diff --git "a/data/CHRG-117/CHRG-117hhrg43756.txt" "b/data/CHRG-117/CHRG-117hhrg43756.txt" new file mode 100644--- /dev/null +++ "b/data/CHRG-117/CHRG-117hhrg43756.txt" @@ -0,0 +1,3276 @@ + + - THE 2021 GAO HIGH-RISK LIST: BLUEPRINT FOR A SAFER, STRONGER, MORE EFFECTIVE AMERICA +
+[House Hearing, 117 Congress]
+[From the U.S. Government Publishing Office]
+
+
+                      THE 2021 GAO HIGH-RISK LIST:
+                    BLUEPRINT FOR A SAFER, STRONGER,
+                         MORE EFFECTIVE AMERICA
+
+=======================================================================
+
+                                HEARING
+
+                               BEFORE THE
+
+                              COMMITTEE ON
+                          OVERSIGHT AND REFORM
+                        HOUSE OF REPRESENTATIVES
+
+                    ONE HUNDRED SEVENTEENTH CONGRESS
+
+                             FIRST SESSION
+
+                               __________
+
+                             MARCH 2, 2021
+
+                               __________
+
+                            Serial No. 117-6
+
+                               __________
+
+      Printed for the use of the Committee on Oversight and Reform
+      
+[GRAPHIC NOT AVAILABLE IN TIFF FORMAT]      
+
+
+                       Available on: govinfo.gov,
+                         oversight.house.gov or
+                             docs.house.gov                             
+                             
+                               __________
+                               
+
+                    U.S. GOVERNMENT PUBLISHING OFFICE                    
+43-756 PDF                  WASHINGTON : 2021                     
+          
+--------------------------------------------------------------------------------------                             
+                             
+                             
+                   COMMITTEE ON OVERSIGHT AND REFORM
+
+                CAROLYN B. MALONEY, New York, Chairwoman
+
+Eleanor Holmes Norton, District of   James Comer, Kentucky, Ranking 
+    Columbia                             Minority Member
+Stephen F. Lynch, Massachusetts      Jim Jordan, Ohio
+Jim Cooper, Tennessee                Paul A. Gosar, Arizona
+Gerald E. Connolly, Virginia         Virginia Foxx, North Carolina
+Raja Krishnamoorthi, Illinois        Jody B. Hice, Georgia
+Jamie Raskin, Maryland               Glenn Grothman, Wisconsin
+Ro Khanna, California                Michael Cloud, Texas
+Kweisi Mfume, Maryland               Bob Gibbs, Ohio
+Alexandria Ocasio-Cortez, New York   Clay Higgins, Louisiana
+Rashida Tlaib, Michigan              Ralph Norman, South Carolina
+Katie Porter, California             Pete Sessions, Texas
+Cori Bush, Missouri                  Fred Keller, Pennsylvania
+Danny K. Davis, Illinois             Andy Biggs, Arizona
+Debbie Wasserman Schultz, Florida    Andrew Clyde, Georgia
+Peter Welch, Vermont                 Nancy Mace, South Carolina
+Henry C. ``Hank'' Johnson, Jr.,      Scott Franklin, Florida
+    Georgia                          Jake LaTurner, Kansas
+John P. Sarbanes, Maryland           Pat Fallon, Texas
+Jackie Speier, California            Yvette Herrell, New Mexico
+Robin L. Kelly, Illinois             Byron Donalds, Florida
+Brenda L. Lawrence, Michigan
+Mark DeSaulnier, California
+Jimmy Gomez, California
+Ayanna Pressley, Massachusetts
+Vacancy
+
+                     David Rapallo, Staff Director
+                      Emily Burns, Policy Director
+                       Elisa LaNier, Chief Clerk
+
+                      Contact Number: 202-225-5051
+
+                  Mark Marin, Minority Staff Director
+                                 ------                                
+                        
+                        C  O  N  T  E  N  T  S
+
+                              ----------                              
+                                                                   Page
+Hearing held on March 2, 2021....................................     1
+
+                                Witness
+
+ The Honorable Gene L. Dodaro, Comptroller General of the United 
+  States, Government Accountability Office
+    Oral Statement...............................................     5
+
+Opening statements and the prepared statement for the witness are 
+  available in the U.S. House of Representatives Repository at: 
+  docs.house.gov.
+
+                           INDEX OF DOCUMENTS
+
+                              ----------                              
+
+  * Letter, Kansas Congressional Delegation; submitted by Rep. 
+  LaTurner.
+
+  * Report, Kansas Report on Unemployment Claims and Fraud; 
+  submitted by Rep. LaTurner.
+
+  * Letter, IRS Enforcement Letter from 88 Groups to the Biden 
+  Administration and Congress; submitted by Rep. Ocasio-Cortez.
+
+  * ``Who's Afraid of the IRS? Not Facebook,'' article, Pro 
+  Publica; submitted by Rep. Ocasio-Cortez.
+
+  * Questions for the Record: to Mr. Dodaro; submitted by Rep. 
+  LaTurner.
+
+
+Documents entered into the record during this hearing and 
+  Questions for the Record (QFR's) are available at: 
+  docs.house.gov.
+
+ 
+                      THE 2021 GAO HIGH-RISK LIST:
+                    BLUEPRINT FOR A SAFER, STRONGER,
+                         MORE EFFECTIVE AMERICA
+
+                              ----------                              
+
+
+                         Tuesday, March 2, 2021
+
+                  House of Representatives,
+                 Committee on Oversight and Reform,
+                                                   Washington, D.C.
+    The committee met, pursuant to notice, at 10:39 a.m., in 
+room 2154, Rayburn House Office Building, Hon. Carolyn B. 
+[chairwoman of the committee] presiding.
+    Present: Representatives Norton, Lynch, Cooper, Connolly, 
+Krishnamoorthi, Raskin, Khanna, Ocasio-Cortez, Tlaib, Porter, 
+Bush, Davis, Welch, Johnson, Speier, Kelly, DeSaulnier, Gomez, 
+Pressley, Comer, Jordan, Gosar, Foxx, Hice, Grothman, Cloud, 
+Gibbs, Higgins, Keller, Sessions, Biggs, Donalds, Herrell, 
+LaTurner, Fallon, Clyde, and Franklin.
+    Chairwoman Maloney. Welcome, everybody, to today's hybrid 
+hearing. Pursuant to House Rules, some members will appear in 
+person, and others will appear remotely via Webex. Since some 
+members are appearing in person, let me first remind everyone 
+that pursuant to the latest guidance from the House attending 
+physician, all individuals attending this hearing in person 
+must wear a face mask. Members who are not wearing a face mask 
+will not be recognized.
+    Let me also make a few reminders for those members 
+appearing in person. You will only see members and witnesses 
+appearing remotely on the monitor in front of you when they are 
+speaking in what is known in Webex as ``active speaker'' or 
+``stage view.'' A timer is visible in the room directly in 
+front of you.
+    For members appearing remotely, I know you are all familiar 
+with Webex by now, but let me remind everyone of a few points.
+    First, you will be able to see each other speaking during 
+the hearing whether they are in person or remote as long as you 
+have your Webex set to active speaker or stage view. If you 
+have any questions about this, please contact staff 
+immediately.
+    Second, we have a timer that should be visible on your 
+screen when you are in the active speaker with thumbnail. 
+Members who wish to pin the timer to their screens should 
+contact committee staff for assistance.
+    Third, the House Rules require that we see you. So, please 
+have your cameras turned on at all times.
+    Fourth, members appearing remotely who are not recognized 
+should remain muted to minimize background noise and feedback.
+    Fifth, I will recognize members verbally, but members 
+retain the right to seek recognition verbally. In regular 
+order, members will be recognized in seniority order for 
+questions.
+    Last, if you want to be recognized outside of regular 
+order, you may identify that in several ways. You may use the 
+chat function to send a request, you may send an email to the 
+majority staff, or you may unmute your mic to seek recognition.
+    Obviously, we do not want people talking over each other. 
+So, my preference is that members use the chat function or 
+email to facilitate formal verbal recognition. Committee staff 
+will ensure that I am made aware of the request, and I will 
+recognize you.
+    We will begin the hearing in just a moment when they tell 
+me they are ready to begin the live stream.
+    [Pause.]
+    Chairwoman Maloney. The committee will come to order.
+    Without objection, the chair is authorized to declare a 
+recess of the committee at any time.
+    I now recognize myself for an opening statement.
+    The U.S. Government is one of the most complex and 
+consequential organizations on Earth. Responsible for serving a 
+population of more than 330 million people and adding a new 
+person at a rate of every 52 seconds, the Federal Government 
+has a mission that is staggering in both breadth and depth.
+    Every two years, the Government Accountability Office 
+releases a blueprint for how to better meet this mission. The 
+GAO High-Risk List identifies the areas of Federal operations 
+most in need of improvement and transformation, complete with 
+hundreds of ratings and specific recommendations for how to 
+achieve progress. This year's report is titled ``Dedicated 
+Leadership Needed to Address Limited Progress in Most High-Risk 
+Areas,'' a message that cuts right to the heart of the 
+challenge we face.
+    Over the past four years, the objective metrics of the 
+High-Risk List shows that the Federal Government improved less 
+and regressed more than before the President took office. Of 
+the 35 areas that were included on the list, 20 were stagnant, 
+five regressed, and two new areas were added. The country now 
+strives to recover from an unprecedented pandemic that has 
+killed more than 500,000 Americans and reduced the average life 
+expectancy by one full year, a toll that falls particularly 
+hard on minority populations.
+    Fourteen million Americans lost their jobs in the first 
+three months of the pandemic, more than in two years of the 
+Great Recession. Ten million are still unemployed, and that 
+number doesn't even include the millions of Americans who have 
+given up looking for jobs.
+    As this silent war rages on in homes and hospitals, another 
+silent battle is being fought in our IT networks by cyber 
+attackers intent on stealing our intellectual property and 
+undermining our national security. The SolarWinds breach that 
+came to light last December as well as escalating targeted 
+cyber attacks that have drained millions of dollars from 
+struggling hospitals are just two examples of the threats that 
+we know about.
+    The economic toll of the pandemic also cuts across multiple 
+high-risk areas, draining, draining our ability to react and 
+straining our resources and inflicting damage on financial 
+regulatory systems that remain dangerously fragmented after the 
+last financial crisis.
+    Our frontline healthcare and essential workers are 
+traumatized and exhausted, suffering devastation that will 
+redefine a generation. They will not forget that the Federal 
+Government told them they were on their own when the ICUs 
+filled up and the personal protective equipment was nowhere to 
+be found. They will not forget the Federal Government put more 
+lives at risk by contradicting basic scientific facts. They 
+will not forget that the Federal Government used outdated IT 
+systems that delayed their economic stimulus checks.
+    I know our Federal Government is better than that. As one 
+of our colleagues reminded me a few weeks ago, our Federal 
+Government put a man on the Moon. So, setting up a functioning 
+system for distributing pandemic relief payments quickly and 
+accurately should be entirely attainable.
+    It is attainable, as are the other recommendations in 
+today's high-risk report, but it will take dedicated leadership 
+to get there and not just by one person. No one person can 
+rebuild the broken roads, prevent the next flood, or stop the 
+next deadly virus from ravaging our cities and towns. No one 
+person can remove the lead from the water, cover payroll costs 
+for pandemic-starved small businesses, or save the 136 
+Americans who will die of opioid overdoses today.
+    No one person can do all these things, but when we all work 
+together as effectively as possible, we can make progress. That 
+is the work of Government and the work of today's report.
+    The committee is honored to welcome Gene Dodaro, the 
+Comptroller General of the United States and the head of the 
+Government Accountability Office. The diligent and thorough 
+work undertaken by Mr. Dodaro and his staff of dedicated 
+professionals complements the mission of this committee, and we 
+are grateful for it.
+    The need for an effective, efficient, functional, and 
+responsible Federal Government has never been greater. Congress 
+and the executive branch must work together strategically on 
+high-risk areas so Federal agencies are in the best position 
+possible to restore the health, security, and prosperity of the 
+Nation.
+    Comptroller General, thank you for being here today, and I 
+look forward to a wide-ranging discussion.
+    Before I recognize the ranking member, I want to make one 
+announcement. Mr. Dodaro is testifying in the Senate this 
+afternoon at 2:30 p.m., which means we will have to end our 
+hearing at 1:30 p.m.
+    With that, I now recognize the distinguished ranking 
+member, Mr. Comer, for an opening statement.
+    Mr. Comer. Thank you, Madam Chair, for holding this very 
+important hybrid, bipartisan hearing.
+    And thank you, Comptroller General Dodaro, for your 
+appearance here today. I know you are going to have a very long 
+day.
+    Today's hearing is exactly what this committee was designed 
+to do, explore areas where there are high risks of fraud, 
+waste, abuse, and mismanagement of Government resources. 
+Congress needs to know what steps we can take to make the high-
+risk programs more efficient and less susceptible to misuse.
+    Taxpayers expect the Government to work for them, but far 
+too often, the complexity of the Federal bureaucracy leads to 
+risks of inefficiencies and mismanaged resources. I am glad the 
+hearing today will shine a light on Federal programs that are 
+especially susceptible to such risks, as well as identify 
+solutions to ensure that the Government is working for the 
+American people.
+    GAO's High-Risk List has informed congressional oversight 
+and decisionmaking since its inception in the 1990's. To be 
+included on the list, the GAO considers several factors, in 
+particular whether the area presents a risk of at least $1 
+billion loss, involves public health, safety, national 
+security, economic growth, or citizens' rights.
+    The 36 separate areas identified in the 2021 High-Risk List 
+are selected by GAO as having both qualitative and quantitative 
+risks that present an elevated likelihood of fraud, waste, and 
+abuse. Once on the list, the program must demonstrate a 
+commitment to progress in five criteria, which GAO clearly 
+outlines.
+    Today's hearing should help us better understand these 
+recommendations so this committee can use the tools to ensure 
+these programs are better managed. The GAO estimates the High-
+Risk List, combined with targeted congressional oversight, is 
+responsible for a financial benefit to the Federal Government 
+of $575 billion over the last 15 years and approximately $225 
+billion since its last high-risk update in 2019. That is over 
+half a trillion dollars saved for the U.S. taxpayers over the 
+last 15 years.
+    But there remains serious work to be done in addressing 
+many of the deficiencies identified on the 2021 High-Risk List. 
+In fact, I see this report as a blueprint for congressional 
+action needed to make our Government work more efficiently for 
+the American people, while managing resources and utilizing our 
+tax dollars in the way that the law intends. Because despite 
+progress made in multiple high-risk areas since 2019, the news 
+is not all good. Only one area met all five criteria for 
+removal from this year's High-Risk List, while two new areas 
+were added to the list. Some areas regressed, while others did 
+not improve in any of the five criteria.
+    There is still a significant amount of work to be done, and 
+I have said many times that this committee should be guided by 
+its mission to root out waste, fraud, and abuse wherever it may 
+be found. I am glad to see the committee finally addressing 
+these issues.
+    Since October, committee Republicans have shined a light on 
+a $35 million contract to a get out the vote effort in 
+California that appears to violate Federal law. Meanwhile, the 
+Election Assistance Commissioner Inspector General has taken no 
+action. That is exactly why it is important for this committee 
+to focus on preventing mismanagement and frivolous spending 
+like we are here today. That is our job on this committee.
+    I look forward to hearing from our witness today about ways 
+Congress can enhance its oversight and improve the areas 
+identified on the High-Risk List to ensure that our Government 
+works on behalf of the American people.
+    Again, I thank the chairwoman for holding this important 
+hearing, and I yield back the balance of my time.
+    Chairwoman Maloney. Thank you. The gentleman yields back.
+    I would now like to introduce our witness. Today, we will 
+hear from the Honorable Gene Dodaro, who is the Comptroller 
+General of the United States.
+    The witness will be unmuted so we can swear him in. Please 
+raise your right hand.
+    Do you swear or affirm that the testimony you are about to 
+give is the truth, the whole truth, and nothing but the truth, 
+so help you God?
+    [Response.]
+    Chairwoman Maloney. Let the record show that the witness 
+answered in the affirmative.
+    Thank you. Without objection, your written statement will 
+be part of the record.
+    With that, Comptroller Dodaro, you are now recognized for 
+your testimony.
+
+ STATEMENT OF HON. GENE L. DODARO, COMPTROLLER GENERAL OF THE 
+        UNITED STATES, GOVERNMENT ACCOUNTABILITY OFFICE
+
+    Mr. Dodaro. Thank you very much, Chairwoman Maloney, 
+Ranking Member Comer, members of the committee. I'm very 
+pleased to have this opportunity to talk about GAO's latest 
+high-risk update today.
+    There have been some bright spots and improvement. However, 
+our overall conclusion is that there has been limited progress 
+in the majority of the high-risk areas. Twenty, as you 
+mentioned, Chairwoman Maloney, have remained the same with 
+their ratings. Five have regressed.
+    Now on the positive side, seven areas made improvements in 
+their ratings. One to the point, as Ranking Member Comer 
+mentioned, of coming off the list. That's the defense support 
+infrastructure area. They reduced their warehouse, office 
+space, properties; reduced their leasing costs, as we 
+recommended; taken action to get intergovernmental agreements 
+in place to reduce their costs of operating their bases. And so 
+we feel comfortable.
+    Now when we take something off the list, that doesn't mean 
+it's out of sight. So, we keep an eye on the area to make sure 
+that it is, in fact, fixed.
+    And now on the other side of the equation, we're adding two 
+new areas to the High-Risk List. The first is the Federal 
+Government's efforts to prevent, respond to, and recover from 
+drug abuse. Unfortunately, from 2002 to 2019, 800,000 Americans 
+have lost their lives to drug overdose. The latest period from 
+May 1919 to 1920--May 1920 has the highest recorded number of 
+deaths already, on a preliminary basis, of 80,000 people.
+    This area needs greater Federal leadership, attention, 
+coordination, and a complete national strategy that's executed 
+properly, monitored, and refined going forward to combat this--
+another public health crisis that we're facing in addition to 
+the pandemic.
+    Second, we're adding SBA's Emergency Loan Program. Now 
+these loan programs have been a tremendous help to small 
+businesses across the United States during the pandemic, and I 
+want to emphasize that this designation does not detract from 
+the good that these programs have done. However, we think, when 
+you're spending close to $1 trillion, you also need good 
+accountability and transparency. And by those standards, these 
+programs have not met that goal.
+    There is need for greater oversight and management for 
+program integrity to minimize fraud and to provide better 
+accountability to the taxpayer. SBA was unable to get an 
+opinion from its financial auditors this past year because they 
+couldn't substantiate loan balances and other issues.
+    Now there are a number of existing high-risk areas that I 
+want to call your attention to. First is the cybersecurity of 
+our Nation. I first designated this a high-risk area across the 
+entire Federal Government in 1997. We added critical 
+infrastructure protection in 2003. The Federal Government is 
+still not operating, in my opinion, at a pace commensurate with 
+the evolving serious threats that are presented in this area. 
+So, we've put forth a number of recommendations.
+    Second is the Federal workforce. There are critical skill 
+gaps. Twenty-two of the high-risk areas are on there in part 
+because of skill gap in the programs. And the Federal 
+Government is, in my view, not well postured as it needs to be 
+to meet 21st century challenges.
+    This committee is very familiar with the high-risk issues 
+in the U.S. Postal Service and Census. So, I won't go into 
+those in much detail.
+    Limiting the Federal Government's fiscal exposure by 
+managing climate risk is a very important issue. The Government 
+is an insurer of flood insurance, crop insurance. It is the 
+biggest property owner in the United States and land owner. It 
+needs to limit disaster aid that's now over $1 trillion--or a 
+half trillion dollars since Katrina took place by building 
+better resilience in up front.
