
  CHAMPUS - Civilian Health and Medical Program of the Uniformed
     Services
  DC - District of Columbia
  DOD - Department of Defense
  DOE - Department of Energy
  EEO - Equal Employment Opportunity
  EEOC - Equal Employment Opportunity Commission
  ERISA - Employee Retirement Income Security Act of 1974
  FDA - Food and Drug Administration
  GAO - General Accounting Office
  GPRA - Government Performance and Results Act
  HCFA - Health Care Financing Administration
  HEHS - Health, Education, and Human Services Division, GAO
  HHS - Department of Health and Human Services
  HMO - health maintenance organization
  HRD - Human Resources Division, GAO
  JOBS - Job Opportunities and Basic Skills program
  JTPA - Job Training Partnership Act
  NAFTA - North American Free Trade Agreement
  NAIC - National Association of Insurance Commissioners
  NASA - National Aeronautics and Space Administration
  NPR - National Performance Review
  NRC - Nuclear Regulatory Commission
  OBRA - Omnibus Budget Reconciliation Act of 1990
  OBRA 1993 - Omnibus Budget Reconciliation Act of 1993
  PBGC - Pension Benefit Guarantee Corporation
  SBA - Small Business Administration
  SSA - Social Security Administration
  SSI - Supplemental Security Income
  T&A - time and attendance
  VA - Department of Veterans Affairs

PREFACE
============================================================ Chapter 0

The General Accounting Office (GAO), an arm of the Congress, was
established to independently audit government agencies.  GAO's
Health, Education, and Human Services (HEHS) Division reviews the
government's health, education, employment, social security,
disability, welfare, and veterans programs administered in the
Departments of Health and Human Services, Labor, Education, Veterans
Affairs, and some other agencies. 

This booklet lists the GAO products issued on these programs.  It is
divided into two major sections: 

  Most Recent GAO Products:  This section identifies reports and
     testimonies issued during the past month and provides summaries
     for selected key products.

  Comprehensive 1-Year Listings:  This section lists all products
     published in the last year, organized chronologically by subject
     as shown in the table of contents.  When appropriate, products
     may be included in more than one subject area. 

You may obtain single copies of the products free of charge, by
telephoning your request to (202) 512-6000 or faxing it to (301)
258-4066.  Additional ordering details, as well as instructions for
getting on GAO's mailing list, appear at the end of this booklet.





Janet L.  Shikles
Assistant Comptroller General


MOST RECENT GAO PRODUCTS
(JUNE 1995)
============================================================ Chapter 1


   HEALTH
---------------------------------------------------------- Chapter 1:1


      SELECTED SUMMARIES
-------------------------------------------------------- Chapter 1:1.1

Medicare:  Rapid Spending Growth Calls for More Prudent Purchasing
(Testimony, 6/28/95, GAO/T-HEHS-95-193). 

Last fiscal year, federal spending for Medicare totaled $162 billion. 
In March 1995, the Congressional Budget Office estimated that
Medicare expenditures would approach $350 billion by 2002.  The
broad-based payment system reforms of the 1980s slowed the escalation
of aggregate spending, at least temporarily; yet Medicare
expenditures are now growing by more than 11 percent a year.  While
the need for further reforms is widely recognized, the nature of such
reforms is the subject of much debate.  What is less disputed,
however, is the need for immediate steps directed at correcting the
practices whereby Medicare pays too much for certain services and
supplies.  Fiscal pressures have increasingly led private and state-
government payers to negotiate discounts with providers and to manage
the form and volume of care, but for many services Medicare has not
exercised its potential market power in similar fashion.  GAO
believes that a viable strategy for restraining the unmanaged
components of Medicare would involve adapting the health care
management approach of private payers to Medicare's public payer
role. 

Medicaid:  Statewide Section 1115 Demonstrations' Impact on
Eligibility, Service Delivery, and Program Cost (Testimony, 6/21/95,
GAO/T-HEHS-95-182). 

The growth of the Medicaid program, on which federal and state
governments spent $142 billion in 1994, outpaces most major items in
the federal budget, including Medicare.  Without some modification,
spending could double in the next 5 to 7 years.  Medicaid is also the
fastest growing component in most state budgets at a time when states
are feeling pressured by many financial constraints and when many are
looking for ways to provide care to their uninsured populations.  In
response, states are one by one reinventing their Medicaid programs
under the authority of section 1115 waivers.  Named for section
1115(a) of the Social Security Act, these waivers free states from
certain Medicaid restrictions on the use of managed care delivery
systems.  They also allow states to expand Medicaid-financed coverage
to individuals not normally eligible for Medicaid.  GAO's analysis
suggests that some approved statewide section 1115 waivers may not be
budget neutral.  GAO believes granting additional waivers merits
further scrutiny. 

Medicare:  Modern Management Strategies Needed to Curb Program
Exploitation (Testimony, 6/15/95, GAO/T-HEHS-95-183). 

Medicare's vulnerability to fraud and abuse stems from a combination
of factors:  (1) higher than market rates paid for certain services,
(2) inadequate checks for detecting fraud and abuse, (3) superficial
criteria for confirming the authenticity of providers billing the
program, and (4) weak enforcement efforts.  Various health care
management techniques help private payers alleviate these problems,
but these techniques are not generally used in Medicare.  The
program's pricing methods and controls over utilization, consistent
with health care financing and delivery 30 years ago, are not well
aligned with today's major financing and delivery changes.  GAO
believes a viable strategy for remedying the program's weaknesses
consists of adapting the health care management approach of private
payers to Medicare's public payer role.  Such a strategy would focus
on pre-enforcement efforts and would entail (1) more competitively
developed payment rates, (2) enhanced fraud and abuse detection
efforts through modernized information systems, and (3) more rigorous
criteria for granting authorization to bill the program. 

Health Insurance Regulation:  Variation in Recent State Small
Employer Health Insurance Reforms (Report, 6/12/95,
GAO/HEHS-95-161FS). 

Most state governments have recently passed legislation designed to
improve portability, access, and rating practices for the small
employer health insurance market.  GAO used a model act developed by
the National Association of Insurance Commissioners (NAIC) as a
benchmark for comparing 45 states' reforms passed between 1990 and
1994.  While most state laws address commonly perceived small
employer health insurance problems, approaches adopted by the states
vary, often substantially, with no states following the NAIC model in
all of the key provisions.  There is substantial variation among
states in both the way they define small employers and how they
define which employees are eligible for coverage.  Provisions
affecting guaranteed issue, guaranteed renewal, limitations on
preexisting conditions, portability, and premium rate restrictions
are included in most state reforms.  The provision least likely to be
adopted by states is guaranteed issue of insurance products. 


      OTHER HEALTH PRODUCTS
-------------------------------------------------------- Chapter 1:1.2

Vaccines for Children:  Reexamination of Program Goals and
Implementation Needed to Ensure Vaccination (Report, 6/22/95,
GAO/PEMD-95-22). 


   EDUCATION
---------------------------------------------------------- Chapter 1:2


      SELECTED SUMMARIES
-------------------------------------------------------- Chapter 1:2.1

Student Loan Defaults:  Department of Education Limitations in
Sanctioning Problem Schools (Report, 6/19/95, GAO/HEHS-95-99). 

