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

 REPORTNUM:  HEHS-95-77W
     TITLE:  Health, Education, Employment, Social Security, Welfare, 
             and Veterans Reports
      DATE:  02/95
   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

February 1995

HEALTH
EDUCATION
EMPLOYMENT
SOCIAL SECURITY
WELFARE
VETERANS

GAO/HEHS-95-77W



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

  AFDC - Aid to Families with Dependent Children
  AIDS - acquired immunodeficiency syndrome
  CDC - Centers for Disease Control and Prevention
  CDR - continuing disability review
  CHAMPUS - Civilian Health and Medical Program of the Uniformed
     Services
  CRS - Congressional Research Service, Library of Congress
  DEA - Drug Enforcement Agency
  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
  ESEA - Elementary and Secondary Education Act
  FDA - Food and Drug Administration
  GAO - General Accounting Office
  HCFA - Health Care Financing Administration
  HEAF - Higher Education Assistance Foundation, Department of
     Education
  HealthPASS - Philadelphia Accessible Services System
  HEHS - Health, Education, and Human Services Division, GAO
  HHS - Department of Health and Human Services
  HIV - human immunodeficiency virus
  HMO - health maintenance organization
  HRD - Human Resources Division, GAO
  INS - Immigration and Naturalization Service
  IRS - Internal Revenue Service
  JOBS - Job Opportunities and Basic Skills program
  JTPA - Job Training Partnership Act
  NAFTA - North American Free Trade Agreement
  NAGB - National Assessment Governing Board, Department of Education
  OBRA - Omnibus Budget Reconciliation Act of 1990
  OCSE - Office of Child Support Enforcement
  PBGC - Pension Benefit Guarantee Corporation
  PATH - Projects for Assistance in Transition from Homelessness
  SBA - Small Business Administration
  SBHC - school-based health center
  SSA - Social Security Administration
  SSI - Supplemental Security Income
  UMWA - United Mine Workers of America Combined Benefit Fund
  UNM - University of New Mexico
  VA - Department of Veterans Affairs
  VHA - Veterans Affairs Veterans Health Administration
  WARN - Worker Adjustment and Retraining Notification Act
  WIC - Special Supplemental Food Program for Women, Infants, and
     Children

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 2 months and provides summaries
for selected key products.

Comprehensive 2-Year Listings:  This section lists all products
published in the last 2 years, 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
(DECEMBER 1994 - JANUARY 1995)
============================================================ Chapter 1


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


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

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

GAO found that minorities, women, and injection drug users generally
use services at a rate that reflects their representation in the
HIV-infected population in five locations visited:  Baltimore,
Denver, Los Angeles, Sacramento, and Maryland suburbs of Washington,
D.C.  Medical and support services providers and advocates of HIV-
infected people told us, however, that barriers may limit access to
services by certain groups.  These barriers may include substance
abuse, homelessness, lack of knowledge about and lack of motivation
to seek services, lack of trust of the medical community, denial of
the disease by some HIV-infected people, and a reluctance to obtain
care from a provider of a certain racial or ethnic group or who
primarily serves a different racial or ethnic group. 

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

With estimated outlays of over $315 billion, the Department of Health
and Human Services (HHS) is the largest department in the federal
government.  HHS manages hundreds of programs that are important to
the American public.  With this responsibility, however, has come
significant inefficiencies and questionable program results.  GAO's
work clearly points to opportunities to streamline, consolidate, or
reconsider various HHS programs and the need to target cuts so that
essential administrative activities remain. 

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

Communities are using school-based health centers (SBHC) to fill a
niche in the nation's health care delivery system.  SBHCs afford
children easier access to needed health services by bringing
providers to the children, furnishing free or low-cost services, and
supplying the atmosphere of trust and confidentiality adolescents
need.  A lack of stable financing is a major concern for SBHCs, with
some centers reporting insufficient funds to meet all children's
service needs.  In addition, SBHCs nationwide face other problems. 
Centers have difficulty recruiting and retaining appropriately
trained nurse practitioners and physician assistants, who are their
key primary care providers.  Community debates over the
appropriateness of providing reproductive health services in SBHCs
have limited centers' ability to meet some adolescents' health needs. 
Communities lack access to information on establishing new centers
and solving problems at existing ones. 

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

During 1993, the strict budgets imposed on most sectors of the German
Statutory Health Insurance System were generally successful in
controlling the growth of health care costs.  Outlays per member fell
by more than 1 percent from 1992 levels, although the budgets
permitted small increases.  The rates of growth fell significantly
from 1992 levels in all major sectors of the system.  The most
spectacular declines were registered in the categories of dentures,
in which spending per member fell by almost 27 percent, and
pharmaceuticals, where spending per member fell by nearly 20 percent. 


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

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

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). 

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

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

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



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


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

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). 

As of January 1995, 134 charter schools had been approved in 9 of the
11 states with charter school laws.  Charter schools' instructional
programs reflect diversity and innovation.  They include innovative
approaches, such as instructing children of multiple ages in the same
classroom--known as multiage grouping--or teaching subjects in the
context of a common theme, such as citizenship--known as thematic
instruction.  Some charter schools emphasize specific subject areas,
such as the arts or sciences; others target their instructional
programs to specific student populations, such as those at risk of
school failure or home-schooled students.  They vary considerably in
their autonomy.  They also vary in how they plan to measure student
performance and how specifically to state those plans.  Charter
schools pose new challenges for federal program administration. 

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

The Department of Education administers about 240 programs with a
fiscal year 1995 budget totaling $33.7 billion--$25.1 billion in
discretionary funds and $8.6 billion in mandatory funds.  This
represents an increase of $6.7 billion over the previous year's
appropriations.  Twenty-one of the 23 programs proposed for
termination by Education that were not eliminated by the Congress
should be reconsidered for elimination.  Possible funding reduction
opportunities may exist in higher education programs.  Additional
budgetary savings are possible in Education's employment training
programs.  These programs frequently target the same clients, share
the same goals, and provide similar services, but maintain separate
administrative bureaucracies at headquarters and regional offices. 
To the extent that reductions in Education formula grant
programs--such as the Title I compensatory education program--are
necessary, the Congress could consider ways to allocate reduced
funding levels with the least negative impact on areas with the
greatest need. 


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

With Head Start funds reaching less than half the eligible 3- and
4-year-olds, GAO found that children living in low-income families
are less likely to attend preschool than their middle-income
counterparts.  In addition, the education level of children's parents
has a large influence on children's participation.  After controlling
for other characteristics, children whose most educated parent has
not completed high school are less likely to go to preschool compared
with those whose most educated parent has graduated from high school. 
Children in some risk groups appear about as likely to participate in
preschool as those not at risk, after controlling for other
characteristics.  Black and Native American children are more likely
than white children to attend preschool, after controlling for
individual, family, and geographic characteristics.  GAO found that
demographics of the states account for less than half of the
variability in preschool participation. 

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

Head Start program directors identified three barriers as
significantly affecting their ability to provide services to children
and families.  Over 90 percent of the directors responding to our
survey reported experiencing at least one of the following barriers: 
(1) insufficient qualified staff to meet the complex needs of the
children and families, (2) a limited availability of health
professionals in the community willing to help Head Start staff in
providing services, and (3) difficulties getting suitable facilities
at reasonable costs.  Program directors reported trying a variety of
techniques, sometimes involving Quality Improvement Funds, to help
overcome or eliminate some of these barriers. 


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

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

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



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


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

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

The U.S.  Department of Labor has a fiscal year 1995 budget of about
$34.3 billion.  Although about two-thirds of Labor's budget is
composed of mandatory spending on income maintenance programs,
several employment training programs might be candidates for budget
review.  These programs have either received increases in fiscal year
1995 funding, had some concerns raised about their effectiveness, or
demonstrated difficulty in spending prior-year allocations.  They
represent sizable investments in socially laudable objectives, and
the total funding for these programs is only a fraction of the
resources necessary to serve the entire eligible population. 
Nevertheless, they may warrant review during these difficult
budgetary times.  In addition, other reductions may be considered
through congressional deliberation on proposals to consolidate
federal job training programs, repealing the Davis-Bacon and Service
Contract Acts, not renewing the Total Jobs Tax Credit program, and
implementing administrative changes for enforcing the Employee
Retirement and Income Security Act (ERISA). 

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). 

For more than 50 years, the federal government has invested
considerable effort and resources to help people find productive
employment.  The result today is 163 programs scattered across 15
federal agencies providing employment training assistance. 
Collectively, the current system for providing employment training
assistance suffers from a variety of problems that arise from the
multitude of narrowly focused programs that often compete for clients
and funds.  While these programs frequently target the same clients,
share the same goals, and provide similar services, each agency
maintains its own separate administrative structure, devoting staff
and other resources to administer, monitor, and review program
implementation.  The current patchwork of programs also confuses
those seeking assistance and frustrates employers and administrators. 
Despite spending billions of dollars each year, most federal agencies
do not know if their programs are really helping people find jobs. 


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

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

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

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


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


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

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

GAO found that the categorical nature of child care subsidy programs
creates service gaps that diminish the likelihood that low-income
mothers will work.  The fragmented nature of the child care funding
streams, with entitlements to some client categories, time limits on
others, and activity limits on still others, produces unintended gaps
in services, which limit the ability of low-income families to
achieve self-sufficiency.  In considering consolidation of these
programs as a remedy for the service gaps that trouble mothers, child
care providers, and program administrators alike, some important
issues need deliberation.  For example, trade- offs need to be
weighed between state flexibility to determine whom to serve with
subsidies and congressional interest in accountability for how
federal money is spent and for positive program outcomes.  Another
issue involves how to dovetail the need for child care subsidies with
the requirement for welfare clients to participate in job preparation
and work, if child care loses its guaranteed status in a block grant. 

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

Last year, the Social Security Administration (SSA) paid nearly $22
billion in federal benefit payments to about 6.3 million aged, blind,
and disabled SSI recipients.  Since 1986, benefit payments have
increased by $13.5 billion, more than doubling.  Three
groups--children, legal immigrants, and adults with mental
impairments--accounted for nearly 90 percent of the caseload growth. 
Before the mid-1980s, the number of all SSI recipients was relatively
flat, and decreasing for the aged.  Since 1986, the number of
disabled SSI recipients under age 65 has increased an average of over
8 percent annually, adding nearly 2 million younger recipients to the
rolls, while the number of aged and blind recipients has remained
level.  The trend toward younger beneficiaries receiving SSI, coupled
with low exit rates from the program, means that costs will continue
to burgeon in the near term.  Without a slowing in the growth of this
population, SSI will become even more costly in the long term. 