+    So, the bottom line here is that only 12 of the high-risk 
+areas have had leadership met as part of the criteria. So, we 
+need much greater leadership on the part of the agencies, OMB, 
+and continued oversight and engagement from the Congress. GAO 
+is ready to do its part to help.
+    Thank you very much. I'd be happy to answer questions.
+    Chairwoman Maloney. Thank you. I recognize myself for five 
+minutes for questions.
+    Last Friday, our committee had a hearing on the SolarWinds 
+breach and received really frightening testimony about how a 
+suspected Russian state actor infiltrated the networks of at 
+least nine Federal agencies and over 100 private sector 
+companies, stealing their intellectual property, their plans, 
+their research. Definitely a national security risk.
+    Our attackers wreaked silent, invisible damage on our 
+internal Federal networks for months undetected and would have 
+remained undetected for who knows how long if not for the 
+discovery by the cybersecurity firm FireEye. The vulnerability 
+of Federal and private sector systems, including critical 
+infrastructure of the Nation's energy, transportation, 
+communications, and financial sector, is absolutely staggering.
+    So, Mr. Dodaro, in the high-risk area of ensuring the 
+cybersecurity of the Nation, how many of GAO's recommendations 
+currently stand open to secure cybersecurity?
+    You need your mic on.
+    Mr. Dodaro. Since 2010, we've made 3,300 recommendations. 
+Seven hundred fifty remain open at this point in time.
+    Chairwoman Maloney. And how many would you describe as 
+priority recommendations?
+    Mr. Dodaro. There's about 67 priority recommendations 
+remaining open. But I would underscore that all 750 can 
+introduce vulnerabilities if not attended to.
+    Chairwoman Maloney. This is unbelievably unacceptable. 
+Which of these recommendations would have been most important 
+in preventing or responding to the SolarWinds attack?
+    Mr. Dodaro. There were two in particular. One dealing with 
+the information technology supply chain. There are best 
+practices that could be put in place to address that issue. We 
+warned about it before, but we took an in-depth look. None of 
+the 23 agencies that we looked at met all the best practice 
+criteria. So, we made 145 recommendations across Government to 
+better manage IT supply chain issues, which was a key weakness 
+exploited during the SolarWinds attack.
+    Second is to--and I'm pleased that Congress has acted on 
+this recommendation, which is to place a statutory cyber 
+coordinator in the White House that can coordinate activities 
+across Government to support the Department of Homeland 
+Security, to support OMB, and the agencies in the bridge to 
+civilian and military components, along with the National 
+Security Council. So, this is--this is an important area. So 
+far, that position has not yet been filled, however.
+    Chairwoman Maloney. Now if your recommendations had been in 
+place, do you think it would have prevented this cyber attack?
+    Mr. Dodaro. Well, it certainly would have led to an earlier 
+discovery of the attack. It's hard to say that, you know, you 
+can't have zero assurance. But we would have been better 
+postured to detect the attack ourselves, to take quicker 
+action, in my opinion.
+    Chairwoman Maloney. In response to your statement, if you 
+turn to page 168 of the report, which states--and I quote--
+about the need to coordinate with a cybersecurity professional, 
+``In light of the elimination of the White House Cybersecurity 
+Coordinator position in May 2018, it had remained unclear what 
+official within the executive branch is to ultimately be 
+responsible for coordinating the execution of the 
+implementation plan and holding Federal agencies accountable 
+for the plan's nearly 200 activities moving forward.''
+    So, Mr. Dodaro, GAO's assessment that the Trump 
+administration's decision to eliminate the White House 
+Cybersecurity Coordinator position, do you believe that that 
+made the Nation more vulnerable to cyber attack?
+    Mr. Dodaro. Well, I'm very pleased that the Congress 
+created the position in statute, and I think having the 
+position filled will help reduce the Government's 
+vulnerability, if effectively implemented and the proper 
+leadership provided across Government.
+    Chairwoman Maloney. OK, and I think that the report later 
+discusses the attack and stresses that this national cyber 
+director needs to be filled. We support that. We passed it 
+legislatively. It was removed by the White House, and it has to 
+be put forward, a national cyber strategy needing a national 
+director focused on all of your recommendations.
+    I want to really point on something that came out of the 
+hearing, and that was the need to share information. And I know 
+that there has been legislation in calling for the sharing of 
+information between the public and private sector on cyber 
+attacks. There has been great resistance. Many people don't 
+want to share that information. They don't want people to know 
+that they had a breach, but this information has to be shared.
+    And I want to know what your assessment would be if we 
+required--we have, what, $1.5 trillion a year in Federal 
+contracts that go out. That if you receive a Federal contract, 
+then you must share that information with Government and the 
+private sector so that we can better address attacks to our 
+cybersecurity. Would you support that type of legislation 
+requiring as part of a Federal contract, if you are receiving 
+Federal money for research and you are breached, then you have 
+to share that breach with the Federal Government and colleagues 
+in the private sector to better combat it?
+    Mr. Dodaro. That type of provision would be very helpful, 
+Chairwoman Maloney. I appreciate that.
+    You know, 80 percent of the computing assets in this 
+country are in private sector hands. So, we can't effectively 
+combat this issue without sharing between the private sector 
+and the Government sector. Now there's reluctance to do that 
+for liability reasons, for business reasons, but we have to do 
+it in a confidential manner, where we can have and share this 
+information both from the companies being affected, but also 
+from the Government standpoint about threats that they're aware 
+of that they should warn the private sector about because they 
+have unique resources in Government that the private sector 
+doesn't have.
+    But so far, we're not at that point of having enough 
+fluidity in the sharing of this information to have an 
+integrated, coordinated effort to protect our Nation. And I'm 
+hopeful that the Cybersecurity Coordinator can help--once 
+that's filled, help build trust and build mechanisms to more 
+effectively share this information.
+    Chairwoman Maloney. Another thing that came out of that 
+hearing was how vast the amount of information they could 
+receive from the nine Federal agencies and some of the most 
+important businesses in our country, leading businesses and 
+leading agencies and technology that is vital for the survival 
+of our country. Yet they got into one system and was able to go 
+and climb into systems throughout the Government.
+    And it seems to me we should study how you firewall it. 
+Maybe the Government should not be connected to a system 
+connected to the private sector. In the breaches that I have 
+seen, most of them come in through the private sector and into 
+Government through a connecting system. And I would like some 
+research in that area of how we would firewall off defense, 
+energy, areas that are critical to the infrastructure of our 
+country.
+    I want to thank you. I have been on this committee many 
+years, and one of my favorite hearings is this one, when you 
+focus on the needs of what we need to do to make our country 
+stronger and more responsive to the people that we serve.
+    With that, I now recognize the gentleman from Arizona, Mr. 
+Gosar. You are now recognized, Mr. Gosar.
+    Mr. Hice. Madam Chairwoman? Madam Chairwoman?
+    Chairwoman Maloney. Yes.
+    Mr. Hice. Are we all going to be able to get nine minutes 
+of questioning?
+    Chairwoman Maloney. Yes, you can. Mr. Comer has it or 
+whoever he designates it to. This is one of the most important 
+hearings that we have in our committee. It points out what 
+needs to be done to protect our people and to make our country 
+stronger, and I am going to be extremely lenient on the 
+questions because we have the head here to give us direction, 
+and we need to hear his comments and the questions.
+    So, I am going to be very liberal on questioning because we 
+need to get these answers. But I have been told to call on Mr. 
+Gosar. Is that correct?
+    Mr. Comer. Yes, yes.
+    Chairwoman Maloney. And I will allow him eight minutes if 
+he wants, or whatever. Mr. Gosar, you are now recognized.
+    Mr. Gosar. Thank you, Chairwoman.
+    And I totally agree with you. This is one of the most 
+important hearings that we have in this committee.
+    We are here to talk about the GAO's 2021 High-Risk List, 
+which highlights major agency assets that have been either 
+lost, stolen, damaged, wasted, or underutilized. There are a 
+lot of programs you can dive into on this report, but there is 
+something I want to focus on first.
+    Mr. Dodaro, what if we were to tell you there is a massive 
+Government program out there that is ripe` with abuse? This 
+program undercuts Americans seeking work in the STEM field by 
+allowing businesses to hire foreign workers at a discounted 
+rate. This programs allows these discounts by ensuring these 
+foreign workers don't have to contribute to FICA, which is the 
+Social Security and Medicare taxes.
+    This program also allows those same individuals the ability 
+to withdraw from Social Security and Medicare even though they 
+don't contribute. As I am sure you are aware, this is extremely 
+problematic since Social Security will be insolvent by 2035 and 
+Medicare by 2026. Oh, no, I take that back. Now that we have 
+new actuarials, Medicare is insolvent by 2024.
+    This program was also not approved by Congress and actually 
+doesn't have a cap. Currently, no one knows how many 
+individuals are on this program. Do you know of the program I 
+am talking about? Because it didn't make it into your report.
+    Mr. Dodaro. I think you're talking about the--there's a 
+visa investor program where people can come in and invest?
+    Mr. Gosar. No. The program is called the Optional Practical 
+Training Program, also known as the OPT. This program was 
+created by a rogue Department of Homeland Security in 2008 and 
+has lasting impacts. Not only is this program reprioritizing 
+Americans last in regards to Social Security and Medicare, two 
+programs they have been paying in their whole lives, but also 
+those graduating in the STEM field.
+    Imagine being a young person nowadays going to college. 
+Media, society, and even Members of Congress tell youngsters 
+the importance of getting a degree in STEM. They go on to say 
+how there is a massive shortage, so there is a great window for 
+you to build a great career.
+    You spend years completing your degree, and then you hit 
+the job market just to be told that since you are an American, 
+there are no--they have no interest in hiring you because they 
+can hire a foreign worker for less with the same credentials, 
+and then less money is charged them. Is it really a mystery 
+that the Bureau of Labor Statistics found that for every two 
+students graduating with a U.S. STEM degree, only one is 
+employed in STEM? And that 32 percent of computer science 
+graduates not employed in information technology attributed 
+their situation to a lack of available jobs.
+    Mr. Dodaro, I suggest GAO adds this program to its list of 
+high-risk programs because, in my opinion and in the opinion of 
+many others, this is a program that needs to be highlighted and 
+addressed as abusive and ultimately bad for Americans.
+    Shifting gears slightly, Mr. Dodaro, I am hoping that you 
+can shed some light on the deficiencies related to the 
+Pentagon's financial management. As you are aware, Pentagon 
+bookkeeping is notoriously abysmal. In fact, DOD bookkeeping is 
+so abysmal that areas within the DOD have been in the high-risk 
+report since 1995.
+    These failures are evident and materialize every year when 
+DOD inevitably fails in its annual audit. On November 16, 2020, 
+the Pentagon announced for the third straight year, it failed 
+its financial review. The DOD estimates that it will not be 
+able to pass an audit before 2027, or 37 years after it was 
+required to do so by law.
+    According to your report, the DOD uses their reporting 
+tools to produce reports for high-level decisionmaking and 
+reporting based on real-time data contained in its centralized 
+data base. This tool enables DOD to produce reports on the 
+status of audit findings and its efforts to address audit 
+priority areas and material weaknesses.
+    Your report also goes on to say that ``The data base 
+information may be inaccurate, unreliable, and incomplete for 
+management decisionmaking'' and that ``Without complete and 
+reliable information on DOD's audit remediation efforts, 
+internal and external stakeholders may not have quality 
+information to effectively monitor and measure DOD's 
+progress.''
+    Yet every year, Congress fails to hold DOD accountable for 
+these deficiencies during the appropriations process. We 
+continue to distribute duties and responsibilities to various 
+existing positions with less and less authority. While we must 
+compete with our adversaries, we cannot ignore these 
+deficiencies. In fact, I would argue that these deficiencies 
+hinder our efforts to maintain a strategic advantage over our 
+adversaries.
+    So, Mr. Dodaro, why is the Pentagon estimating that it will 
+not be able to pass an audit before 2027?
+    Mr. Dodaro. One of the reasons, Congressman Gosar, is that 
+for many years, I'd say almost 20, 25 years, DOD did not have a 
+very good process in place and take this requirement for a 
+financial audit very seriously, and Congress waived the 
+requirement for them for a number of years in order to get 
+their systems in place, which never happened.
+    So, the past three or four years have been the best I've 
+seen, and I've been monitoring this the whole 30-year period, 
+where DOD is finally serious about having a financial audit 
+done. They've corrected 25, 26 percent of all the weaknesses 
+that have been identified.
+    So, basically, the reason is they got a very late start. 
+Their systems are antiquated. They need to make sure that they 
+have more financial management personnel that are qualified and 
+trained. That's one of the 22 areas on the list because of the 
+need for closing skill gaps. And they need to fix these 
+problems and to consolidate and modernize their financial 
+systems.
+    My hope is, if this progress is sustained, that they will 
+get there ultimately because this is the one area in the 
+Federal Government of the 24 largest departments and agencies 
+that have never been able to pass the test of an independent 
+audit, and it's needed.
+    The other thing I would point out is they're already 
+beginning to realize millions of dollars of savings as a result 
+of doing the financial audit by identifying property and 
+equipment that was not on their books that they can then use 
+rather than reorder new equipment. So, it's already having very 
+good benefits, and I think that will help sustain the progress.
+    But you're right to point it out, and I think I would 
+encourage Congress to keep monitoring the progress there very 
+carefully.
+    Mr. Gosar. Is some of the issues in regards to this audit 
+sole-sourcing contracts?
+    Mr. Dodaro. I don't know. I will get you an answer for the 
+record there. I believe there were competitive--competed. But 
+I'm not sure and--but I will find out and get an answer to you.
+    Mr. Gosar. Thank you. Then also in that contract base, is 
+it of question, the calibration in regard to Davis Bacon wages?
+    Mr. Dodaro. I don't believe that applies to the financial 
+audit, no.
+    Mr. Gosar. But it does to DOD regards to fair and 
+compensate contracting, does it not?
+    Mr. Dodaro. Well, it does in regard to construction 
+projects and other things, but I'm not sure it applies to 
+professional services. But I'll get you--again, I'll get you a 
+more definitive answer on that.
+    Mr. Gosar. OK. One last question. What can we do, as 
+Congress, in the Fiscal Year 2022 NDAA to accelerate the 
+timeline for a successful Pentagon-wide audit? What can we do 
+to put the carrot and the stick so that we actually get that 
+compliance?
+    I mean, 25 percent is pretty pathetic. And thank you for at 
+least getting that. But I mean, we can't fully understand the 
+ramifications unless we have the full information. So, what can 
+we do to make your job better?
+    Mr. Dodaro. I think you can continue to ask DOD for their 
+plan to modernize their systems to get at the underlying cause 
+for the problems and to make sure that Congress gives them 
+funding to bring in all the qualified people that they need in 
+order to fix these problems. That would--that's the key to 
+expediting progress. That's how it's happened across the rest 
+of the Federal Government.
+    Mr. Gosar. Isn't it the purpose of the Antideficiency Act 
+to do exactly that, that Congress appropriate their funds for 
+the specific purpose and that DOD has to spend those funds 
+accordingly to that purpose?
+    Mr. Dodaro. Yes. But the Antideficiency Fund makes sure 
+that the agencies don't spend more than what Congress gave them 
+to. I mean, so it's basically the Empowerment Control Act is 
+the one that makes sure that they spend it for the purposes 
+that the Congress intended it to do.
+    Now you asked me what Congress could do to help, and I--and 
+of something that they could place in the NDAA, and I think it 
+is requirements for them to provide good plans for improving 
+their systems and to encourage them to have all the qualified 
+people they need would be good steps for Congress to take.
+    Mr. Gosar. Thank you. I yield back, Chairwoman.
+    Chairwoman Maloney. The gentleman yields back. The 
+gentlewoman from the District of Columbia, Ms. Norton, is 
+recognized. Ms. Norton?
+    Ms. Norton. Thank you, Madam Chair. Can you hear me well?
+    Chairwoman Maloney. Yes, we can.
+    Ms. Norton. I appreciate this hearing. I believe we have 
+this hearing annually, and this High-Risk List keeps appearing 
+before us.
+    I must tell you, Madam Chair, that before being elected to 
+Congress, I was a tenured professor of law. I recognize failure 
+when I see it. So, I would like to discuss changing our 
+approach in at least some ways.
+    As I looked at this list and I considered my own 
+responsibilities and the committees on which I serve, I thought 
+one way to go with this is to look for win-win opportunities 
+when it comes to high-risk areas. And so I looked for such 
+areas where you have the same investment because that is going 
+to be an issue. Money is always an issue. And the same, time 
+and resources.
+    And the reason I am looking at a win-win is because of my 
+service on the Transportation and Infrastructure Committee, and 
+we have just gotten a bill in the reconciliation package. And 
+it is, of course, one of the high-risk areas that I think 
+presents us with an opportunity for a win-win.
+    So, my question for Mr. Dodaro is, first as I understand 
+it, I believe you have just testified in response to a question 
+from one of my colleagues that 80 percent of the--of this issue 
+is in private hands. Is that not the case?
+    Mr. Dodaro. Yes. So, in talking about computing, the 
+computing assets, yes.
+    Ms. Norton. So, progress in this area hinges really on 
+congressional action, the action we take. We in the Congress 
+takes. Is that correct?
+    Mr. Dodaro. That's part of the issue, but the executive 
+branch needs to execute as well and to gain the cooperation of 
+the private sector, particularly for critical infrastructure 
+protection.
+    Ms. Norton. That is where I want to go, to critical 
+infrastructure protection, because the President, President 
+Biden, has before us a Build Back Better agenda that would 
+invest $2 trillion to improve the Nation's infrastructure and 
+surface transportation system. That is of special interest to 
+me because of the committee on which I serve. I also know that 
+the American Society of Civil Engineers reports that 1 out of 
+every 5 miles of highway pavement in the U.S. is in poor 
+condition.
+    So, then I looked at infrastructure itself because of my 
+interest in that area. That The Build Back Better plan would 
+electrify various forms of surface transportation. I think we 
+are already beginning to see electric cars or electric 
+transportation, surface transportation, here in my own 
+district, in the District of Columbia.
+    It would electrify various forms of surface transportation, 
+and that would include, of course, the kind of surface 
+transportation that is used every day, like commuter trains and 
+school buses, transit buses, ferries, passenger vehicles. All 
+of that is on the horizon, while allocating flexible Federal 
+investments to enable municipalities to install high-rail 
+networks and improve existing transit.
+    So, looking forward, Mr. Dodaro, would infrastructure 
+improvements create jobs and cut emissions as a prudent 
+investment to address multiple high-risk areas all at one time?
+    Mr. Dodaro. I think it's very important that we, as a 
+country, invest in our infrastructure. The surface 
+transportation infrastructure area has been on our High-Risk 
+List for over 13 years. We need to have the type of financing 
+and support available for improving surface transportation. In 
+the cyber area, we've made recommendations that there need to 
+be more investment in the electricity grid and other areas to 
+build in better resilience to those areas.
+    So, there's a wide range of needs in the infrastructure 
+area. It would directly address some of the areas on the High-
+Risk List and, I think, you know would be most appropriate.
+    Ms. Norton. Thank you very much.
+    And there you have it, Madam Chairman--Madam Chair, a win-
+win matter for us to consider, rather than coming back every 
+year to repeat our failures.
+    I yield back.
+    Chairwoman Maloney. I agree. The gentleman from Georgia, 
+Mr. Hice, is recognized for five minutes.
+    Mr. Hice. Thank you, Madam Chair.
+    And thank you, Mr. Dodaro, for being here with us again 
+today.
+    Isn't it true that there are several programs that have 
+been on the list ever since the High-Risk List was implemented 
+back in 1990, I believe?
