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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
U.S. Agency for International Development
Audit of the Schedule of Expenditures of Project Rozana USA, Palestinian-Israeli Specialist Nursing Hub Activity in West Bank and Gaza, Cooperative Agreement 72029422CA00009, September 30, 2022, to December 31, 2023
Determine compliance with the requirements for grant awards issued to Waynesburg University, Illinois State University, and Metropolitan State University of Denver.
Determine whether these universities are administering, awarding, and monitoring subawards in compliance with the Uniform Guidance, program requirements, and their respective requirements.
What Office of Inspector General Found
Inadequate procedures to continue Teaching with Primary Sources awards.
Ineffective controls for indirect cost approval and monitoring.
Non-compliance with matching requirements.
What Office of Inspector General Recommends
We recommend that the Library:
Update its Grants and Cooperative Agreements Guidelines and Procedures to limit the number of times the Library can continue the cooperative agreements, taking into consideration subgrantees’ record retention requirements.
Update its policies and procedures to require Contracts and Grants Directorate to perform an annual review of relevant policies and procedures (e.g., Grants and Cooperative Agreements Guidelines and Procedures and Teaching with Primary Sources Administrative Requirements), including identifying any significant changes to the process (such as incorporating indirect costs into the budget proposal) that would require Contracts and Grants Directorate to update—or develop— control activities to help ensure that the Library and the regional partners are meeting the Teaching with Primary Sources objectives and appropriately mitigating risks.
Update Grants and Cooperative Agreements Guidelines and Procedures to address the monitoring of indirect costs, including:
Adding a requirement for Contracts and Grants Directorate to review the documentation supporting the basis for any changes in a regional partner’s indirect cost rate percentage. The procedures should include how Contracts and Grants Directorate will conduct and document this review.
Adding periodic reviews of regional partners’ application of their indirect cost rates to ensure that the application of the rate is in accordance with the approved indirect cost plans, and costs used to calculate indirect costs are allowable, reasonable, and allocable under the grant requirements and regional partners are not claiming indirect costs as both direct and indirect costs.
Review regional partners’ indirect cost plans to substantiate the basis for their proposed indirect cost rates or confirm that an approved negotiated rate exists before approving the cooperative agreements and any continuances, as well as maintain documentation supporting that Contracts and Grants Directorate performed this review. The review should help to ensure that the costs used to calculate indirect costs are allowable, reasonable, and allocable under grant requirements.
Update Contracts and Grants Directorate's procedures to ensure that the Request for Advance or Reimbursement form identifies indirect costs as a cost category.
Update Contracts and Grants Directorate's procedures to clearly indicate how regional partners should document their indirect costs on their Federal
Financial Reports and include a requirement for Contracts and Grants Directorate to perform periodic monitoring of the regional partners’ compliance in maintaining support for the indirect costs claimed on their Federal Financial Reports.
Create guidance for the regional partners that demonstrates how to calculate the matching requirement in accordance with the cooperative agreements.
Create procedures/internal controls to ensure that personnel comply with the defined methodology during the budget approval process, including budgeting matching costs as a separate line item to facilitate review and approval of the budget from a compliance standpoint.
Create guidance and associated procedures/internal controls to help ensure that Contracts and Grants Directorate sufficiently reviews matching costs using Federal Financial Reports to provide a basis for determining reasonableness and allowability in accordance with 2 Code of Federal Regulations Part 200 and the cooperative agreements. This should include defining and documenting the methodology used for reviewing the underlying support, such as expenditure receipts and invoices, in substantiating the reasonableness and allowability of the matching costs.
Assist the regional partners by communicating clear monitoring procedures for them to use in ensuring that they have sufficiently reviewed subgrantees’ matching costs to provide a basis for determining reasonableness and allowability in accordance with 2 Code of Federal Regulations Part 200 and the subgrantee awards. This should include: 3.
Defining and documenting the methodology the regional partners should use in reviewing the underlying support, such as expenditure receipts and invoices, to help substantiate matching costs.
Establishing a financial reporting protocol that clearly identifies the match cost incurred.
Identifying corrective actions the regional partners should take if they determine that subgrantees do not meet the match requirements.