As of September 30, 1994, 250 schools had administrative appeals
pending with the Department of Education challenging the accuracy of
their default rates.  In general, the default rate is the percentage
of a school's borrowers who enter repayment in one fiscal year and
default by the end of the next fiscal year.  In GAO's view, the 1993
amendments to the Higher Education Act will not eliminate challenges
to the Department's default rate determination, but should reduce the
likelihood of such challenges.  The amendments require that schools
be given an opportunity to verify the accuracy of loan data and
examine loan servicing records.  Regulations issued in November 1994
to implement these amendments should make adjudication of appeals
more straightforward and less time-consuming.  However, these recent
changes did not contain measures to fully protect the government's
interest in such disputes.  Current policies and practices leave open
the possibility that unscrupulous schools can saddle the government
with additional loan default costs by continuing their same pattern
of operation during the appeals process. 


      OTHER EDUCATION PRODUCTS
-------------------------------------------------------- Chapter 1:2.2

Teacher Training:  Status and Participants' Views of Delta Teachers
Academy (Report, 6/29/95, GAO/RCED-95-208). 

District of Columbia:  Weaknesses in Personnel Records and Public
Schools' Management Information and Controls (Testimony, 6/14/95,
GAO/T-AIMD-95-170). 

Federal Family Education Loan Information System:  Weak Computer
Controls Increase Risk of Unauthorized Access to Sensitive Data
(Report, 6/12/95, GAO/AIMD-95-117). 


   EMPLOYMENT
---------------------------------------------------------- Chapter 1:3


      SELECTED SUMMARIES
-------------------------------------------------------- Chapter 1:3.1

Job Corps:  High Costs and Mixed Results Raise Questions About
Program's Effectiveness (Report, 6/30/95, GAO/HEHS-95-180). 

GAO found that Job Corps is serving its intended population--severely
disadvantaged youth--and provides them with intensive services in a
residential setting, factors that account for the program's high
cost.  While Job Corps reported nationally that 59 percent of its
students obtained jobs (and another 11 percent enrolled in further
education programs), GAO found that about half of the jobs obtained
by students from the six sites visited were low-skill jobs--such as
fast food worker--not related to the training provided by Job Corps. 
GAO's survey of employers who hired Job Corps students showed that
employers were generally satisfied with the students' basic work
habits and the specific technical training the program provided. 
However, GAO has raised serious questions about the availability of
reported job placements and whether Job Corps' long-standing practice
of awarding sole source contracts to national contractors for about a
third of Job Corps' vocational training is cost- effective. 

Federal Reorganization:  Congressional Proposal to Merge Education,
Labor, and EEOC (Report, 6/7/95, GAO/HEHS-95-140).  Testimony on same
topic (6/29/95, GAO/T- HEHS-95-188). 

The proposed Department of Education and Employment would consolidate
many of the programs and functions within the existing Departments of
Education and Labor and the Equal Employment Opportunity Commission
(EEOC) as well as some programs currently administered by other
agencies.  The new Department's budget would be approximately $71
billion and support over 25,000 full-time equivalent positions and
about 1,200 field offices.  Administrative cost savings could total
about $1.65 billion.  GAO believes a phased-in approach to staff
reductions could allow for a more orderly transition and would
increase the likelihood of using other alternatives to reduce
staffing.  The proposal identifies specific categorical programs to
be consolidated.  On the basis of our past work, GAO has identified
additional categorical programs that may be candidates for
consolidation.  GAO believes an in-depth examination of the proposal
and its components is needed before considering such a merger. 


      OTHER EMPLOYMENT PRODUCTS
-------------------------------------------------------- Chapter 1:3.2

Federal Hiring:  Reconciling Managerial Flexibility with Veterans'
Preference (Report, 6/16/95, GAO/GGD-95-102). 

Federal Employees' Compensation Act:  Redefining Continuation of Pay
Could Result in Additional Refunds to the Government (Report, 6/8/95,
GAO/GGD-95-135). 


   SOCIAL SECURITY, DISABILITY,
   AND WELFARE
---------------------------------------------------------- Chapter 1:4


      SELECTED SUMMARIES
-------------------------------------------------------- Chapter 1:4.1

Welfare Benefits:  Potential to Recover Hundreds of Millions More in
Overpayments (Report, 6/20/95, GAO/HEHS-95-111). 

Increasing state recovery efforts and extending effective federal
recovery provisions to one or more programs could help recover
hundreds of millions of dollars more in benefit overpayments in the
AFDC, Food Stamp, and Medicaid programs.  GAO found that the states
with the highest percentages of overpayments recovered in fiscal year
1992 established more claims for overpayments than states with low
percentages.  To help recover overpayments, these states used certain
practices, and more of them, than did states with the lowest recovery
rates.  These practices included more timely efforts to verify
potential overpayments and establishing claims for overpayments on
more difficult cases, such as those involving clients who
subsequently moved out of state.  If all states had recovered
overpayments at the same rate as the high-performing states, GAO
estimates that an additional $262 million could potentially have been
recovered in 1992.  Extending effective federal recovery provisions
to one or more of the three welfare programs could potentially
increase states' recovery of overpayments.  Federal laws and
regulations that facilitate recovery in one program are not always in
place in the other two.  GAO estimates that extending such laws to
all programs could increase recovered overpayments by millions of
dollars annually. 

Child Welfare:  Opportunities to Further Enhance Family Preservation
and Support Activities (Report, 6/15/95, GAO/HEHS-95-112). 

This report (1) describes the condition of child welfare in America
that precipitated the Omnibus Budget Reconciliation Act of 1993 (OBRA
1993), (2) assesses federal and state efforts to implement its
provisions, and (3) highlights areas in which these efforts could be
enhanced.  Reliance on foster care decreased in the early years
following enactment of the Adoption Assistance and Child Welfare Act
of 1980.  However, by the mid-1980s, the incidence of poverty,
substance abuse, and child abuse and neglect began to rise.  Greater
demands were being made on an ill- equipped service-delivery system. 
States' efforts to stem this tide were often constrained by funding
limitations and fragmented service-delivery systems.  Each state's
implementation of the family preservation and support provisions of
the OBRA 1993 has appropriately focused on understanding the law and
federal guidelines, applying for funds, and initiating a
comprehensive process designed to culminate in a long-range plan. 
Opportunities exist to further enhance state efforts to develop a
viable plan and monitor results. 

Child Support Enforcement:  Opportunity to Reduce Federal and State
Costs (Testimony, 6/13/95, GAO/T-HEHS-95-181). 

GAO's work has shown that providing child support enforcement
services to non-AFDC clients is costly.  Since 1984, federal and
state government non-AFDC administrative costs have risen over 600
percent to over $1.1 billion in fiscal year 1994.  During this time,
non-AFDC caseloads have also risen sharply, and many non-AFDC clients
being served may not be within the low-income population to whom the
Congress envisioned providing services.  Federal law provides states
considerable discretion in establishing fee policies to help defray
non-AFDC child support administrative expenditures.  GAO believes a
minimum fee structure would help recover taxpayers' costs.  States
have exercised their discretion to charge these clients only minimal
application and optional service fees, such as for offsetting federal
and state tax refunds and, thus, are doing little to help recover the
federal government's 66- percent share of program costs.  While
non-AFDC service costs increased significantly from 1984 through
1994, recoveries of these costs only increased from 2 percent to
about 3 percent or from $3 million to $33 million. 