+    Mr. Dodaro. Yes. There are 5 charter members remaining of 
+the 14 that were on the list at that point. They're some of the 
+biggest programs in the Government--weapon systems acquisition, 
+Medicare, for example.
+    Mr. Hice. Right. And not only are those founding members, 
+as you say, but we have a lot of other veteran members that 
+have been on since the late 1990's or early 2000's as well.
+    Is there any kind of repercussion, such as withholding 
+certain amounts of funds, money that they can receive or any 
+other type of repercussion for agencies or agency organizations 
+that remain on the High-Risk List year after year after year?
+    Mr. Dodaro. Nothing other than what Congress may impose on 
+individual areas. For example, the DOD infrastructure support 
+area we've taken off the list this time, Congress required 
+regular hearings where they had DOD come up. They had GAO 
+continue to investigate in it. And Congress stayed on them with 
+requirements in the National Defense Authorization Act until it 
+was improved.
+    So, congressional oversight and actions. In some cases in 
+the past, there's been funds withheld for modernization efforts 
+until they develop proper plans and institutions. There's no 
+sort of generic----
+    Mr. Hice. I get that, and you are spot on. There is no 
+question the role of Government oversight. But I am wondering 
+from a legislative perspective to ensure--if there is 
+ramifications? Everyone works off incentives. Our free markets 
+work off incentives, and where there are incentives to improve, 
+people tend to improve. But if there are no incentives to do 
+so, then people, organizations--in this case, organizational 
+groups stay on the High-Risk List year after year after year.
+    Would there be wisdom in having some sort of incentive 
+program or ramifications for these agencies to get off the 
+list?
+    Mr. Dodaro. Whatever incentives could be craft--crafted 
+would be helpful.
+    Mr. Hice. OK.
+    Mr. Dodaro. But in crafting of them, they'd have to be 
+careful because some of them provide essential services to 
+people, and you wouldn't want to interfere with Medicare 
+payments, you know, for people in need of healthcare----
+    Mr. Hice. Sure.
+    Mr. Dodaro [Continuing]. Inappropriately. But there--so 
+you'd have to tailor the incentives, and you know, it'd be 
+better if there were positive incentives, but if there are 
+incentives that--or the things you want to put in as penalty 
+type of things, that has to be carefully crafted.
+    Mr. Hice. Right. And that is a point well taken.
+    But at the end of the day, I mean, don't we have to ask 
+ourselves what is the effectiveness of having a High-Risk List 
+if there is no incentive for agencies to get off it? I mean, 
+what are we ultimately accomplishing? Just it is almost like 
+this has become the norm for certain agencies just to be on 
+there every year.
+    Mr. Dodaro. Well, as pointed out earlier, in the last 15 
+years, the financial benefits have been over $575 billion. So, 
+we've saved--you know, there's been a lot of progress in saving 
+some of them money.
+    Mr. Hice. For those agencies that have responded.
+    Mr. Dodaro. Well, even--even some that are on the list. I 
+mean, some of the biggest savings, for example, have come in 
+the weapon systems area, where they've reduced the cost growth.
+    Mr. Hice. Right.
+    Mr. Dodaro. And in the Medicaid program by making some of 
+the demonstration projects now budget--they're supposed to be 
+budget neutral, budget neutral or not. So, that's been $10 
+billion.
+    So, a lot of the financial benefits come from programs that 
+are still on the list that are making incremental progress. 
+They don't come from----
+    Mr. Hice. OK, I get you. But we still have a long ways to 
+go, obviously, when looking at all this?
+    Mr. Dodaro. Oh, no, clearly. Yes.
+    Mr. Hice. I am going to try to stay within my five minutes. 
+So, let me just ask you this one other question that has really 
+been on my mind. Is there any relationship between IT 
+modernization and these agencies that stay on the High-Risk 
+List? In other words, those that year after year after year are 
+on this list, are they also primarily the ones who are failing 
+to modernize their IT?
+    Mr. Dodaro. There are clearly cases of that. It's not 
+universal. One primary case would be the Veterans 
+Administration, both in healthcare, acquisition management, and 
+other areas. The DOD financial management area, we just talked 
+about. So, there clearly is an interrelationship between a lack 
+of ability to modernize. There's a relationship in the high-
+risk areas. These legacy systems are a millstone around the 
+neck of the Federal Government from a security standpoint.
+    Mr. Hice. Right.
+    Mr. Dodaro. And many of them are 40, 50 years old, and they 
+were never developed with security concerns in place. So, 
+there's interrelationship between IT and the cyber areas.
+    Mr. Hice. That may be one area we could look.
+    Mr. Dodaro. That's definitely a fruitful area to pursue, 
+Congressman.
+    Mr. Hice. OK. All right. Thank you very much.
+    I yield back.
+    Chairwoman Maloney. The gentleman yields back. The 
+gentleman from Massachusetts, Mr. Lynch, is recognized. Mr. 
+Lynch?
+    Mr. Lynch. Thank you, Madam Chair and to the ranking 
+member.
+    Welcome back, Gene. Good to see you. Thank you for your 
+great work and for the work of your team.
+    As the chair has said, this hearing is one of the most 
+valuable I think for Congress to focus on this High-Risk List, 
+and you have really been very helpful in getting us to focus 
+when we have got so many issues that are out there that need to 
+be addressed.
+    Now DOD in 2020 was slated to spend about $1.8 trillion in 
+taxpayer money to acquire about 106 different weapon systems. 
+And what really concerned me deeply is that the level of 
+vulnerability we have, because these weapon systems are so, so 
+complex, and we could talk about, you know, our satellite 
+system, the hypersonic weapon systems, the F-35, you know, the 
+Aegis Destroyer systems. All of it is heavily dependent on 
+software, on cybersecurity in order to optimize the value to 
+the warfighter.
+    So, what I am concerned about, and this is especially 
+relevant after the SolarWinds hack, you mentioned in your 
+report--and I will quote from the Director of Operational Test 
+and Evaluation. He said that nearly every warfighting and 
+business capability is now software-defined. Simply put, the 
+systems, whether it is the missile system or ships or the F-35, 
+all of that is dependent and doesn't work if the software 
+doesn't work. And we are likely to upgrade a system by 
+installing new software than by replacing hardware.
+    However, in your report--and I am thankful for it--your 
+most recent high-risk report, the Director also reported that 
+the Department ``lacked testing personnel with deep 
+cybersecurity expertise.'' The Director also stated that, 
+``Without substantial improvements to cybersecurity test and 
+evaluation, especially in the workforce, DOD risks lowering the 
+overall force readiness and lethality'' of our weapon systems.
+    So, can you talk about that aspect of your report? Because 
+I think, look, the costs are completely out of control, and the 
+schedules, we are falling years and years behind on some of 
+these complex systems. And even the asymmetry of the threat 
+environment out there, you know, a handful of good hackers can 
+keep thousands of our people on the defensive end busy just 
+trying to protect against that small group. So, if you could 
+talk about that aspect of your report, I would appreciate it.
+    Thank you.
+    Mr. Dodaro. Yes. A few years ago, we started looking at the 
+focus the DOD had on cybersecurity and developing new weapon 
+systems, and they really weren't focused on it very well. When 
+they did look into it, it showed extraordinary vulnerabilities. 
+And so we became concerned. So, we've looked more at it. We 
+made some recommendations, and they're gradually improving.
+    But they're not to the point of where they need to be in 
+the development of new weapon systems going forward. So, we're 
+watching that very carefully. It's very concerning, and this is 
+true of many critical functions. Not only the DOD, but in the 
+private sector and elsewhere, because most things now, our 
+industrial control systems, everything is software dependent or 
+connected to the Internet that would have problems. So, this is 
+problems that we see as well in the GPS systems.
+    Mr. Lynch. Is this a pipeline problem where we are not 
+developing the personnel to do this work, or is it the private 
+sector is siphoning away all the good talent with better 
+salaries and things like that so that from a personnel 
+standpoint we are having a difficult time competing?
+    Mr. Dodaro. Yes. Well, there's definitely that element to 
+it, and I'll ask Nick Marinos, our cybersecurity expert who 
+looked at the workforce issues. But I think you have multiple 
+facets of it. You definitely don't have enough people to 
+provide services to both the private sector and the Government. 
+So, we need to increase the pipeline. There's no question about 
+that.
+    Mr. Lynch. Yes.
+    Mr. Dodaro. And a number of universities now are starting 
+to have cybersecurity programs. University of Maryland has one. 
+I've met with the professors there. We were actually in the 
+classrooms giving case examples in how you could--and we're 
+pulling people in from the Government. So, and I work with 
+Virginia Tech and some other places.
+    So, we've got to increase the pipeline. We'll never be 
+competitive in the Government for services from the private 
+sector in this arena. So, we use contractors a lot, which is 
+fine, and we're going to have to use contractors to help. But 
+the Government has got to have an ability to oversee the 
+contractors effectively and to have the patience and the 
+discipline necessary to make sure that these areas are attended 
+to before they rush into production.
+    That's the biggest problem we've seen is where they want--
+the technology is not mature enough, including cybersecurity, 
+but other parts of maturity in the technology before we want to 
+rush it into production. So, that's an area where, you know, 
+congressional intention is important, but we have to increase 
+the size of the workforce in the United States. And whatever 
+can be done in that area I think is terribly important.
+    Mr. Lynch. Well, I thank you for your service and your 
+assistance in this matter.
+    And Madam Chair, I yield back. Thank you.
+    Chairwoman Maloney. The gentleman yields back. The 
+gentleman from Ohio, Mr. Gibbs? You are now recognized, Mr. 
+Gibbs.
+    Mr. Gibbs. Thank you, Madam Chair.
+    And thank you for being here today.
+    Let us talk a little about the Post Office. The Postal 
+Service has lost $87 billion over the past 14 fiscal years, 
+including $9.2 billion in Fiscal Year 2020. Is that correct?
+    Mr. Dodaro. That sounds about right.
+    Mr. Gibbs. And they expect to lose about $9.7 billion in 
+Fiscal Year 2021. Given the serious financial disaster looming 
+at the Postal Service--and also their service has, you know, 
+just gone to pot--wouldn't you agree that congressional action 
+is urgently needed to bring reform and that mere half measures 
+and band-aids would be unacceptable?
+    Mr. Dodaro. Absolutely. I have testimoneys dating back 
+several years that have Congress needs to urgently act on the 
+Postal Service. So, I'd certainly believe it now. I've believed 
+it for a while.
+    Mr. Gibbs. If Congress addresses the prefunding of Medicare 
+integration, would that be enough to permanently fix the Postal 
+Service financial situation, or would it just make the balance 
+sheet look better at the time?
+    Mr. Dodaro. It would--it wouldn't fix the underlying 
+business model problem, no. It would help alleviate some of the 
+current fiscal stress, but not fix the fundamental----
+    Mr. Gibbs. So, we also have to implement operational and 
+structural reforms?
+    Mr. Dodaro. Yes. Yes, you need structural reforms.
+    Mr. Gibbs. Does your agency suggest any structural reforms 
+or----
+    Mr. Dodaro. Yes. Yes.
+    Mr. Gibbs. Can you specify?
+    Mr. Dodaro. Well, we think--I mean, the fundamental issue 
+here is you have a business model that's completely broken. 
+It's been disrupted by technology, and that's been accelerated 
+by the pandemic. And it accelerated during the global financial 
+crisis where first-class mail is dropping, which is where they 
+had a competitive advantage, you know? They were basically a 
+monopoly from that standpoint.
+    And the Congress has expected them to operate like a 
+business, but the model is broken. So, there has to be a 
+determination here because nobody wants to give up some of the 
+services that the Postal Service is providing--six-day 
+delivery, universal coverage, rural area coverage, and other 
+areas. And our recommendation, there needs to be an agreement 
+within the Congress about what services do you really want, and 
+does the model where you have a Postal Service that's supposed 
+to operate like a private sector really the model that you 
+want? Or do you want something like that, but there's a--
+there's a commitment by the Congress to provide additional 
+funding there, too, to have a floor of service required.
+    So, you need to figure out what services you want to 
+provide, how you want to pay for them, and then structure a 
+governance structure and an organization that fits that on a 
+sustainable basis going forward.
+    Mr. Gibbs. Last week, Postmaster General DeJoy testified, 
+and of course, he is working on reforms. And one thing I 
+questioned--I was concerned about is in their reforms and their 
+projections going out I think it was 10 years, they are 
+projecting more volume. And what would you think, are they 
+going to actually have more volume?
+    Obviously, the economy grows and everything else, but we 
+are seeing what is happening in the private sector, the Amazons 
+of the world. Do you think it is prudent for them to base their 
+projections on a significantly increased volume that they will 
+be handling, or is that something they should not be doing?
+    Mr. Dodaro. Yes. Well, I haven't--we haven't looked at 
+their projections lately. I'd be happy to do so. But I mean, my 
+offhand reaction to that is that you don't want to be overly 
+optimistic because in the package area, they have competition. 
+And the competition has been moving out, and they rely on the 
+post office particularly in rural areas, where it's not cost 
+effective. But where it's cost effective, those companies are 
+moving in that area and are having services--Amazon and 
+others--delivering their own packages and things.
+    Mr. Gibbs. I totally agree with you. There is competition 
+in the packages. That is obvious. But I would also argue that 
+the competition might even be even greater in the first-class 
+postage because of the use of online, Internet. I told him last 
+week that I refuse to mail a check in the mail anymore because 
+I don't have confidence in the system.
+    And so I think they are going to have more first class is, 
+you know----
+    Mr. Dodaro. Well, I think you're going to--you have a 
+generation now, as the generations age, they're not using mail. 
+I mean, even my children don't even check their mail that 
+often, you know, because they're using text and they're using 
+other things.
+    Mr. Gibbs. I certainly agree, and I made that point. I'm a 
+baby boomer, and I look at the millennials and the Generation 
+Zs. If I am doing this as a baby boomer trying to not use the 
+mail because I don't have confidence anymore, that is why my 
+argument about their increased volume and everything else, I 
+think that they are maybe singing in the wind.
+    But anyways, appreciate your comments. Thank you.
+    Mr. Dodaro. Sure.
+    Mr. Gibbs. I yield back.
+    Chairwoman Maloney. The gentleman yields back. The 
+gentleman from Tennessee, Mr. Cooper, is recognized. Mr. 
+Cooper, you are now recognized.
+    Mr. Cooper. Thank you, Madam Chair.
+    Congratulations, Gene, on another superb biennial report.
+    I would like to focus my comments on how we can help you 
+humanize that report because, unfortunately, with over 300 
+pages, when so much of it is mind-bogglingly complex, the media 
+and our constituents back home will miss the fact that your 
+report really is a feast for those of us who hate waste, fraud, 
+and abuse.
+    So, I want to offer three suggestions as ways we might be 
+able to keep this report in the news longer and help the news 
+focus more on the details. Because a detail in your report is 
+still oftentimes a multibillion dollar, if not a trillion 
+dollar, matter.
+    No. 1, I would like to suggest that as great as your report 
+is, it is almost too much to swallow all at once. When you were 
+talking about $6.6 trillion in annual outlays from the 
+Government, that is to say even a small corner of the report 
+can be an incredibly large and important area. I don't know if 
+there is a way that maybe we could parcel this out over some 
+time period so that we have weekly scandal that we could look 
+into or weekly waste, fraud, and abuse thing that we could 
+attack.
+    No. 2, I noticed in your report that you really don't even 
+look at anything smaller than $1 billion in money at risk. And 
+that is entirely appropriate for your report, but it seems to 
+me that we might be able to farm out some of these areas that 
+are smaller than $1 billion but still very much worth pursuing 
+so that we could get, I don't know, maybe agency IGs to be held 
+responsible for the items under $1 billion. Because for the 
+folks back home, cutting things off at anything smaller than $1 
+billion as essentially budget dust, that is hard to explain 
+back home.
+    My third point is this, and one of the previous questioners 
+was getting at it. As good as congressional oversight can be, 
+and I am glad that the DOD infrastructure has made some 
+improvements, I was heartened to see, for example, that the 
+U.S. Army in the National Capital Region in the last 10 years 
+has reduced its leasing requirements from 3.9 million square 
+feet to only 1 million square feet. That is saving us like half 
+a Pentagon just right there, and that is just because we 
+tightened up a little bit of the management for one of the 
+military services.
+    But I am worried that we need some sort of mechanism like 
+maybe freezing the budget of an agency that doesn't respond to 
+your request. Because when you mentioned the five charter 
+members that have been on your report since the beginning, that 
+is pretty embarrassing that we haven't been able to graduate 
+those charter members into reformed entities that have taken to 
+heart your recommendations and like the Pentagon should have 
+done, what, 20, 30 years ago, actually pass an audit.
+    So, these are just three areas I think where we can work 
+more effectively together so that we can make your report even 
+more effective than it already is because the savings you have 
+already achieved are monumental and wonderful, but there is so 
+much more that we can do together. So, I just would like your 
+comments on my three comments.
+    Thanks.
+    Mr. Dodaro. Yes. First, with regard to the focus of the 
+report being broad, we only do this once every two years. And 
+what's been done in the past that I found effective is a series 
+of hearings that then delve into individual areas in more depth 
+over a period of time. Because what we're trying to do when we 
+do this at the beginning of each new Congress is to help set 
+the oversight agenda for the Congress for the entire two-year 
+period.
+    And so, you know, that's still possible to take each of 
+these areas and have more hearings on them. Other committees 
+have these hearings, the authorizing committees, the 
+appropriation committees as well. This committee could pick a 
+subset of issues, focus on them in more in-depth work. I've got 
+plenty of experts in GAO who can come and testify, get down to 
+the real nitty-gritty details in those areas.
+    Second, on the billion dollar cut, that's just for the 
+high-risk areas. We look at a lot of programs and activities 
+that are below $1 billion in GAO and issue regular reports on 
+that. We issue 600 or more reports every year on all facets of 
+the Government.
+    Also, it can be less than $1 billion if it has public 
+health and safety risk or national security risk or other 
+areas. And so the dollar threshold is only one of very many 
+factors that we consider in designating them in the other 
+areas.
+    The last area that you mentioned I think is important, but 
+that's really a policy followed by the Congress, and I think it 
+has to be tailored to each individual area that's on the list 
+to make sure that the incentives work in a proper way, and we 
+don't actually cause people to game the systems, and not fix 
+the problem, get around the penalties or incentives that are in 
+place. That's been the case in the past, and I think the best 
+thing--what I'm going to try to do, Congressman Cooper--and I 
+appreciate your comments on the report--is I regularly meet 
+with the heads of the agencies once they're confirmed to try to 
+get them to focus on these areas.
+    Where I've been successful in that regard, and OMB has been 
+engaged. Really, OMB hasn't been engaged over the past few 
+years in this area because some of these require resource 
+investments to fix as well as other areas. Where OMB is engaged 
+and the Congress is engaged on a continual basis, those are the 
+ingredients for success and things can come off the list.
+    And one of the reasons some of these areas are on the list, 
+like Medicare, is the entitlement programs are on basically 
+automatic pilot unless there is a change in the requirements. 
+They don't go through--a lot of these programs don't go through 
+the annual appropriation process. So, there could be other ways 
+of getting at some of these programs.
+    So, I'd be happy to work with the Congress on implementing 
+all of your suggestions, more focused attention on individual 
+areas, crafting incentives to try to provide positive 
+improvement at a quicker pace over time, focusing in on smaller 
+areas that may not have the dollars but have, you know, an 
+outsized impact on the public and their health and safety.
+    Mr. Cooper. Thanks, Gene.
+    Madam Chair, I yield back. Thanks.
+    Chairwoman Maloney. The gentleman yields back. The 
+gentlewoman from North Carolina, Mrs. Foxx, is recognized for 
+five minutes or as much time as she may consume.
