In 2021-2022, Head Start served nearly 790,000 young children, primarily from low-income families. However, the Department of Health and Human Services' (HHS) estimates that far more children are eligible than can be served due to limited resources, heightening the importance of targeting services effectively. House Report 117-96 includes a…

The Bureau of Prisons (BOP) is responsible for managing the care and custody of approximately 175,000 federal inmates--an estimated 20 percent of whom have been diagnosed with a substance use disorder. The Government Accountability Office (GAO) was asked to review BOP's efforts to provide drug treatment to federal inmates. This report (1)…

Members of Congress and others have questioned whether expanding the scope of the Medicare graduate medical education (GME) program to include nurse practitioners (NPs) and physician assistants (PAs) could help mitigate the effects of a physician shortage in the United States. A Senate Committee on Appropriations report asked the US Government…

Enacted in 2014, the Workforce Innovation and Opportunity Act (WIOA) brought numerous changes to existing federal employment and training programs, including requiring the Department of Labor (DOL) and the Department of Education (Education) to implement a common performance accountability system across the six WIOA-designated core programs. WIOA…

Beginning in 2011, the Department of Education (Education) used its statutory authority to invite states to apply for waivers from certain provisions in the Elementary and Secondary Education Act (ESEA) through its Flexibility initiative. To receive Flexibility waivers, states had to agree to meet other requirements related to college- and…

American Indian and Alaska Native students enrolled in public schools have performed consistently below other students on national assessments from 2005-2019. The Johnson-O'Malley (JOM) program provides academic and cultural supports, through contracts, to meet the specialized and unique educational needs of American Indian and Alaska Native…

Research has shown that early intervention can greatly improve the development of a child with autism. Children with disabilities--including children with autism--can receive intervention services through the Individuals with Disabilities Education Act. Low income children may also receive intervention services through Medicaid or the State…

This paper is a transcript of a letter written by the author, Cornelia M. Ashby, Director, Education, Workforce, and Income Security Issues, to June St. Clair Atkinson, State Superintendent of the North Carolina Department of Public Instruction. In this letter, the author reports that she and her colleagues have examined the efforts of selected…

This paper is a transcript of a letter written by the author, Cornelia M. Ashby, Director, Education, Workforce, and Income Security Issues, to June St. Clair Atkinson, State Superintendent of the North Carolina Department of Public Instruction. In this letter, the author reports that she and her colleagues have examined the efforts of selected…

A hallmark of efforts to implement the $862 billion American Recovery and Reinvestment Act of 2009 (Recovery Act) is to be transparent and accountable about what the money is being spent on and what is being achieved. To help achieve these goals, recipients are to report every 3 months on their award activities and expected outcomes, among other…

The Department of Health and Human Services (HHS) awards grants to provide shelter and services to runaway and homeless youth through the Basic Center, Transitional Living and Street Outreach Programs. In response to a mandate for a review of the grant award process for these programs in the Reconnecting Homeless Youth Act of 2008 (Pub. L. No.…

The Department of Education (Education) created Race to The Top (RTT) under the American Recovery and Reinvestment Act of 2009 to provide incentives for states to reform K-12 education in areas such as improving the lowest performing schools and developing effective teachers and leaders. In 2010, Education awarded 12 states nearly $4 billion in…

Over the years, Congress has created or authorized the creation of numerous entities to carry out federal programs and further public purposes. These federally created entities can be categorized into several types and serve a variety of missions. They are subject to varying governance, accountability, and transparency requirements through which…

States and school districts receive funding through ESEA, IDEA, and national school meals programs. Some requirements for these programs are intended to help ensure program integrity and transparency, among other purposes, but questions have been raised about whether some federal requirements place an undue burden on states and school districts.…

This report responds to two mandates for GAO under the American Recovery and Reinvestment Act of 2009 (Recovery Act). First, it is the latest report on the uses of and accountability for Recovery Act funds in selected states and localities. Second, it comments on recipients' reports of the jobs created and retained. The Recovery Act provided $2.1…