Federal Reports

Attention deficit hyperactivity disorder (ADHD) is a common neurobehavioral disorder with symptoms of inattention, hyperactivity, and impulsivity. The Department of Health and Human Services publishes national quality measures that outline timeframes for followup care for children with ADHD. Additionally, professional guidelines from American Academy of Pediatrics and American Academy of Child and Adolescent Psychiatry describe the importance of followup care and behavioral therapy for these children. Some children may not receive followup care or behavioral therapy for reasons such as limited access to care or because practitioners may be unaware of the professional recommendations. This study focuses specifically on the extent to which children do not receive followup care and behavioral therapy.

We issued this to (1) determine whether the Social Security Administration (SSA) made payments to beneficiaries and representative payees who were deceased according to Florida Department of Health vital records and (2) identify non-beneficiaries in the State file whose death information did not appear in SSA’s records.

The objectives of our audit were to determine whether the Gulf States Marine Fisheries Commission (1) claimed costs that are allowable, allocable, and reasonable; (2) complied with award terms and conditions as well as administrative requirements, cost principles, and audit requirements of federal awards; (3) met matching requirements using allowable funds and costs that are properly calculated and valued; and (4) achieved programmatic objectives for each award.

Our primary objective was to assess the adequacy of the Geostationary Operational Environmental Satellites-R (GOES-R) program’s satellite development and testing, and the transition of launched satellites into operations. Our second objective was to monitor the program’s progress on contracting actions and changes to minimize cost increases .

The Child Care and Development Fund (CCDF) program, for which fiscal year (FY) 2018 Federal funding totaled $8.2 billion, provides child care subsidies for 1.4 million eligible children. CCDF program payments, which are administered by States, allow eligible low income parents to work or pursue training or education while their children attend child care. If States set CCDF payment rates too low, families may not have access to child care providers. ACF is responsible for overseeing States' CCDF payment rates to child care providers and ensuring that eligible families have equal access to child care services. The only proxy for ensuring equal access that ACF has recommended to States is setting CCDF payment rates at a level that covers 75 percent of child care provider prices-referred to as the 75th percentile.

In June 2017, HHS-OIG received a hotline complaint alleging that the Administration for Community Living (ACL) was not conducting its required oversight of independent living programs. We performed this audit to determine whether ACL appropriately oversaw the activities of independent living programs.

The U.S. Department of Health and Human Services (HHS) is the U.S. Government's principal agency for protecting the health of all Americans and providing essential human services. Included in that role is a charge to respond to international epidemics that could threaten the United States.