      OTHER SOCIAL SECURITY,
      DISABILITY, AND WELFARE
      PRODUCTS
-------------------------------------------------------- Chapter 1:4.2

Low-Income Families (Letter, 6/28/95, GAO/HEHS-95-162R). 

Federal Retirement System Financing (Testimony, 6/28/95,
GAO/T-GGD-95-197). 


HEALTH
(COMPREHENSIVE
1-YEAR LISTING)
============================================================ Chapter 2


   ACCESS AND INFRASTRUCTURE
---------------------------------------------------------- Chapter 2:1

Ryan White Care Act:  Access to Services by Minorities, Women, and
Substance Abusers (Report, 1/13/95, GAO/HEHS-95-49). 

Health Care:  Federal and State Antitrust Actions Concerning the
Health Care Industry (Report, 8/5/94, GAO/HEHS-94-220). 

Health Professions Education:  Role of Title VII/VIII Programs in
Improving Access to Care Is Unclear (Report, 7/8/94,
GAO/HEHS-94-164). 


   EMPLOYEE AND RETIREE HEALTH
   BENEFITS
---------------------------------------------------------- Chapter 2:2

Early Retiree Health:  Health Security Act Would Shift Billions in
Costs to Federal Government (Report, 7/21/94, GAO/HEHS-94-203FS). 


   FINANCING
---------------------------------------------------------- Chapter 2:3

Health Insurance Regulation:  Variation in Recent State Small
Employer Health Insurance Reforms (Report, 6/12/95,
GAO/HEHS-95-161FS). 

Ryan White Care Act of 1990:  Opportunities Are Available to Improve
Funding Equity (Testimony, 4/5/95, GAO/T-HEHS-95-126).  Testimony on
same topic (2/22/95, GAO/T-HEHS-95-91).  Correspondence on same topic
(2/14/95, GAO/HEHS-95-79R, and 3/31/95, GAO/HEHS-95-119R). 

German Health Reforms:  Changes Result in Lower Health Costs in 1993
(Report, 12/16/94, GAO/HEHS-95-27). 

Biotech R & D, Reform, and Market Change (Letter, 12/15/94,
GAO/HEHS-95-34R). 

Hospital Costs:  Cost Control Efforts at 17 Texas Hospitals (Report,
12/9/94, GAO/AIMD-95-21). 

Health Care:  Employers Urge Hospitals to Battle Costs Using
Performance Data Systems (Report, 10/3/94, GAO/HEHS-95-1). 

Insurance Ratings:  Comparison of Private Agency Ratings for
Life/Health Insurers (Report, 9/29/94, GAO/GGD-94-204BR). 

Hospital Compensation:  Nationally Representative Data on Chief
Executives' Compensation (Report, 8/16/94, GAO/HEHS-94-189). 

Health Insurance For The Elderly:  Owning Duplicate Policies Is
Costly and Unnecessary (Report, 8/3/94, GAO/HEHS-94-185). 

Indian Health Service:  Efforts to Recruit Health Care Professionals
(Report, 7/7/94, GAO/HEHS-94-180FS). 


   HEALTH CARE REFORM RELATED
   ISSUES
---------------------------------------------------------- Chapter 2:4

Cost of Health Care Task Force Related Activities (Testimony,
3/14/95, GAO/T- GGD-95-114). 

Health Care Reform:  "Report Cards" Are Useful but Significant Issues
Need to Be Addressed (Report, 9/29/94, GAO/HEHS-94-219). 

Health Care Reform:  Considerations for Risk Adjustment Under
Community Rating (Report, 9/22/94, GAO/HEHS-94-173). 

Small Business:  SBA's Health Care Reform Activities (Report, 9/6/94,
GAO/RCED- 94-240). 

Early Retiree Health:  Health Security Act Would Shift Billions in
Costs to Federal Government (Report, 7/21/94, GAO/HEHS-94-203FS). 

Health Security Act:  Analysis of Veterans' Health Care Provisions
(Report, 7/15/94, GAO/HEHS-94-205FS). 

Health Care Reform:  Potential Difficulties in Determining
Eligibility for Low- Income People (Report, 7/11/94,
GAO/HEHS-94-176). 


   HHS PUBLIC HEALTH SERVICE
   AGENCIES
---------------------------------------------------------- Chapter 2:5

Health and Human Services:  Opportunities to Realize Savings
(Testimony, 1/12/95, GAO/T-HEHS-95-57). 

Food and Drug Administration:  Carrageenan Food Additive From the
Philippines Conforms to Regulations (Report, 8/2/94,
GAO/HEHS-94-141). 

FDA User Fees:  Current Measures Not Sufficient for Evaluating Effect
on Public Health (Report, 7/22/94, GAO/PEMD-94-26). 


   LONG-TERM CARE AND AGING
---------------------------------------------------------- Chapter 2:6

Long-Term Care:  Current Issues and Future Directions (Report,
4/13/95, GAO/HEHS-95-109). 

Aging Issues:  Related GAO Reports and Activities in Fiscal Year 1994
(Report, 12/29/94, GAO/HEHS-95-44). 

Long-Term Care:  Diverse, Growing Population Includes Millions of
Americans of All Ages (Report, 11/7/94, GAO/HEHS-95-26). 

Long-Term Care Reform:  States' Views on Key Elements of
Well-Designed Programs for the Elderly (Report, 9/6/94,
GAO/HEHS-94-227). 

Long-Term Care:  Other Countries Tighten Budgets While Seeking Better
Access (Report, 8/30/94, GAO/HEHS-94-154). 

Medicaid Long-Term Care:  Successful State Efforts to Expand Home
Services While Limiting Costs (Report, 8/11/94, GAO/HEHS-94-167). 

Survey of Long-Term Care for the Elderly (Letter, 7/21/94,
GAO/HEHS-94-214R). 


   MANAGED CARE
---------------------------------------------------------- Chapter 2:7

Medicare Managed Care:  Program Growth Highlights Need to Fix HMO
Payment Problems (Testimony, 5/24/95, GAO/T-HEHS-95-174). 

Community Health Centers:  Challenges in Transitioning to Prepaid
Managed Care (Report, 5/4/95, GAO/HEHS-95-138).  Testimony on same
topic (5/4/95, GAO/T-HEHS-95- 143). 

Defense Health Care:  DOD's Managed Care Program Continues to Face
Challenges (Testimony, 3/28/95, GAO/T-HEHS-95-117). 


   MEDICARE AND MEDICAID
---------------------------------------------------------- Chapter 2:8

Medicare:  Rapid Spending Growth Calls for More Prudent Purchasing
(Testimony, 6/28/95, GAO/T-HEHS-95-193). 

Medicaid:  Statewide Section 1115 Demonstrations' Impact on
Eligibility, Service Delivery, and Program Cost (Testimony, 6/21/95,
GAO/T-HEHS-95-182). 