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

In 1993, the median monthly income of three-person families--a female
head with two children--receiving Aid to Families with Dependent
Children (AFDC) was below the poverty line, even when noncash
benefits were added in.  Working poor non-AFDC families' median
income was higher--$926 as compared with $767 for AFDC families-- but
still below the poverty line.  Moreover, low-wage workers may incur
significant job-related costs, such as child care, which could
increase the number of them financially worse off than some AFDC
families.  Two public supports available to low-income workers--child
care subsidies and the Earned Income Tax Credit--can be important
factors in helping women join and stay in the workforce.  These
supports may become more important under welfare reform as
policymakers seek changes to move more welfare recipients from
welfare to work. 

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). 

The Job Opportunities and Basic Skills (JOBS) training program,
created in 1988, is one of the largest of the many federal employment
training programs and is specifically designed to provide AFDC
parents with the help they need to avoid long- term dependency on
welfare.  Since its creation, federal and state governments have
spent almost $8 billion on this program.  JOBS has not transformed
AFDC into a transitional cash assistance program focused on
employment.  Few AFDC recipients are served in JOBS and some of those
most at risk of long welfare stays, such as teen parents, have not
been reached.  In addition, JOBS is not well focused on the ultimate
goal of employment.  First, the number of JOBS participants who have
become employed is not known.  Second, federal performance standards
generally reward states financially for placing AFDC recipients in
education and training, but not for finding them jobs.  Finally, the
programs in most communities are not fully using the tools available
to find and create jobs for their AFDC recipients. 

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

GAO's analysis predicts that reducing child care costs increases the
likelihood that poor, near-poor, and nonpoor mother will work.  This
effect is strongest for the poor and near-poor mothers.  More
specifically, GAO's model predicts that providing a full subsidy to
mothers who pay for child care could increase the proportion of poor
mothers who work from 29 to 44 percent, and that of near-poor mothers
who work from 43 to 57 percent.  By comparison, the probability of
nonpoor mothers working could increase from 55 to 65 percent.  The
results of our analysis suggest that affordable child care is a
decisive factor in encouraging low-income mothers to seek and keep
jobs. 

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

GAO's work in aging reflects the continuing importance of federal
programs for older Americans.  Because the elderly are one of the
fastest growing segments of today's society, the Congress faces many
issues involving income security and health policy in which the
federal government will play an important role.  GAO's work during
fiscal year 1994 covered a range of issues, including federal
government activities in employment, health care, housing, income
security, and veterans issues.  This report describes four types of
GAO activities that relate to older Americans:  (1) reports on
policies and programs directed primarily at older Americans, (2)
reports on policies and programs that affect older Americans as one
of several target groups, (3) congressional testimonies on issues
related to older Americans, and (4) ongoing work on issues related to
older Americans. 

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

With a total unfunded liability of about $5 billion in 1993, three
District of Columbia plans continued to be not as well funded as 24
comparable state and local governmental pension plans.  Under the
funding method proposed by H.R.  3728 and D.C.  Act 10-239, about $1
billion in value today of contributions that the District would make
under the existing law would be shifted to federal payments of $52.1
million escalating at 5 percent per year through 2035; this would
also shift more of the burden for helping to eliminate the unfunded
liability to future federal budgets and generations of federal
taxpayers.  In contrast, a constant annual federal payment of about
$102.1 billion would shift less of the burden to future federal
budgets and taxpayers, cost the federal government a little less
overall, and have the same effect as H.R.  3728 in stabilizing the
District's contributions at about 45 percent of payroll while
eliminating the liability. 

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

Greater federal leadership coupled with equally intensive state
efforts could better position the national child support enforcement
program to serve the families that depend on it.  Dramatically
increasing numbers of children needing support--the child support
enforcement caseload grew 180 percent between 1980 and 1992--are
focusing attention on federal and state efforts to enforce parents'
responsibilities to support their children.  However, these efforts
have been hampered by management weaknesses that keep the Department
of Health and Human Services' (HHS) Office of Child Support
Enforcement (OCSE) from (1) effectively leading the program and the
states, (2) judging how well the program is working, and (3) setting
effective policies.  Because of declining resources, OCSE has
diminished the level of technical assistance provided to state
programs.  While the federal role is substantial--most program
funding is federal--child support enforcement is very much a state
activity.  States face common barriers such as increasing workloads
that outpace resources, inadequate computer systems, and fragmented
authority and unstandardized procedures, among others.  Many welfare
reform proposals would further expand child support enforcement. 
Unless OCSE takes steps to strengthen its leadership and management
of its current program, it may have difficulty implementing any new
responsibilities. 

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). 

Many initiatives nationwide seek to improve family child care
quality.  These initiatives are financed from both public and private
sources, and many receive funding from more than one source.  Federal
support is provided through seven major funding streams that made
approximately $8 billion available in fiscal year 1993.  Most of this
$8 billion went to subsidies to help parents pay for child care, but
GAO estimates that approximately $156 million was available for
efforts to improve the quality of care.  Our site visits showed that
initiatives use money from a variety of private and public sources in
an array of approaches to enhancing the quality of family child care. 
The two principal federal sources are the Child Care and Development
Block Grant and the Child and Adult Care Food Program.  The
approaches include training providers; supplying them with equipment,
educational materials, financial assistance, and other support; and
linking them to resources and professional associations. 


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

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


   VETERANS AFFAIRS AND MILITARY
   HEALTH
---------------------------------------------------------- Chapter 1:5


      SELECTED SUMMARIES
-------------------------------------------------------- Chapter 1:5.1

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

The Department of Veterans Affairs (VA) is taking steps it hopes will
ensure that VA regional offices implement changes that will improve
claims processing timeliness and overall service to veterans.  A key
effort focuses on implementing the recommendations of a Blue Ribbon
Panel established to identify ways to improve processing timeliness
in disability claims, generally considered the most difficult and
time consuming in VA.  VA has not developed adequate evaluation
plans, however, to allow it to judge the relative merit of various
initiatives or the circumstances under which they work best.  Without
such information, VA will not have a sound basis for determining what
additional changes, if any, should be made and guiding future
improvement efforts. 

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

The Albuquerque VA medical center's prices for lithotripsy services
sold to the University of New Mexico (UNM) did not fully recover the
center's costs.  For example, the center charged $1,469 for each
basic lithotripsy procedure provided in 1993.  This amount was
considerably below costs, which GAO calculated to be about $3,360. 
This price difference occurred primarily because the center's
rate-setting process spread the recovery of fixed costs, such as
equipment depreciation and maintenance, over an unrealistically high
annual workload estimate of 882 procedures.  Because the center
performed significantly fewer procedures, it did not recover about
$91,000 of the costs for 48 contract procedures provided to UNM
patients in 1993. 

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

To obtain information on veterans' perceptions of the VA health care
system and opinions about VA's future role in meeting their health
care needs, GAO held 14 focus group discussions with a total of 127
veterans in different parts of the country.  Focus group participants
expressed views about the care provided by VA facilities and the role
VA should play in a reformed health system that were as diverse as
the population itself.  Apprehension about change was a recurrent
theme running through the focus groups.  Veterans expressed concerns
that (1) changes could diminish or eliminate veterans' health
benefits, (2) allowing nonveterans to use VA facilities could detract
from care for veterans, and (3) veterans who are dependent on VA
would be hurt emotionally. 

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

VA plans to add 133 nursing home beds in the Baltimore area at 2
separate locations (Loch Raven and Fort Howard).  While VA is
demolishing its former Loch Raven hospital to make room for a new
nursing home, it plans to construct a replacement hospital building
and nursing home at nearby Fort Howard.  These construction projects
are not based on sound planning.  In part, this is because VA's
Veterans Health Administration (VHA) Central Office did not issue
adequate guidance to its regional offices and medical centers on how
to change VA's facility-by-facility construction planning process
into an integrated network planning process.  In addition, VHA's
Eastern Region did not always follow the guidance VHA provided.  As a
result of the weaknesses in its network planning, VA may have
overstated its need to build additional extended-care capacity in the
Chesapeake Network. 


HEALTH
(COMPREHENSIVE
2-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). 

Health Reform:  Purchasing Cooperatives Have an Increasing Role in
Providing Access to Insurance (Testimony, 6/30/94,
GAO/T-HEHS-94-196).  Report on same topic (5/31/94, GAO/HEHS-94-142). 

Primary Care Physicians:  Managing Supply in Canada, Germany, Sweden,
and the United Kingdom (Report, 5/18/94, GAO/HEHS-94-111). 

Health Care Access:  Innovative Programs Using Nonphysicians (Report,
8/27/93, GAO/HRD-93-128). 

Nonprofit Hospitals:  For-Profit Ventures Pose Access and Capacity
Problems (Report, 7/22/93, GAO/HRD-93-124). 

Organ Transplants:  Increased Effort Needed to Boost Supply and
Ensure Equitable Distribution of Organs (Report, 4/22/93,
GAO/HRD-93-56).  Testimony on same topic (4/22/93, GAO/T-HRD-93-17). 

Indian Health Service:  Basic Services Mostly Available; Substance
Abuse Problems Need Attention (Report, 4/9/93, GAO/HRD-93-48). 


   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). 

Retiree Health Plans:  Health Benefits Not Secure Under
Employer-Based System (Report, 7/9/93, GAO/HRD-93-125). 

Family and Medical Leave Cost Estimate (Letter, 2/1/93,
GAO/HRD-93-14R). 


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

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

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). 

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:  Antitrust Enforcement Under Maryland Hospital All-Payer
System (Report, 4/27/94, GAO/HEHS-94-81). 

Blue Cross and Blue Shield:  Experiences of Weak Plans Underscore the
Role of Effective State Oversight (Report, 4/13/94, GAO/HEHS-94-71). 

Medigap Loss Ratios, First 2 Years (Letter, 4/4/94,
GAO/HEHS-94-131R). 

Medical Review Saving (Letter, 2/28/94, GAO/HEHS-94-93R). 

Medigap Insurance:  Insurers' Compliance With Federal Minimum Loss
Ratio Standards, 1988-91 (Report, 2/7/94, GAO/HEHS-94-47). 

Health Insurance Regulation:  Wide Variation in States' Authority,
Oversight, and Resources (Report, 12/27/93, GAO/HRD-94-26). 
Testimony on same topic (11/5/93, GAO/T-HRD-94-55). 

Hospitals:  Chief Executives' Compensation (Testimony, 12/7/93,
GAO/T- HRD-94-70). 

Health Insurance:  California Public Employees' Alliance Has Reduced
Recent Premium Growth (Report, 11/22/93, GAO/HRD-94-40). 

1993 German Health Reforms:  Initiatives Tighten Cost Controls
(Testimony, 10/13/93, GAO/T-HRD-94-2).  Report on same topic (7/7/93,
GAO/HRD-93-103). 