+    Ms. Foxx. Thank you, Madam Chairman, and thank you very 
+much for having this hearing.
+    And Mr. Dodaro, we really appreciate you. And I want to 
+followup on one comment that our colleague Mr. Cooper brought 
+up, and that is I think it is troubling to me and to the 
+American people that we don't put groups on the High-Risk List 
+until the exposure for loss is at least $1 billion. You know, 
+that is a big number for us, but I am glad to hear what you had 
+to say about we all know--I think most of us know that you are 
+looking at things that have exposure to less than that when you 
+are asked to do that.
+    And I certainly appreciate the work that you have done on 
+looking at programs that come under the jurisdiction of the 
+Education and Labor Committee, and you all have done a great 
+job on that. So, I really appreciate what the GAO does. I think 
+we all have to remember that we are talking about hard-working 
+taxpayer dollars all the time, and I appreciate it.
+    A new addition to the High-Risk List this year is national 
+efforts to prevent, respond to, and recover from drug abuse. 
+Over the past few years, Congress has authorized billions of 
+funding through legislation such as Comprehensive Addiction and 
+Recovery Act, CARA, and SUPPORT for Patients and Communities 
+Act. Would you say that the billions in resources provided 
+these and related legislation is vulnerable to waste, fraud, 
+and abuse?
+    Mr. Dodaro. I'd have to go back and take a look at that. 
+But which legislation again, Congresswoman?
+    Ms. Foxx. CARA Act and SUPPORT for Patients and Communities 
+Act. We have some real concerns on this, and I wonder if you 
+looked at how--has GAO looked at where the billions of funding 
+Congress has passed to fight the opioid crisis has actually 
+been spent? Has anyone asked about that?
+    Mr. Dodaro. Yes, let me ask Ms. Clowers. She's on the line. 
+Nikki, do you--are you familiar with these programs?
+    Ms. Clowers. I am. And Representative, we are actually--we 
+have ongoing work right now looking at the uses of the opioid 
+funding. As you noted, billions have been allocated, and we are 
+in the process of studying how those moneys have been used.
+    Ms. Foxx. Yes, and I think in particular because this money 
+has been put out in grants to the states and local government, 
+we need to expect and demand accountability, like have there 
+been fewer overdoses? Are more lives being saved?
+    So, I think too often we never get accountability for these 
+funds, and the emphasis, it seems to me, should always be 
+there. However, what we are hearing is increasing rates of drug 
+overdoses in the 12-month period ending May 2020. So, we have 
+no way of knowing, as far as I know, again what the impact has 
+been on these grants and maybe what the impact has been from 
+COVID.
+    I think there needs to be some emphasis there, too. So, I 
+hope you all will be looking at that.
+    Mr. Dodaro. We will. We will. Go ahead Nikki.
+    Ms. Clowers. Yes, ma'am. I am sorry. Yes, ma'am. It is a 
+really good point, both in terms of the grants to the state and 
+local governments, but also it is across the Federal 
+Government, too. There is about a dozen Federal agencies that 
+are involved. And so finding--having that transparency and 
+visibility is important, and we will bring that to you because, 
+as you said, the overdose deaths have increased by May 2020. 
+But then also projections in terms of the impact on COVID that 
+deaths have increased, overdose deaths have increased to about 
+83,000 during the period of last year, which is very 
+concerning.
+    Ms. Foxx. And I think, to go back to what you said earlier, 
+Mr. Dodaro, that we need to have some feedback from you all on 
+what needs to be done to tighten up these programs a little 
+bit.
+    I have one more question. As we all know, the Post Office 
+is repeatedly on GAO's High-Risk List. The Postal Service is 
+not making required payments to fund the postal retiree health 
+and pension benefits, and we had a hearing last week with the 
+Postmaster General. So, what congressional action do you 
+believe is necessary to address this issue? It is very timely 
+that you are here to be able to talk about that in conjunction 
+with the hearing last week.
+    Mr. Dodaro. Yes. Well, I think, in the short term, the 
+Postal Service needs some, you know fiscal help and release. 
+And I know there's been discussions about not requiring pre-
+funding anymore. My only caution there is if Congress decides 
+to go that way that according to our calculations, the fund 
+would only be enough for the next 10 years to pay for the 
+retiree healthcare costs, and then there would be a payment of 
+our estimate is $7 billion a year that our Postal Service would 
+have to come up with to pay on you go basis.
+    So, there may be a compromise between not paying at all and 
+paying a more modest amount into the fund so you don't have all 
+of a sudden, you know, a $7 billion bill hits you on a year 
+down the road. So, we don't want to kick the can down the road 
+and have it explode in our face later, and I think so there'd 
+be caution on that front.
+    I know there's some discussion about using Medicare program 
+that has some options, but there are problems with the 
+Medicare. The Medicare hospital trust fund is estimated by 
+2024, which isn't that far away, to only have 83 cents to pay 
+on the dollar. So, we're shifting part of the problem there, 
+where we already have a problem.
+    So, that would help create some room for the Postal 
+Service, but they need fundamental reform, as I mentioned 
+earlier in my comments to the gentleman, Congressman from Ohio. 
+And I think Congress needs to come to grips with that. They're 
+not--you can't deal with this with just giving them temporary 
+relief and hoping that it's going to go away. It's not going to 
+go away. There needs to be more fundamental reform, and you got 
+to figure out what the Federal Government wants to contribute 
+over time and the model because I'm not sure they could be 
+self-sustaining over a long period of time.
+    Ms. Foxx. Right.
+    Mr. Dodaro. I know they're trying to, and I wish them well. 
+But the dynamics are not in their favor long term.
+    Ms. Foxx. Well, when we were in the midst of talking about 
+these pension reforms, I asked staff to check with me. Only 22 
+percent of the people in the private sector in this country are 
+covered by pensions. It just seems very unfair to me to ask the 
+taxpayers, who have no pensions themselves, to be paying for 
+the pensions of other people who are working for the Government 
+or in a quasi-government agency.
+    Thank you, Madam Chairman. I appreciate it very much. I 
+yield back.
+    Chairwoman Maloney. I thank the gentlelady for her 
+question, and I ask a point of personal clarification.
+    On the Medicare integration portion, it is my understanding 
+that the postal people paid into it. They paid into it, and 
+they aren't claiming it. And Congress has said they can't claim 
+it. Certain people can't claim it.
+    What we were talking about is just allowing the postal 
+workers to have the same benefit that every person has, that if 
+you pay into Medicare, you are entitled to get your payment 
+out. Right now, in our research, the Postal Service had paid 
+$35 billion into the Medicare program that their workers were 
+not pulling out because they had paid it. So, maybe a study on 
+that that clarifies exactly how much have they paid in, and why 
+are they not allowed to get Medicare like anyone else in the 
+country who pays into it.
+    I now call upon Mr. Connolly. You are now recognized for 
+five minutes.
+    Mr. Connolly. Thank you, Madam Chairwoman.
+    And welcome, Mr. Dodaro. It is great to see you again. And 
+I do think that this piece of work by GAO is maybe one of the 
+most critical pieces of work Congress gets on a routine basis. 
+It is an illuminating document. It is a guidepost to what we 
+need to be doing in Congress, frankly, to make Government work 
+better and certainly, I think, a flashing red light for many 
+executive agency heads to understand that they have got 
+problems they have got to deal with. And so thank you.
+    I would just note, the gentlelady from North Carolina just 
+talked about the unfairness of some pensions being helped by 
+tax dollars. I don't think anyone is talking about the postal 
+pension program or the healthcare benefits being bailed out by 
+tax dollars. I mean, these are dollars paid into those programs 
+by hard-working postal workers. And we came up in 2006 with 
+this onerous prepayment requirement--again, with postal 
+workers' money, not somebody else's money--that has 
+unnecessarily burdened the Postal Service with a debt overhang 
+that is unique to it. And since Congress created that problem, 
+we need to fix it, and that is what we are trying to do with 
+postal reform.
+    Mr. Dodaro, could you talk a little bit about one of the 
+high-risk items you identified a number of years ago that we 
+picked up on and did act on in passing FITARA, which you 
+endorsed and followed through on oversight with twice a year 
+hearings--we are now about to schedule the 12th such hearing--
+was IT modernization of the Federal Government, a lot of legacy 
+systems, lack of investment, and so forth.
+    Where are we on that as a high-risk item today?
+    Mr. Dodaro. Well, the passage of FITARA by the Congress and 
+the continued focus of the FITARA scorecards and the attention 
+of, Congressman Connolly, you and other members of this 
+committee have helped make progress. It saved billions of 
+dollars in data center consolidations. It's also drawn a 
+spotlight on the software inventory issue, which is now taken 
+out of the scorecard process because so much progress has been 
+made in that area.
+    However, there is remaining work to be done. The many 
+agency CIOs still don't have the full range of responsibilities 
+that are needed to make them a key player at the table, 
+oversight over the IT budgets, sway in some of the decisions 
+that are made. That's still a problem area that needs attention 
+in that area.
+    There is still not fast enough pace on modernization of the 
+legacy systems. The Technology Modernization Fund was thought 
+to be had more funds in it that could help in that regard, and 
+that hasn't--that hasn't been necessarily forthcoming in terms 
+of that expectation.
+    So, you really need to reform those legacy systems faster 
+for security purposes, for service purposes, and a wide range 
+of other areas.
+    Mr. Connolly. So, if I can interrupt you--if I can 
+interrupt you, Mr. Dodaro, on that point. And that is why the 
+new President recommended $10 billion, $9 billion of which 
+would go to the Technology Modernization Fund precisely to 
+serve as sort of seed capital and the catalyst to retire those 
+legacy systems, some of which are 40 and 50 years old and 
+getting pretty creaky. Is that correct?
+    Mr. Dodaro. That's my understanding. I'd ask Nick Marinos, 
+our IT specialist to comment on that. Nick?
+    Mr. Marinos. Yes that's correct, Congressman Connolly. So, 
+ultimately, the benefit of having the Tech Modernization Fund 
+gain some additional appropriations would be to give it wider 
+reach. So, at the moment, there's only about a dozen projects 
+that have been approved. But the benefit of TMF would 
+ultimately be to give the Director of OMB the ability to more 
+rapidly associate where there are areas that need the funding 
+and then agencies to also go through a much faster approval 
+process versus what would normally take probably a couple years 
+for procurement within their agencies to actually work.
+    Mr. Connolly. And Nick and Mr. Dodaro, just to show the 
+direct correlation with COVID-19 relief funding, clearly IT 
+plays an integral role in delivering the benefits we are voting 
+for. Is that not correct?
+    For example, we asked the SBA back in the spring to 
+increase its lending 30-fold in one month. So, we went from a 
+$20 billion a year loan portfolio for SBA for small businesses 
+for a year, $20 billion, to $600 billion in one month. And its 
+IT system, eTrans, could not handle the volume, the demand, and 
+the program changes for eligibility and review that Congress 
+mandated in the Federal law.
+    We saw a similar pattern in the 60 different IT systems at 
+IRS that got overwhelmed with family payments, child support 
+payments, as well as doing its job with respect to tax returns. 
+And of course, at the state level, it has been a nightmare, 
+frankly, because of IT systems being old and legacy laden in 
+terms of unemployment insurance benefits.
+    But could you comment just a little bit about that, how the 
+pandemic, how TMF is so necessary as part of the COVID-19 
+response because we have seen the creakiness and the fractures 
+in IT systems that are directly related to the missions for 
+which we need them, we depend on?
+    Mr. Dodaro. No, that's absolutely right. I mean, basically, 
+there was serious strain on those systems to just conduct 
+normal operations. And what we did was we layered on top of 
+that, you know, trillions of dollars to be spent in a quick 
+period of time, and therefore, it took already-stressed systems 
+to the breaking point, to the brink.
+    And so you need some help and relief in those areas. And 
+the state unemployment systems are 40 years old in some cases.
+    Mr. Connolly. Yes, yes.
+    Mr. Dodaro. And this is the first time as a country we've 
+had unemployment across so many sectors at the same time. Not 
+even during the global financial crisis did we have as many 
+sectors of the economy affected as we've had with the pandemic. 
+And so that's a classic glaring example. SBA is another example 
+where they've been unable to provide the services that are 
+needed in a short period of time.
+    The Technology Modernization Fund, as Nick alluded to, 
+provides a faster vehicle for getting systems in place than 
+going through the regular process. That was one of its virtues. 
+And so those things can help, particularly in a pandemic.
+    You know, we have the tendency to think . You know, if you 
+just--we just throw money at something, it's going to solve it. 
+But in order to do it efficiently and effectively, you need IT, 
+and you need the people skills in order to do it properly with 
+proper accountability and transparency and efficiency.
+    Mr. Connolly. Well, I know you are going to the Senate 
+today, and I hope you will take that message to our colleagues 
+in the Senate, who thought that the TMF, the Technology 
+Management Fund, was unrelated to COVID and at one point zeroed 
+it out, to the horror of the chairwoman and myself and my 
+ranking member Mr. Hice and I think Mr. Comer as well.
+    So, thank you for that testimony, and thank you, Madam 
+Chairwoman, for the indulgence.
+    Chairwoman Maloney. Thank you. The gentleman yields back. 
+The gentleman from Texas, Mr. Cloud, is recognized. Mr. Cloud?
+    Mr. Cloud. Thank you, Madam Chairwoman.
+    Thank you, Mr. Dodaro, for being here.
+    As has been said a number of times, I can't think of a more 
+important committee hearing for us to have. I look forward to 
+this each time, and appreciate you coming here and presenting 
+the findings of your report and thank the chairwoman's latitude 
+in giving us room to really address this.
+    You know, I would say the one thing I wish is that we have 
+more of these, and that believe your report came out Friday, or 
+at least that is when our offices--they were distributed to our 
+offices, and so it would be wonderful to have even more time to 
+dig into these issues and get down to the details of it. 
+Because as you mentioned a number of times, congressional 
+action is so important, and we want to make sure we get that 
+right and get the details right. And so I appreciate you being 
+here.
+    You know, Last time when you met here, I think we were $22 
+trillion in debt. We are just about--I checked out the U.S. 
+debt clock this morning--about to hit $28 trillion, and that is 
+before the $1.9 trillion bill that is working its way through 
+Congress right now.
+    And it has also been mentioned when you talk back home 
+about to even begin to make the list, you have to be potential 
+wasting $1 billion. It has been said years ago I think that you 
+spend millions and millions, soon it adds up to real money. We 
+are to the point where it is you spend billions and billions, 
+sooner or later it adds up to real money. But that is where we 
+are.
+    I would note, is debt or interest considered in your 
+report?
+    Mr. Dodaro. Yes, I have a special report that I issue every 
+year on the fiscal health of the Federal Government. That will 
+be coming out in the next month or so. And you know, I 
+basically said in that report that our Government is on a long-
+term unsustainable fiscal path.
+    I've called for reforms to how we set the debt ceiling, 
+which really doesn't control the debt, and it causes problems 
+when it's not raised in time. Because all the debt ceiling does 
+is authorize Treasury to borrow the money to pay for the bills 
+Congress has already appropriated and the President signed into 
+law. And there can be disruptions in the Treasury market and 
+increasing cost.
+    But we need to do everything as a country now to deal with 
+the COVID-19 healthcare crisis and to deal with our economy and 
+get it back in a robust manner. But as soon as that happens, 
+we've got to quickly turn our attention to having a plan, which 
+I've called for now for four straight years, to deal with our 
+long-term problems.
+    There are problems. Our Highway Trust Fund is insolvent 
+this year. Congress has been supporting it with other funds. 
+It's not self-sustaining, the way it was initially intended. 
+There's a gap there of about $195 billion over the next few 
+years.
+    I mentioned Medicare. By 2024, only have 83 cents to pay on 
+the dollar for the hospital trust fund. And Social Security by 
+2031 will only have enough money to pay 75 cents on the dollar.
+    Mr. Cloud. It seems to me, you know, this being a report on 
+waste, fraud, and abuse, and the potential thereof, that every 
+dollar we spend on interest is wasted. It doesn't go into any 
+sort of programs, and of course, interest is about to outpace 
+military spending even, and that is totally crowding out any 
+sort of discretionary funds that we have.
+    Do you know how many Federal programs exist? This is a--
+this is a number I have been trying to get for a long--do we 
+have a hard number?
+    Mr. Dodaro. No. There is not a hard number, and I've been--
+--
+    Mr. Cloud. Are agencies----
+    Mr. Dodaro [Continuing]. Recommending this for years. 
+Actually, Congress passed a law that required OMB to develop an 
+inventory of programs.
+    Mr. Cloud. Right.
+    Mr. Dodaro. That law is now about 10 years old, and we 
+still don't have an inventory of Federal programs. Now there's 
+a Taxpayers Right-To-Know Act that passed recently----
+    Mr. Cloud. Right.
+    Mr. Dodaro [Continuing]. That would require them to do 
+this. We've given them some advice on how it could be done. 
+They've tried it before, but it hasn't worked. They let each 
+agency come up with their own list. And so we need a program 
+inventory.
+    Mr. Cloud. And our office has presented legislation that 
+would implement a Federal sunset commission, for example, that 
+would review these. But the first step is counting and figuring 
+out how many programs and agencies we have for review.
+    Mr. Dodaro. Right.
+    Mr. Cloud. And it seems like that it is a difficult----
+    Mr. Dodaro. We've done that in some areas, but it takes a 
+lot of work. And as soon as you have it, it's outdated.
+    Mr. Cloud. Yes. I want us to talk a little bit more on 
+something that Mr. Hice talked about earlier, and that is just 
+the general how do we incentivize performance? For example, in 
+business, you have built-in incentive for efficiency and 
+performance and getting those metrics and advancing those 
+metrics. In a bureaucracy, it seems like everything is against 
+that.
+    You know, everything--there is no incentive and, actually, 
+a disincentive for, if you know if you do something efficiently 
+your budget gets cut, and if you do something poorly, then we 
+come back to Congress and say we need more money to do it. And 
+then just there has been sometimes, unfortunately, a sense in a 
+bureaucracy that the administration, whichever administration 
+it is, is temporary, the bureaucracy is permanent. We will just 
+kind of wait this out, live this out.
+    How do we shift that? What are some recommendations you 
+would have for us in being able to deal with nonperformance and 
+be able to return, whatever your view, right or left, on the 
+issue of just being able to return value to the taxpayer?
+    Mr. Dodaro. Yes, right now, the incentives are reversed. 
+When a program is created in the Federal Government, you have 
+to take extraordinary measures to stop that program from 
+continued funding. There's an assumption that it should be 
+continued funding.
+    And so if GAO comes up with an idea or the IGs or somebody 
+else, the onus is on us to say you shouldn't fund it at that 
+level. The onus ought to be on the agencies to say that the 
+program is effective, we've evaluated it, it's meeting its 
+objective, and here's when we're done.
+    Most of these programs, not only do we not know the number, 
+we don't know whether they're effective or not because they've 
+never done program evaluation. Now Congress passed legislation 
+recently to go to evidence-based decisionmaking about programs. 
+And so it's very important that these program evaluations be 
+done to see if they're operating effectively.
+    So, Congress needs to change the--flip the script and 
+require a clear record of positive performance to continue 
+funding at the same level and not assuming that it will 
+continue.
+    Mr. Cloud. Sounds like a good case for a sunset commission 
+to me, among other--I have a whole slew of other questions on 
+specifics of the different programs, but thank you for the 
+indulgence on the time. And hopefully, we will be able to have 
+more hearings on the specifics of this list going forward to 
+address these.
+    Thank you so much, Madam Chair.
+    Mr. Dodaro. Thank you.
+    Chairwoman Maloney. Well, all questions can be put into the 
+record to get answered later, too.