Medicare:  Modern Management Strategies Needed to Curb Program
Exploitation (Testimony, 6/15/95, GAO/T-HEHS-95-183). 

Medicare Managed Care:  Program Growth Highlights Need to Fix HMO
Payment Problems (Testimony, 5/24/95, GAO/T-HEHS-95-174). 

Medicare:  Reducing Fraud and Abuse Can Save Billions (Testimony,
5/16/95, GAO/T-HEHS-95-157). 

Medicare Claims:  Commercial Technology Could Save Billions Lost to
Billing Abuse (Report, 5/5/95, GAO/AIMD-95-135). 

Medicaid Managed Care:  More Competition and Oversight Would Improve
California's Expansion Plan (Report, 4/28/95, GAO/HEHS-95-87). 

Medicaid:  Spending Pressures Drive States Toward Program Reinvention
(Report, 4/4/95, GAO/HEHS-95-122).  Testimony on same topic
(GAO/T-HEHS-95-129). 

Medicaid:  Restructuring Approaches Leave Many Questions (Report,
4/4/95, GAO/HEHS-95-103). 

Medicare:  Tighter Rules Needed to Curtail Overcharges for Therapy in
Nursing Homes (Report, 3/30/95, GAO/HEHS-95-23). 

Medicaid:  Experience With State Waivers to Promote Cost Control and
Access to Care (Testimony, 3/23/95, GAO/T-HEHS-95-115). 

Medicare and Medicaid:  Opportunities to Save Program Dollars by
Reducing Fraud and Abuse (Testimony, 3/22/95, GAO/T-HEHS-95-110). 

Medicare Secondary Payer Program (Letter, 3/6/95, GAO/HEHS-95-101R). 

GAO's 1995 High Risk Reports:  Medicare Claims (Report, 2/95,
GAO/HR-95-8). 

Medicare Secondary Payer Program:  Actions Needed to Realize Savings
(Testimony, 2/23/95, GAO/T-HEHS-95-92). 

Uninsured and Children on Medicaid (Letter, 2/14/95,
GAO/HEHS-95-83R). 

Medicare:  Opportunities Are Available to Apply Managed Care
Strategies (Testimony, 2/10/95, GAO/T-HEHS-95-81). 

Medicare:  High Spending Growth Calls for Aggressive Action
(Testimony, 2/6/95, GAO/T-HEHS-95-75). 

Medicare Part B:  Regional Variation in Denial Rates for Medical
Necessity (Report, 12/19/94, GAO/PEMD-95-10).  Testimony on same
topic (12/19/94, GAO/T-PEMD- 95-11). 

Veterans' Health Care:  Use of VA Services by Medicare-Eligible
Veterans (Report, 10/24/94, GAO/HEHS-95-13). 

Medicare:  Referrals to Physician-Owned Imaging Facilities Warrant
HCFA's Scrutiny (Report, 10/20/94, GAO/HEHS-95-2). 

Medicare:  Changes to HMO Rate Setting Method Are Needed to Reduce
Program Costs (Report, 9/2/94, GAO/HEHS-94-119). 

Financial Management:  Oversight of Small Facilities for the Mentally
Retarded and Developmentally Disabled (Report, 8/12/94,
GAO/AIMD-94-152). 

Medicaid Long-Term Care:  Successful State Efforts to Expand Home
Services While Limiting Costs (Report, 8/11/94, GAO/HEHS-94-167). 

Medicaid:  Changes in Best Price for Outpatient Drugs Purchased by
HMOs and Hospitals (Report, 8/5/94, GAO/HEHS-94-194FS). 

Medicare:  HCFA's Contracting Authority for Processing Medicare
Claims (Report, 8/2/94, GAO/HEHS-94-171). 

Medicaid:  States Use Illusory Approaches to Shift Program Costs to
Federal Government (Report, 8/1/94, GAO/HEHS-94-133). 

Medicare:  Technology Assessment and Medical Coverage Decisions
(Report, 7/20/94, GAO/HEHS-94-195FS). 

Medicare Transportation Benefits (Letter, 7/8/94, GAO/HEHS-94-184R). 


   PRESCRIPTION DRUGS
---------------------------------------------------------- Chapter 2:9

Prescription Drug Prices:  Official Index Overstates Producer Price
Inflation (Report, 4/28/95, GAO/HEHS-95-90). 

Family Planning Clinics:  Strain of Norplant's High Up-Front Costs
Has Subsided (Report, 10/7/94, GAO/HEHS-95-7). 

Prescription Drug Prices in France (Letter, 8/12/94,
GAO/HEHS-94-200R). 

Prescription Drugs:  Automated Prospective Review Systems Offer
Significant Potential Benefits for Medicaid (Report, 8/5/94,
GAO/AIMD-94-130). 

Medicaid:  Changes in Best Price for Outpatient Drugs Purchased by
HMOs and Hospitals (Report, 8/5/94, GAO/HEHS-94-194FS). 

Immunosuppressant Drugs (Letter, 8/1/94, GAO/HEHS-94-207R). 

Prescription Drugs:  Prices and Regulation in Canada and Europe
(Testimony, 7/27/94, GAO/T-HEHS-94-213).  Reports on same topic
(5/17/94, GAO/HEHS-94-30; 1/12/94, GAO/HEHS-94-29; and 9/30/92,
GAO/HRD-92-110).  Testimony on same topic (2/22/93, GAO/T-HRD-93-5). 


   PROVIDER ISSUES
--------------------------------------------------------- Chapter 2:10

Indian Health Service:  Improvements Needed in Credentialing
Temporary Physicians (Report, 4/21/95, GAO/HEHS-95-46). 

Medical Education:  Curriculum and Financing Strategies Need to
Encourage Primary Care Training (Report, 10/21/94, GAO/HEHS-95-9). 

Health Professions Education:  Role of Title VII/VIII Programs in
Improving Access to Care Is Unclear (Report, 7/8/94,
GAO/HEHS-94-164). 


   PUBLIC HEALTH AND EDUCATION
--------------------------------------------------------- Chapter 2:11

Vaccines for Children:  Reexamination of Program Goals and
Implementation Needed to Ensure Vaccination (Report, 6/22/95,
GAO/PEMD-95-22). 

Vaccines for Children:  Barriers to Immunization (Testimony, 5/4/95,
GAO/T- PEMD-95-21). 

Community Health Centers:  Challenges in Transitioning to Prepaid
Managed Care (Report, 5/4/95, GAO/HEHS-95-138).  Testimony on same
topic (5/4/95, GAO/T-HEHS-95- 143). 

Tuberculosis:  Costly and Preventable Cases Continue in Five Cities
(Report, 3/16/95, GAO/HEHS-95-11). 

Health Care:  School-Based Health Centers Can Expand Access for
Children (Report, 12/22/94, GAO/HEHS-95-35). 

Vaccines for Children:  Major Implementation Hurdles Remain
(Testimony, 7/21/94, GAO/T-PEMD-94-29).  Report on same topic
(7/18/94, GAO/PEMD-94-28). 


   QUALITY AND PRACTICE STANDARDS
--------------------------------------------------------- Chapter 2:12

Maine Practice Guidelines (Letter, 4/4/95, GAO/HEHS-95-118R). 

