In 2022, GAO added two other areas to the High-Risk List.The Department of Health and Human Services’ (HHS) Leadership and Coordination of Public Health Emergencies area was added because, for more than a decade, GAO has found persistent deficiencies in HHS’s leadership role preparing for and responding to public health emergencies and extreme weather events. This area is being added, in part, due to Bureau of Prisons' (BOP) longstanding challenges managing staff and resources, and planning and evaluating programs that help incarcerated people have a successful return to the community. GAO is adding one new area to the 2023 High-Risk List: Strengthening Management of the Federal Prison System. GAO will monitor 2030 Census planning-already underway-for emerging risks and challenges. The 2020 Decennial Census is being removed because the Census Bureau made progress in addressing data quality concerns, chartered a high-level governance group, and implemented priority recommendations. PBGC now projects a very low risk of insolvency over the next 15 years for both programs. Additionally, the financial position of the PBGC single-employer insurance program has improved gradually in recent years. The PBGC Insurance Programs area is being removed because Congress provided funding to troubled multiemployer pension plans, which has led to an improved financial position for the PBGC multiemployer insurance program. Appendix III: GAO’s 2023 High-Risk List.Managing Risks and Improving VA Health Care.Improving and Modernizing Federal Disability Programs.Strengthening Medicaid Program Integrity.Acquisition and Program Management for DOE’s National Nuclear Security Administration and Office of Environmental Management.Department of Health and Human Services’ Leadership and Coordination of Public Health Emergencies.National Efforts to Prevent, Respond to, and Recover from Drug Misuse.Government-wide Personnel Security Clearance Process.Transforming EPA’s Process for Assessing and Controlling Toxic Chemicals.Protecting Public Health through Enhanced Oversight of Medical Products.Improving Federal Oversight of Food Safety.Ensuring the Effective Protection of Technologies Critical to U.S.Strengthening Department of Homeland Security IT and Financial Management Functions.Ensuring the Cybersecurity of the Nation.DOD Approach to Business Transformation.Strengthening Management of the Federal Prison System.Improving Federal Management of Programs That Serve Tribes and Their Members.Improving the Management of IT Acquisitions and Operations.Limiting the Federal Government’s Fiscal Exposure by Better Managing Climate Change Risks. ![]()
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