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Reports News from the GAO Reports News from the GAO. https://www.gao.gov/rss/reports.xml Mon, 05 Oct 2026 16:03:06 -0400 GAO https://www.gao.gov/themes/custom/gao_uswds/img/gao-logo-rss.gif Reports News from the GAO https://www.gao.gov/rss/reports.xml Feed provided by GAO. Concrete Masonry Promotion Program: Commerce Could Enhance Its Oversight Controls https://www.gao.gov/products/gao-27-108692 What GAO Found The Concrete Masonry Checkoff (CMC) program is a federally authorized, industry-funded program that supports research, education, and promotion projects intended to strengthen the concrete masonry industry and expand markets for its products. The term checkoff refers to the way similar programs are funded—that is, through assessments. The CMC Board administers the program, which is funded through mandatory assessments on specified concrete masonry units sold. From 2023 through 2025, the board collected over $27 million in assessments and spent nearly $15 million of the funds, primarily on 17 national projects and 69 regional projects. CMC Program Assessments and Projects, 2023–2025   2023 2024 2025 Total Assessments collected $5.4 million $11.3 million $10.5 million $27.2 million Expenses $1.1 million $3.5 million $10.4 million $15.0 million National projects approved 0 8 9 17 Regional projects approved 0 27 42 69 Source: Concrete Masonry Checkoff (CMC) Board information. | GAO-27-108692 The CMC Board uses key performance indicators to track progress toward the program’s objectives. Projects fall within six focus areas, including marketing, research, and education. For each area, the board established output-oriented indicators and corresponding 5-year goals. For example, one research indicator is the number of new engineering courses focused on concrete masonry and has a 5-year goal of 50 courses. As of year-end 2025, the board reported meeting or exceeding five of its 27 goals and achieving at least 20 percent of the target for 10 additional goals in its first year. The board plans to issue its required independent evaluation of the program’s effectiveness in the first quarter of 2027. The U.S. Department of Commerce is statutorily required to oversee the CMC Board’s compliance with applicable law and the accompanying order primarily through reviews, approvals, and monitoring. To set up its oversight structure, Commerce consulted with the U.S. Department of Agriculture (USDA) because of its experience overseeing agricultural checkoff programs. Commerce reviews and approves the CMC Board’s projects, contracts, annual budgets, objectives, and performance metrics. It also monitors program and contract execution, reviews projects and marketing materials for prohibited activities (e.g., false or misleading advertising), and may investigate violations and assess civil penalties. However, Commerce has not developed written procedures for approving the CMC Board’s annual program objectives and performance metrics. Commerce could do so using its current resources and thereby take advantage of a relatively low-effort opportunity to enhance its existing oversight controls. For example, such procedures could reduce the risk of inconsistent approvals and preserve organizational knowledge. Why GAO Did This Study The Concrete Masonry Products Research, Education, and Promotion Act of 2018 (the Act) directed Commerce to create the CMC program. After industry members approved the referendum to establish the program, Commerce put into effect a final order in 2021. The concrete masonry industry consists largely of small producers, and the checkoff program allows them to pool assessments for industry-wide research, education, and promotion. In 2023, the CMC Board estimated that about 260 concrete masonry producers operated in the United States. The Act includes a provision for GAO to review the CMC program. This report addresses (1) assessments the CMC Board collected and spent from 2023 through 2025, (2) the extent to which the board has evaluated the program’s effectiveness, and (3) how Commerce has overseen the board’s compliance with the Act and accompanying order. GAO reviewed CMC Board documents, including audited financial statements, policies and procedures, the strategic plan, and annual reports, including the results reported for key performance indicators. GAO compared Commerce’s oversight procedures and related documents against the Act, accompanying order, and federal internal control standards. GAO also interviewed Commerce, USDA, and CMC Board officials. Mon, 05 Oct 2026 07:20:59 -0400 /products/gao-27-108692 Medicare Part D: Payments and Contracts Between Pharmacies and Plan Sponsors That Are Vertically Integrated https://www.gao.gov/products/gao-26-107393 What GAO Found The insurance plan sponsors that provide Medicare Part D drug coverage have increasingly become vertically integrated—that is, under common ownership—with pharmacy benefit managers and pharmacies. GAO found that, for four large Part D plan sponsors, the pharmacies they owned accounted for about 24 percent of the Part D drugs they provided to their enrollees (drug utilization) and about 28 percent of the total payments to pharmacies in 2023 (see figure). Payments included both reimbursement from plan sponsors and cost sharing paid by or on behalf of beneficiaries. When these vertically integrated plan sponsors’ own pharmacies provided drugs to their enrollees, they primarily did so through mail-order pharmacies. In contrast, other (non-owned) pharmacies primarily provided drugs through retail pharmacies. Percentage of Drug Utilization and Payments at Owned and Non-Owned Pharmacies for Four Selected Medicare Part D Plan Sponsors, 2023 When these plan sponsors paid pharmacies for a 30-day supply of the 100 most commonly used prescription drugs, payments and cost sharing for at least 94 percent of these drugs were lower for