Electromagnetic Interference with Medical Devices (Letter, 3/17/95,
GAO/RCED- 95-96R). 

Cholesterol Measurement:  Variability in Methods and Test Results
(Testimony, 2/13/95, GAO/T-PEMD-95-17).  Report on same topic
(12/30/94, GAO/PEMD-95-8). 

Breast Conservation versus Mastectomy:  Patient Survival in
Day-to-Day Practice and in Randomized Studies (Report, 11/15/94,
GAO/PEMD-95-9). 


   OTHER HEALTH ISSUES
--------------------------------------------------------- Chapter 2:13


      ENVIRONMENTAL IMPACT ON
      HEALTH
------------------------------------------------------- Chapter 2:13.1

Health and Safety:  Status of Federal Efforts to Disclose Cold War
Radiation Experiments Involving Humans (Testimony, 12/01/94,
GAO/T-RCED-95-40). 

Nuclear Health and Safety:  Further Improvement Needed in the Hanford
Tank Farm Maintenance Program (Report, 11/08/94, GAO/RCED-95-29). 

Health and Safety:  Protecting Workers and the Public Continues to
Challenge DOE (Testimony, 9/22/94, GAO/T-RCED-94-283). 

Nuclear Health and Safety:  Consensus on Acceptable Radiation Risk to
the Public Is Lacking (Report, 9/19/94, GAO/RCED-94-190). 


      MISCELLANEOUS
------------------------------------------------------- Chapter 2:13.2

Financial Audit:  U.S.  Senate Health Promotion Revolving Fund for
the Periods Ended 9/30/93 and 12/31/92 (Report, 5/3/95,
GAO/AIMD-95-105). 


EDUCATION
(COMPREHENSIVE
1-YEAR LISTING)
============================================================ Chapter 3


   DEPARTMENT OF EDUCATION
---------------------------------------------------------- Chapter 3:1

Federal Family Education Loan Information System:  Weak Computer
Controls Increase Risk of Unauthorized Access to Sensitive Data
(Report, 6/12/95, GAO/AIMD-95-117). 

Department of Education:  Information on Consolidation Opportunities
and Student Aid (Testimony, 4/6/95, GAO/T-HEHS-95-130). 

Department of Education:  Opportunities to Realize Savings
(Testimony, 1/18/95, GAO/T-HEHS-95-56). 

Buyouts at the Department of Education (Letter, 8/17/94,
GAO/GGD-94-197R). 


   EARLY CHILDHOOD DEVELOPMENT
---------------------------------------------------------- Chapter 3:2

Early Childhood Centers:  Services to Prepare Children for School
Often Limited (Report, 3/21/95, GAO/HEHS-95-21). 

Early Childhood Programs:  Promoting the Development of Young
Children in Denmark, France, and Italy (Report, 2/22/95,
GAO/HEHS-95-45BR). 

Early Childhood Programs:  Parent Education and Income Best Predict
Participation (Report, 12/28/94, GAO/HEHS-95-47). 

Early Childhood Programs:  Local Perspectives on Barriers to
Providing Head Start Services (Report, 12/21/94, GAO/HEHS-95-8). 

Early Childhood Programs:  Multiple Programs and Overlapping Target
Groups (Report, 10/31/94, GAO/HEHS-95-4FS). 


   ELEMENTARY AND SECONDARY
   EDUCATION
---------------------------------------------------------- Chapter 3:3

District of Columbia:  Weaknesses in Personnel Records and Public
Schools' Management Information and Controls (Testimony, 6/14/95,
GAO/T-AIMD-95-170). 

School Safety:  Promising Initiatives for Addressing School Violence
(Report, 4/25/95, GAO/HEHS-95-106). 

School Facilities:  America's Schools Not Designed or Equipped for
21st Century (Report, 4/4/95, GAO/HEHS-95-95).  Testimony on same
topic (4/4/95, GAO/T-HEHS-95- 127). 

School Facilities:  Condition of America's Schools (Report, 2/1/95,
GAO/HEHS- 95-61). 

Multiple Youth Programs (Letter, 1/19/95, GAO/HEHS-95-60R). 

Charter Schools:  New Model for Public Schools Provides Opportunities
and Challenges (Report, 1/18/95, GAO/HEHS-95-42).  Testimony on same
topic (1/19/95, GAO/T-HEHS-95-52). 

Health Care:  School-Based Health Centers Can Expand Access for
Children (Report, 12/22/94, GAO/HEHS-95-35). 

Education Finance:  Extent of Federal Funding in State Education
Agencies (Report, 10/14/94, GAO/HEHS-95-3). 

Precollege Math and Science Education:  Department of Energy's
Precollege Program Managed Ineffectively (Report, 9/13/94,
GAO/HEHS-94-208). 

Education Reform:  School-Based Management Results in Changes in
Instruction and Budgeting (Report, 8/23/94, GAO/HEHS-94-135). 

Hispanics' Schooling:  Risk Factors for Dropping Out and Barriers to
Resuming Their Education (Report, 7/24/94, GAO/PEMD-94-24). 


   HIGHER EDUCATION
---------------------------------------------------------- Chapter 3:4

Teacher Training:  Status and Participants' Views of Delta Teachers
Academy (Report, 6/29/95, GAO/RCED-95-208). 

Student Loan Defaults:  Department of Education Limitations in
Sanctioning Problem Schools (Report, 6/19/95, GAO/HEHS-95-99). 

Direct Student Loans:  Selected Characteristics of Participating
Schools (Testimony, 3/30/95, GAO/T-HEHS-95-123). 

Higher Education:  Restructuring Student Aid Could Reduce Low-Income
Student Dropout Rate (Report, 3/23/95, GAO/HEHS-95-48). 

GAO's 1995 High Risk Reports:  Student Financial Aid (Report, 2/95,
GAO/HR-95- 10). 

Guaranteed Student Loans:  Actions to Ensure Continued Student Access
to Subsidized Loans (Report, 2/24/95, GAO/HEHS-95-64). 

Multiple Teacher Training Programs:  Information on Budgets,
Services, and Target Groups (Report, 2/22/95, GAO/HEHS-95-71FS). 

Adult Education Act (Letter, 2/16/95, GAO/HEHS-95-65R). 

GAO Education Reports (Letter, 2/3/95, GAO/HEHS-72R). 

NCAA Student Athlete Pell Grants (Letter, 1/10/95, GAO/OSI-95-13R). 

Women's Educational Equity Act:  A Review of Program Goals and
Strategies Needed (Report, 12/27/94, GAO/PEMD-95-6). 

College Savings Issues (Letter, 11/4/94, GAO/HEHS-95-16R). 

Motor Carrier Academy (Letter, 11/2/94, GAO/RCED-95-43R). 

Pell Grant Costs (Letter, 9/28/94, GAO/HEHS-94-215R). 

Pell Grants for Prison Inmates (Letter, 8/5/94, GAO/HEHS-94-224R). 


   SCHOOL-TO-WORK TRANSITION
---------------------------------------------------------- Chapter 3:5

Youth Training (Letter, 9/6/94, GAO/PEMD-94-32R). 


