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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Health & Human Services
Trend Toward More Expensive Inpatient Hospital Stays in Medicare Emerged Before COVID-19 and Warrants Further Scrutiny
Although the Bemidji Area Office Had Adequate Procedures to Disburse Indian Health Service Funds, It Needs to Strengthen Its Procedures for Monitoring the Use of the Funds
In recent years, Congress has expressed concerns about the Indian Health Service’s (IHS’s) administrative and financial management of program funds for health services to American Indians and Alaska Natives. Before we could address Congress’ broader concerns, we needed to assess how the 12 IHS Area Offices receive and disburse funds for services provided to Tribal members. We chose to audit the Bemidji Area Office’s (BAO’s) procedures for disbursing IHS funds because it disburses funds to all program types.
On March 27, 2020, the President signed into law the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). To date the CARES Act has provided the U.S. Department of the Interior (DOI) with $909.7 million, which includes direct apportionments of $756 million to support the needs of DOI programs, bureaus, Indian Country, and the Insular Areas, and a $153.7 million transfer from the U.S. Department of Education to the BIE.This report presents the DOI’s progress as of December 31, 2020, in spending CARES Act appropriations. Specifically, the DOI’s expenditures to date total $600,876,882, and its obligations total $668,075,114.We are also monitoring the DOI’s progress on reporting milestones established by the CARES Act and the U.S. Office of Management and Budget.
The OIG investigated allegations that an enrolled member of a Native American tribe paid bribes or kickbacks to an elected member of a tribal business committee in exchange for preference on tribal construction contracts.We did not substantiate the allegations. A financial analysis revealed no evidence to suggest the enrolled member received construction contracts awarded by the tribe or that he owned or operated a construction company. We also found no evidence that the enrolled member paid bribes or kickbacks to tribal officials.
A supervisor based at Sunnyside Yard in New York City was terminated on February 18, 2021, following an administrative hearing. The former employee violated company policies by fraudulently claiming and accepting payment for regular pay, overtime pay, or both during hours when he was not working. In addition, company rail pass records showed that his pass was in use on days when he also claimed work hours, indicating that either he claimed labor hours while he was on personal travel or that he allowed others to use his rail pass privileges.