1993 German Health Reforms:  New Cost Control Initiatives (Report,
7/7/93, GAO/HRD-93-103).  Testimony on same topic (10/13/93,
GAO/T-HRD-94-2). 

Health Insurance:  Remedies Needed to Reduce Losses From Fraud and
Abuse (Testimony, 3/8/93, GAO/T-HRD-93-8). 

Health Insurance:  Legal and Resource Constraints Complicate Efforts
to Curb Fraud and Abuse (Testimony, 2/4/93, GAO/T-HRD-93-3).  Report
on same topic (5/7/92, GAO/HRD-92-69).  Testimony on same topic
(5/7/92, GAO/T-HRD-92-29). 


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

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). 

Veterans' Health Care:  Efforts to Make VA Competitive May Create
Significant Risks (Testimony, 6/29/94, GAO/T-HEHS-94-197). 

Health Reform:  Purchasing Cooperatives Have an Increasing Role in
Providing Access to Insurance (Testimony, 6/30/94,
GAO/T-HEHS-94-196).  Report on same topic (5/31/94, GAO/HEHS-94-142). 

Federal Administrative Costs Under Health Security Act (Letter,
6/15/94, GAO/HEHS-94-187R). 

Health Care Reform:  Proposals Have Potential to Reduce
Administrative Costs (Report, 5/31/94, GAO/HEHS-94-158). 

Health Care Reform:  School-Based Health Centers Can Promote Access
to Care (Report, 5/13/94, GAO/HEHS-94-166). 

VA and the Health Security Act (Letter, 5/9/94, GAO/HEHS-94-159R). 

VA Health Care Reform:  Financial Implications of the Proposed Health
Security Act (Testimony, 5/5/94, GAO/T-HEHS-94-148). 

Health Care Alliances:  Issues Relating to Geographic Boundaries
(Report, 4/8/94, GAO/HEHS-94-139).  Testimony on same topic (2/24/94,
GAO/T-HEHS-94-108). 

Health Care Reform:  How Proposals Address Fraud and Abuse
(Testimony, 3/17/94, GAO/T-HEHS-94-124). 

Health Care in Hawaii:  Implications for National Reform (Testimony,
3/16/94, GAO/T-HEHS-94-123).  Report on same topic (2/11/94,
GAO/HEHS-94-68). 

Health Care Reform:  Supplemental and Long-Term Care Insurance
(Testimony, 11/9/93, GAO/T-HRD-94-58). 

Health Insurance:  How Health Care Reform May Affect State Regulation
(Testimony, 11/5/93, GAO/T-HRD-94-55). 

Veterans' Health Care:  Potential Effects of Health Financing Reforms
on Demand for VA Services (Testimony, 3/31/93, GAO/T-HRD-93-12). 

Veterans' Health Care:  Potential Effects of Health Reforms on VA
Construction (Testimony, 3/3/93, GAO/T-HRD-93-7). 


   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). 

FDA Regulation:  Compliance by Dietary Supplement and Conventional
Food Establishments (Report, 6/13/94, GAO/HEHS-94-134). 

FDA Drug Enforcement Actions (Letter, 5/6/94, GAO/HEHS-94-136R). 

Safe Medical Devices (Letter, 2/10/94, GAO/HEHS-94-86R). 

FDA Safety Devices (Letter, 2/2/94, GAO/HEHS-94-90R). 

CDC Activities Are Appropriate and Non-Duplicative (Letter, 8/30/93,
GAO/HRD-93-32R). 

FDA Regulation of Dietary Supplements (Letter, 7/2/93,
GAO/HRD-93-28R). 

Hospital Sterilants:  Insufficient FDA Regulation May Pose a Public
Health Risk (Report, 6/14/93, GAO/HRD-93-79). 

Alleged Lobbying Activities:  Office for Substance Abuse Prevention
(Report, 5/4/93, GAO/HRD-93-100). 

FDA Premarket Approval:  Process of Approving Lodine as a Drug
(Report, 4/12/93, GAO/HRD-93-81). 

Public Health Service:  Evaluation Set-Aside Has Not Realized Its
Potential to Inform the Congress (Report, 4/8/93, GAO/PEMD-93-13). 


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

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). 

Long-Term Care Reform:  Program Eligibility, States' Service
Capacity, and Federal Role in Reform Need More Consideration
(Testimony, 4/14/94, GAO/T-HEHS-94-144). 

Long-Term Care:  The Need for Geriatric Assessment in Publicly Funded
Home and Community-Based Programs (Testimony, 4/14/94,
GAO/T-PEMD-94-20). 

Long-Term Care:  Demography, Dollars, and Dissatisfaction Drive
Reform (Testimony, 4/12/94, GAO/T-HEHS-94-140). 

Long-Term Care:  Status of Quality Assurance and Measurement in Home
and Community Based Services (Report, 3/31/94, GAO/PEMD-94-19). 

Long-Term Care:  Support for Elder Care Could Benefit the Government
Workplace and the Elderly (Report, 3/4/94, GAO/HEHS-94-64). 

Long-Term Care:  Private Sector Elder Care Could Yield Multiple
Benefits (Report, 1/31/94, GAO/HEHS-94-60). 

Health Care Reform:  Supplemental and Long-Term Care Insurance
(Testimony, 11/9/93, GAO/T-HRD-94-58). 

Long-Term Care Insurance:  High Percentage of Policyholders Drop
Policies (Report, 8/25/93, GAO/HRD-93-129). 

VA Health Care:  Potential for Offsetting Long-Term Care Costs
Through Estate Recovery (Report, 7/27/93, GAO/HRD-93-68). 

Long-Term Care Forum (Discussion Paper, 7/13-14/93, GAO/HRD-93-1-SP). 

Long-Term Care Insurance:  Tax Preferences Reduce Costs More for
Those in Higher Tax Brackets (Report, 6/22/93, GAO/GGD-93-110). 

Massachusetts Long-Term Care (Letter, 5/17/93, GAO/HRD-93-22R). 

Long-Term Care Case Management:  State Experiences and Implications
for Federal Policy (Report, 4/6/93, GAO/HRD-93-52). 


   MALPRACTICE
---------------------------------------------------------- Chapter 2:7

Medical Malpractice Insurance Options (Letter, 2/28/94,
GAO/HEHS-94-105R). 

Medical Malpractice:  Maine's Use of Practice Guidelines to Reduce
Costs (Report, 10/25/93, GAO/HRD-94-8). 

Medical Malpractice:  Estimated Savings and Costs of Federal
Insurance at Health Centers (Report, 9/24/93, GAO/HRD-93-130). 

Medical Malpractice:  Medicare/Medicaid Beneficiaries Account for a
Relatively Small Percentage of Malpractice Losses (Report, 8/11/93,
GAO/HRD-93-126). 

Medical Malpractice:  Experience With Efforts to Address Problems
(Testimony, 5/20/93, GAO/T-HRD-93-24). 


   MANAGED CARE
---------------------------------------------------------- Chapter 2:8

Managed Health Care:  Effect on Employers' Costs Difficult to Measure
(Testimony, 2/2/94, GAO/T-HEHS-94-91).  Report on same topic
(10/19/93, GAO/HRD-94-3). 

Managed Health Care:  Effect on Employers' Costs Difficult to Measure
(Report, 10/19/93, GAO/HRD-94-3). 

Medicaid Managed Care:  Healthy Moms, Healthy Kids--A New Program for
Chicago (Report, 9/7/93, GAO/HRD-93-121). 

Defense Health Care:  Lessons Learned From DOD's Managed Health Care
Initiative (Testimony, 5/10/93, GAO/T-HRD-93-21). 

Medicaid:  HealthPASS--An Evaluation of a Managed Care Program for
Certain Philadelphia Recipients (Report, 5/7/93, GAO/HRD-93-67). 

Medicaid:  States Turn to Managed Care to Improve Access and Control
Costs (Report, 3/17/93, GAO/HRD-93-46).  Testimony on same topic
(3/17/93, GAO/T- HRD-93-10). 


   MEDICARE AND MEDICAID
---------------------------------------------------------- Chapter 2:9

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). 

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

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

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). 

Medicare:  Shared System Conversion Led to Disruptions in Processing
Maryland Claims (Report, 5/23/94, GAO/HEHS-94-66). 

Medicaid Prenatal Care:  States Improve Access and Enhance Services,
but Face New Challenges (Report, 5/10/94, GAO/HEHS-94-152BR). 

Medicare/Medicaid:  Data Bank Unlikely to Increase Collections From
Other Insurers (Report, 5/6/94, GAO/HEHS-94-147).  Testimony on same
topic (5/6/94, GAO/T-HEHS-94-162). 

Medicare:  Graduate Medical Education Payment Policy Needs to be
Reexamined (Report, 5/5/94, GAO/HEHS-94-33). 

Medicare:  Inadequate Review of Claims Payments Limits Ability to
Control Spending (Report, 4/29/94, GAO/HEHS-94-42). 

Medicare:  Impact of OBRA-90's Dialysis Provision on Providers and
Beneficiaries (Report, 4/25/94, GAO/HEHS-94-65). 

Medicare Transaction System (Letter, 4/20/94, GAO/HEHS-94-143R). 

Medicare:  Beneficiary Liability for Certain Paramedic Services May
Be Substantial (Report, 4/15/94, GAO/HEHS-94-122BR). 

Medicare Diagnostic Imaging Rates (Letter, 4/5/94, GAO/HEHS-94-129R). 

Medicare Part B:  Inconsistent Denial Rates for Medical Necessity
Across Six Carriers (Testimony, 3/29/94, GAO/T-PEMD-94-17). 

Los Angeles County Medi-Cal (Letter, 3/18/94, GAO/HEHS-94-116R). 

Medicare:  Greater Investment in Claims Review Would Save Millions
(Report, 3/2/94, GAO/HEHS-94-35). 

Medicaid:  A Program Highly Vulnerable to Fraud (Testimony, 2/25/94,
GAO/T- HEHS-94-106). 

Medicare:  New Claims Processing System Benefits and Acquisition
Risks (Report, 1/25/94, GAO/HEHS/AIMD-94-79). 

Medicare and Medicaid:  Many Eligible People Not Enrolled in
Qualified Medicare Beneficiary Program (Report, 1/20/94,
GAO/HEHS-94-52). 

Medicare/Medicaid Data Bank Issues (Letter, 11/15/93,
GAO/HRD-94-63R). 

Medicare:  Adequate Funding and Better Oversight Needed to Protect
Benefit Dollars (Testimony, 11/12/93, GAO/T-HRD-94-59). 

Medicare:  Better Guidance Is Needed To Preclude Inappropriate
General and Administrative Charges (Report, 10/15/93,
GAO/NSIAD-94-13). 