+    Mr. Cloud. Right. Well, I will do that, but the discussion 
+now.
+    Chairwoman Maloney. The gentleman from Maryland, Mr. 
+Raskin, is recognized for five minutes. Mr. Raskin?
+    Mr. Raskin. Thank you, Madam Chair, and thank you for this 
+excellent hearing.
+    I want to talk about climate change, which is not only a 
+civilizational emergency, but it is also a fiscal catastrophe. 
+America has incurred $1.24 trillion in economic damages since 
+2005 through various climate disasters and calamities. We have 
+seen millions of acres of forest in California lost to 
+wildfire, record drought across the country, record flooding 
+across the country, especially in coastal cities, a dramatic 
+rise in sea level, millions of climate refugees from around the 
+world, record velocity hurricanes, and so on.
+    You call, Mr. Mihm, for a National Climate Strategic Plan. 
+You call for prioritizing national climate resiliency projects, 
+and you also call for a new pilot program for community climate 
+migration. I wonder if you would explain to us what that means?
+    Mr. Dodaro. Yes, I'm going to ask Mr. Gaffigan, who's our 
+expert in that area, to respond to that question, Congressman.
+    Mr. Raskin. Sure.
+    Mr. Dodaro. Mark?
+    Mr. Gaffigan. Thank you, Congressman. Thank you, 
+Congressman Raskin, for the question.
+    Yes. When we talk about the migration program, there are 
+communities throughout the country that are particularly 
+vulnerable to climate change. Communities in Alaska, we did a 
+recent report, looked at communities in Alaska. Maryland, the 
+Eastern Shore and your home state, as well as other parts of 
+the country. And there is a need to prioritize the help that we 
+can provide these communities and not leave them alone as they 
+address these challenges.
+    Mr. Raskin. In 2015, the GAO recommended that the Federal 
+Government come up with a plan to provide information to state, 
+local, county decisionmakers, as well as private sector 
+decisionmakers, to educate people about the dangers of climate 
+change and also to promote climate resiliency. I am wondering 
+whether that happened, why we need it, and also whether you 
+think that such cooperation and information sharing between the 
+Federal level and state and county and local level would better 
+prepare us for things like the Texas power grid disaster that 
+we saw last month because of extreme weather in Texas that 
+disrupted the lives of millions of people?
+    Mr. Dodaro. Yes, let me just say, Mark, and I'll turn it 
+over to you. Congress passed an important bill that began to 
+move in this direction back in the 2018 Disaster Reform 
+Recovery Act that required the agency, FEMA, to create a grant 
+program with funding for disasters to allow resilience, to be 
+building in resilience up front.
+    For years, the Federal Government standard when there was a 
+disaster is build back the same as it was before, not better. 
+And this would help agencies--or state and local levels and 
+others to build more resilience in up front. It's been proven 
+that, you know, a dollar spent up there can save $9, $10 later 
+on by building resilience in up front.
+    Mr. Raskin. OK. And so that is really my question now, when 
+you are calling for prioritizing national government resiliency 
+projects, coordination between the Federal level and the state 
+and local level for community climate migration and so on, I 
+mean, would all of that help us to prepare for things like the 
+catastrophe that just took place in Texas where----
+    Mr. Dodaro. Yes, yes.
+    Mr. Raskin [Continuing]. People's lives were disrupted?
+    Mr. Dodaro. Yes, absolutely. Absolutely. Mark, you want to 
+explain a little bit better?
+    Mr. Gaffigan. Sure. I mean the, the information, you asked 
+about information, Congressman Raskin, and that has been some 
+worked on since 2015, but we have been kind of disappointed 
+that there hasn't been this national strategy that could pull 
+together that kind of information. We have done some work on 
+building resilience that sort of points to three areas the 
+Federal Government can help.
+    One is providing incentives. The other is information, but 
+also integration. Because not only does this need to be a whole 
+of government approach and all levels of government, including 
+tribes, but it also needs to be a whole society situation where 
+we address this, bringing in----
+    Mr. Raskin. Yes, let me pursue that for one second, Mr. 
+Gaffigan, because I think that the COVID-19 crisis, I hope if 
+it has taught us nothing else, it is that an invisible and 
+silent threat can shut down the country and can traumatize and 
+kill lots of our people. Climate change is in the same 
+category, isn't it? And don't we need to mobilize the whole 
+society to confront this danger?
+    Mr. Dodaro. Absolutely, yes. Yes.
+    Mr. Raskin. And my time is up. So, I will yield back.
+    Mr. Dodaro. I would just say, Congressman, in closing that 
+we put that on our list in 2013. We think it's important to 
+deal with this to limit the fiscal exposure of the Federal 
+Government, and the Government--Federal Government can provide 
+leadership, but just like on the drug misuse area, you need to 
+have national leadership, but you've got to have all segments 
+of the society involved to help.
+    You know, building codes and structures are set at the 
+local level. So, if you don't have them involved, the Federal 
+Government is going to be limited in what it's going to be able 
+to do.
+    Mr. Raskin. Thank you very much. I yield back, Madam Chair.
+    Chairwoman Maloney. The gentleman yields back. The 
+gentleman from Louisiana, Mr. Higgins, is now recognized. Mr. 
+Higgins?
+    Mr. Higgins. Thank you, Madam Chairwoman. I thank you, 
+ma'am and Ranking Member Comer, for holding today's hearing 
+regarding the GAO High-Risk List for 2021. Ensuring oversight 
+of Federal programs and American treasure should be a priority 
+mission of this committee. Transparency and supervision of 
+these programs, while time-consuming, is crucial.
+    Over the last 15 years, oversight of the High-Risk List has 
+saved over $575 billion. While large programs are created with 
+trillion dollar budgets, this has increased exposure, shall we 
+say, to bad actors, Government malfeasance, and unforeseen 
+consequences. This is almost predictable when we are dealing 
+with this much money. So, so this is an incredibly important 
+function, and our oversight should be 100 percent bipartisan. 
+And I am sensing that now.
+    And I would like to thank my friend Representative Raskin 
+for bringing up climate change, and I invite him to Louisiana, 
+where we have a very old saying that if you don't like the 
+weather in Louisiana, stick around because it will change. 
+Perhaps my constitutionalist friend can visit, and we will have 
+an interesting townhall in my district regarding----
+    Mr. Raskin. I am going to take you up on that, Mr. Higgins. 
+I would love to join you. Love to.
+    Mr. Higgins. Yes, sir. Always the gentleman you are, good 
+sir.
+    Madam Chairwoman, critical programs such as the Census, 
+Postal Service, cybersecurity, the SBA programs, PPP and EIDL, 
+they should remain the focus for the GAO and Members of 
+Congress and this committee. But I would like to focus my time 
+and give our Comptroller General an opportunity to respond to 
+some questions I have regarding specifically cybersecurity as 
+it relates to Government contracts and national security.
+    So, Comptroller General, thank you for being here, and I 
+would like you to give us your insight regarding what GAO is 
+doing, at what level does vetting take place and your own 
+inspections dive deep into cybersecurity-contracted entities 
+that deal with protecting us against intellectual property 
+theft, malware, and cyber espionage?
+    And I give you a lengthy time to respond here, sir, because 
+it is very important. I would like to know. The committee would 
+like to know. America's interest is certainly much more heavily 
+focused now on cybersecurity, as we should be. So, give us the 
+GAO perspective there, please, sir. Intellectual property 
+theft, malware, and cyber espionage.
+    Mr. Dodaro. Yes. Well, we raised this issue recently on 
+intellectual property, most recently with the pandemic in terms 
+of protecting information regarding vaccines development and 
+distribution. We had pointed out a lot of problems at HHS, at 
+CDC, the National Institutes of Health and others, and urged 
+them to correct the problems that they have in place to protect 
+the intellectual property around that area.
+    The Government has a responsibility for all its contractors 
+to make sure that they have proper safeguards in place in order 
+to make sure that the business they're doing with the 
+Government and access to the Government systems are protected. 
+DOD has just started a computer or cyber maturity model 
+accreditation to make sure the contractor systems are up to 
+speed. That's in its incipient stages. It needs to be developed 
+further.
+    I'd ask our expert in the cyber area, Nick Marinos, to add, 
+Congressman, because you're asking a very good question, and 
+it's very important. Nick?
+    Mr. Marinos. Yes, Congressman Higgins, I think you raise a 
+really important point. The reliance that the Federal 
+Government has on contractors to process Government information 
+is the only way that we get business done in many ways. And so 
+it requires Federal agencies to realize that that is their 
+responsibility, that they have to have the capabilities in-
+house to be able to confirm that those contractors and also 
+vendors--so it could be the software that is being utilized--
+that they have ways to verify the cybersecurity of those 
+products and services.
+    And unfortunately, as this committee last Friday showed 
+through its hearing on SolarWinds, you know, our--we are behind 
+the eight ball on this, and we continue to be, which is why 
+cybersecurity has remained on the High-Risk List for over 20 
+years now. The benefits to having some kind of a certification 
+process are quite significant because it would allow agencies 
+to have a level playing field, kind of understand, you know, 
+which contractors have sort of been vetted to sort of clear 
+those security requirements.
+    But on the other side, this is also a workforce issue. 
+Government agencies not only need to have cyber expertise 
+within their security operations center and within their 
+technical capabilities, but also within their procurement 
+offices. We need to have oversight of those contractors come 
+from individuals that are both savvy in understanding how to 
+administer contracts and also how to ensure that the 
+contractors are adhering to things like security requirements 
+as well.
+    Mr. Dodaro. But we're going to be taking, Congressman, a 
+closer look at this area because the concern I have is that the 
+agencies haven't been able to fix the systems properly that 
+they have responsibility for, let alone oversee the 
+contractors. So, I think you got a potential double 
+vulnerability here that needs to be more deeply investigated.
+    Mr. Higgins. Thank you, sir. I very much appreciate your 
+very thorough response.
+    And Madam Chair, I look forward to further discussions on 
+this issue, and I yield. Thank you, Madam.
+    Chairwoman Maloney. The gentleman yields back. The 
+gentlelady from California, Ms. Speier, is recognized.
+    Ms. Speier. Thank you, Madam Chair.
+    I concur with all of my colleagues that this is one of the 
+most important hearings we have every two years.
+    Mr. Dodaro, once again, you are a jewel to the Federal 
+service, and I thank you for the almost a generation that you 
+have been at GAO.
+    I would like to start off by suggesting something. I want 
+to associate myself in particular with members on both sides of 
+the aisle, but also specifically the gentleman, my good friend 
+from the state of Tennessee, Mr. Cooper. I think that there are 
+ways of highlighting your work that would be very effective, 
+and I would like to make one recommendation, Madam Chair.
+    There is always low-hanging fruit, and it may not be over 
+$1 billion. What if we were to create--and Mr. Dodaro, this is 
+where you would come in--a bushel of low-hanging fruit. And I 
+just looked it up, and a bushel is 32 quarts. So, if we 
+identified 32 programs or fixes that we should make, that could 
+be real money, and I would like to recommend that, Madam Chair, 
+as something that we could do.
+    As we talk about the SBA, in your report you made reference 
+to the fact that there is not a review of loans that are under 
+$2 million. Do you think that number should be lowered and we 
+should demand that Treasury look at smaller loans?
+    Mr. Dodaro. Yes, I think there should be. Not each 
+individual loan. What Treasury said is that they want to look 
+at every loan over $2 million. Our view was that SBA needed to 
+have some plan on a sampling basis or some risk analysis to go 
+in and look at the other loans as well, not each and every one 
+of them.
+    And they do have a plan to look at loans under $150,000, 
+which is many of the loans are at that level, before they give 
+forgiveness for the loan. And so, but we've just gotten their 
+plan. We haven't looked at it yet. But it's based upon a risk 
+analysis and then a sampling of the loans, from what I 
+understand.
+    Dan Garcia-Diaz here is our expert in that area. Dan, do 
+you have a comment on that, please? I think you're on mute, 
+Dan. Your mic is not working? OK, I'll speak on behalf of Mr. 
+Garcia-Diaz. And so, you know, we're going to be----
+    Ms. Speier. I think his microphone is working now.
+    Mr. Garcia-Diaz. My mic is working now, yes.
+    Mr. Dodaro. OK, go ahead.
+    Mr. Garcia-Diaz. Yes. So, there is now plans for both 
+automated reviews and manual reviews of the different--at 
+different loan levels, and so we are assessing those plans 
+right now. But as the Comptroller General pointed out, we don't 
+expect a full review of all the loans, but rather to devise a 
+process for selecting loans and particularly flagging loans 
+that may have some questionable characteristics that might 
+further warrant review by SBA.
+    Mr. Dodaro. Yes, I think it's important as far as----
+    Ms. Speier. Could I ask a followup question? Has the SBA 
+detailed a clear plan on how to recover funds deemed were 
+fraudulently obtained?
+    Mr. Dodaro. Not that we've seen yet. And, I don't believe 
+so. But my concern here is that this program has been very 
+poorly managed, and we just recently got their oversight that 
+we called for last June. Now I can understand in March, you 
+know, getting the money out quickly, but you needed to have an 
+oversight plan in place soon thereafter.
+    And one of--there's been a lot of fraud in this area, both 
+the PPP program and the Economic Injury Disaster Loan program. 
+And one of the reasons I think it's important to look at loans 
+that are all sizes is that a lot of people committing fraud 
+purposely stay at a low level and try to, you know, just hit 
+several different times to stay under the radar screen. And you 
+have instances of people creating fake businesses that don't 
+even exist that are getting the money.
+    And so there have been over 140 different indictments so 
+far. About 40-some people have already pleaded guilty. There 
+are hundreds of investigations still ongoing. So, there needs 
+to be some money.
+    Now they did recover, from what I understand, about $450 
+million in the Economic Injury Disaster Loan program. So, the 
+IGs and the Justice Department are working together in this 
+area as well. So, we're going to be looking at it more 
+carefully once we get their plans and can evaluate.
+    Ms. Speier. Well, as they are starting to ask for 
+forgiveness, it is really important that we identify the fraud. 
+So, I hope that is part of your effort. And my understanding is 
+only about a third of the companies that were in the Fortune 
+500 list or had the ability to receive capital elsewhere 
+actually returned the money. So, two-thirds of them did not.
+    It would be helpful to me in particular, and probably to 
+other members of the committee, if we identified those two-
+thirds of the companies that did not and create some kind of 
+shaming around it. I know my time has expired, but I think this 
+is so ripe for our continuing review this year, Madam Chair, 
+that we do that.
+    I just want to ask two final questions. You pointed out 
+that--do you agree that gutting the Naval Audit Service and 
+having less oversight of these critical programs would be 
+moving in the wrong direction? It is my understanding that they 
+have actually reduced the number of persons serving in that 
+capacity.
+    Mr. Dodaro. I'm not familiar with that situation, but I'd 
+be happy to take a look at it. I have been concerned about some 
+of the Inspector General functions across Government having 
+their independence undermined in a number of cases, and I'll be 
+happy to look into that situation and give you my assessment of 
+it.
+    Ms. Speier. Comptroller General, I would agree with you. In 
+fact, I think many of the Inspector Generals associated with 
+the military services do not have the skills at all to provide 
+that function. We saw that most recently at Fort Hood, where 
+the force IG went down and said everything was great. And then 
+an independent committee was sent down, and it did a serious 
+review and found that there was gross dereliction of duty.
+    So, I would encourage you to help us define how we should 
+maybe change Inspector Generals into civilians within each of 
+the services because I don't think they are necessarily serving 
+the American people and may be just protecting the various 
+services.
+    And finally, let me just ask you, if you haven't, to look 
+at the contracts for housing at bases around the country and, 
+in fact, around the world. I think these contracts go on for 
+decades. There is not accountability.
+    At recent visits to military bases, I have found serious 
+problems with lead, asbestos, mold in many of these housing 
+settings where our servicemembers and their families are 
+living, and it is the equivalent of tenement living, and I 
+think it is shameful. So, I hope that you will take some time 
+to look at that.
+    Madam Chair, thank you for the accommodation. I yield back.
+    Chairwoman Maloney. The gentlelady yields back. The 
+gentleman from Pennsylvania, Mr. Keller, you are now 
+recognized.
+    Mr. Keller. Thank you, Madam Chair.
+    This is an important hearing for us to understand which 
+programs and agencies need reform to improve their 
+effectiveness and reduce waste, fraud, and abuse in the best 
+interest of the American taxpayer. Pennsylvania's 12th 
+congressional District is home to two Federal prisons, USP 
+Lewisburg and FCC Allenwood, both of which have been negatively 
+impacted by the Bureau of Prisons inmate transfer policies and 
+lack of transparency with the American people.
+    We saw this firsthand with the BOP when they refused to 
+halt transfers and movement of the roughly 150,000 inmates it 
+is charged with securing during the early stages of COVID-19, 
+putting corrections officers and inmates at risk of infection 
+and causing further community spread. We owe it to our 
+outstanding corrections officers, the inmates they secure, and 
+the surrounding communities to work with the BOP to improve its 
+operations.
+    Mr. Dodaro, in the last five years, the GAO has made 19 
+recommendations related to the BOP, of which 16 have yet to be 
+addressed. The recommendations are largely centered on 
+rectifying the BOP's failure to manage its staff appropriately 
+and improve mental health, their failure to plan for new inmate 
+wellness programs that reduce recidivism, and failure to 
+monitor and evaluate programs which have led to wasting 
+taxpayer dollars. Can you say more about your ongoing and 
+planned work related to the prison system?
+    Mr. Dodaro. Yes. As you point out rightly, we've been 
+concerned about this. We've made a number of recommendations. 
+My team just recently met with the head of the Bureau of 
+Prisons service, and he announced he's going to create a task 
+force within BOP to look at the high-risk issues that we're 
+identifying and to begin to address the root causes of the 
+problem. So, I was very pleased with his initial response to 
+our designation that we are considering putting it on the High-
+Risk List.
+    Our work now is focused on the FIRST STEP Act, where 
+Congress required a number of reforms to be put in place, and 
+we want to see if those reforms are being implemented properly, 
+and that will be the critical determinant as to whether we 
+officially add them to the High-Risk List or not.
+    Mr. Keller. So, you don't know whether or not they will be 
+added to the list in the upcoming two years? But I guess it 
+would be dependent on their performance?
+    Mr. Dodaro. Yes, yes.
+    Mr. Keller. OK.
+    Mr. Dodaro. And we designate, Congressman, people onto the 
+list out of the two-year cycle. So, if we finish our work and 
+we think that they should be added, we'll add them out of 
+cycle.
+    Mr. Keller. Just for the benefit of the people that might 
+be watching today's hearing, can you explain a little bit about 
+what the High-Risk List is and how an agency or a program gets 
+added to it?
+    Mr. Dodaro. Sure. The High-Risk List was created in 1990 as 
+a result of some fraud, waste, and abuse issues that had 
+surfaced at the HUD, the Housing and Urban Development 
+Department. There were some procurement scandals at DOD at that 
+time. And Congress came to the GAO, and they said, well, can't 
+you identify what these risks are before they get to be crisis 
+proportion?
+    And so we developed a list to identify areas in need of 
+fraud, waste, abuse, and mismanagement, and we started with 14 
+areas. Over time, we've also added areas of--areas that are in 
+need of broad-based transformation. In other words, there's 
+been circumstances that have changed that they need to make a 
+transformation and to develop.
+    For a good example is on oversight of medical products 
+where most of our drugs now or ingredients in the drugs are 
+made by foreign manufacturers, and FDA was set up for domestic 
+production. So, that's an area of needed transformation, and so 
+that helped the Congress spur that area.
+    We consider a number of factors, whether it has 
+implications for public health, safety, the economy, national 
+security, and whether there's a lot of taxpayer dollars at 
+risk. Those are the factors to get on the list.
