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GAO-23-106837 1 (2023-07-25)

handle is hein.gao/gaooyq0001 and id is 1 raw text is: U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Washington, DC 20548 July 25, 2023 Congressional Addressees Open Matters for Congressional Consideration: Action Can Produce Billions of Dollars in Financial and Other Benefits for the Nation Matters for congressional consideration are recommendations that we make to Congress to address findings from our work. Since 2000, we have recommended that Congress consider more than 1,100 matters and Congress has acted on roughly 80 percent of them. As of June 2023, there were 218 matters that remain open and which, if acted on, could benefit the nation. This report provides information about open matters for congressional consideration, along with a consolidated listing of these matters by topic area in enclosure 1.1 The James M. Inhofe National Defense Authorization Act for 2023 included a provision for us to report this information to congressional leadership and the oversight committees of the House and Senate.2 Why Are the Matters Important to Address? Congressional action in response to the matters has been critical to addressing significant challenges facing the nation. Among these are the challenges on our High-Risk List and in our duplication and cost savings body of work.3 Action by Congress to address open matters can produce billions of dollars in financial savings, improve the effectiveness of federal agencies and programs, and help position the nation to address future challenges. What Are Examples of Open Matters That Have Substantial Potential Financial Benefits? Action by Congress to address open matters can produce financial and other benefits for the nation. For example, in December 2015, we recommended that Congress consider directing the Secretary of Health and Human Services to equalize payment rates between settings for evaluation and management office visits and other services that the Secretary deems appropriate and return the associated savings to the Medicare program (GAO-16-189). The Congressional Budget Office estimated that this could result in $141 billion in financial benefits from fiscal years 2021 through 2030. 1Open matters remain open until they are designated as closed-implemented or closed-not implemented. Matters are generally closed-not implemented when they are no longer relevant due to changing circumstances. 2Pub. L. No. 117-263, § 7211, 136 Stat. 2395, 3668 (2022). 3GAO, High-Risk Series: Efforts Made to Achieve Progress Need to Be Maintained and Expanded to Fully Address All Areas, GAO-23-106203 (Washington, D.C.: Apr. 20, 2023); and 2023 Annual Report: Additional Opportunities to Reduce Fragmentation, Overlap, and Duplication and Achieve Billions of Dollars in Financial Benefits, GAO-23- 106089 (Washington, D.C.: June 14, 2023). GAO-23-106837 Congressional Matters Page 1

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