EMPLOYMENT
(COMPREHENSIVE
1-YEAR LISTING)
============================================================ Chapter 4


   EQUAL EMPLOYMENT OPPORTUNITIES
---------------------------------------------------------- Chapter 4:1

Federal Affirmative Employment:  Progress of Women and Minority
Criminal Investigators at Selected Agencies (Report, 4/25/95,
GAO/GGD-95-85). 

Equal Employment Opportunity:  Group Representation in Key Jobs at
the National Institutes of Health (Report, 3/16/95, GAO/GGD-95-83). 

Equal Opportunity:  DOD Studies on Discrimination in the Military
(Report, 3/95, GAO/NSIAD-95-103). 

Discrimination Complaints:  Monetary Awards in Federal EEO Cases
(Report, 1/3/95, GAO/GGD-95-28FS). 

Managing DOE:  Further Review Needed of Suspensions of Security
Clearances for Minority Employees (Report, 12/8/94, GAO/RCED-95-15). 

Equal Employment Opportunity:  Immigration and Naturalization
Service's Equal Employment Opportunity Program (Testimony, 11/17/94,
GAO/T-GGD-95-41). 

Equal Employment Opportunity:  Displacement Rates, Unemployment
Spells, and Reemployment Wages by Race (Report, 9/16/94,
GAO/HEHS-94-229FS). 

Federal Affirmative Employment:  Better Guidance Needed for Small
Agencies (Report, 7/21/94, GAO/GGD-94-71). 


   LABOR AND MANAGEMENT RELATIONS
---------------------------------------------------------- Chapter 4:2

U.S.  Postal Service:  The State of Labor-Management Relations
(Testimony, 11/30/94, GAO/T-GGD-95-46). 

U.S.  Postal Service:  Labor-Management Problems Persist on the
Workroom Floor (Volume I) (Report, 9/29/94, GAO/GGD-94-201A). 


   TRAINING AND EMPLOYMENT
   ASSISTANCE
---------------------------------------------------------- Chapter 4:3

Job Corps:  High Costs and Mixed Results Raise Questions About
Program's Effectiveness (Report, 6/30/95, GAO/HEHS-95-180). 

Department of Labor:  Rethinking the Federal Role in Worker
Protection and Workforce Development (Testimony, 4/4/95,
GAO/T-HEHS-95-125). 

Multiple Employment Training Programs:  Information Crosswalk on 163
Employment Training Programs (Report, 2/14/95, GAO/HEHS-95-85FS). 

Multiple Employment Training Programs:  Major Overhaul Needed to
Create a More Efficient, Customer-Driven System (Testimony, 2/6/95). 

Multiple Employment Training Programs:  Major Overhaul Needed to
Reduce Costs, Streamline the Bureaucracy, and Improve Results
(Testimony, 1/10/95, GAO/T-HEHS- 95-53). 

Dislocated Workers:  An Early Look at the NAFTA Transitional
Adjustment Assistance Program (Report, 11/28/94, GAO/HEHS-95-31). 

Multiple Employment Training Programs:  Basic Program Data Often
Missing (Testimony, 9/8/94, GAO/T-HEHS-94-239). 

Multiple Employment Training Programs:  How Legislative Proposals
Address Concerns (Testimony, 8/4/94, GAO/T-HEHS-94-221). 

Multiple Employment Training Programs:  Overlap Among Programs Raises
Questions About Efficiency (Report, 7/11/94, GAO/HEHS-94-193). 


   WORKPLACE QUALITY
---------------------------------------------------------- Chapter 4:4

Department of Labor:  Rethinking the Federal Role in Worker
Protection and Workforce Development (Testimony, 4/4/95,
GAO/T-HEHS-95-125). 

Garment Industry:  Efforts to Address the Prevalence and Conditions
of Sweatshops (Report, 11/2/94, GAO/HEHS-95-29). 


   OTHER EMPLOYMENT ISSUES
---------------------------------------------------------- Chapter 4:5

Federal Reorganization:  Congressional Proposal to Merge Education,
Labor, and EEOC (Report, 6/7/95, GAO/HEHS-95-140).  Testimony on same
topic (6/29/95, GAO/T- HEHS-95-188). 

Personnel Practices:  Selected Characteristics of Recent Ramspeck Act
Appointments (Testimony, 5/24/95, GAO/T-GGD-95-173). 

Title 6 T&A Data (NASA) (Letter, 5/23/95, GAO/AIMD-95-140R). 

Title 6 T&A Data (NRC) (Letter, 5/23/95, GAO/AIMD-95-139R). 

NPR Recommendations on T&A Data (Letter, 9/28/94, GAO/AIMD-94-193R). 

Administratively Uncontrollable Overtime (Letter, 4/14/95,
GAO/GGD-95-129R). 

Federal Quality Management:  Strategies for Involving Employees
(Report, 4/18/95, GAO/GGD-95-79). 

Federal Downsizing:  The Administration's Management of Workforce
Reductions (Testimony, 3/2/95, GAO/T-GGD-95-108). 

Labor's Regional Structure and Trust Funds (Letter, 2/10/95,
GAO/HEHS-95-82R). 

Block Grants:  Characteristics, Experience, and Lessons Learned
(Report, 2/9/95, GAO/HEHS-95-74).  Testimony on same topic (2/9/95,
GAO/T-HEHS-95-80). 

GAO Labor Products (1990-1995) (Letter, 2/3/95, GAO/HEHS-95-73R). 

Department of Labor:  Opportunities to Realize Savings (Testimony,
1/18/95, GAO/T-HEHS-95-55). 

Federal Personnel:  Federal/Private Sector Pay Comparisons (Report,
12/14/94, GAO/OCE-95-1). 

Federal Employment:  GAO's Observations on H.R.  4719, the Federal
Service Priority Placement Act of 1994 (Testimony, 9/21/94,
GAO/T-GGD-94-213). 

Federal Employment:  How Government Jobs Are Viewed on Some College
Campuses (Report, 9/9/94, GAO/GGD-94-181). 

The Public Service:  Issues Confronting the Federal Civilian
Workforce (Report, 8/25/94, GAO/GGD-94-157). 


SOCIAL SECURITY, DISABILITY, AND
WELFARE
(COMPREHENSIVE
1-YEAR LISTING)
============================================================ Chapter 5


   CHILDREN'S ISSUES
---------------------------------------------------------- Chapter 5:1


      CHILD SUPPORT
-------------------------------------------------------- Chapter 5:1.1

Child Support Enforcement:  Families Could Benefit From Stronger
Enforcement Program (Report, 12/27/94, GAO/HEHS-95-24). 

Child Support Enforcement:  Federal Efforts Have Not Kept Pace With
Expanding Program (Testimony, 7/20/94, GAO/T-HEHS-94-209). 


      OTHER CHILDREN'S ISSUES
-------------------------------------------------------- Chapter 5:1.2

Child Welfare:  Opportunities to Further Enhance Family Preservation
and Support Activities (Report, 6/15/95, GAO/HEHS-95-112). 

Child Support Enforcement:  Opportunity to Reduce Federal and State
Costs (Testimony, 6/13/95, GAO/T-HEHS-95-181). 