HCFA Payment Rate for Erythropoietin (Letter, 10/13/93,
GAO/HRD-94-1R). 

Psychiatric Fraud and Abuse:  Increased Scrutiny of Hospital Stays is
Needed for Federal Health Programs (Report, 9/17/93, GAO/HRD-93-92). 

Medicaid Managed Care:  Healthy Moms, Healthy Kids--A New Program for
Chicago (Report, 9/7/93, GAO/HRD-93-121). 

Medicaid:  Alternatives for Improving the Distribution of Funds to
States (Report, 8/20/93, GAO/HRD-93-112FS). 

Medical Malpractice:  Medicare/Medicaid Beneficiaries Account for a
Relatively Small Percentage of Malpractice Losses (Report, 8/11/93,
GAO/HRD-93-126). 

Medicare Part B:  Reliability of Claims Processing Across Four
Carriers (Report, 8/11/93, GAO/PEMD-93-27). 

Medicaid Drug Fraud:  Federal Leadership Needed to Reduce Program
Vulnerabilities (Report, 8/2/93, GAO/HRD-93-118).  Testimony on same
topic (8/2/93, GAO/T-HRD-93-28). 

Medicare:  Separate Payment for Fitting Braces and Artificial Limbs
Is Not Needed (Report, 7/21/93, GAO/HRD-93-98). 

Medicare Physician Payment:  Geographic Adjusters Appropriate But
Could Be Improved With New Data (Report, 7/20/93, GAO/HRD-93-93). 

Medicaid Estate Planning (Letter, 7/20/93, GAO/HRD-93-29R). 

Overhead Costs:  Unallowable and Questionable Costs Charged to
Medicare by Hospital Corporation of America (Testimony, 6/23/93,
GAO/T-NSIAD-93-16). 

Medicare:  Renal Facility Cost Reports Probably Overstate Costs of
Patient Care (Report, 5/18/93, GAO/HRD-93-70). 

Medicaid:  Data Improvements Needed to Help Manage Health Care
Program (Report, 5/13/93, GAO/IMTEC-93-18). 

Medicaid:  HealthPASS--An Evaluation of a Managed Care Program for
Certain Philadelphia Recipients (Report, 5/7/93, GAO/HRD-93-67). 

Medicaid:  The Texas Disproportionate Share Program Favors Public
Hospitals (Report, 4/30/93, GAO/HRD-93-86). 

Screening Mammography:  Higher Medicare Payments Could Increase Costs
Without Increasing Use (Report, 4/22/93, GAO/HRD-93-50). 

Medicare:  Physicians Who Invest in Imaging Centers Refer More
Patients for More Costly Services (Testimony, 4/20/93,
GAO/T-HRD-93-14).  Report on same topic (5/27/92, GAO/HRD-92-59). 

Medicare Secondary Payer Program:  Identifying Beneficiaries With
Other Insurance Coverage Is Difficult (Testimony, 4/2/93,
GAO/T-HRD-93-13). 

Medicaid Formula Alternatives (Letter, 3/31/93, GAO/HRD-93-18R). 
Letter on same topic (3/2/93, GAO/HRD-93-17R). 

Medicaid:  Outpatient Drug Costs and Reimbursements for Selected
Pharmacies in Illinois and Maryland (Report, 3/18/93,
GAO/HRD-93-55FS). 

Medicaid:  States Turn to Managed Care to Improve Access and Control
Costs (Report, 3/17/93, GAO/HRD-93-46).  Testimony on same topic
(3/17/93, GAO/T- HRD-93-10). 

Medicare:  Funding and Management Problems Result in Unnecessary
Expenditures (Testimony, 2/17/93, GAO/T-HRD-93-4). 


   PRESCRIPTION DRUGS
--------------------------------------------------------- Chapter 2:10

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). 

Prescription Drugs:  Spending Controls in Four European Countries
(Report, 5/17/94, GAO/HEHS-94-30). 

Prescription Drugs:  Companies Typically Charge More in the United
States Than in the United Kingdom (Report, 1/12/94, GAO/HEHS-94-29). 

HCFA Payment Rate for Erythropoietin (Letter, 10/13/93,
GAO/HRD-94-1R). 

Medicaid:  Outpatient Drug Costs and Reimbursements for Selected
Pharmacies in Illinois and Maryland (Report, 3/18/93,
GAO/HRD-93-55FS). 

Prescription Drugs:  Companies Typically Charge More in the United
States Than in Canada (Testimony, 2/22/93, GAO/T-HRD-93-5).  Report
with same title (9/30/92, GAO/HRD-92-110). 

Prescription Drug Prices:  Analysis of Canada's Patented Medicine
Prices Review Board (Report, 2/17/93, GAO/HRD-93-51). 


   PROVIDER ISSUES
--------------------------------------------------------- Chapter 2:11

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). 

Primary Care Physicians:  Managing Supply in Canada, Germany, Sweden,
and the United Kingdom (Report, 5/18/94, GAO/HEHS-94-111). 

Student Loans:  Millions Loaned Inappropriately to U.S.  Nationals at
Foreign Medical Schools (Report, 1/21/94, GAO/HEHS-94-28). 


   PUBLIC HEALTH AND EDUCATION
--------------------------------------------------------- Chapter 2:12

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). 

Public Health Services:  Agencies Use Different Approaches to Protect
Public Against Disease and Injury (Report, 4/29/94,
GAO/HEHS-94-85BR). 

Homelessness:  Appropriate Controls Implemented for 1990 McKinney
Amendments' PATH Program (Report, 2/22/94, GAO/HEHS-94-82). 

Residential Care:  Some High-Risk Youth Benefit, but More Study
Needed (Report, 1/28/94, GAO/HEHS-94-56). 

Breastfeeding:  WIC's Efforts to Promote Breastfeeding Have Increased
(Report, 12/16/93, GAO/HRD-94-13). 

Preventive Health Care for Children:  Experience From Selected
Foreign Countries (Report, 8/4/93, GAO/HRD-93-62). 

Drug Education:  Limited Progress in Program Evaluation (Testimony,
3/31/93, GAO/T-PEMD-93-2). 

Childhood Immunization:  Opportunities to Improve Immunization Rates
at Lower Cost (Report, 3/24/93, GAO/HRD-93-41).  Testimony on same
topic (6/1/92, GAO/T- HRD-92-36). 

Community-Based Drug Prevention:  Comprehensive Evaluations of
Efforts Are Needed (Report, 3/24/93, GAO/GGD-93-75). 

Needle Exchange Programs:  Research Suggests Promise as an AIDS
Prevention Strategy (Report, 3/23/93, GAO/HRD-93-60). 

Childhood Immunizations (Letter, 2/8/93, GAO/HRD-93-12R). 


   QUALITY AND PRACTICE STANDARDS
--------------------------------------------------------- Chapter 2:13

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

Health Care Quality:  How Does the United States Compare With Other
Countries on Cancer Survival and Access to Bone Marrow
Transplantation?  (Testimony, 4/14/94, GAO/T-PEMD-94-21). 

Long-Term Care:  Status of Quality Assurance and Measurement in Home
and Community Based Services (Report, 3/31/94, GAO/PEMD-94-19). 

Cancer Survival:  An International Comparison of Outcomes (Report,
3/7/94, GAO/PEMD-94-5). 

Bone Marrow Transplantation (Report, 3/7/94, GAO/PEMD-94-10). 

Bureau of Prisons Health Care:  Inmates' Access to Health Care Is
Limited by Lack of Clinical Staff (Report, 2/10/94, GAO/HEHS-94-36). 

VA Health Care:  VA Medical Centers Need to Improve Monitoring of
High-Risk Patients (Report, 12/10/93, GAO/HRD-94-27). 

Psychiatric Fraud and Abuse:  Increased Scrutiny of Hospital Stays is
Needed for Federal Health Programs (Report, 9/17/93, GAO/HRD-93-92). 

Medicaid:  HealthPASS--An Evaluation of a Managed Care Program for
Certain Philadelphia Recipients (Report, 5/7/93, GAO/HRD-93-67). 

Cataract Surgery:  Patient-Reported Data on Appropriateness and
Outcomes (Testimony, 4/21/93, GAO/T-PEMD-93-3).  Report on same topic
(4/20/93, GAO/PEMD-93-14). 

Indian Health Service:  Basic Services Mostly Available; Substance
Abuse Problems Need Attention (Report, 4/9/93, GAO/HRD-93-48). 


   SUBSTANCE ABUSE AND DRUG
   TREATMENT
--------------------------------------------------------- Chapter 2:14

Drug Use Among Youth:  No Simple Answers to Guide Prevention (Report,
12/29/93, GAO/HRD-94-24). 

Drug Control:  Reauthorization of the Office of National Drug Control
Policy (Report, 9/29/93, GAO/GGD-93-144). 

Drug Use Measurement:  Strengths, Limitations, and Recommendations
for Improvement (Report, 6/25/93, GAO/PEMD-93-18). 

Indian Health Service:  Basic Services Mostly Available; Substance
Abuse Problems Need Attention (Report, 4/9/93, GAO/HRD-93-48). 

Drug Education:  Limited Progress in Program Evaluation (Testimony,
3/31/93, GAO/T-PEMD-93-2). 

Community-Based Drug Prevention:  Comprehensive Evaluations of
Efforts Are Needed (Report, 3/24/93, GAO/GGD-93-75). 

Needle Exchange Programs:  Research Suggests Promise as an AIDS
Prevention Strategy (Report, 3/23/93, GAO/HRD-93-60). 


   OTHER HEALTH ISSUES
--------------------------------------------------------- Chapter 2:15


      ENVIRONMENTAL IMPACT ON
      HEALTH
------------------------------------------------------- Chapter 2:15.1

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). 

Electromagnetic Fields:  Federal Efforts to Determine Health Effects
Are Behind Schedule (Report, 6/21/94, GAO/RCED-94-115). 

Nuclear Health and Safety:  Examples of Post World War II Radiation
Releases at U.S.  Nuclear Sites (Report, 11/24/93, GAO/RCED-94-51FS). 

Environmental Tobacco Smoke (Letter, 2/8/93, GAO/RCED-93-77R). 


      MISCELLANEOUS
------------------------------------------------------- Chapter 2:15.2

Tax Policy:  Pharmaceutical Industry's Use of the Research Tax Credit
(Report, 5/13/94, GAO/GGD-94-139). 

Health Care:  Benefits and Barriers to Automated Medical Records
(Testimony, 5/6/94, GAO/T-AIMD-94-117). 

Tax Policy:  Health Insurance Tax Credit Participation Rate Was Low
(Report, 5/2/94, GAO/GGD-94-99). 