+    Then to get off, you have to show leadership commitment. 
+You have to have the capacity, an action plan, monitor your 
+efforts, and actually demonstrate some success in lowering the 
+risk or fixing the problem to get off.
+    Mr. Keller. OK. Thank you. I appreciate that. We owe it to 
+our outstanding corrections officers, the inmates they secure, 
+and the surrounding communities to work on the BOP to improve 
+their operations.
+    And based upon what you laid out there as far as the risk 
+to taxpayers and all the items, in view of what has happened 
+since this Congress began, the $1.9 trillion, only 9 percent of 
+which is going to actually public health safety. The other 91 
+percent is going to Speaker Pelosi's payoffs, one of them being 
+a subway in Silicon Valley for $140 million and also $12 
+billion going to foreign governments rather than helping the 
+American people.
+    In addition to that, we are talking about H.R. 1, which is 
+going to take taxpayer dollars and use them to fund elections 
+so that more people, more American people will be watching more 
+election commercials and so forth at election time. Do you have 
+any plans on putting Congress on that list to see what reforms 
+could be done?
+    Mr. Dodaro. There are limits to our authority.
+    Mr. Keller. That is unfortunate.
+    Mr. DeSaulnier.[Presiding.] The gentleman's time has 
+expired. I will now recognize the gentlelady from Illinois for 
+five minutes. Ms. Kelly?
+    Ms. Kelly. Thank the Chair.
+    Mr. Dodaro, I would like to thank you for all the work your 
+agency is doing to evaluate our response to the coronavirus 
+pandemic. This vital work is helping policymakers at all levels 
+of government understand the challenges we face and inform our 
+efforts to address them.
+    In that vein, I would like to ask you about a topic that 
+many of my Democratic colleagues and I have noted must play a 
+critical role in informing our pandemic response data. I am not 
+talking about the scientific data that support the 
+implementation of public health measures, like mask wearing and 
+social distancing, but also the data that helps us to 
+understand the people and places hardest hit by COVID-19.
+    Your report today references an earlier GAO report from 
+January 2021, which notes that data collection by state and 
+local entities, as well as HHS, is ``critical to inform a 
+robust national response.'' Can you briefly explain why good 
+data is so vital to Federal, state, and local decisionmaking?
+    Mr. Dodaro. Well, first, this pandemic has laid bare some 
+of the frailties of our highly decentralized public health 
+system and the need for better data in order to respond to the 
+public health outbreaks.
+    First, you need to find out, you know, there wasn't clear 
+and complete data on testing. So, you need to know how many 
+people were being tested and where. Where there were outbreaks. 
+So, how to target assistance to those outbreaks. The 
+disproportionate effect that it was having on people of color 
+and what exactly was happening in those areas.
+    I'll ask Ms. Clowers to elaborate a little bit further, but 
+this is an area where we've quickly noted--and this is a real 
+concern going forward. We need to invest in more public health 
+surveillance, operations, in order to be efficient and 
+effective about our responses. Nikki?
+    Ms. Clowers. Yes, sir. Congresswoman, as the Comptroller 
+was saying, the system is fragmented, and so the data is 
+collected by different actors at the Federal level, as well as 
+state and local. And because of that, they are often using 
+different definitions of the data.
+    So, even when there are efforts to collect data from 
+different sources, you roll it up, it is incomplete, it is 
+inconsistent because we haven't used the same standards. And so 
+we have made recommendations to the Government to address this. 
+Because to your point, it is critical that we have better data 
+so we can spot problems and take the corrective action needed. 
+Without the data, we can't make those mid-course corrections.
+    And to the point the Comptroller General made as well, 
+COVID has laid bare the disparities in health outcomes that we 
+are seeing. And again, we need better data on that. For 
+example, right now, in terms of vaccine, vaccines rates, about 
+50 percent of all of that data is missing race and ethnicity 
+information. We need better data on that so we can better 
+target populations to make sure that they are having the right 
+access to care and to the vaccines.
+    Ms. Kelly. Your report also notes the need for HHS to have 
+strong, clear coordination with states, territorial, and tribal 
+governments and the public as we work to distribute and 
+administer the vaccines. You reference the agencies' 
+responsibility for managing a national evidence-based campaign 
+to increase awareness of the safety and efficacy of the 
+vaccines, particularly in communities with low vaccination 
+rates. Why is this initiative so important, and what can HHS do 
+to make sure it is as successful as possible?
+    Mr. Dodaro. Nikki, please?
+    Ms. Clowers. Yes. A critical piece is involving the state 
+and local officials. They play a key role in any type of the 
+public health measures that we are taking, but also, 
+importantly, the vaccination efforts. And that is why we 
+recommended in September 2020 that the Federal Government 
+needed to develop a distribution strategy which included 
+outlining the communication with and obtaining input from state 
+and local governments and ensuring that populations are 
+reached.
+    You know, it is the local governments that understand their 
+communities, their citizens, and can help ensure that we reach 
+those populations in getting the vaccine out, getting the word 
+out about the vaccine and the benefits of having--of taking the 
+vaccine.
+    Ms. Kelly. It does seem like a more comprehensive data 
+collection would aid our efforts to understand systemic racial 
+disparities in the United States and actually advance reforms 
+to achieve health equity.
+    With that, thank you so much to the witnesses and your 
+patience, and I yield back.
+    Mr. DeSaulnier. I now recognize the gentleman from Arizona, 
+Congressman Biggs.
+    Mr. Biggs. Thank you very much, Mr. Chairman.
+    This is at least the third hearing I have participated in 
+since coming to Congress related to the GAO's High-Risk List, 
+and each year, I see many of the same agencies and programs in 
+the report. For example, I served on the House Science, Space, 
+and Technology Committee my first two terms. So, I am very 
+familiar with the Environmental Protection Agency's Integrated 
+Risk Information System, or IRIS, which receives very brief 
+mention on pages 31 and 32 of the report.
+    The IRIS program was meant to be a clearinghouse of sorts 
+within EPA for consolidating data and reporting on chemical 
+toxicity. The problem, though, is that many of the program 
+offices within EPA, for example, the Office of Chemical Safety 
+and Pollution Prevention and the Office of Water, have already 
+been doing their own research and integrating their findings 
+with other departments. So, in other words, IRIS is an 
+unnecessarily duplicative super-structure.
+    When I chaired the SST Environment Subcommittee, I 
+advocated for eliminating IRIS and returning more work to the 
+EPA program offices. For those who are curious, I have also 
+introduced a bill to achieve this result, H.R. 62, the 
+Improving Science in Chemical Assessments Act.
+    Going back to the IRIS references in the GAO's High-Risk 
+List, the report accurately identifies a major problem with 
+IRIS stating that the program did not issue a completed 
+chemical assessment between August 2018 and December 2020. The 
+report then goes on to suggest that the failure of IRIS was 
+rooted in larger faults with EPA because the agency did not 
+indicate, and I am quoting here, ``did not indicate how it was 
+monitoring its assessment nomination process to ensure it was 
+generating quality information about chemical assessment 
+needs.''
+    Further, the report suggests EPA ``lacked implementation 
+steps and resource information in its strategic plan and 
+metrics to determine progress in the IRIS program.''
+    Maybe if EPA were better at monitoring its assessment 
+protocols, we would have a better IRIS. That is possible, I 
+suppose. But again, I posed a much simpler and more cost-
+effective solution of eliminating IRIS altogether, and that 
+speaks to a larger issue I have with the GAO High-Risk List.
+    It doesn't seem to offer many recommendations to fully 
+eliminate some problematic programs, even though that course 
+may, indeed, be the best option in some cases. Or maybe, quite 
+frankly, in many cases.
+    Mr. Dodaro, is there a reluctance on your agency's part to 
+make recommendations for the full elimination of consistently 
+problematic programs, such as the IRIS program?
+    Mr. Dodaro. Not if we have the evidence necessary to 
+support that. We've not looked at the IRIS program in the 
+context of what you're mentioning, and let me ask Mr. Gaffigan 
+if he has a view on that matter.
+    Mr. Gaffigan. Yes, thank you for your question, Congressman 
+Biggs.
+    You know, there are many ways the assessments can be done. 
+The current process, as it is set up, allows for a nomination 
+process, it did at one point, and for these assessments to be 
+done. Our main point is the assessments aren't being done. And 
+whether it is done in the program offices or at IRIS, there is 
+a need to commit the resources to it.
+    And so, you know, that is an option going forward. The 
+bottom line now is the assessments are not getting done. 
+Whether it is done by an IRIS program or another alternative, 
+as you suggest, those are all viable ways to do it. It is just 
+not getting done right now.
+    Mr. Biggs. Thank you. I appreciate the answer to the 
+question. And rather than droning on further about the IRIS 
+program and its need, I would suggest that as we look forward, 
+we might--I would appreciate recommendations such as in the 
+IRIS program, which has been so problematic and so duplicative, 
+maybe--maybe viewing it from your perspective of whether that 
+program should actually be eliminated or go forward.
+    And so I would ask for that request. And then I would just 
+say that the IRIS program has been bugging me, actually, as you 
+can tell, for about four years now because it is duplicative. I 
+think it needs to go away. I think we can accomplish this more 
+efficiently. And if resources need to be redrawn there, we can 
+do that.
+    And I appreciate your comments, Mr. Dodaro and also Mr. 
+Gaffigan. And with that, Mr. Chairman, I will yield back.
+    Mr. DeSaulnier. Thank you, Congressman. I now recognize the 
+gentlelady from Michigan, Ms. Tlaib, for five minutes.
+    Ms. Tlaib. Thank you so much.
+    I think it is important to say to my colleagues across the 
+aisle, you know, the problem isn't IRIS. The problem is 
+Republican refusal to believe in science and take climate 
+change seriously. It is no coincidence that the EPA failed to 
+do its job under the Trump administration.
+    As you all know, I represent a zip code that is the most 
+polluted zip code in the state of Michigan. So, climate change 
+is here, and its impacts are becoming more and more devastating 
+with each passing year.
+    So, we must stop weighing whether or not we will act on 
+climate change by how much money it will cost our Government 
+and big corporations and start measuring the substantial 
+expense of this country's inaction on climate change on 
+communities across the country, especially our black, brown, 
+and low-income communities.
+    And we must also focus on detrimental health impacts 
+resulting from our reliance on fossil fuels. The child with 
+asthma who is forced to miss school because their house is 
+surrounded by corporate polluters, and this is a real fact that 
+happens in my community. A third of a class will raise their 
+hand and say they have asthma.
+    The family who has uprooted everything because of constant 
+flooding. That is happening in my community in the Dearborn 
+Heights neighborhood. Or the neighborhood block that has been 
+completely devastated by respiratory diseases and cancer 
+because of dirty air.
+    So, Mr. Dodaro, the Environmental Protection Agency's 
+Integrated Risk Information, the IRIS system is supposed to 
+assess the health hazard of chemicals in the environment to 
+inform all of us so that we can make much more informed 
+decisions on our environment policies and regulations to keep 
+our communities safe. However, the GAO report states that, and 
+I quote, ``EPA's agency-wide strategic plan for fiscal years 
+2018 through 2022 does not mention the IRIS program at all.''
+    So, I am wondering, and furthermore, I know the report also 
+notes the astonishing fact that the IRIS program had not 
+completed a single, not one, chemical risk assessment between 
+August 2018 and December 2020. So, Mr. Dodaro, is it fair to 
+say that these assessments can literally be life or death for 
+communities like mine because they identify chemicals and 
+pollutants that pose potential fatal adverse health effects?
+    Mr. Dodaro. Yes. Basically, the Government can't take 
+informed action without a thorough assessment, now whether it 
+comes from IRIS or somewhere else. But I would note, we rated 
+the EPA area as an area that regressed because they were 
+proposing, the administration had been proposing to cut the 
+IRIS budget, but Congress kept reinstating----
+    Ms. Tlaib. By 34 percent. Isn't that correct?
+    Mr. Dodaro. That's correct. But Congress reinstated the 
+funding, and so that's the reason we didn't rate them down in 
+leadership. What we rated down is monitoring and an execution 
+area.
+    Mark, do you have any other thoughts you want to mention?
+    Mr. Gaffigan. No, I think that is true. And again, we would 
+just like to see the assessments done because they are 
+important to everyone's health. And you know, how we do that, 
+that can be discussed, and there are good options.
+    The other thing I would mention, Congresswoman Tlaib, is 
+the issue of environmental justice. We did a report in 2019 
+that pointed out the interagency working group. There are 16 
+agencies working on environmental justice issues, and many of 
+them had done some individual plans, but we found that the 
+plans were not updated. There was a lack of performance 
+measures around the issue of environmental justice affecting 
+particularly communities of color, and that is a huge need 
+going forward.
+    Ms. Tlaib. Yes. I really would urge my colleagues, and this 
+is sincere, come visit my district. I have given a number of 
+tours, what I call the ``toxic tour.'' Come breathe the air. 
+You can smell it in the neighborhoods I represent. Meet your 
+fellow Americans that don't have access to running water in the 
+richest country on Earth.
+    Come and tell us to the face of, again, your fellow 
+Americans and that they are trying to raise their children that 
+it is too costly to protect the climate, that it is too costly 
+to address climate or environmental toxins and to really combat 
+corporate greed that is so interconnected to a lot of these 
+decisions that were made by the Trump administration, including 
+missing deadlines and so forth.
+    Because that is exactly what our Government says again and 
+again and again to residents like mine through these failures 
+is that it is OK that they aren't breathing clean air. It is OK 
+that their lives are shortened because we are doing nothing on 
+these issues.
+    So, I really thank all of you for your report. I know there 
+was a number of things I wanted to ask in regards to missing 
+deadlines and some of the lack of prioritizing these issues, 
+but again, I really appreciate and appreciate the chairwoman's 
+intention in making this a critical issue to address. So, I 
+really appreciate that.
+    Thank you, and I yield.
+    Mr. DeSaulnier. Thank you. And the chair now recognizes the 
+gentleman from Kansas, Mr. LaTurner, for five minutes.
+    Mr. LaTurner. Thank you, Mr. Chairman. I want to thank you 
+for holding this important hearing to help the committee to 
+really focus on its primary mission to investigate, locate, and 
+root out all fraud, waste, and abuse from the Federal 
+Government, an enormous task already, with expected F.Y. 2021 
+budget outlays nearly $6 trillion, but one that has been 
+greatly complicated over the past 12 months with soon to be $2 
+trillion in new spending for COVID-related and mostly unrelated 
+spending.
+    I want to applaud the Comptroller General for his 300-page 
+report detailing just how much Congress is failing in this 
+central mission of making sure that every hard-earned taxpayer 
+dollar is being spent in a responsible and worthwhile manner. 
+But this is far from a partisan issue. Both sides have failed 
+in cleaning up this mess. We know that during the past 15 years 
+alone, this effort by GAO has saved nearly $575 billion, 
+including $225 billion just these past two years.
+    I am afraid to even consider what percentage of the total 
+Federal budget is lost to waste, fraud, and abuse. I can only 
+imagine. Now, more than ever, with new programs created by the 
+CARES Act, including the roughly $350 billion Provider Relief 
+Fund and the nearly $750 billion Paycheck Protection Program, 
+it is critical that Congress and in particular this committee 
+work together to ensure these new moneys are going to people 
+who have legally demonstrated they are qualified to receive the 
+funding.
+    But that is not all. I especially want to touch upon the 
+growing unemployment claims fraud scandal that has impacted our 
+Nation and, frankly, robbed my home state of Kansas. Last year, 
+Congress authorized the expenditure of hundreds of billions of 
+dollars for both the Federal pandemic unemployment compensation 
+program and the pandemic unemployment assistance program for 
+self-employed workers.
+    This dramatic increase in funding has overwhelmed state 
+systems, including Kansas, that were wholly unprepared and 
+failed to respond to the wave of fraudulent claims after 
+several red flags were present and obvious. In Kansas, we lost 
+an estimated $600 million in false claims, according to a 
+legislative post audit report released last month. That is 24 
+percent of claims. This is money we are all likely to never get 
+back. Nationwide, the U.S. Department of Labor believes the 
+figure is roughly $63 billion during this last year.
+    Madam Chairwoman, I would like to submit the Kansas state 
+audit report and a Kansas delegation letter to Governor Kelly 
+for the record.
+    Mr. DeSaulnier. Without objection.
+    Mr. LaTurner. Thank you.
+    While I understand these are state-run programs, it 
+involves billions of Federal taxpayer dollars with language 
+requiring certain integrity measures that are put in place. So, 
+I would appreciate your perspective on this subject.
+    It is my understanding that the GAO threshold to make the 
+High-Risk List is $1 billion. Help me understand why the 
+various Federal pandemic unemployment system programs, with an 
+estimated fraud level of $63 billion for 2020, didn't make your 
+list.
+    Mr. Dodaro. Well, we considered that, and they're going to 
+continue to look at that issue. We haven't had a chance to look 
+in depth at it at this point in time, but we will consider it 
+as we move forward.
+    Mr. LaTurner. Could you talk about the process of 
+consideration and what facts you are bringing to bear in making 
+that decision?
+    Mr. Dodaro. Yes. Well, we have work underway looking at the 
+system, at what needs to be done in order to fix it. In a lot 
+of cases, one of the factors that we consider in putting 
+something on the High-Risk List is that GAO has some 
+recommendations for how to address that issue. Now given that 
+most of these unemployment systems are state by state 
+determined in terms of the criteria for looking at them and 
+also the factors, so there could be different reasons in each 
+state. So, we're going to have to look very carefully at this 
+and decide whether we have, after we looked at it carefully, 
+have appropriate recommendations to make so that we could point 
+to what needs to be done that gets the agencies off the High-
+Risk List.
+    It's not enough to just say there's a big problem, but we 
+have to have something that we bring to bear in order to say 
+how it should be fixed. And in this case, the fixes are state-
+centric, and so we need to really inform ourselves on how to go 
+about this. We typically don't have--make recommendations to 
+individual states to fix their systems.
+    Mr. LaTurner. Could you give me--my time is running out. 
+Could you give me a timeframe, and are you willing to come back 
+to this committee and report any findings? A timeframe for the 
+decision?
+    Mr. Dodaro. Yes. Well, I'd have to get back to you on the 
+timeframe. I'm not sure exactly where that work stands right 
+now, but we'd be happy to come back and talk about it, though. 
+I'll provide a timeframe for the record.
+    Mr. LaTurner. Thank you for your time, and thank you, Mr. 
+Chairman.
+    Mr. DeSaulnier. I thank the gentleman. And I will recognize 
+myself at this time. Just want to add my congratulations to a 
+job well done, as every year, to you and your staff. Really 
+terrific work.
+    On the comments from my friend across the aisle from Texas, 
+we would like to work with you and him on the issues of 
+incentivizing good performance and performance-based budgeting. 
+When I was on the executive board of the National Conference of 
+state Legislatures, we did a lot of work with your colleagues, 
+or they did, to try to get those best practices. And I will say 
+that very successful program here in my district years ago when 
+I was a county supervisor, we were actually able to target at-
+risk kids by Census track over time.
+    But the funding and the incentives were given us by 
+foundations, and it put us in a position to save quite a bit of 
+money now 20, 25 years later to look at what we did and really 
+become a national model. So, I would love to work with you on 
+that. Incentivizing good performance and reinvesting those cost 
+savings are of great interest to me.
+    Specifically, I would like to talk to you about your report 
+on the Office of National Drug Control Policy. We know opioids, 
+and this committee has done a lot of work in this area, and 
+thank the chairwoman for bringing Purdue Pharma and the 
+Sacklers here for a memorable hearing just recently. But the 
+costs of drug abuse in this country, $600 billion, according to 
+NIH, and treatment is--helps us $12, for every $1 spent saves 
+us $12.
