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GAO-22-105646 1 (2022-05-26)

handle is hein.gao/gaondh0001 and id is 1 raw text is: U.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.                                                         Comptroller General
Washington, DC 20548                                                    of the United States
May 26, 2022
The Honorable Xavier Becerra
Secretary
U.S. Department of Health and Human Services
200 Independence Ave., SW
Washington, D.C. 20201
Priority Open Recommendations: Department of Health and Human Services
Dear Mr. Secretary:
The purpose of this letter is to provide an update on the overall status of the U.S. Department of
Health and Human Services' (HHS) implementation of GAO's recommendations and call your
continued personal attention to areas where recommendations should be given high priority.1 In
November 2021, we reported that on a government-wide basis, 76 percent of our
recommendations made 4 years ago were implemented.2 As of April 2022, HHS had 452 open
recommendations with an implementation rate of 65 percent. Implementing all open
recommendations could significantly improve HHS's operations.
In our May 2021 letter to the department, we designated 61 recommendations as priorities for
HHS, and HHS has since implemented nine of them.3 In doing so, HHS has taken steps to
 revise its processes for conducting improper payment risk assessments for its programs,
including the Head Start program;4
1Priority recommendations are those that GAO believes warrant priority attention from heads of key departments or
agencies. They are highlighted because, upon implementation, they may significantly improve government operation,
for example, by realizing large dollar savings; eliminating mismanagement, fraud, and abuse; or making progress
toward addressing a high-risk or duplication issue.
2GAO, Performance and Accountability Report: Fiscal Year 2021, GAO-22-4SP (Washington, D.C.: Nov. 15, 2021).
31n addition to the nine priority recommendations HHS implemented, we closed one recommendation made in
September 2020 related to establishing a time frame for documenting and sharing a national plan for distributing and
administering COVID-19 vaccines. Over the course of the pandemic, HHS, including CDC, and the White House
issued vaccine planning documents; however, these documents did not provide details-such as specific roles of
non-federal entities-to fully implement this recommendation. Given the widespread distribution and administration of
COVID-19 vaccines, we closed this recommendation because the effective timeframe for its implementation has
passed.
4GAO, Improper Payments: Selected Agencies Need Improvements in Their Assessments to Better Determine and
Document Risk Susceptibility, GAO-19-112 (Washington, D.C.: Jan. 10, 2019).

GAO-22-105646 HHS Priority Recommendations

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