Automating Medical Information (Letter, 10/22/93, GAO/AIMD-94-47R). 

Medical Technology:  Quality Assurance Systems and Global Markets
(Report, 8/18/93, GAO/PEMD-93-15). 

Federal Health Care:  Increased Information Sharing Could Improve
Service, Reduce Costs (Report, 6/29/93, GAO/IMTEC-93-33BR). 

Automated Medical Records:  Leadership Needed to Expedite Standards
Development (Report, 4/30/93, GAO/IMTEC-93-17). 


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


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

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). 

Financial Audit:  Federal Family Education Loan Program's Financial
Statements for Fiscal Years 1993 and 1992 (Report, 6/30/94,
GAO/AIMD-94-131). 

Student Loans:  Millions Loaned Inappropriately to U.S.  Nationals at
Foreign Medical Schools (Report, 1/21/94, GAO/HEHS-94-28). 

HEAF 1992 Financial Condition (Letter, 6/18/93, GAO/HRD-93-21R). 

Direct Student Loans:  The Department of Education's Implementation
of Direct Lending (Testimony, 6/10/93, GAO/T-HRD-93-26). 

Financial Audit:  Federal Family Education Loan Programs' Financial
Statements (Report, 6/30/93, GAO/AIMD-93-4). 

Department of Education:  Long-Standing Management Problems Hamper
Reforms (Report, 5/28/93, GAO/HRD-93-47). 

Systemwide Education Reform:  Federal Leadership Could Facilitate
District-Level Efforts (Testimony, 5/4/93, GAO/T-HRD-93-20). 
Testimony on same topic (4/30/93, GAO/HRD-93-97). 


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

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). 

Early Childhood Programs:  Many Poor Children and Strained Resources
Challenge Head Start (Report, 5/17/94, GAO/HEHS-94-169BR). 

Poor Preschool-Aged Children:  Numbers Increase but Most Not in
Preschool (Report, 7/21/93, GAO/HRD-93-111BR). 


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

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). 

Title I Formula in S.  1513 (Letter, 6/7/94, GAO/HEHS-94-190R). 

School-Age Children:  Poverty and Diversity Challenge Schools
Nationwide (Report, 4/29/94, GAO/HEHS-94-132).  Testimony on same
topic (3/16/94, GAO/T-HEHS- 94-125). 

Regulatory Flexibility in Schools:  What Happens When Schools Are
Allowed to Change the Rules (Report, 4/29/94, GAO/HEHS-94-102). 

Special Education Reform:  Districts Grapple With Inclusion Programs
(Testimony, 4/28/94, GAO/T-HEHS-94-160). 

Military Dependents' Education:  Current Program Information and
Potential Savings in DODDS (Testimony, 4/26/94, GAO/T-HEHS-94-155). 

GAO Work Related to ESEA of 1965 (Letter, 4/26/94, GAO/HEHS-94-156R). 

Immigrant Education:  Federal Funding Has Not Kept Pace With Student
Increases (Testimony, 4/14/94, GAO/T-HEHS-94-146). 

Hispanic Dropouts and Federal Programs (Letter, 4/6/94,
GAO/PEMD-94-18R). 

Total Quality Education (Letter, 2/10/94, GAO/HEHS-94-76R). 

Elementary School Children:  Many Change Schools Frequently, Harming
Their Education (Report, 2/4/94, GAO/HEHS-94-45). 

Limited English Proficiency:  A Growing and Costly Educational
Challenge Facing Many School Districts (Report, 1/28/94,
GAO/HEHS-94-38). 

Rural Children:  Increasing Poverty Rates Pose Educational Challenges
(Report, 1/11/94, GAO/HEHS-94-75BR). 

School-Linked Human Services:  A Comprehensive Strategy for Aiding
Students at Risk of School Failure (Report, 12/30/93, GAO/HRD-94-21). 

Food Assistance:  Schools That Left the National School Lunch Program
(Report, 12/3/93, GAO/RCED-94-36BR). 

Food Assistance:  Information on Meal Costs in the National School
Lunch Program (Report, 12/1/93, GAO/RCED-94-32BR). 

States' Regulatory Reform Efforts (Letter, 11/3/93, GAO/HRD-94-51R). 

School Age Demographics:  Recent Trends Pose New Educational
Challenges (Report, 8/5/93, GAO/HRD-93-105BR). 

Exchange Programs:  Inventory of International Educational, Cultural
and Training Programs (Report, 6/23/93, GAO/NSIAD-93-157BR). 

Educational Achievement Standards:  NAGB's Approach Yields Misleading
Interpretations (Report, 6/23/93, GAO/PEMD-93-12). 

Systemwide Education Reform:  Federal Leadership Could Facilitate
District-Level Efforts (Testimony, 5/4/93, GAO/T-HRD-93-20). 
Testimony on same topic (4/30/93, GAO/HRD-93-97). 

Educational Testing:  The Canadian Experience with Standards,
Examinations, and Assessments (Report, 4/28/93, GAO/PEMD-93-11). 

School Construction:  Sallie Mae Financing Activities (Report,
4/13/93, GAO/HRD-93-61). 

Planning for Education Standards (Letter, 4/12/93, GAO/PEMD-93-21R). 

Exiting Program Improvement (Letter, 3/30/93, GAO/HRD-93-2R). 

Chapter 1 Accountability:  Greater Focus on Program Goals Needed
(Report, 3/29/93, GAO/HRD-93-69). 

Exchange Programs:  Observations on International, Educational,
Cultural and Training Programs (Report, 3/23/93, GAO/NSIAD-93-7). 

Compensatory Education:  Difficulties in Measuring Comparability of
Resources Within School Districts (Report, 3/11/93, GAO/HRD-93-37). 

Compensatory Education:  Additional Funds Help More Private School
Students Receive Chapter 1 Services (Report, 2/26/93, GAO/HRD-93-65). 

Student Achievement Standards and Testing (Testimony, 2/18/93,
GAO/T-PEMD-93- 1). 


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

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

College Savings Issues (Report, 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). 

Delta Teachers Academy (Letter, 5/19/94, GAO/RCED-94-213R). 

Higher Education:  Grants Effective at Increasing Minorities' Chances
of Graduating (Testimony, 5/17/94, GAO/T-HEHS-94-168). 

Default Rates at Historically Black Colleges and Universities
(Letter, 3/9/94, GAO/HEHS-94-97R). 

Peace Corps:  Status of the Educational Assistance Grants
Demonstration Program (Report, 2/25/94, GAO/NSIAD-94-89). 

Higher Education:  Information on Minority-Targeted Scholarships
(Report, 1/14/94, GAO/HEHS-94-77). 

Deaf Education:  Improved Oversight Needed for National Technical
Institute for the Deaf (Report, 12/16/93, GAO/HRD-94-23). 

Student Financial Aid Programs:  Pell Grant Program Abuse (Testimony,
10/27/93, GAO/T-OSI-94-8). 

Financial Management:  Education's Student Loan Program Controls Over
Lenders Need Improvement (Report, 9/9/93, GAO/AIMD-93-33). 

Vocational Rehabilitation:  Evidence for Federal Program's
Effectiveness Is Mixed (Report, 8/27/93, GAO/PEMD-93-19). 

Student Loans:  Default Rates at Historically Black Colleges and
Universities (Report, 8/19/93, GAO/HRD-93-117FS). 

Direct Student Loan Savings (Letter, 7/15/93, GAO/HRD-93-25R). 

HEAF 1992 Financial Condition (Letter, 6/18/93, GAO/HRD-93-21R). 

Direct Student Loans:  The Department of Education's Implementation
of Direct Lending (Testimony, 6/10/93, GAO/T-HRD-93-26). 

Department of Education:  Long-Standing Management Problems Hamper
Reforms (Report, 5/28/93, GAO/HRD-93-47). 

Athletic Department Profiles (Letter, 5/21/93, GAO/HRD-93-24R). 

Comments on CRS Direct Loan Report (Letter, 4/29/93, GAO/HRD-93-20R). 

Financial Audit:  Guaranteed Student Loan Program's Internal Controls
and Structure Need Improvement (Report, 3/16/93, GAO/AFMD-93-20). 

Direct Loan Debate (Letter, 2/8/93, GAO/HRD-93-15R). 


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

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

Transition From School to Work:  S.  1361 Addresses Components of
Comprehensive Strategy (Testimony, 9/28/93, GAO/T-HRD-93-31).  Report
on same topic (9/7/93, GAO/HRD-93-139). 

Vocational Education:  Status in 2-Year Colleges in 1990-91 and Early
Signs of Change (Report, 8/16/93, GAO/HRD-93-89). 

School Age Demographics:  Recent Trends Pose New Educational
Challenges (Report, 8/5/93, GAO/HRD-93-105BR). 

Vocational Education:  Status in School Year 1990-91 and Early Signs
of Change at Secondary Level (Report, 7/13/93, GAO/HRD-93-71). 

Skill Standards:  Experience in Certification Systems Shows Industry
Involvement to Be Key (Report, 5/18/93, GAO/HRD-93-90).  Testimony on
same topic (5/14/93, GAO/T-HRD-93-23). 

Systemwide Education Reform:  Federal Leadership Could Facilitate
District-Level Efforts (Testimony, 5/4/93, GAO/T-HRD-93-20). 
Testimony on same topic (4/30/93, GAO/HRD-93-97). 


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


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

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). 

Application of Laws:  Comments on the Congressional Accountability
Act--S.  2071 (Testimony, 6/29/94, GAO/T-OGC-94-2). 

Employment Discrimination:  How Registered Representatives Face
Discrimination (Report, 3/30/94, GAO/HEHS-94-17). 

Sex Discrimination:  Agencies' Handling of Sexual Harassment and
Related Complaints (Testimony, 3/8/94, GAO/T-OSI-94-22). 

Sex Discrimination:  DEA's Handling of Sexual Harassment and Other
Complaints (Report, 3/4/94, GAO/OSI-94-10). 

EEO at the National Park Service (Letter, 3/3/94, GAO/GGD-94-54R). 

EEOC's Expanding Workload:  Increases in Age Discrimination and Other
Charges Call for New Approach (Report, 2/9/94, GAO/HEHS-94-32). 

Federal Personnel:  The EEO Implications of Reductions-In-Force
(Testimony, 2/1/94, GAO/T-GGD-94-87). 

Pay Equity:  Experiences of Canada and the Province of Ontario
(Report, 11/2/93, GAO/GGD-94-27BR). 

EEOC:  An Overview (Testimony, 7/27/93, GAO/T-HRD-93-30). 

Assessing EEO Progress at INS (Letter, 7/15/93, GAO/GGD-93-54R). 