Foster Care:  Health Needs of Many Young Children Are Unknown and
Unmet (Report, 5/26/95, GAO/HEHS-95-114). 

Child Care:  Recipients Face Service Gaps and Supply Shortages
(Testimony, 3/1/95, GAO/T-HEHS-95-96). 

Child Care:  Narrow Subsidy Programs Create Problems for Mothers
Trying to Work (Testimony, 1/31/95, GAO/T-HEHS-95-69). 

Low-Income Families:  Comparison of Incomes of AFDC and Working Poor
Families (Testimony, 1/25/95, GAO/T-HEHS-95-63). 

Child Care:  Child Care Subsidies Increase Likelihood That Low-Income
Mothers Will Work (Report, 12/30/94, GAO/HEHS-95-20). 

Child Care:  Promoting Quality in Family Child Care (Report, 12/7/94,
GAO/HEHS- 95-36).  Testimony on same topic (12/9/94,
GAO/T-HEHS-95-43). 

Child Care:  Current System Could Undermine Goals of Welfare Reform
(Testimony, 9/20/94, GAO/T-HEHS-94-238). 

Dependent Exemption (Letter, 8/31/94, GAO/GGD-94-200R). 


   PENSIONS
---------------------------------------------------------- Chapter 5:2


      PENSION BENEFIT GUARANTY
      CORPORATION
-------------------------------------------------------- Chapter 5:2.1

Management Letter:  Pension Benefit Guaranty Corporation's Accounting
Procedures (Report, 8/29/94, AIMD-94-168ML). 


      PUBLIC AND PRIVATE PENSION
      ISSUES
-------------------------------------------------------- Chapter 5:2.2

Federal Retirement System Financing (Testimony, 6/28/95,
GAO/T-GGD-95-197). 

Overview of Federal Retirement Programs (Testimony, 5/22/95,
GAO/T-GGD-95- 172). 

Federal Retirement:  Benefits for Members of Congress, Congressional
Staff, and Other Employees (Report, 5/15/95, GAO/GGD-95-78). 
Testimony on same topic (5/15/95, GAO/T-GGD-95-165). 

Federal Retirement Issues (Testimony, 3/10/95, GAO/T-GGD-95-111). 

District Pensions:  Federal Options for Sharing Burden to Finance
Unfunded Liability (Report, 12/28/94, GAO/HEHS-95-40). 

Private Pensions:  Funding Rule Change Needed to Reduce PBGC's
Multibillion Dollar Exposure (Report, 10/5/94, GAO/HEHS-95-5). 

DOE Management:  Contract Provisions Do Not Protect DOE From
Unnecessary Pension Costs (Report, 8/26/94, GAO/RCED-94-201). 

Pension Plans:  Stronger Labor ERISA Enforcement Should Better
Protect Plan Participants (Report, 8/8/94, GAO/HEHS-94-157). 

Early Retiree Health:  Health Security Act Would Shift Billions in
Costs to Federal Government (Report, 7/21/94, GAO/HEHS-94-203FS). 


   SOCIAL SECURITY AND DISABILITY
---------------------------------------------------------- Chapter 5:3


      DISABILITY
-------------------------------------------------------- Chapter 5:3.1

Disability Insurance:  Broader Management Focus Needed to Better
Control Caseload (Testimony, 5/23/95, GAO/T-HEHS-95-164). 

D.C.  Disability Retirement Rate (Report, 3/31/95, GAO/GGD-95-133). 

Supplemental Security Income:  Recipient Population Has Changed as
Caseloads Have Burgeoned (Testimony, 3/27/95, GAO/T-HEHS-95-120). 

Social Security:  New Functional Assessments for Children Raise
Eligibility Questions (Report, 3/10/95, GAO/HEHS-95-66). 

Social Security:  Federal Disability Programs Face Major Issues
(Testimony, 3/2/95, GAO/T-HEHS-95-97). 

Supplemental Security Income:  Recent Growth in the Rolls Raises
Fundamental Program Concerns (Testimony, 1/27/95, GAO/T-HEHS-95-67). 

Social Security:  Rapid Rise in Children on SSI Disability Rolls
Follows New Regulations (Report, 9/9/94, GAO/HEHS-94-225). 

CDR Process Could Be Enhanced (Letter, 7/29/94, GAO/HEHS-94-212R). 


      SOCIAL SECURITY
      ADMINISTRATION
-------------------------------------------------------- Chapter 5:3.2

Social Security Administration:  Leadership Challenges Accompany
Transition to an Independent Agency (Report, 2/15/95,
GAO/HEHS-95-59). 

SSA Services to Employers (Letter, 12/6/94, GAO/HEHS-95-38R). 

Accuracy of Form SSA 1099 (Letter, 9/26/94, GAO/HEHS-94-234R). 

Social Security Administration:  Risks Associated With Information
Technology Investment Continue (Report, 9/19/94, GAO/AIMD-94-143). 

Social Security:  Trust Funds Can Be More Accurately Funded (Report,
9/2/94, GAO/HEHS-94-48). 

Social Security:  Most Social Security Death Information Accurate But
Improvements Possible (Report, 8/29/94, GAO/HEHS-94-211). 


      OTHER SOCIAL SECURITY
      PROGRAMS
-------------------------------------------------------- Chapter 5:3.3

Social Security:  GAO's Analysis of the Notch Issue (Testimony,
9/16/94, GAO/T- HEHS-94-236). 

Social Security Retirement Accounts (Letter, 8/12/94,
GAO/HEHS-94-226R). 


   WELFARE
---------------------------------------------------------- Chapter 5:4

Low-Income Families (Letter, 6/28/95, GAO/HEHS-95-162R). 

Welfare Benefits:  Potential to Recover Hundreds of Millions More in
Overpayments (Report, 6/20/95, GAO/HEHS-95-111). 

Welfare Programs:  Opportunities to Consolidate and Increase Program
Efficiencies (Report, 5/31/95, GAO/HEHS-95-139). 

Welfare to Work:  Most AFDC Training Programs Not Emphasizing Job
Placement (Report, 5/19/95, GAO/HEHS-95-113). 

Welfare to Work:  Measuring Outcomes for JOBS Participants (Report,
4/17/95, GAO/HEHS-95-86). 

Means-Tested Programs (Letter, 2/24/95, GAO/HEHS-95-94R). 

Welfare Reform:  Implications of Proposals on Legal Immigrants'
Benefits (Report, 2/2/95, GAO/HEHS-95-58). 

Welfare to Work:  AFDC Training Program Spends Billions, but Not Well
Focused on Employment (Testimony, 1/10/95, GAO/T-HEHS-95-51).  Report
on same topic (12/19/94, GAO/HEHS-95-28). 

Child Care:  Current System Could Undermine Goals of Welfare Reform
(Testimony, 9/20/94, GAO/T-HEHS-94-238). 

JOBS and JTPA:  Tracking Spending Outcomes and Program Performance
(Report, 7/15/94, GAO/HEHS-94-177). 

Efforts to Assist the Homeless in Baltimore (Letter, 7/11/94,
GAO/RCED-94- 239R). 

Efforts to Assist the Homeless in St.  Louis (Letter, 7/11/94,
GAO/RCED-94- 97R). 

