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1. Immigration detention: ICE needs to strengthen oversight of informed consent for medical care : report to congressional requesters

2. Maternal health: Outcomes worsened and disparities persisted during the pandemic : report to congressional addressees

3. Maternal health: Availability of hospital-based obstetric care in rural areas : report to congressional committees

4. Medicare: CMS needs to address risks posed by provider enrollment waivers and flexibilities : report to congressional committees

5. Veterans health care: VA actions needed to ensure timely scheduling of specialty care appointments : report to congressional committees

6. Federal Employees Health Benefits Program: Additional monitoring mechanisms and fraud risk assessment needed to better ensure member eligibility : report to congressional requesters

7. Abuse and neglect: CMS should strengthen reporting requirements to better protect individuals receiving hospice care : report to the Honorable Charles E. Grassley, United States Senate

8. Public health preparedness: HHS could improve oversight of research involving enhanced potential pandemic pathogens : report to congressional committees

9. COVID-19: HHS funds allocated to support disproportionately affected communities : report to congressional addressees

10. Medicare Advantage: Plans generally offered some supplemental benefits, but CMS has limited data on utilization : report to congressional committees

11. Institutional review boards: Actions needed to improve federal oversight and examine effectiveness : report to congressional requesters

12. Tracking the funds: specific fiscal year 2022 provisions for Department of Health and Human Services : report to congressional committees

13. Routine vaccinations: adult rates vary by vaccine type and other factors : report to congressional requesters

14. Public health preparedness: HHS should address strategic national stockpile requirements and inventory risks : report to congressional addressees

15. Bureau of Prisons: assessment of health care reentry policies and procedures needed : report to congressional committees

16. Health centers: Trends in revenue and grants supported by the Community Health Center Fund : testimony before the Committee on Health, Education, Labor and Pensions, U.S. Senate

17. Payment integrity: additional coordination is needed for assessing risks in the improper payment estimation process for advance premium tax credits : report to congressional requesters

18. Drug manufacturing: FDA should fully assess its efforts to encourage innovation : report to congressional committees

19. Electronic health record modernization: VA needs to address change management challenges, user satisfaction, and system issues : testimony before the Committee on Veterans’ Affairs, U.S. Senate

20. Generic drugs: Stakeholder views on improving FDA’s information on patents : report to congressional committees

21. VA health care: Improved data, planning, and communication needed for infrastructure modernization and realignment : report to congressional requesters

22. COVID-19 in nursing homes: Experts identified actions aimed at improving infection prevention and control : report to congressional addressees

23. Regenerative medicine and advanced therapies: information on workforce and education : report to congressional committees

24. Animal use in research: NIH should strengthen oversight of projects it funds at foreign facilities : report to congressional requesters

25. Coast Guard health care: Additional actions could help ensure beneficiaries’ access : report to congressional committees

26. Electronic health information exchange: use has increased, but is lower for small and rural providers : report to congressional requesters

27. Medicaid: Characteristics of and expenditures for adults with intellectual or developmental disabilities : report to congressional requesters

28. Tax administration: IRS oversight of hospitals’ tax-exempt status : testimony before the Subcommittee on Oversight, Committee on Ways and Means, House of Representatives

29. Antibiotic resistance: Federal agencies have taken steps to combat the threat, but additional actions needed : testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives

30. VA health care: Office of Rural Health would benefit from improved communication and developing performance goals : report to congressional requesters

32. Electronic health records: Challenges with VA’s new system call for management improvements : testimony before the Subcommittee on Technology Modernization, Committee on Veterans’ Affairs, House of Representatives

33. Veterans health care: Staffing challenges and recommendations for improvement : testimony before the Subcommittee on Health and Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representatives

34. Veteran suicide: VA efforts to identify veterans at risk through analysis of health record information : report to congressional committees

35. COVID-19 in nursing homes: CMS needs to continue to strengthen oversight of infection prevention and control : report to congressional addressees

36. Medicare telehealth: actions needed to strengthen oversight and help providers educate patients on privacy and security risks : report to congressional addressees

39. Contact tracing for air travel: CDC’s data system needs substantial improvement : report to congressional addressees

41. Defense health agency: oversight needed to better ensure that children are screened, tested, and treated for lead exposure : report to congressional committees

43. World Trade Center Health Program: Quality assurance program should include monitoring of access to health services : report to congressional committees

45. Artificial intelligence in health care: benefits and challenges of machine learning technologies for medical diagnostics : report to congressional requesters

46. Behavioral health: Available workforce information and federal actions to help recruit and retain providers : report to congressional requesters

47. Private health insurance: Markets remained concentrated through 2020, with increases in the individual and small group markets : report to congressional committees

48. VA nursing home care: opportunities exist to enhance oversight of state veterans homes : report to congressional addressees

49. VA health care: Additional action needed to assess the medical scribe pilot : report to congressional committees