Legislative Employment:  EEO Complaint Processing by the Office of
Fair Employment Practices (Testimony, 5/27/93, GAO/T-GGD-93-30). 

Federal Employment:  Progress of Women and Minorities in Key Federal
Jobs and Handling EEO Complaints at the Bureau of Arms, Tobacco, and
Firearms (Testimony, 5/26/93, GAO/T-GGD-93-33). 

Monetary Payments in Federal EEO Cases (Letter, 5/25/93,
GAO/GGD-93-45R). 

Information on Black Employment at INS (Letter, 5/17/93,
GAO/GGD-93-44R). 


   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). 

Workplace Regulation:  Information on Selected Employer and Union
Experiences (Report, 6/30/94, GAO/HEHS-94-138, vols.  I and II). 

Federal Trade Commission:  Enforcement of the Trade Regulation Rule
on Franchising (Report, 7/13/93, GAO/HRD-93-83). 


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

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). 

Multiple Employment Training Programs:  Conflicting Requirements
Underscore Need for Change (Testimony, 3/10/94, GAO/T-HEHS-94-120). 

Job Training Partnership Act:  Labor Title IV Could Improve Relations
With Native Americans (Report, 3/4/94, GAO/HEHS-94-67). 

Multiple Employment Training Programs:  Major Overhaul is Needed
(Testimony, 3/3/94, GAO/T-HEHS-94-109). 

Multiple Employment Training Programs:  Most Federal Agencies Do Not
Know If Their Programs Are Working Effectively (Report, 3/2/94,
GAO/HEHS-94-88). 

Multiple Employment Training Programs:  Overlapping Programs Can Add
Unnecessary Administrative Costs (Report, 1/28/94, GAO/HEHS-94-80). 

Multiple Employment Training Programs:  Conflicting Requirements
Hamper Delivery of Services (Report, 1/28/94, GAO/HEHS-94-78). 

Military Downsizing:  Persons Returning to Civilian Life Need More
Help from DOD (Report, 1/21/94, GAO/HEHS-94-39). 

Dislocated Workers:  A Look Back at the Redwood Employment Training
Programs (Report, 12/13/93, GAO/HRD-94-16BR). 

Dislocated Workers:  Proposed Re-employment Assistance Program
(Report, 11/12/93, GAO/HRD-94-61). 

Occupational Safety and Health:  Changes Needed in the Combined
Federal-State Approach (Testimony, 10/20/93, GAO/T-HRD-94-3). 

Dislocated Workers:  Trade Adjustment Assistance Program Flawed
(Testimony, 10/19/93, GAO/T-HRD-94-4). 

Transition From School to Work:  S.  1361 Addresses Components of
Comprehensive Strategy (Testimony, 9/28/93, GAO/T-HRD-93-31).  Report
on same topic (9/7/93, GAO/HRD-93-139). 

Unemployment Insurance:  Program's Ability to Meet Objectives
Jeopardized (Report, 9/28/93, GAO/HRD-93-107). 

Vocational Rehabilitation:  Evidence for Federal Programs
Effectiveness is Mixed (Report, 8/27/93, GAO/PEMD-93-19). 

Multiple Employment Programs:  National Employment Training Strategy
Needed (Testimony, 6/18/93, GAO/T-HRD-93-27). 

Multiple Employment Programs (Letter, 6/15/93, GAO/HRD-93-26R). 

Prisoner Labor:  Perspectives on Paying the Federal Minimum Wage
(Report, 5/20/93, GAO/GGD-93-98). 

The Job Training Partnership Act:  Potential for Program Improvements
but National Job Training Strategy Needed (Testimony, 4/29/93,
GAO/T-HRD-93-18). 

Acquisition Management:  Waivers to Acquisition Workforce Training,
Education, and Experience Requirements (Report, 3/30/93,
GAO/NSIAD-93-128). 

Dislocated Workers:  Implementation of the Worker Adjustment and
Retraining Notification Act (WARN) (Testimony, 2/23/93,
GAO/T-HRD-93-6).  Report on same topic (2/23/93, GAO/HRD-93-18). 


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

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

Health and Safety:  Protecting Department of Energy Workers' Health
and Safety (Testimony, 3/9/94, GAO/T-RCED-94-143). 

Nuclear Health and Safety:  Safety and Health Oversight at DOE
Defense Nuclear Facilities (Testimony, 3/1/94, GAO/T-RCED-94-138). 

Occupational Safety and Health:  Changes Needed in the Combined
Federal-State Approach (Report, 2/28/94, GAO/HEHS-94-10).  Testimony
on same topic (10/20/93, GAO/T-HRD-94-3). 

Pesticides on Farms:  Limited Capability Exists to Monitor
Occupational Illnesses and Injuries (Letter Report, 12/15/93,
GAO/PEMD-94-6). 

Aviation Safety:  FAA Can Better Prepare General Aviation Pilots for
Mountain Flying Risks (Report, 12/9/93, GAO/RCED-94-15). 

Occupational Safety and Health:  Differences Between Programs in the
United States and Canada (Report, 12/6/93, GAO/HRD-94-15FS). 

U.S.-Mexico Trade:  The Work Environment at Eight U.S.-Owned
Maquiladora Auto Parts Plants (Report, 11/1/93, GAO/GGD-94-22). 

Toxic Substances:  Information on Lead Hazards in Child Care
Facilities and Schools is Limited (Testimony, 9/15/93,
GAO/T-RCED-93-48). 

Pesticide Reregistration May Not Be Completed Until 2006 (Report,
5/21/93, GAO/RCED-93-94). 

Americans With Disabilities Act:  Initial Accessibility Good but
Important Barriers Remain (Report, 5/19/93, GAO/PEMD-93-16). 

Safety and Health:  Key Independent Oversight Program at DOE Needs
Strengthening (Report, 5/17/93, GAO/RCED-93-85). 

Nuclear Health and Safety:  Corrective Actions on Tigers Teams'
Findings Progressing Slower Than Planned (Report, 3/25/93,
GAO/RCED-93-66). 

Mine Safety and Health:  Tampering Scandal Led to Improved Sampling
Devices (Report, 2/25/93, GAO/HRD-93-63). 


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

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). 

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

Federal Employment:  H.R.  4361, Federal Employees Family Friendly
Leave Act (Testimony, 5/18/94, GAO/T-GGD-94-152). 

Federal Employment:  Impact of the President's Budget on Federal
Employees (Testimony, 3/10/94, GAO/T-GGD-94-108). 

Department of Labor:  Noncompetitive, Discretionary Grants (Report,
2/22/94, GAO/HEHS-94-9). 

Davis-Bacon Act (Letter, 2/7/94, GAO/HEHS-94-95R). 

North American Free Trade Agreement:  A Focus on the Substantive
Issues (Testimony, 9/21/93, GAO/T-GGD-93-44).  Report on same topic
(9/9/93, GGD-93-137). 

U.S.-Mexico Trade:  The Maquiladora Industry and U.S.  Employment
(Report, 7/20/93, GAO/GGD-93-129). 

The Public Service:  Issues Confronting the Federal Civilian
Workforce (Report, 3/16/93, GAO/GGD-93-53). 


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


   AGING
---------------------------------------------------------- Chapter 5:1

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

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

Older Americans Act:  Funding Formula Could Better Reflect State
Needs (Report, 5/12/94, GAO/HEHS-94-41). 

Older Americans Act:  The National Eldercare Campaign (Report,
2/23/94, GAO/PEMD-94-7). 

Older Americans Act:  Title III Funds Not Distributed According to
Statute (Report, 1/18/94, GAO/HEHS-94-37). 

Aging Issues:  Related GAO Reports and Activities in Fiscal Year 1993
(Report, 12/22/93, GAO/HRD-94-73). 

Older Americans Act:  Eldercare Partnerships Generate Few Additional
Funds for Public Services (Testimony, 5/27/93, GAO/T-PEMD-93-4). 

Older Americans Act:  Eldercare Public-Private Partnerships (Report,
4/16/93, GAO/PEMD-93-20). 

Rental Housing:  Serving the Elderly Through the Section 8 Program
(Report, 3/29/93, GAO/RCED-93-12FS). 


   CHILDREN'S ISSUES
---------------------------------------------------------- Chapter 5:2


      CHILD SUPPORT
-------------------------------------------------------- Chapter 5:2.1

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). 

Child Support Enforcement:  Credit Bureau Reporting Shows Promise
(Report, 6/3/94, GAO/HEHS-94-175). 

Child Support Enforcement:  States Proceed With Immediate Wage
Withholding; More HHS Action Needed (Report, 6/15/93, GAO/HRD-93-99). 


      OTHER CHILDREN'S ISSUES
-------------------------------------------------------- Chapter 5:2.2

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). 

Child Welfare:  HHS Begins to Assume Leadership to Implement National
and State Systems (Report, 6/8/94, GAO/AIMD-94-37). 

Lead-Based Paint Poisoning:  Children in Section 8 Tenant-Based
Housing Are Not Adequately Protected (Report, 5/13/94,
GAO/RCED-94-137). 

Child Care:  Working Poor and Welfare Recipients Face Service Gaps
(Report, 5/13/94, GAO/HEHS-94-87). 

Infants and Toddlers:  Dramatic Increases in Numbers Living in
Poverty (Report, 4/7/94, GAO/HEHS-94-74). 

Foster Care:  Parental Drug Abuse Has Alarming Impact on Young
Children (Report, 4/4/94, GAO/HEHS-94-89). 

Child Care Quality:  States' Difficulties Enforcing Standards
Confront Welfare Reform Plans (Testimony, 2/11/94, GAO/T-HEHS-94-99). 

Residential Care:  Some High-Risk Youth Benefit, But More Study
Needed (Report, 1/28/94, GAO/HEHS-94-56). 

Foster Care:  Federal Policy on Title IV-E Share of Training Costs
(Report, 11/3/93, GAO/HRD-94-7). 

Lead-Based Paint Poisoning:  Children in Public Housing Are Not
Adequately Protected (Report, 9/17/93, GAO/RCED-93-138). 

Toxic Substances:  The Extent of Lead Hazards in Child Care
Facilities and Schools Is Unknown (Report, 9/14/93, GAO/RCED-93-197). 
Testimony on same topic (9/15/93, GAO/T-RCED-93-48). 

Foster Care:  Services to Prevent Out-of-Home Placements Are Limited
by Funding Barriers (Report, 6/29/93, GAO/HRD-93-76). 

Intercountry Adoption:  Procedures Are Reasonable, but Sometimes
Inefficiently Administered (Report, 4/26/93, GAO/NSIAD-93-83). 

Lead-Based Paint Poisoning:  Children Not Fully Protected When
Federal Agencies Sell Homes to Public (Report, 4/5/93,
GAO/RCED-93-38). 