owned pharmacies than for non-owned pharmacies. These 100 drugs with the highest total utilization in 2023 were primarily generic drugs, and average payments to owned and non-owned pharmacies for a 30-day supply of most were $10 or less. Lower cost sharing at plan sponsors’ own (primarily mail-order) pharmacies gives beneficiaries a financial incentive to use these pharmacies instead of non-owned (primarily retail) pharmacies, though beneficiaries may consider other factors when choosing a pharmacy to fill a prescription. Payments to pharmacies and cost sharing were also generally lower at owned pharmacies for the 100 drugs with the highest total payments in 2023, which were primarily brand-name drugs. For some of these drugs, however, payments or cost sharing were higher at owned pharmacies. For example, cost sharing across the four selected plan sponsors was up to about $340 higher at owned pharmacies for about half of the 20 drugs with the highest payments per 30-day supply. Why GAO Did This Study Medicare Part D spent $150 billion on prescription drug coverage for 54 million beneficiaries in 2025. Vertically integrated plan sponsors may encourage beneficiaries to fill prescriptions at—or utilize—their own pharmacies, a practice known as steering. GAO was asked to review vertical integration among Part D plan sponsors, pharmacy benefit managers, and pharmacies. This report describes drug utilization at and payments to selected vertically integrated Part D plan sponsors’ own pharmacies compared to non-owned pharmacies, among other issues. GAO selected four vertically integrated Part D plan sponsors from among the 15 plan sponsors with the largest Part D enrollment in 2023. These four large, vertically integrated plan sponsors accounted for over 40 percent of total Part D enrollment in 2023. GAO analyzed the Centers for Medicare & Medicaid Services Part D utilization and payments data for 2023 (the data most recently available at the time of GAO’s analysis). Our results for the four selected plan sponsors for 2023 are not generalizable to other plan sponsors or years. For example, Part D benefit changes since 2023 could have affected plan sponsors’ Part D drug utilization and payments at owned and non-owned pharmacies. For more information, contact John Dicken at dickenj@gao.gov. Mon, 05 Oct 2026 07:26:32 -0400 /products/gao-26-107393 Innovation in Action: Getting You Up to Speed on Manufacturing https://www.gao.gov/products/gao-27-109056 This Scroll-Driven Narrative tells the story of how the federal government is trying to strengthen U.S. manufacturing through Manufacturing USA—a national network of institutes that are partnerships between federal agencies, companies, universities, and others. It is a companion to a series of reports GAO has issued examining the Manufacturing USA program—for example, Advanced Manufacturing: Aligning Strategies and Improving Agency Reviews Could Help Institutes Achieve National Goals, GAO-25-107369. This product highlights key themes and recommendations from GAO’s prior work, such as recommendations to better measure performance across the Manufacturing USA network, as well as agency efforts to implement them. For more information, contact Hilary M. Benedict at benedicth@gao.gov. Fri, 02 Oct 2026 07:10:19 -0400 /products/gao-27-109056 U.S. Interagency Council on Homelessness: Staff Placed on Administrative Leave Have Returned and Await Direction https://www.gao.gov/products/gao-27-108779 What GAO Found The U.S. Interagency Council on Homelessness (USICH) is an independent establishment in the executive branch that coordinates the federal response to homelessness. It consists of representatives from designated federal agencies (the Council) and a staff that has ranged from 10 to 18 full-time employees over the past decade. USICH’s enabling legislation—the McKinney-Vento Homeless Assistance Act—requires it to maintain certain personnel and perform specified duties. These include providing technical assistance to state and local governments through five to 10 regional coordinators employed by the Council, reporting annually to the President and Congress on federal efforts to address homelessness, and developing a national strategic plan to end homelessness. The act also established a termination date for USICH, which Congress has extended several times, most recently to October 1, 2028. The President’s most recent budget proposes to terminate USICH in fiscal year 2027. USICH began making changes to its staffing and operations in early 2025, including in response to Executive Order 14238, Continuing the Reduction of the Federal Bureaucracy. In April 2025, 11 of USICH’s 13 employees were placed on paid administrative leave. In the same month, the General Services Administration terminated USICH’s office lease and recovered its equipment. In November 2025, a federal district court found that USICH’s implementation of the executive order was unlawful. The court noted that the personnel reduction made it impossible for USICH to perform its statutory duties, among other things. The court set aside USICH’s prior actions to implement the order and barred it from doing so in the future. USICH has appealed the decision. Selected Developments Affecting the U.S. Interagency Council on Homelessness (USICH), January 2025–September 2026 Eight of 11 USICH employees returned from paid administrative leave in mid-February 2026. The other three left USICH prior to employees’ return to active status. As of May 2026, USICH had 10 full-time employees and a part-time executive director. USICH staff told GAO that, since their return, they had not received direction from the Council or the executive director on homelessness policies or priorities to guide their work or help them perform USICH’s statutory duties and functions. The executive director stated that the Council should provide guidance before USICH drafts a strategic plan or undertakes policy initiatives. Why GAO Did This Study Several federal agencies administer programs to address homelessness, an