+    So, Mr. Dodaro, you recognized this before the pandemic, 
+but you held off the release of your recommendations, as I 
+understand it. Can you talk a little bit about that and the 
+context, as your staff has said, in this terrific book that I 
+just finished, ``Diseases of Despair,'' about the continued 
+increase in diseases of despair--suicide, alcoholism, and drug 
+abuse--and not just the human suffering, but the cost to state, 
+local government.
+    So, COVID has made a very difficult problem worse. Could 
+you talk a little bit about that and then maybe specific 
+comments about the previous administration, in my view, really 
+poor performance, and the metrics we need to improve the 
+National Drug Control Office?
+    Mr. Dodaro. Yes. First, we did designate our intention to 
+add it formally to the High-Risk List in March 2020, but we did 
+not withhold our recommendations. I mean, we made specific 
+recommendations at that point about what needed to be done to 
+make the strategy, the national strategy meet all the statutory 
+requirements. We felt it was appropriate to not distract from 
+the efforts to focus on the pandemic at that point in time. So, 
+we didn't withhold the recommendations, just the formal 
+designation to add it to the High-Risk List.
+    The pandemic, you know, complicated. We did realize, even 
+back last March, that the pandemic was likely going to 
+exacerbate some of the underlying problems that lead to drug 
+abuse in the first place, which are unemployment, isolation, 
+depression, and other things that were happening potentially to 
+people who were vulnerable to those type of issues during the 
+pandemic or a lockdown period of time. And indeed, some of the 
+early data that's available from CDC show an increase in the 
+March, April, May timeframe that I referred to earlier, during 
+the--the preliminary data on the amount of COVID deaths due to 
+overdoses. Not COVID deaths, due to--deaths due to overdoses at 
+that point in time.
+    Now some of the things that need to be done that are 
+missing is the law calls for a five-year resource plan for each 
+area that's required. That hasn't been done yet, and these 
+problems are not going to get solved looking at it only a year-
+by-year basis. You need to have a long-term plan.
+    The treatment area, there's only--there's 30 percent of the 
+counties in the United States that don't have access to 
+substance abuse disorder treatment for people so that there's a 
+huge problem there as well. There needs to be more 
+coordination. We pointed out where some of the agencies are 
+pursuing plans, but it's not clear how their plans contribute 
+to the national strategy, and there needs to be more evaluation 
+of what's working and what's not working and more engagement 
+and coordination with the private sector, state and local 
+governments, healthcare providers, law enforcement, and others 
+because this is a multifaceted problem.
+    Mr. DeSaulnier. I really appreciate it and look forward to 
+continuing the conversation. I do want to mention legislation 
+that was passed last session that was spearheaded by our former 
+chair Elijah Cummings to help facilitate with the coordination. 
+I hope we can work on that, make that successful with this 
+administration.
+    Thanks again so much.
+    I would now like to recognize the gentleman from Wisconsin, 
+Mr. Grothman, for five minutes.
+    Mr. Grothman. Yes, I would like to talk about the drug 
+abuse programs myself again. I wish it was true that you could 
+spend $1 and save $12. I always wonder if those studies are 
+right on point, you know, that you can spend $1 and save $12.
+    But in any event, over time, seems to me we have spent more 
+and more money on drug abuse, at least it seems to me that we 
+brag about the amount we are spending. Nevertheless, we still 
+are around 80,000 lives lost a year, which is really tragic. 
+And I would think, given all the money we are plowing into 
+this, that we would begin to make some progress.
+    We all have--or at least I have reasons why I think we are 
+not doing a very good job here. But given that we keep throwing 
+more dollars at it, are there any programs in the drug abuse 
+field that we feel have failed and have eliminated or cut back 
+on? Given that we hit records every year in the number of 
+people who die, or at least recently we do, I would assume some 
+of these programs are failing.
+    Mr. Dodaro. Well, one of the areas we point out is a lack 
+of evaluations in some of these programs. Let me ask Ms. 
+Clowers, who's director of our healthcare area, if she wants to 
+add anything.
+    Ms. Clowers. I would add two points. In terms of the ONDCP 
+strategy that has been put out, this is an area where we have 
+pointed out the strategy needs to be improved, that they do 
+need performance measures for efforts that are ongoing so we 
+can assess whether programs are making progress or making a 
+difference.
+    The second point I would mention is that we do have ongoing 
+work looking at the different grants that are being provided to 
+states to help combat the opioid epidemic, and we will be 
+looking to examine what we are getting with those funds.
+    Mr. Grothman. Yes, I mean, it frustrates me because this is 
+an issue that I care deeply about. And of course, because 
+everybody cares for it, you keep voting for more and more. But 
+when you--and I assume there is a lot more money being spent 
+today than, say, six or seven years ago, but it seems the 
+number of people who die just keeps going up. And part of it 
+could be the COVID, but in any event, when you plow this much 
+money into a program or programs with a promise that we are 
+going to fight this overdose stuff and it keeps going up, is 
+anybody ever weeding out the bad programs so we have money left 
+for the good program? And you are telling me that doesn't 
+happen?
+    Mr. Dodaro. Not as rigorously as it should. That's one of 
+the reasons we elevated it to the High-Risk List is to make 
+sure that there is more focus on this and there is more 
+evaluation of these programs, so we can tell what works and 
+what doesn't work and make adjustments to those.
+    Mr. Grothman. Yes. And as far as you know, there are no 
+programs that categorically are wiped out for being no good, or 
+when we send out the grants, we are not going to send it to 
+these programs. It is just kind of up, up, up all the time?
+    Mr. Dodaro. Well, I'll go back and take a look at that and 
+see if there's anything that we've done along those lines, and 
+I'll provide an answer for the record.
+    Mr. Grothman. Yes. We have had several programs on the 
+High-Risk List since the 1990's, which is concerning. You know, 
+when we identify a problem, you would like to think in 30 
+years, we would begin to address it.
+    One of those are improper payments to Medicare, and that 
+can be wildly expensive, of course, because doctor bills are 
+wildly expensive. But it is still on the program 30 years 
+later. Can you tell us why it is apparently not addressed or 
+not addressed enough to keep it off the list?
+    Mr. Dodaro. Actually, the improper payments are coming down 
+in the Medicare area. So, I've been pleased that there's been 
+some progress in that area.
+    It's also on the list because of the restructuring and the 
+move from paying people for the quantity of services to get the 
+quality of healthcare in there as well. So, there are some 
+reforms that need to be made. We've made some recommendations 
+to the Congress to give authority for recovery auditors to look 
+at things prepayment. We've also suggested that CMS more use 
+prior authorization before they make payments and to expand--
+they've done this for pilot programs that have been successful. 
+Where they've saved money, prevented improper payments, and 
+it's not affected the ability of people to get services, that 
+they expand that more often.
+    Actually, the bigger problem now is Medicaid improper 
+payment. Medicaid improper payments for last year over $85 
+billion, compared to $42 billion in Medicare. So, Medicare is 
+coming down. It can come down further with implementation of 
+our recommendations. Medicare is dramatically increasing--
+Medicaid, rather, excuse me.
+    Mr. Grothman. They are similar programs. Why is Medicaid 
+such a bigger problem than Medicare?
+    Mr. Dodaro. Well, you have a lot of different state 
+programs and rules. Each state has their own different Medicaid 
+program. Medicare, you have more uniformity across the program, 
+and it's run by the Federal Government versus a partnership 
+with the individual state programs. We've expanded Medicaid 
+quite a bit in the Affordable Care Act and also with the recent 
+pandemic. And so the programs are changing quite a bit.
+    One of the reasons it's going up so fast now is that some 
+of the states aren't doing enough to enroll providers and make 
+sure that the providers that are enrolling are eligible to 
+provide services under the program. So, and the managed care 
+portion of Medicaid, which started out as a small program, is 
+now about half of the spending, and there is still not enough 
+scrutiny, in my opinion, over the managed care portion of 
+Medicaid.
+    Mr. Grothman. Thank you.
+    Chairwoman Maloney. [Presiding.] Thank you. The gentlelady 
+from California is recognized. Representative Porter?
+    Ms. Porter. Thank you very much, Madam Chair.
+    Mr. Dodaro, is it correct that the Federal Government fails 
+to collect taxes that it is owed to the tune of about $400 
+billion a year?
+    Mr. Dodaro. That's correct. That's the gross amount. The 
+IRS is--go ahead, please.
+    Ms. Porter. That is the gross amount. And we call this--
+this is often referred to as the ``tax gap,'' but it seems to 
+me it is really more like a canyon in terms of the amount of 
+money. So, this is one of the charts from your report, and it 
+shows the gap right here between the blue, which is what is 
+owed, and the green, which is what is collected. And we collect 
+about 11 percent of what--of this missing amount.
+    So, what your report shows is that of the $458 billion that 
+is this tax gap, after the IRS engages in enforcement, they 
+only collect this blue portion, and all of this red portion--
+and that is a lot of zeroes there--$406 billion goes 
+uncollected. Based on the GAO studies over the years, has this 
+amount, this tax gap, gotten smaller? Are we tackling this 
+problem year after year and working on it?
+    Mr. Dodaro. We're not as successful as a government at IRS 
+that I'd like to see. The problem is not getting better. It's 
+stayed actually about the same over the period of time. There 
+are some recommendations----
+    Ms. Porter. So, on average, every year, we fail to collect 
+$406 billion?
+    Mr. Dodaro. Well, they think they'll collect some. The net 
+tax gap or what they definitely don't think they collect is 
+$381 billion, but you're--it's in the ballpark. So, yes, that's 
+true--that's true.
+    Ms. Porter. For a person like me, $381 billion, $400 
+billion, it is all just a lot of zeroes that is not being paid. 
+I have a question for you. In your GAO high-risk report, you 
+say that this is relating to staffing problems. So, has IRS 
+been increasing its staffing so that we can collect what we are 
+owed as taxpayers?
+    Mr. Dodaro. Staffing has only been going recently up. It's 
+been declining over time, and I think they're not back up to 
+the 2010 levels yet. Let me ask Mr. Mihm to give you an 
+example. But the problem is not just staffing. There are some 
+other things that could be done. Chris?
+    Ms. Porter. What are those other things?
+    Mr. Dodaro. I think Congress should regulate, authorize IRS 
+to regulate the paid tax preparers, No. 1. Some of the studies 
+that we've looked at using their data, in some cases taxpayers' 
+accuracy is more accurate than people that use paid tax 
+preparers, particularly in the earned income tax credit area.
+    Second, there ought to be more information returns prepared 
+so that the IRS could match data. For example, for real estate, 
+people that fix up their real eState property, to report that, 
+as well as businesses, corporations that have services. They 
+can report that data. The IRS could cross-check it to the 
+providers to see what they're reporting.
+    Ms. Porter. So, Mr. Dodaro----
+    Mr. Dodaro. There's also--yes.
+    Ms. Porter [Continuing]. I just have a sort of basic 
+question. Who benefits from failing to collect taxes that are 
+owed?
+    Mr. Dodaro. Only the people that owe them that are not 
+paying them.
+    Ms. Porter. So tax cheats, tax underpayers, delinquents, 
+that is who is benefiting. Who is being hurt by this failure to 
+collect between $381 billion and $406 billion on average a 
+year? Who is being hurt?
+    Mr. Dodaro. Well, the Americans are getting hurt. The 
+people that are----
+    Ms. Porter. Americans are getting hurt.
+    Mr. Dodaro. The people that are paying their taxes and the 
+other people that aren't paying taxes because they're too 
+young, but we're borrowing money to pay for things that they're 
+going to have to pay for in their generations ahead. So, 
+everybody is getting hurt by it.
+    Ms. Porter. OK. So, everybody is getting hurt at the 
+expense of tax cheats or tax frauds who are getting helped.
+    Mr. Dodaro, what is the GAO's motto?
+    Mr. Dodaro. Our motto?
+    Ms. Porter. Mm-hmm.
+    Mr. Dodaro. Accountability, integrity, and reliability is 
+our core values.
+    Ms. Porter. OK. On your recent reports, you have this 
+slogan, ``A century of nonpartisan fact-based work.'' Does this 
+ring a bell?
+    Mr. Dodaro. It does. This is our 100----
+    Ms. Porter. A century of nonpartisan fact-based work. I 
+wish that Congress could have that as its motto for even one 
+day, much less a century. Does the GAO sell T-shirts with that 
+motto, ``A century of nonpartisan fact-based work,'' because I 
+would totally buy one of these T-shirts. I would buy them for 
+all my family and give the money to the IRS to enforce against 
+collecting taxes from people who are cheating the rest of us.
+    With that, I yield back.
+    Chairwoman Maloney. The gentlewoman yields back. I now 
+recognize the gentlewoman from New Mexico, Ms. Herrell.
+    Ms. Herrell. Thank you, Madam Chair.
+    And thank you so much, Mr. Dodaro, for being here. It is 
+incredible, and I kind of want to echo what my colleague have 
+said. It is just almost too much for one committee hearing 
+because there is so much information. So, I just appreciate all 
+of your comments, and if I am redundant, I apologize. I ran to 
+vote.
+    But something one of my colleagues was saying earlier, 
+there are so many programs, and you had mentioned earlier that 
+it is sometimes hard to know exactly how many there are. But 
+are there programs that have been funded or happening for years 
+and years where maybe we need to take, think about maybe a 
+different approach? Think about things outside the box?
+    Maybe like Einstein says if you keep doing the same thing 
+over and over and you still get the same results, perhaps it is 
+time to change your thought process. And I am wondering, are 
+there things that you see that maybe Congress could be doing 
+very differently to help either have more accountability or 
+more success so that we don't see this number of programs on 
+this High-Risk List? Does that make sense?
+    Mr. Dodaro. Yes, yes. Yes, well, we have, as I mentioned, 
+just in the tax area, recommendations for Congress to act, to 
+give IRS the authority to do this. We have a number of 
+recommendations for Congress to act on that we think can be 
+helpful in helping resolve these areas.
+    I mentioned that we talked about the Postal Service before. 
+There is actually 14 of the high-risk areas that the solution 
+to solving that involves congressional action. Surface 
+transportation, Postal Service, for example. So, we've 
+highlight where Congress needs to act that could act on those 
+areas.
+    Now with regard to the programs I mentioned earlier, I 
+think Congress ought to insist on having program evaluations 
+that demonstrate the success of the program before continuing 
+to fund it often at increased levels. So that, I think, would 
+be a game changer that I think would get the attention of a 
+number of advocates of those programs to really do, you know, 
+investigations and evaluations.
+    Ms. Herrell. And I agree with that. And just looking at it 
+from the lens of our constituents, it is different. They are 
+not in the halls of Congress. They don't hear the conversations 
+and even understand always some of the dialog that is taking 
+place.
+    And so I can--just to kind of simple it down, I can tell 
+you what they will ask me in my district. It will be things 
+such as how are we sending money to foreign countries or maybe 
+for aid or for different programs, sometimes to not even 
+countries that are our allies, when we can see that we have 
+possible trouble heading our way with the Highway Trust Fund, 
+like you mentioned, or Social Security or Medicaid, you know, 
+or even updating the computer systems in the IRS.
+    And I am just asking is this solely resting on the 
+shoulders of Congress to do a better job in allocations, or is 
+this something that these departmental programs can come 
+forward with where we can work collectively? But do you see 
+where I am going with this? People don't understand how we are 
+sending so much money overseas in some cases, but yet not 
+taking care of, say, our infrastructure, the IT, and other 
+things that really have a direct impact on some of these 
+programs.
+    Mr. Dodaro. Well, you have two dimensions here. You have 
+the President, on behalf of the administration, recommending 
+funding for these programs. But the ultimate decision lies with 
+Congress as to whether they're going to fund the programs or 
+not.
+    Ms. Herrell. Right.
+    Mr. Dodaro. That's not, you know, a prerogative of my 
+organization. Our job is to advise the Congress and so that 
+they can make informed decisions. But those ultimate decisions 
+about the policy priorities of the Government rest in Congress' 
+hands.
+    Ms. Herrell. Right. And I am just going to shift gears just 
+a little bit because I come from a border state, and just can 
+you discuss the work of GAO as it relates to drug trafficking 
+across our border and areas of improvement your agency found 
+the Government needs to make to intercept drugs and improve 
+border security? Because I know that has just been issue we 
+have been seeing for decades, but just your thoughts on that.
+    Mr. Dodaro. Oh, yes. We've done a lot of work in that area 
+and have recommendations. I'd be happy to provide those for the 
+record.
+    Ms. Herrell. Great, great. Because it just--what concerns 
+me is, obviously, we have this crisis, the drug overdose, all 
+over the country. And certainly, we see it in New Mexico, and 
+we understand that a lot of drugs, illicit drugs are coming 
+through those southern borders, and other ports everywhere. But 
+I am thinking that opening the borders might compound this if 
+it feels like we are starting to see some improvement on that.
+    But I can see that Congress has a lot of work to do, and 
+again, I really appreciate your comments today.
+    And Madam Chair, I wish we had more----
+    Mr. Dodaro. I think the issue there, we need to focus on 
+the border and the interdiction of drugs. But we really need to 
+work on bringing the demand down. As long as there is demand 
+for the product, the product is going to find its way here.
+    Ms. Herrell. Right.
+    Mr. Dodaro. And that's something that we've never been 
+successful on in the Government as long as I've been here, and 
+I've been here a long time. And that's one of the reasons I 
+decided to try elevate it to the High-Risk List to get some 
+greater attention on the education and prevention front of this 
+thing as well as the interdiction and, of course, treatment 
+programs, but we haven't quite found the magic formula to 
+balance the dimensions to make any progress in this area.
+    Ms. Herrell. Right. That makes sense, and it does. And I 
+appreciate those comments.
+    And Madam Chair, thank you for the additional time, and we 
+have our work to do for sure. So, thank you, Madam Chair.
+    Chairwoman Maloney. Thank you. The gentlelady yields back. 
+The gentleman from Georgia, Mr. Johnson, is now recognized. Mr. 
+Johnson?
+    Mr. Johnson. Thank you, Madam Chair.
+    And Mr. Dodaro, thank you for being here today, and I agree 
+fully with you, and I would go further to say that the war on 
+drugs has been an abysmal failure in this country. But I want 
+to ask you about the FDA. The coronavirus pandemic has put 
+immense pressure on all facets of our healthcare system, 
+including the U.S. Food and Drug Administration, which has been 
+working, by the way, nonstop to facilitate the approval of 
+COVID vaccines and drug therapies. This work has been further 
+complicated by drug shortages and inept leadership from the 
+previous administration.
+    Drug shortages are not only a serious threat to Americans' 
+health and safety, they are also incredibly expensive. In 2019, 
+a survey found that drug shortages cost hospitals $360 million 
+annually in labor costs alone. Of the 6,000 healthcare 
+facilities surveyed, more than half faced at least 20 shortages 
+during the six-month study.
+    Today's report highlights the important role the FDA plays 
+in addressing drug shortages and why their role is particularly 
+important during a global pandemic. Has the problem, sir, of 
+drug shortages been more severe or become more severe because 
+of the COVID-19 pandemic?
+    Mr. Dodaro. I want to ask Nikki Clowers, the head of our 
+healthcare team, to answer that question. Nikki?
+    Ms. Clowers. Yes, I think what the pandemic has done is 
+shown the vulnerabilities that we have in our drug supply 
+chain. As many--as you probably know, most of our generic drugs 
+are manufactured overseas. And so whenever there is a crisis or 
+other disruption in the supply chain, that can affect the 
+availability of drugs and lead to drug shortages.