Foster Care:  State Agencies Other Than Child Welfare Can Access
Title IV-E Funds (Report, 2/9/93, GAO/HRD-93-6). 


   PENSIONS
---------------------------------------------------------- Chapter 5:3


      PENSION BENEFIT GUARANTY
      CORPORATION
-------------------------------------------------------- Chapter 5:3.1

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

Proposal to Strengthen H.R.  3396 (Letter, 6/24/94,
GAO/HEHS-94-181R).  Testimony on same topic (6/15/94,
GAO/T-HEHS-94-191), and 4/19/94, GAO/T-HEHS-94- 149). 

Financial Audit:  Pension Benefit Guaranty Corporation's 1993 and
1992 Financial Statements (Report, 5/4/94, GAO/AIMD-94-109). 

Underfunded Pension Plans:  Stronger Funding Rules Needed to Reduce
Federal Government's Growing Exposure (Testimony, 6/15/94,
GAO/T-HEHS-94-191).  Testimony on same topic (4/19/94,
GAO/T-HEHS-94-149). 

Financial Audit:  Pension Benefit Guaranty Corporation's 1992 and
1991 Financial Statements (Report, 9/29/93, GAO/AIMD-93-21). 


      PUBLIC AND PRIVATE PENSION
      ISSUES
-------------------------------------------------------- Chapter 5:3.2

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). 

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). 

D.C.  Pensions:  Plans Consuming Growing Share of District Budget
(Testimony, 6/14/94, GAO/T-HEHS-94-192). 

D.C.  Pension Benefits (Report, 11/4/93, GAO/HRD-94-18). 

ERISA Targeting (Letter, 9/30/93, GAO/HRD-93-34R). 

Federal Personnel:  Employment Policy Challenges Created by an Aging
Workforce (Report, 9/23/93, GAO/GGD-93-138). 

Army Materiel Command:  Providing Early Retirement Incentives in 1990
Could Have Saved Money (Report, 8/24/93, GAO/NSIAD-93-233). 

Financial Management:  Estimate of Interest on Selected Benefits
Received by Postal Service Retirees (Report, 7/29/93,
GAO/AIMD-93-11). 

Small Pension Plans:  Concerns About the IRS Actuarial Audit Program
(Report, 6/30/93, GAO/HRD-93-64). 

Private Pensions:  Most Underfunded Plan Sponsors Are Not Making
Additional Contributions (Testimony, 4/20/93, GAO/T-HRD-93-16). 

Private Pensions:  Protections for Retirees' Insurance Annuities Can
Be Strengthened (Report, 3/31/93, GAO/HRD-93-29). 

District's Workforce:  Annual Report Required by the District of
Columbia Retirement Reform Act (Report, 3/31/93, GAO/GGD-93-81). 

Pension Plans:  Labor Should Not Ignore Some Small Plans That Report
Violations (Report, 3/26/93, GAO/HRD-93-45). 

The Public Service:  Issues Confronting the Federal Civilian
Workforce (Report, 3/16/93, GAO/GGD-93-53). 


   SOCIAL SECURITY AND DISABILITY
---------------------------------------------------------- Chapter 5:4


      DISABILITY
-------------------------------------------------------- Chapter 5:4.1

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:  New Continuing Disability Review Process Could Be
Enhanced (Report, 6/27/94, GAO/HEHS-94-118). 

Disability Benefits for Addicts (Letter, 6/8/94, GAO/HEHS-94-178R). 

Social Security Disability:  SSA Quality Assurance Improvements Can
Produce More Accurate Payments (Report, 6/3/94, GAO/HEHS-94-107). 

Social Security Disability:  Most of Gender Difference Explained
(Report, 5/27/94, GAO/HEHS-94-94). 

Social Security:  Major Changes Needed for Disability Benefits for
Addicts (Report, 5/13/94, GAO/HEHS-94-128).  Testimony on same topic
(2/10/94, GAO/T-HEHS- 94-101). 

Social Security:  Continuing Disability Review Process Improved, But
More Targeted Reviews Needed (Testimony, 3/10/94, GAO/T-HEHS-94-121). 
Report on same topic (7/8/93, GAO/HRD-93-109). 

Social Security:  Disability Rolls Keep Growing, While Explanations
Remain Elusive (Report, 2/8/94, GAO/HEHS-94-34). 

Social Security:  Increasing Number of Disability Claims and
Deteriorating Service (Report, 11/10/93, GAO/HRD-94-11).  Testimony
on same topic (3/25/93, GAO/T-HRD-93-11). 

Social Security Disability:  SSA Needs to Improve Continuing
Disability Review Program (Report, 7/8/93, GAO/HRD-93-109). 

Social Security:  Rising Disability Rolls Raise Questions That Must
Be Answered (Testimony, 4/22/93, GAO/T-HRD-93-15). 

Social Security:  SSA's Processing of Continuing Disability Reviews
(Testimony, 3/9/93, GAO/T-HRD-93-9). 


      SOCIAL SECURITY
      ADMINISTRATION
-------------------------------------------------------- Chapter 5:4.2

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). 

Social Security Administration:  Major Changes in SSA's Business
Processes Are Imperative (Testimony, 4/14/94, GAO/T-AIMD-94-106). 

Social Security Administration:  Many Letters Difficult to Understand
(Testimony, 3/22/94, GAO/T-HEHS-94-126). 

Social Security:  Sustained Effort Needed to Improve Management and
Prepare for the Future (Report, 10/27/93, GAO/HRD-94-22).  Testimony
on same topic (10/28/93, GAO/T-HRD-94-46). 

Social Security Administration as an Independent Agency (Testimony,
9/14/93, GAO/T-HRD-93-31). 

Status of Agency Use of SSA Death Information (Letter, 7/20/93,
GAO/HRD-93-31R). 

Social Security:  Need to Improve Postentitlement Service to the
Public (Report, 5/7/93, GAO/HRD-93-21). 

Social Security:  IRS Tax Identity Data Can Help Improve SSA Earnings
Records (Report, 3/29/93, GAO/HRD-93-42). 

Social Security:  Telephone Busy Signal Rates at Local SSA Field
Offices (Report, 3/4/93, GAO/HRD-93-49). 


      OTHER SOCIAL SECURITY
      PROGRAMS
-------------------------------------------------------- Chapter 5:4.3

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 5:5

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). 

Welfare to Work:  JOBS Automated Systems Do Not Focus on Program's
Employment Objective (Report, 6/8/94, GAO/AIMD-94-44). 

Families on Welfare:  Teenage Mothers Least Likely to Become
Self-Sufficient (Report, 5/31/94, GAO/HEHS-94-115). 

Families on Welfare:  Focus on Teenage Mothers Could Enhance Welfare
Reform Efforts (Report, 5/31/94, GAO/HEHS-94-112). 

Families on Welfare:  Sharp Rise in Never-Married Women Reflects
Societal Trend (Report, 5/31/94, GAO/HEHS-94-92). 

Child Care:  Working Poor and Welfare Recipients Face Service Gaps
(Report, 5/13/94, GAO/HEHS-94-87). 

Homelessness:  McKinney Act Programs Provide Assistance but Are Not
Designed to Be the Solution (Report, 5/94, GAO/RCED-94-37). 

Automated Welfare Systems:  Historical Costs and Projections (Report,
2/25/94, GAO/AIMD-94-52FS). 

Tax Policy:  Earned Income Tax Credit:  Design and Administration
Could Be Improved (Report, 9/24/93, GAO/GGD-93-145). 

Homelessness:  Information on and Barriers to Assistance Programs
Providing Foreclosed Property (Report, 9/30/93, GAO/RCED-93-182). 

Self-Sufficiency:  Opportunities and Disincentives on the Road to
Economic Independence (Report, 8/6/93, GAO/HRD-93-23). 

Public Housing:  Low-Income Housing Tax Credit as an Alternative
Development Method (Report, 7/16/93, GAO/RCED-93-31). 

Welfare to Work:  States Move Unevenly to Serve Teen Parents in JOBS
(Report, 7/7/93, GAO/HRD-93-74). 

Welfare to Work:  JOBS Participation Rate Data Unreliable for
Assessing States' Performance (Report, 5/5/93, GAO/HRD-93-73). 

Earned Income Tax Credit:  Effectiveness of Design and Administration
(Testimony, 3/30/93, GAO/T-GGD-93-20). 


   OTHER PRODUCTS RELATED TO
   SOCIAL SECURITY, DISABILITY,
   AND WELFARE
---------------------------------------------------------- Chapter 5:6

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). 

UMWA's Combined Fund Finances (Letter, 6/30/94, GAO/HEHS-94-201R). 

Americans with Disabilities Act:  Effects of the Law on Access to
Goods and Services (Report, 6/21/94, GAO/PEMD-94-14). 

Federal Aid:  Revising Poverty Statistics Affects Fairness of
Allocation Formulas (Report, 5/18/94, GAO/HEHS-94-165). 

Local Tax Abatement (Letter, 4/21/94, GAO/HEHS-94-84R). 

Quality Assurance Independence (Letter, 4/28/94, GAO/HEHS-94-151R). 

Federal Mandates:  Unfunded Requirements Concern State and Local
Officials (Letter, 4/5/94, GAO/HEHS-94-110R). 

Vietnamese Amerasian Resettlement:  Education, Employment, and Family
Outcomes in the United States (Report, 3/31/94, GAO/PEMD-94-15). 

Grant Administration:  CDC Oversight of Grantees' Activities Needs
Improvement (Report, 12/10/93, GAO/HRD-94-12). 

Refugee Resettlement:  Unused Federal Funds in 1991 and 1992 (Report,
12/7/93, GAO/HRD-94-44). 

State and Local Finances:  Some Jurisdictions Confronted by Short-
and Long-Term Problems (Report, 10/6/93, GAO/HRD-94-1).  Testimony on
same topic (10/6/93, GAO/T-HRD-94-1). 

Benefits for Illegal Aliens:  Some Program Costs Increasing, But
Total Costs Unknown (Testimony, 9/29/93, GAO/T-HRD-93-33). 

Federal Personnel:  Employment Policy Challenges Created by an Aging
Workforce (Report, 9/23/93, GAO/GGD-93-138). 

Illegal Aliens:  Despite Data Limitations, Current Methods Provide
Better Population Estimates (Report, 8/5/93, GAO/PEMD-93-25). 

Refugee Resettlement:  Initial Reception and Placement Assistance
(Report, 6/18/93, GAO/NSIAD-93-193BR). 

Rural Disaster Assistance (Letter, 6/14/93, GAO/RCED-93-170R). 

Puerto Rico:  Confusion Over Applicability of the Electoral Law to
Referendum Process (Report, 5/28/93, GAO/HRD-93-84). 