Efforts to Assist the Homeless in San Antonio (Letter, 7/11/94,
GAO/RCED-94- 238R). 

Efforts to Assist the Homeless in Seattle (Letter, 7/11/94,
GAO/RCED-94-237R). 


   OTHER PRODUCTS RELATED TO
   SOCIAL SECURITY, DISABILITY,
   AND WELFARE
---------------------------------------------------------- Chapter 5:5

Health and Human Services:  Opportunities to Realize Savings
(Testimony, 1/12/95, GAO/T-HEHS-95-57). 

Illegal Aliens:  Assessing Estimates of Financial Burden on
California (Report, 11/28/94, GAO/HEHS-95-22). 

Financial Audit:  House Child Care Center--Fiscal Years Ended
9-30-93, 9-30-92, and Month Ended 9-30-91 (Report, 10/14/94,
GAO/AIMD-95-2). 


VETERANS AFFAIRS AND MILITARY
HEALTH (COMPREHENSIVE
1-YEAR LISTING)
============================================================ Chapter 6


   MILITARY HEALTH CARE
---------------------------------------------------------- Chapter 6:1

Operation Desert Storm:  Health Concerns of Selected Indiana Persian
Gulf War Veterans (Report, 5/16/95, GAO/HEHS-95-102). 

Wartime Medical Care:  Aligning Sound Requirements with New Combat
Care Approaches Is Key to Restructuring Force (Testimony, 3/30/95,
GAO/T-NSIAD-95-129). 

Defense Health Care:  DOD's Managed Care Program Continues to Face
Challenges (Testimony, 3/28/95, GAO/T-HEHS-95-117). 

Defense Health Care:  Issues and Challenges Confronting Military
Medicine (Report, 3/22/95, GAO/HEHS-95-104). 

VA/DOD Health Care:  More Guidance Needed to Implement CHAMPUS-Funded
Sharing Agreements (Report, 10/28/94, GAO/HEHS-95-15). 

Operation Desert Storm:  Questions Remain on Possible Exposure to
Reproductive Toxicants (Report, 8/5/94, GAO/PEMD-94-30).  Testimony
on same topic (8/5/94, GAO/T-PEMD-94-31). 


   VETERANS' BENEFITS
---------------------------------------------------------- Chapter 6:2

Veterans' Benefits:  VA Can Prevent Millions in Compensation and
Pension Overpayments (Report, 4/28/95, GAO/HEHS-95-88). 

Concurrent Receipt (Letter, 4/27/95, GAO/HEHS-95-136R). 

Veterans Compensation:  Offset of DOD Separation Pay and VA
Disability Compensation (Report, 4/3/95, GAO/NSIAD-95-123). 

Veterans' Benefits:  Basing Survivors' Compensation on Veterans'
Disability Is a Viable Option (Report, 3/6/95, GAO/HEHS-95-30). 

Veterans' Benefits:  Better Assessments Needed to Guide Claims
Processing Improvements (Report, 1/13/95, GAO/HEHS-95-25). 

Fiscal Year 1995 VA Certification (Letter, 11/10/94,
GAO/HEHS-95-32R). 

Veterans' Benefits:  Lack of Timeliness, Poor Communication Cause
Customer Dissatisfaction (Report, 9/20/94, GAO/HEHS-94-179). 


   VETERANS' HEALTH CARE
---------------------------------------------------------- Chapter 6:3

Operation Desert Storm:  Health Concerns of Selected Indiana Persian
Gulf War Veterans (Report, 5/16/95, GAO/HEHS-95-102). 

VA Health Care:  Challenges and Options for the Future (Testimony,
5/9/95, GAO/T-HEHS-95-147). 

VA Health Care:  Retargeting Needed to Better Meet Veterans' Changing
Needs (Report, 4/21/95, GAO/HEHS-95-39). 

Barriers to VA Managed Care (Letter, 4/20/95, GAO/HEHS-95-84R). 

VA Health Care:  Albuquerque Medical Center Not Recovering Full Costs
of Lithotripsy Services (Report, 12/28/94, GAO/HEHS-95-19). 

Veterans' Health Care:  Veterans' Perceptions of VA Services and VA's
Role in Health Care Reform (Report, 12/23/94, GAO/HEHS-95-14). 

VA Health Care:  Inadequate Planning in the Chesapeake Network
(Report, 12/22/94, GAO/HEHS-95-6). 

VA Health Care:  Purchases of Safer Devices Should Be Based on Risk
of Injury (Report, 11/17/94, GAO/HEHS-95-12). 

Fiscal Year 1995 VA Certification (Letter, 11/10/94,
GAO/HEHS-95-32R). 

VA/DOD Health Care:  More Guidance Needed to Implement CHAMPUS-Funded
Sharing Agreements (Report, 10/28/94, GAO/HEHS-95-15). 

Veterans' Health Care:  Use of VA Services by Medicare-Eligible
Veterans (Report, 10/24/94, GAO/HEHS-95-13). 

Veterans Health Care:  Implications of Other Countries' Reforms for
the United States (Report, 9/27/94, GAO/HEHS-94-210BR). 

Veterans' Health Care:  A Profile of Married Veterans Using VA
Medical Centers (Report, 8/26/94, GAO/HEHS-94-223FS). 

Health Security Act:  Analysis of Veterans' Health Care Provisions
(Report, 7/15/94, GAO/HEHS-94-205FS). 

Universal Health Care:  Effects on Military Systems in Other
Countries and the United States (Report, 7/11/94, GAO/HEHS-94-182BR). 



MAJOR CONTRIBUTORS
============================================================ Chapter 7

Jessie L.  Battle
David W.  Bieritz
Susan Y.  Higgins
James L.  Kirkman
Stephen F.  Palincsar



ORDER FORM
============================================================ Chapter 8



MAILING LIST REQUEST FORM
============================================================ Chapter 9


         ADDRESS INFORMATION
------------------------------------------------------ Chapter 9:0.0.1

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------------------------------------------------------ Chapter 9:0.0.2

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HEALTH EMPLOYMENT
Access and Infrastructure Equal Employment Opportunities
Employee and Retiree Benefits High Performance Workplaces
Financing Labor and Management Relations
Health Care Reform Training and Employment
HHS Public Health Service Assistance
Long-Term Care and Aging Workplace Quality
Malpractice Other Employment Issues
Managed Care
Medicare and Medicaid SOCIAL SECURITY, DISABILITY,
Prescription Drugs & WELFARE
Provider Issues Children's Issues
Public Health and Education Pensions
Quality and Practice Standards Social Security & Disability
Substance Abuse and Treatment Welfare
Other Health Issues Other Social Security, Disability,
& Welfare Issues
EDUCATION
Department of Education
Early Childhood Development VETERANS AFFAIRS & MILITARY
Armed Forces HEALTH
Elementary and Secondary Military Health
Higher Education Veterans' Benefits
School-to-Work Transition Veterans' Health Care


         MAIL OR FAX TO: 
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Janet Shikles, Assistant Comptroller General
Health, Education, and Human Services Division, NGB/ACG
U.S.  General Accounting Office
441 G Street, N.W., Washington, D.C., 20548


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Fax Number (202) 512-5806.