Federal Reports

The audit objectives were to determine whether program funds were managed in accordance with the ARC and Federal grant requirements.

We rendered a qualified opinion on the EPA's fiscal years 2022 and 2021 Toxic Substances Control Act, or TSCA, Service Fee Fund financial statements, meaning that, except for material errors in expenses and income from other appropriations and earned and unearned revenue, the statements were fairly presented. We noted two material weaknesses: the EPA materially understated TSCA income and expenses from other appropriations, and the EPA materially misstated TSCA

earned and unearned revenue. We noted one significant deficiency: the EPA needs to improve its financial statement preparation process.

As part of its 10-year Delivering for America plan, the Postal Service plans to acquire 106,480 new delivery vehicles, including electric vehicles, between fiscal years 2023 and 2028. The investment in new vehicles will necessitate the replacement and disposal of many long-life vehicles (LLV), which may generate additional revenues. Thus, it is crucial for the Postal Service to establish and maintain internal controls over its evolving disposal processes to mitigate security and financial risks as the 10-Year Plan unfolds. 

Veterans Health Administration (VHA) administers healthcare services through a nationwide network of 18 regional systems referred to as Veterans Integrated Service Networks (VISNs). This Office of Inspector General (OIG) report describes the results of a VISN-level oversight evaluation of credentialing and privileging processes at facilities within the VISNs. The OIG inspected VISNs 7, 8, 12, 15, 20, and 23 from December 5, 2022, through February 14, 2024. Specifically, the OIG determined whether VISNs complied with the following requirements:
   •    Senior strategic business partners, VISN human resources officers, and chief medical officers review licensure information for practitioners with a history of adverse licensure actions
   •    Practitioners with equivalent specialized training and similar privileges complete professional practice evaluations for solo and two-deep practitioners and facilities’ chiefs of staff
   •    VISN directors and privacy officers review evidence files for state licensing board reporting
   •    Chief medical officers review each facility annually and oversee credentialing and privileging processes
 

The OIG issued four recommendations for improvement:
   •    External practitioners with equivalent training and similar privileges complete timely evaluations for
      o    Solo and two-deep practitioners
      o    Facility chiefs of staff
   •    Review of state licensing board reporting processes for compliance with VHA policy
   •    The Chief Medical Officer oversees facilities’ annual self-assessment and ensures responses reflect accurate data