Tax Abatement (Letter, 5/21/93, GAO/HRD-93-27R). 

Income Security:  Reports Issued During 1990-92 and Testimonies
Delivered in 1992 (Bibliography, 3/93, GAO/HRD-93-80). 

Legal Services Corporation:  National Support Center Grantees'
Activities (Report, 2/5/93, GAO/HRD-93-9). 


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


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

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). 

Defense Health Care:  Uniformed Services Treatment Facility Health
Care Program (Report, 6/2/94, GAO/HEHS-94-174). 

Medical Records Control (Letter, 5/4/94, GAO/HEHS-94-161R). 

Defense Health Care:  Challenges Facing DOD in Implementing
Nationwide Managed Care (Testimony, 4/19/94, GAO/T-HEHS-94-145). 

Reserve Forces:  DOD Policies Do Not Ensure That Personnel Meet
Medical and Physical Fitness Standards (Report, 3/23/94,
GAO/NSIAD-94-36). 

Defense Health Care:  Expansion of CHAMPUS Reform Initiative Into
DOD's Region 6 (Report, 2/9/94, GAO/HEHS-94-100). 

Defense Health Care:  Expansion of the CHAMPUS Reform Initiative Into
Washington and Oregon (Report, 9/20/93, GAO/HRD-93-149). 

Psychiatric Fraud and Abuse:  Increased Scrutiny of Hospital Stays is
Needed for Federal Health Programs (Report, 9/17/93, GAO/HRD-93-92). 

Operation Desert Storm:  Army Medical Supply Issues (Report, 8/11/93,
GAO/NSIAD-93-206). 

Operation Desert Storm:  Improvements Required in the Navy's Wartime
Medical Care Program (Report, 7/28/93, GAO/NSIAD-93-189). 

Medical Readiness Training:  Limited Participation by Army Medical
Personnel (Report, 6/30/93, GAO/NSIAD-93-205). 

DOD Health Care:  Further Testing and Evaluation of Case-Managed Home
Care Is Needed (Report, 5/21/93, GAO/HRD-93-59). 

Defense Health Care:  Lessons Learned From DOD's Managed Health Care
Initiative (Testimony, 5/10/93, GAO/T-HRD-93-21). 

Defense Health Care:  Additional Improvements Needed to CHAMPUS's
Mental Health Program (Report, 5/6/93, GAO/HRD-93-34). 

DOD Mental Health Review Efforts (Letter, 3/31/93, GAO/HRD-93-19R). 


   VETERANS' HEALTH CARE
---------------------------------------------------------- Chapter 6:2

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). 

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). 

Veterans' Health Care:  Efforts to Make VA Competitive May Create
Significant Risks (Testimony, 6/29/94, GAO/T-HEHS-94-197). 

VA Health Care:  Delays in Awarding Major Construction Contracts
(Report, 6/17/94, GAO/HEHS-94-170). 

VA and the Health Security Act (Letter, 5/9/94, GAO/HEHS-94-159R). 

VA Health Care Reform:  Financial Implications of the Proposed Health
Security Act (Testimony, 5/5/94, GAO/T-HEHS-94-148). 

Medical Records Control (Letter, 5/4/94, GAO/HEHS-94-161R). 

Veterans' Health Care:  Most Care Provided Through Non-VA Programs
(Report, 4/25/94, GAO/HEHS-94-104BR). 

Veterans' Health Care:  Veterans' Perceptions of VA Services and Its
Role in Health Care Reform (Testimony, 4/20/94, GAO/T-HEHS-94-150). 

VA Health Care:  A Profile of Veterans Using VA Medical Centers in
1991 (Report, 3/29/94, GAO/HEHS-94-113FS). 

VA Appropriations (Letter, 3/29/94, GAO/HEHS-94-127R). 

VA Health Care For Women:  In Need of Continued VA Attention
(Testimony, 3/9/94, GAO/T-HEHS-94-114).  Testimony on same topic
(7/2/92, GAO/T-HRD-92-33, and 7/19/92, GAO/T-HRD-92-42).  Report on
same topic (1/23/92, GAO/HRD-92-23). 

Homelessness:  Demand for Services to Homeless Veterans Exceeds VA
Program Capacity (Report, 2/23/94, GAO/HEHS-94-98). 

VA Health Care:  VA Medical Centers Need to Improve Monitoring of
High-Risk Patients (Report, 12/10/93, GAO/HRD-94-27). 

VA Appropriations (Letter, 12/10/93, GAO/HRD-94-72R). 

Department of Veterans Affairs Appropriation (Letter, 11/12/93,
GAO/HRD-94-57R). 

VA Health Care:  Tuberculosis Control Receiving Greater Emphasis at
VA Medical Centers (Report, 11/9/93, GAO/HRD-94-5). 

Veterans Affairs:  Service Delays at VA Outpatient Facilities
(Testimony, 10/27/93, GAO/T-HRD-94-5).  Testimony on same topic
(7/21/93, GAO/T-HRD-93-29).  Report on same topic (10/15/93,
GAO/HRD-94-4). 

VA Health Care:  Restructuring Ambulatory Care System Would Improve
Services to Veterans (Report, 10/15/93, GAO/HRD-94-4). 

VA Health Care:  Medical Care Cost Recovery Activities Improperly
Funded (Report, 10/12/93, GAO/HRD-94-2)

VA Health Care:  Labor Management and Quality-of-Care Issues at the
Salem VA Medical Center (Report, 9/23/93, GAO/HRD-93-108). 

VA Health Care:  Comparison of VA Benefits With Other Public and
Private Programs (Report, 7/29/93, GAO/HRD-93-94). 

VA Health Care:  Potential for Offsetting Long-Term Care Costs
Through Estate Recovery (Report, 7/27/93, GAO/HRD-93-68). 

Veterans Affairs:  Accessibility of Outpatient Care at VA Medical
Centers (Testimony, 7/21/93, GAO/T-HRD-93-29). 

VA Health Care:  Variabilities in Outpatient Care Eligibility and
Rationing Decisions (Report, 7/16/93, GAO/HRD-93-106). 

VA Health Care:  Veterans' Efforts to Obtain Outpatient Care From
Alternative Sources (Report, 7/14/93, GAO/HRD-93-123). 

VA Health Care:  Delays in Awarding Major Construction Contracts
(Report, 5/26/93, GAO/HRD-93-101). 

VA Health Care:  Problems in Implementing Locality Pay for Nurses Not
Fully Addressed (Report, 5/21/93, GAO/HRD-93-54). 

VA Health Care:  Enforcement of Federal Ethics Requirements at VA
Medical Centers (Testimony, 5/19/93, GAO/T-HRD-93-22).  Reports on
same topic (5/12/93, GAO/HRD-93-39S) and (4/30/93, GAO/HRD-93-39). 

Veterans' Health Care:  Potential Effects of Health Care Reforms on
VA's Major Construction Program (Testimony, 5/6/93, GAO/T-HRD-93-19). 

Veterans' Affairs:  Establishing Patient Smoking Areas at VA
Facilities (Report, 5/3/93, GAO/HRD-93-104). 

Veterans' Health Care:  Potential Effects of Health Financing Reforms
on Demand for VA Services (Testimony, 3/31/93, GAO/T-HRD-93-12). 

Management of VA:  Improved Human Resource Planning Needed to Achieve
Strategic Goals (Report, 3/18/93, GAO/HRD-93-10). 

Veterans' Health Care:  Potential Effects of Health Reforms on VA
Construction (Testimony, 3/3/93, GAO/T-HRD-93-7). 

VA Health Care:  Selection of a Planned Medical Center in East
Central Florida (Report, 3/1/93, GAO/HRD-93-77).  Letter on same
topic (6/2/93, GAO/HRD-93-23R). 

VA Health Care:  Actions Needed to Control Major Construction Costs
(Report, 2/26/93, GAO/HRD-93-75). 

Veterans Disability:  Information From Military May Help VA Assess
Claims Related to Secret Tests (Report, 2/18/93, GAO/NSIAD-93-89). 


   VETERANS' BENEFITS
---------------------------------------------------------- Chapter 6:3

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

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

Veterans' Benefits:  Status of Claims Processing Initiative in VA's
New York Regional Office (Report, 6/17/94, GAO/HEHS-94-183BR). 

Military Downsizing:  Persons Returning to Civilian Life Need More
Help From DOD (Report, 1/21/94, GAO/HEHS-94-39). 

Veterans Benefits:  Redirected Modernization Shows Promise (Report,
12/9/93, GAO/AIMD-94-26). 

Disabled Veterans Programs:  U.S.  Eligibility and Benefit Types
Compared With Five Other Countries (Report, 11/24/93, GAO/HRD-94-6). 

Armed Forces Retirement Home (Letter, 11/3/93, GAO/HRD-94-49R). 

DOD Military Disability Retirement (Report, 11/3/93,
(GAO/HRD-94-50R). 

Homeownership:  Appropriations Made to Finance VA's Housing Program
May Be Overestimated (Report, 9/8/93, GAO/RCED-93-173). 

Veterans' Compensation:  Premature Closing of VA Office in the
Philippines Could Be Costly (Report, 7/15/93, GAO/HRD-93-96). 


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

David W.  Bieritz
Susan Y.  Higgins
James L.  Kirkman
Stephen F.  Palincsar
Tara J.  Tolivar



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



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============================================================ Chapter 9


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Address:



         AREAS OF INTEREST
------------------------------------------------------ Chapter 9:0.0.2

To receive future reports and testimonies, check your area(s) of
interest. 

HEALTH EMPLOYMENT
Access and InfrastructureEqual Employment
Opportunities
Employee and Retiree BenefitsHigh Performance
Workplaces
FinancingLabor and Management
Relations
Health Care ReformTraining and Employment
HHS Public Health ServiceAssistance
Long-Term CareWorkplace Quality
MalpracticeOther Employment Issues
Managed Care
Medicare and MedicaidSOCIAL SECURITY, DISABILITY,
Prescription Drugs& WELFARE
Provider IssuesAging
Public Health and EducationChildren's Issues
Quality and Practice StandardsPensions
Substance Abuse and TreatmentSocial Security
& Disability
Other Health IssuesWelfare
Other Social Security, Disability,
EDUCATION& Welfare Issues
 Department of Education
 Early Childhood DevelopmentVETERANS AFFAIRS &
MILITARY
 Armed ForcesHEALTH
 Elementary and SecondaryMilitary Health
 Higher EducationVeterans' Health Care
 School-to-Work TransitionVeterans' Benefits


         MAIL OR FAX TO: 
------------------------------------------------------ Chapter 9:0.0.3

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


         (2/95)
------------------------------------------------------ Chapter 9:0.0.4

Fax Number (202) 512-5806. 

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