In August 2024, we conducted unannounced inspections of four 3 U.S. Customs and Border Protection (CBP) short-term holding 4 facilities in the San Diego area — two Border Patrol facilities and 5 two Office of Field Operations ports of entry. We found that CBP 6 facilities generally met the National Standards on Transport, 7 Escort, Detention, and Search for food and beverages, supplies 8 and hygiene items, bedding, and medical care. We also found 9 areas of noncompliance at the facilities, including: 10 11 • One Border Patrol facility did not comply with duration of 12 13 14 15 16 17 18 19 20 21 detention standards, which generally limit time in custody to 72 hours. The facility held more than half of its detainees longer than this standard. • CBP did not comply with relevant standards of processing, documenting, and storing detainees’ personal property. • All facilities could not always provide U.S.-equivalent medication to detainees in a timely manner. 22 • One Border Patrol station did not meet cleanliness and 23 24 sanitation standards.
The Federal Emergency Management Agency’s (FEMA) Port Security Grant Program (PSGP) reimbursements — totaling more than $280 million — were allowable and paid in accordance with requirements, based on our review of records for fiscal years 20182021. We did, however, question $281,045 in non-Federal cost share expenditures for which recipients either did not maintain adequate documentation or purchased items that were not allowable under the program, resulting in $199,083 in funds that may need to be returned to FEMA to meet non-Federal cost share requirements.
TVA began hedging natural gas prices in April 2022 under the reinstated Financial Hedging Program (FHP). The program’s stated objectives are to reduce fuel rate volatility and balance operational and financial risks. From its reinstatement in April 2022 through February 2025, TVA’s FHP experienced losses of approximately $645 million. We performed an audit of the FHP due to the financial risks associated with hedging. Our audit objective was to determine if TVA’s FHP is achieving its objectives of reducing fuel rate volatility and balancing operational and financial risks.
We determined the FHP achieved its objective of reducing fuel rate volatility between April 2022 and February 2025. Over the 35-month period, fuel rate volatility was reduced by an average of about 3.5 percent. However, we were unable to determine if TVA met its objective of balancing financial and operational risks because the objective is unclear and TVA has not defined parameters to define successful achievement of the objective.
Although the fuel rate volatility was reduced over the entire time frame, the FHP resulted in (1) approximately $645 million in losses that were passed on to TVA’s customers and (2) a 2 percent increase in fuel rate volatility in fiscal year 2024. We also found TVA had not performed the required back testing to measure volatility reduction and the effectiveness of the FHP. At our request, TVA performed the back testing that showed the program had reduced fuel rate volatility.
Additionally, we identified an opportunity for TVA to improve the information provided to the TVA Board, Tennessee Valley Public Power Association, and Tennessee Valley Industrial Committee related to FHP fuel rate volatility and FHP gains/losses.
Audit of the Office of Justice Programs Bureau of Justice Assistance Comprehensive Opioid, Stimulant, and Substance Use Program Grant Awarded to the County of Snohomish, Everett, Washington
As directed under the MISSION Act, VA created clinical resource hubs to improve healthcare access for veterans in underserved areas. The hubs backstop medical facilities in each regional Veterans Integrated Service Network (VISN) that do not have enough clinical staff due to attrition, recruiting difficulties, or growth in the veteran population. Hub physicians see most patients virtually. Encounters increased from almost 482,000 in fiscal year (FY) 2021 to about 1.2 million in FY 2024.
The OIG team found that despite the increase in patient encounters, physicians in some hub primary care and specialty group practices—such as cardiologists, dermatologists, and psychiatrists and psychologists—generally did not appear to meet established minimum productivity thresholds. The apparent failure to meet these thresholds may have been caused by gaps and inaccuracies in the data used to measure productivity. The available data did not consistently give physicians credit for work documented at a spoke site (where a veteran presents for care), recognizing only work documented at the facility to which the hub physician’s labor is mapped. Moreover, VHA lacked formal guidance on how hubs should measure and monitor specialty physician productivity. Hub officials simply relied on indicators like the number of patient encounters and veterans served, instead of using standardized productivity metrics that factor in the complexity of each visit. The lack of guidance also prevented VHA from identifying and remediating underperforming hub services.
The OIG recommended VHA improve data, issue guidance on which productivity measures apply to hub physicians, and clarify who should monitor productivity and take corrective action when targets are not met. These steps will help VHA evaluate whether the ever-increasing investment in hubs is justified and the number of veterans served is optimized. VHA agreed with the recommendations.