Recent GAO reports

From the Government Accountability Office (GAO):

HIGHWAY PUBLIC-PRIVATE PARTNERSHIPS: More Rigorous Up-front Analysis Could Better Secure Potential Benefits and Protect the Public Interest, GAO-08-44 (pdf, 96pp/1.24 MB), Feb. 8, 2008

Highway public-private partnerships show promise as a viable alternative, where appropriate, to help meet growing and costly transportation demands. The public sector can acquire new infrastructure or extract value from existing infrastructure while potentially sharing with the private sector the risks associated with designing, constructing, operating, and maintaining public infrastructure. However, highway public-private partnerships are not a panacea for meeting all transportation system demands, nor are they without potentially substantial costs and risks to the public--both financial and nonfinancial--and trade-offs must be made.....There is no "free" money in highway public-private partnerships.

HEAD START: A More Comprehensive Risk Management Strategy and Data Improvements Could Further Strengthen Program Oversight, GAO-08-221 (pdf, 41pp/632kB), Feb. 12, 2008

This report focuses on the Dept. of Health and Human Services (HHS) Administration for Children and Families' (ACF) oversight of the Head Start program in which 1,600 local organizations receive $7 billion in grants from ACF. GAO recommends that ACF establish better criteria to spot underperforming grantees, to improve the reliability of its data, and to reduce improper payments.


HEALTH INFORMATION TECHNOLOGY: HHS Is Pursuing Efforts to Advance Nationwide Implementation, but Has Not Yet Completed a National Strategy, GAO-08-499T (pdf, 17pp/228kB), Feb. 14, 2008

In 2004 Pres. Bush established the Office of the National Coordinator for Health Information Technology (ONC) with HHS. The key areas of national health IT activities are electronic health records, standardization, networking and information exchange, and health information privacy and security.


STRATEGIC PETROLEUM RESERVE: Options to Improve the Cost-Effectiveness of Filling the Reserve, GAO-08-521T (pdf, 15pp/216kB), Feb. 26, 2008

The Strategic Petroleum Reserve (SPR) was established in 1975. The SPR currently has almost 700 million barrels of crude oil, about 56 days of oil imports, in Texas and Louisiana. The Energy Policy Act of 2005, P.L. 109-58 (pdf, 551pp.), authorized the Department of Energy (DOE) to increase the SPR to 1 billion barrels by 2018. GAO recommends that DOE consider flexible, cost-effective ways when making fill decisions.

Funding transportation infrastructure

On October 25, Robert Puentes of the Brookings Institution presented Congressional testimony on the funding of surface transportation infrastructure, "Not So Fast: Key Policy Considerations for Surface Transportation Investment Needs" (pdf, 11pp/64kB). His basic premise was that "we are a metropolitan nation," and "Unfortunately, our nation's transportation policy does not recognize the primacy of metropolitan areas..." Puentes saw three critical problems:

• Spending is not targeted to achieve certain outcomes
• There is little attention to reducing demand for spending
• The system is not priced correctly

In his testimony, Puentes referred to a publication of the U.S. Dept. of Transportation (DOT), 2006 Status of the Nation's Highways, Bridges, and Transit: Conditions and Performance (html) (pdf, 436pp/7.5MB). From the report's Introduction:

This document is intended to provide decision makers with an objective appraisal of the physical conditions, operational performance, and financing mechanisms of highways, bridges, and transit systems based both on the current state of these systems and on the projected future state of these systems under a set of alternative future investment scenarios.

Relevant to this subject area are two commissions connected to DOT: the National Surface Transportation Infrastructure Financing Commission and National Surface Transportation Policy and Revenue Study Commission.

Recent GAO reports

INTERNET ACCESS TAX MORATORIUM: Revenue Impacts Will Vary by State GAO-07-896T (pdf, 28pp/624kB), May 23, 2007

In 1998, Congress passed the Internet Tax Freedom Act (P.L. 105-277, Title XI, 112 Stat. 2681-719 et seq.), temporarily barring taxes by state and local governments on Internet access. GAO testified, "Because it is difficult to know what states would have done to tax Internet access services if no moratorium had existed, the total revenue implications of the moratorium are unclear." Bills have been introduced in Congress this year to make the moratorium permanent.

PEDIATRIC DRUG RESEARCH: The Study and Labeling of Drugs for Pediatric Use under the Best Pharmaceuticals for Children Act GAO-07-898T (pdf, 18pp/296kB), May 22, 2007

According to GAO, two-thirds of drugs prescribed for children have not been studied for pediatric use. Under the 2002 Best Pharmaceuticals for Children Act (BPCA), if manufacturers of drugs that are still on-patent (have marketing exclusivity) conduct pediatric studies at the requst of the Food and Drug Administration (FDA), FDA may extend the exclusivity period (no equivalent generic drugs to be marketed) for 6 months. GAO presents testimony on the drug studies conducted under BPCA for on-patent and off-patent drugs, and the impact of BPCA on the labeling of pediatric drugs.

PUBLIC TRANSPORTATION: Preliminary Analysis of Changes to and Trends in FTA's New Starts and Small Starts Programs GAO-07-812T (pdf, 30pp/496kB), May 10, 2007

In 2005, the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU) was signed into law. It authorized the New Starts program in which the Federal Transit Administration (FTA) recommends funding for new fixed-guideway transit projects. New Starts spawned a separate program called Small Starts for smaller transit projects. GAO discusses changes in New Starts and future trends for New Starts and Small Starts.

TEACHER QUALITY: Approaches, Implementation, and Evaluation of Key Federal Efforts GAO-07-861T (pdf, 17pp/224kB), May 17, 2007

Title II of both the 1998 amendments to the Higher Education Act (HEA) and the No Child Left Behind Act (NCLBA) provided funds for professional development and recruitment. This testimony discusses activities under the two acts, how the Dept. of Education (Education) supports these activities, and how funds are being used.