Open Recommendations

We recommend that ASPR develop a strategic plan for the Stockpile, that clearly defines the goals and objectives of the Stockpile, and the Stockpile's roles and responsibilities for responding to emergency events, including pandemics.

We recommend that ASPR work to increase the Stockpile's annual funding to keep pace with the Stockpile's increased responsibilities.

We recommend that ASPR reinstate the annual planning and review process and issue to Congress an updated PHEMCE SIP, PHEMCE Multiyear Budget, and Stockpile Annual Review Report.

We recommend that ASPR develop a plan and timeline for fully integrating the Stockpile within ASPR.

We recommend that ASPR develop a response plan, to include communication plans, for situations in which the Stockpile needs to respond to changes in roles and responsibilities during large-scale emergency responses.

(U) Rec. 1.a: The DoD OIG recommended that the Director of the Defense Logistics Agency ensure that all Care of Supplies in Storage deficiencies identified in this report are corrected. The timely review and correction of critical Care of Supplies in Storage deficiencies could result in up to $1.31 billion in potential monetary benefits (funds put to better use) because proper storage and packaging minimizes unnecessary repair and replacement costs.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Kentucky todesign and document procedures to guide Kentucky personnel through the LEA reimbursement request process. Theprocedures should be in the form of written policies and procedures or protocols, and designed to ensure compliance withapplicable requirements, including those covered in 2 C.F.R. Part 200 (Uniform Guidance) and ARP.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Kentucky to,in order to address the heightened risk associated with ARP ESSER funds, design and incorporate into its documentedprocedures for reviewing LEA reimbursement requests protocols to sample LEA expenditures charged to ARP ESSERand review supporting documentation to ensure that applicable Federal, State, and local requirements are met.

We recommend that the Assistant Secretary for the Office of Elementary and Secondary Education require Kentucky toimplement its ARP ESSER monitoring policies and procedures, as designed, to provide additional assurance that LEAsuse ARP ESSER funds in accordance with applicable requirements and their approved ARP ESSER plans.

Establish achievable cost saving metrics beginning with Artemis IV SLS elements and production contracts.

Transition the core stage and Exploration Upper Stage contracts to fixed-price contracts with a per mission price to codify the actual costs.

If keeping contracts as cost-plus-award-fee, increase the percentage of cost as a factor when conducting contractor evaluations for award fee purposes.

Conduct a detailed review of all contractor-submitted documents to ensure the government’s rights to data and processes are not unnecessarily transferred to the contractor.

Include contract flexibility on future SLS acquisitions that will allow NASA to pivot to other commercial alternatives.

For each Artemis SLS rocket under EPOC, add compensation to the DST contract such as incentive fees for when the contractor achieves specific cost saving goals.

Ensure Government Mandatory Inspection Points and government oversight teams remain throughout the EPOC transition period.

We recommend that CMS conduct an analysis of its hospital transfer payment policy for discharges to PAC and expand the policy as necessary.

We recommend that the Manager, BHSO:1. Direct BNL to ensure its property management policies and procedures are consistent with 41 CFR 109 requirements.

We recommend that the Manager, BHSO:2. Review and assess the adequacy and effectiveness of BNL’s property management program.

We recommend that the Acting Director, Office of Asset Management:3. Review and update the Guide to ensure it is consistent with the provisions of 41 CFR 109.

Direct BNL to ensure its property management policies and procedures are consistent with 41 CFR 109 requirements

Review and assess the adequacy and effectiveness of BNL’s property management program

Review and update the Guide to ensure it is consistent with the provisions of 41 CFR 109

Revises the Order to clearly define all oversight roles and responsibilities in the ECP;

Revises the Order to clearly define all oversight roles and responsibilities in the ECP;