+    We have made recommendations to FDA to help them better 
+manage drug shortages. It is certainly not only an FDA 
+responsibility. It is a shared responsibility, and the private 
+sector is involved. But we think there is more that FDA could 
+do in terms of using data and trying to forecast where there is 
+different drug shortages.
+    We also recently made----
+    Mr. Johnson. OK. Well, let me stop you right there and move 
+on.
+    In 2019, the FDA's drug shortages task force put out a 
+report to mitigate--on how to mitigate drug strategies. How 
+useful were those recommendations in confronting the drug 
+shortage challenges posed by the pandemic under the previous 
+administration?
+    Ms. Clowers. They were useful in that providing steps that 
+both FDA could take as well as the private sector in terms of 
+risk management and better contracting.
+    Mr. Johnson. Was the FDA able to take those steps that were 
+recommended under the previous----
+    Ms. Clowers. They are taking----
+    Mr. Johnson [Continuing]. Under the previous 
+administration?
+    Ms. Clowers. They are in the process of implementing those 
+recommendations, and I can report back to you as we get more 
+information about the status.
+    Mr. Johnson. OK. Well, I know that you don't want to 
+comment about the previous administration. But the FDA was not 
+equipped to predict drug shortages caused by former President 
+Trump, who incessantly tweeted unproven assertions that certain 
+drugs were effective in treating COVID-19. Trump threatened the 
+health of hundreds of millions by spreading false information 
+about treatments for COVID-19 and creating mass demand for 
+drugs that patients with lupus or rheumatoid arthritis relied 
+upon.
+    And his assertions led to widespread shortages of those 
+medications across the country, and he didn't stop there, 
+though. He went further, contacting the FDA and bullying the 
+Administrator into issuing an emergency order allowing the use 
+of those drugs to treat COVID-19, when, in fact, there was no 
+evidence that those drugs were efficacious. These drugs were 
+more than just ineffective, they could have potentially caused 
+dangerous side effects depending on the patient.
+    Mr. Dodaro, do you think or do you believe--or let me ask 
+you this. How did Trump's actions constitute a direct public 
+health threat?
+    Mr. Dodaro. Well, I mean--there--you know, I mean, my 
+belief is in science, and I think that the scientists should 
+speak out on these issues and that there needs to be 
+authoritative scientific underpinning of decisions we've heard.
+    Mr. Johnson. And let me ask you this question. In your 
+opinion, do actions taken by the FDA Administrator, pursuant to 
+President Trump's order, merit further investigation.
+    Mr. Dodaro. We are actually looking at the political 
+influence on FDA and CDC, and we'll be reporting our results to 
+the Congress.
+    Mr. Johnson. Thank you, and I yield back. Thank you, Madam 
+Chair.
+    Chairwoman Maloney. The gentleman yields back. The 
+gentlelady from the great state of New York, Ms. Ocasio-Cortez, 
+is now recognized.
+    Ms. Ocasio-Cortez. Thank you very much, Chairwoman Maloney.
+    And thank you, Mr. Dodaro, for coming in front of us today 
+and offering your expertise in some of these issues, emerging 
+issues that we should be keeping an eye out for.
+    Now you are the Comptroller General of the United States. 
+Correct?
+    Mr. Dodaro. That's correct.
+    Ms. Ocasio-Cortez. And you know, for some of my 
+constituents in community watching at home, that means, among 
+your many other responsibilities, you kind of keep an eye on 
+the books for the United States. Would that be fair to say in a 
+broader sense?
+    Mr. Dodaro. Yes. Books and programs, all Federal activity.
+    Ms. Ocasio-Cortez. Wonderful. Thank you.
+    So, before I begin, Madam Chairwoman, I would like to ask 
+for unanimous consent to submit a Pro Publica article on 
+Facebook on enforcing tax law and a letter from 88 national 
+organizations urging President Biden and Congress to invest in 
+fair enforcement of the tax law to the record.
+    Chairwoman Maloney. Without objection.
+    Ms. Ocasio-Cortez. Thank you. Thank you very much.
+    So, Mr. Dodaro, let us talk about taxes. If I was the CEO 
+presently of a large international corporation that was founded 
+here in the United States and wanted to manipulate my taxes and 
+park the profits somewhere else, do you think I would be able 
+to get away with that in our current system?
+    Mr. Dodaro. Well, there's a lot of potential loopholes in 
+the current system that can be exploited.
+    Ms. Ocasio-Cortez. Thank you. And you know, actually, 
+according to this Pro Publica article, it seems that some 
+records have been unearthed, and Sheryl Sandberg wrote in 
+April, an April 2008 email that ``My experience is that by not 
+having a European center and running everything through the 
+U.S., it is costly in terms of taxes.''
+    And Facebook's head of tax actually replied to Sandberg in 
+these records that the company needed to find a ``low-tax 
+jurisdiction to park profits.'' And it found that jurisdiction 
+in Ireland, where its tax rate is near zero.
+    Now why would Facebook, do you think, want to do that?
+    Mr. Dodaro. Well, there's different tax advantages. I'm 
+going to have--Mr. Mihm is our expert in the tax area. I'm 
+going to ask him to help comment.
+    Ms. Ocasio-Cortez. Sure, of course.
+    Mr. Dodaro. Because we've looked at some offshoring kind of 
+issues. Chris?
+    Mr. Mihm. Thank you, sir. And yes, ma'am. We have looked at 
+offshoring and, as you are suggesting, that there are various 
+tax advantages to where major corporations claim that their 
+businesses are taking place. And they are fully aware of those 
+tax advantages, and they use those to their advantage to 
+minimize the amount of taxes that they have to pay.
+    So, that is an important consideration in business 
+decisions. Yes, ma'am.
+    Ms. Ocasio-Cortez. Thank you so much, and I appreciate that 
+answer. You know, and I would actually kind of contest this 
+term ``tax advantage,'' because it may be an advantage to an 
+individual corporation, but we currently have an enormous tax 
+gap in the United States. Would you say that that is correct, 
+Mr. Dodaro?
+    Mr. Dodaro. That's correct.
+    Ms. Ocasio-Cortez. And so weakened tax enforcement actually 
+rigs this economy against workers. It seems as though we are 
+starting to see a pattern where the IRS is starting to go a 
+little bit more after lower-income people that target the EITC, 
+and this is kind of referenced due to the lack of resources 
+that the IRS currently has. Would that be fair to say?
+    Mr. Dodaro. Well, the amount of enforcement efforts and 
+auditing of the tax returns has been going down as a 
+percentage. I'm not sure what the current mix is.
+    Ms. Ocasio-Cortez. Yes, and so it seems like companies like 
+Facebook have kept billions of dollars in tax breaks through 
+tactics like offshore tax evasion. But working families are 
+struggling to pay rent, put food on the table, and stay alive. 
+And in fact, we are constantly told that we cannot afford 
+tuition-free public colleges, expansion of healthcare in the 
+United States because we can't afford it.
+    The official estimates peg the national tax gap at $381 
+billion per year, but the former Commissioner Charles Rossotti 
+estimates that it is now closer to $600 billion.
+    Mr. Dodaro, does any other item on the GAO's High-Risk List 
+come anywhere close to having a $600 billion impact on the 
+Federal budget?
+    Mr. Dodaro. Not any one single item alone.
+    Ms. Ocasio-Cortez. So, this seems to be one of the largest 
+areas of having a negative impact on our Federal budget. It is 
+tax evasion and other sorts of----
+    Mr. Dodaro. Yes. Yes, there are two others that have 
+potential large areas. One is healthcare, improper payments in 
+healthcare, which are over $100 billion a year. And the defense 
+weapon systems, where there is a portfolio of $1.8 trillion.
+    Ms. Ocasio-Cortez. All right. Thank you very much. 
+Appreciate it.
+    Mr. Dodaro. Madam Chair, Madam Chair, would it be possible 
+for me to have five minutes before we continue?
+    Chairwoman Maloney. Certainly. We will recess for five 
+minutes.
+    [Recess.]
+    Chairwoman Maloney. We're now in session. The gentleman 
+from Texas, Mr. Fallon, is recognized for five minutes.
+    Mr. Fallon. Madam Chair, thank you very much.
+    Comptroller General Dodaro, thank you for taking the time. 
+It has been a fascinating committee hearing. And thank you for 
+the important work that you are doing and the service you are 
+providing to our country and our taxpayers.
+    I have got a couple of questions. Medicare has been on the 
+High-Risk List for over 30 years, and I am not surprised 
+because when I was in the Texas legislature, it was one of the 
+things that I learned about was the fraud that we saw just at 
+our level in the state and in Texas. And it was, according to 
+our Inspector General, in the hundreds of millions of dollars 
+provable and potentially and probably in the low billions.
+    And again, that is just Texas. So, I shudder to think what 
+the actual costs are when you look at 50 states.
+    So, my first question is, do you share my concern about the 
+massive potential and actual fraud that could exist within the 
+Medicaid program, Medicare program and the process? And if you 
+do, do you have any idea of possibly a ballpark figure of what 
+that realistic potential fraud could be across the country?
+    Mr. Dodaro. Yes. Well, I share your concern about it 
+clearly, both for Medicare and Medicaid, all right, in those 
+two areas. I do not have a figure for you. It's hard to 
+calculate. There are figures on improper payments that are 
+made. These are payments that should not have been made or made 
+in the wrong amounts.
+    Now they would include--Now any fraud would be an improper 
+payment by definition, but not all improper payments are fraud 
+because you have to prove an intent and criminality. Last year, 
+the amount of improper payments in Medicare and Medicaid 
+combined were over $100 billion, all right? But again, that's 
+not all fraud, but it's indicative of an issue.
+    And I believe that the amount of improper payments 
+estimated for Medicaid is an underestimate. The numbers are 
+big.
+    Mr. Fallon. I would also like to share with the committee 
+and the other members that when I asked our Inspector General a 
+very innocent question, what I thought which was, when someone 
+is audited, in this case, Medicaid, what percentage of those 
+physicians or the offices that are giving the medical care had 
+their billing lowered the next month? And it was 100 percent, 
+all of them, which is alarming, obviously, for clear reasons.
+    But the Medicare program has been on the list, as I 
+mentioned earlier, year after year for three decades. What 
+suggestions, if any, would you have today that we could 
+implement to finally hold the Medicare program accountable and, 
+as a result, of course, reduce this massive taxpayer theft and 
+reform Medicare and Medicaid so that they can actually earn 
+their way off the list?
+    Mr. Dodaro. Well, there's a couple of things. One is we 
+think they should expand the prior authorization. They tested 
+prior authorizations. This provides greater assurance that you 
+are spending the money for a legitimate purpose to a legitimate 
+provider for a legitimate medical reason before you spend the 
+money. You don't have to worry about trying to get it back 
+later.
+    It's been proven in pilot projects, but it hasn't been 
+expanded because it will save money and it won't affect the 
+services' timeliness or the services to the individual if done 
+properly.
+    Second, it's been shown that recovery auditors who actually 
+audit some of these things after the fact can audit prepayment 
+in some of these areas. That will reduce that issue as well. 
+So, those are two recommendations off the bat.
+    The other reason Medicare is on the High-Risk List is that 
+it's undergoing a transformation right now to sort of pay 
+people for not quantity of services, but the quality of 
+services, and that transformation is underway and not anywhere 
+near complete. But let me ask Ms. Clowers if she has any other 
+recommendations. She's our healthcare head.
+    Mr. Fallon. Yes, thank you. Thank you.
+    Mr. Dodaro. Nikki?
+    Ms. Clowers. Yes. One more recommendation in the Medicare 
+area would be for CMS to do more work on their risk adjustment 
+scores. That is when we see coding differences between fee-for-
+service, for example, versus then the payments that are made 
+under managed care or the Medicare Advantage. We want to make 
+sure that those coding differences are taken into account so we 
+are not overpaying for the services provided. We have a 
+recommendation in that area.
+    And then on the Medicaid front, the Comptroller General has 
+also mentioned this a little bit earlier. But in the managed 
+care area, there is not a sufficient medical review of the 
+payments and services that are made, and we think that area 
+needs a great deal of attention as the care that is being 
+provided through managed care now accounts for almost half of 
+all Medicaid spending.
+    Mr. Fallon. Thank you, Madam Chair. Thank you, Madam Chair. 
+I yield back.
+    Chairwoman Maloney. The gentleman yields back. The 
+gentlelady from Missouri, Ms. Bush, is recognized for five 
+minutes. Ms. Bush, you are now recognized.
+    Ms. Bush. Thank you, Madam Chair.
+    St. Louis and I thank you for convening this hearing today, 
+and thank you to Mr. Dodaro for being here.
+    I will ask today for the thousands of people who urgently 
+need a voice in this room, the environmental violence of the 
+Departments of Energy and Defense has emblazoned my community 
+with extremely hazardous radioactive waste. Nothing could fully 
+capture what it was like for people to find out that their--
+that nearly everyone from their high school was sick with rare 
+cancers or dead. That is real life for people along Coldwater 
+Creek in St. Louis.
+    The Department of Energy knew that Coldwater Creek was 
+dangerously contaminated in the 1960's. Mr. Dodaro, based on 
+what you know about DOE environmental liabilities, would you 
+guess that the creek is cleaned up today?
+    Mr. Dodaro. Well, there hasn't been as much progress as I 
+think there needs to be made, and the cost to the Government to 
+clean up keeps going up, despite spending billions of dollars, 
+because they don't really have a risk-based approach to 
+addressing those issues.
+    Ms. Bush. OK well yes. You are right. Yes, it is certainly 
+not.
+    The CDC has estimated that as many as 350,000 people in 
+North County, my community, have been exposed to radioactive 
+waste. The creek runs through the Florissant area and several 
+other towns in my district. We are not talking about a distant 
+problem. I am in the room, actually. I lived by this creek, and 
+the basement of my townhouse would flood with potentially 
+radioactive water all the time. My son's room was in that 
+basement.
+    Mr. Dodaro, based on what you know about these two 
+departments, would you take over the lease at that townhouse, 
+or would you take your kids to the nearby playground?
+    Mr. Dodaro. Based on the circumstances that you're 
+explaining, I don't think so.
+    Ms. Bush. Well, and I am a nurse. I would never let you do 
+it. One day, I opened my door, and there were butterflies, 
+dozens, lying on the ground with their wings opened, like 
+nothing I had ever seen. I realized something must be very, 
+very wrong, but we had no idea what was happening.
+    Most people still don't know what is happening even right 
+now. The Army Corps of Engineers is slowly conducting a cleanup 
+in St. Louis under the FUSRAP program. They have estimated that 
+some black and brown communities won't be cleaned up for 20 
+years.
+    Eyewitness accounts state that the Corps and contractors 
+like those mentioned in the report have been seen picking 
+random houses on a street to test soil without even notifying 
+neighbors who are growing gardens. There are still no signs, no 
+signs at the creek warning people of the dangers.
+    Mr. Dodaro, would you say that the DOE has enough money to 
+post some type of warning signs along the creek that is giving 
+people rare cancers or at least what we believe to be causing 
+it?
+    Mr. Dodaro. I'll ask--I'll ask Mr. Gaffigan to answer 
+further, but DOE has one of the largest budgets in the 
+Government. So, I would think they could afford a sign, but 
+Mark?
+    Mr. Gaffigan. I would only add the reason we put this on 
+the list is because we think this is just the tip of the 
+iceberg. We think there are a lot more places like Coldwater 
+Creek around the country that need to be identified, and we 
+need to figure out to what degree we are going to clean them 
+up.
+    Ms. Bush. Thank you. Thank you.
+    The Department of Energy is a ``responsible party'' for 
+Coldwater Creek. We have heard that the DOE set aside the 
+maximum amount of money, but then deemed it was not all needed. 
+My constituents and I, we want to know where does the 
+supposedly unneeded money go? Mr. Dodaro?
+    Mr. Dodaro. I'm going to ask Mr. Gaffigan on that one.
+    Ms. Bush. OK.
+    Mr. Gaffigan. Well, we have been critical that DOE has not 
+taken a risk-based approach to this, you know, identifying all 
+the sites throughout the country and treating it in sort of a 
+risk-based approach. And the fact that communities are feeling 
+left out is not a good sign.
+    Ms. Bush. No, it is not. Thank you.
+    I have one final question. Mr. Dodaro, if you were me, 
+representing hundreds of thousands of people with potential or 
+confirmed toxic exposure, what would you do to massively 
+expedite DOE?
+    Mr. Dodaro. I mean, I think Congress is empowered to get 
+answers from DOE about what their plans are and what they're 
+intended to do. So, if I was a Member of Congress, I'd insist 
+that they provide answers to the questions to satisfy you about 
+what their plans are and what the timeframes are for 
+implementing those plans.
+    Ms. Bush. Thank you, Mr. Dodaro. I will be following up 
+with further questions, a lot of questions.
+    And I yield back.
+    Chairwoman Maloney. The gentlelady yields back. And the 
+gentleman from Kentucky, Mr. Comer, is now recognized.
+    Mr. Comer. Thank you, Madam Chair.
+    And Mr. Dodaro, thank you for your time. I know you have to 
+leave, and you have been with us all day and a press conference 
+before that. I just wanted to ask a real brief question.
+    Has the COVID-19 pandemic led to an increase in drug abuse, 
+and that is what contributed to the addition of a new area on 
+the GAO list and that area being the national efforts to 
+prevent, respond to, and recover from drug misuse?
+    Mr. Dodaro. I want to be clear on this. We were going to 
+add that area before the pandemic, and we announced our 
+intention to do that March 2020. So, it wasn't a result of the 
+pandemic that we added the drug misuse area, but the pandemic 
+has complicated that issue.
+    Mr. Comer. Isn't it true the number of drug overdoses has 
+increased during the pandemic from March to May of--March 2019 
+to May 2020?
+    Mr. Dodaro. That's true. That's true.
+    Mr. Comer. Or March 2020 to May 2021, yes?
+    Mr. Dodaro. Yes, right. Right. But if you look at it, we 
+have a chart in our report, Congressman, that shows the rate of 
+drug increases were going sort of like this. It was, you know, 
+on a trajectory. It dropped slightly in 2018, but it bounced 
+back in 2019 to go increase again.
+    So, it was on a very disturbing trend pattern before the 
+pandemic, and it's apparently likely to get worse once all the 
+final data is in going forward.
+    Mr. Comer. So, what do you think the Federal Government's 
+response needs to be to this spike in drug abuse?
+    Mr. Dodaro. Well, I think we need to double down on our 
+efforts. We need to have a comprehensive national strategy. We 
+need to engage--there are 12 different agencies in the Federal 
+Government that are considered part of this implementation 
+effort. We need to engage the states, localities, and the 
+private sector in this area because it affects businesses. It 
+affects all parts of our economy.
+    So, we need to really make a concerted effort over time 
+with the proper resources and investment in order to arrest 
+this disturbing trend.
+    Mr. Comer. Well, I would add to that, in my opinion, that I 
+believe taking steps to reopen the economy and getting people 
+back to work certainly would seem to help the situation as 
+well.
+    But thank you again for being here. I know we have extended 
+this meeting beyond the time that we set forth, but I do 
+appreciate your service.
+    And Madam Chair, I yield back.
+    Chairwoman Maloney. The gentleman yields back. And in 
+closing, I want to thank the Comptroller for his testimony, his 
+service, his report, his press conference earlier today, and I 
+know he is testifying shortly before the Senate on the report 
+also.
+    I also want to commend my colleagues for participating in 
+this important conversation, and without objection, all members 
+have five legislative days within which to submit additional 
+written questions for the witness--to the chair, which will be 
+forwarded to the witness for his response. I ask our witnesses 
+to please respond as promptly as you are able to.
+    And this hearing is adjourned.
+    [Whereupon, at 1:51 p.m., the committee was adjourned.]
+
+                                 [all]
+