Reports News from the GAO Reports News from the GAO. https://www.gao.gov/rss/reports.xml Tue, 06 Oct 2026 09:57:10 -0400 GAO https://www.gao.gov/themes/custom/gao_uswds/img/gao-logo-rss.gif Reports News from the GAO https://www.gao.gov/rss/reports.xml Feed provided by GAO. Quantum Computing: Federal Actions Needed to Prepare for Emerging Cyber Threat https://www.gao.gov/products/gao-27-108740 What GAO Found Quantum computers leverage qubits (the quantum equivalent of classical computer bits) to solve specific problems significantly faster than classical computers. However, the emergence of quantum computers could undermine the cryptography (e.g., encryption) that federal agencies use to secure their systems. Today’s quantum computers cannot yet break this cryptography. But a future quantum computer of sufficient size and sophistication—referred to as a cryptographically relevant quantum computer (CRQC)—could potentially do so for certain cryptography. Most industry experts believe that a CRQC will be developed, possibly as soon as the 2030s. However, development estimates vary widely due to several factors, such as uncertainty in the rate of growth for qubits and how many qubits will be needed. Once a CRQC is developed, its use could have devastating impacts to federal systems reliant on vulnerable cryptography. For example, a malicious actor could use a CRQC tocompromise systems that ensure the authenticity of system users—thus allowing the actor to gain access to sensitive information; and decrypt (or unlock and view) data that the actor acquires and stores prior to the development of such a computer. To address the threat posed by a CRQC, it is important that agencies transition existing systems to more secure cryptography (referred to as post-quantum cryptography). Using Office of Management and Budget guidance, GAO created an evaluation framework of three practices that agencies should address to prepare for this transition. However, none of the 24 selected agencies fully addressed these practices (see figure). Extent to Which the 24 Chief Financial Officer Act Agencies Addressed Preparatory Practices for Migrating to Quantum Computing The incomplete implementation of these practices is due in part to a lack of (1) cryptography expertise, (2) processes for developing cryptography inventories and identifying funding needed to transition to post-quantum cryptography, and (3) plans to guide post-quantum cryptography testing. Until the selected agencies address these weaknesses, they will not be well-positioned to address the threat of CRQCs to cryptography that agencies rely on to protect sensitive information. Why GAO Did This Study Federal agencies rely on cryptography to protect sensitive data and systems. However, some experts predict that a quantum computer capable of breaking certain cryptography may be developed within the next 10 to 20 years. GAO was asked to review the threat of quantum computing to federal agency cryptography. This report describes (1) the threats quantum computers pose to cryptography on federal agencies’ information systems and (2) the extent to which federal agencies have begun preparing for this threat consistent with federal guidance. GAO also evaluated cryptography inventories, funding assessments, and other planning documentation at each of the 24 Chief Financial Officer Act agencies to determine the extent to which they had addressed transition preparatory practices consistent with federal guidance. This is a public version of a sensitive report that GAO issued in September 2025. We worked with the Office of the National Cyber Director from September 2025 through September 2026 to prepare this version. Tue, 06 Oct 2026 07:20:40 -0400 /products/gao-27-108740 Mortgage Lending: Newly Enacted Restrictions May Help Curb Unwanted Solicitations While Preserving Comparison Shopping https://www.gao.gov/products/gao-27-108874 What GAO Found When homebuyers apply for a mortgage, lenders request their credit reports from credit reporting agencies. These agencies may then sell the homebuyers’ contact and credit information to other lenders and brokers, which use it to send competing loan offers. Before recent legislation, credit reporting agencies could, without the homebuyer’s consent, provide this information to those that did not have an existing relationship with the homebuyer (see figure). Thus, homebuyers could receive dozens of mortgage solicitations by phone or text in a short period. Example of the Mortgage Trigger Lead Marketing Process According to industry stakeholders, the primary benefit of trigger leads is that they can encourage homebuyers to comparison shop for loans and potentially save money. But this benefit may be limited: Recent federal survey results suggest that no more than 3.5 percent of homebuyers may have obtained a loan through competing offers based on trigger leads. One lender said homebuyers have ways to compare lenders before applying for a mortgage, so offers based on trigger leads generated later in the homebuying process may be less useful. Trigger leads resulted in a high volume of unwanted marketing solicitations and posed other drawbacks for some homebuyers, according to consumer advocates and industry stakeholders: A high volume of solicitations can overwhelm and confuse homebuyers, and aggressive tactics can annoy them. Broad dissemination of homebuyers’ information could expose them to misleading or deceptive practices. Homebuyers may view the sale of their personal information and resulting marketing solicitations as an invasion of privacy. In 2025, the Homebuyers Privacy Protection Act restricted credit reporting agencies’ ability to provide residential mortgage trigger leads to parties that have an existing relationship with or consent from the homebuyer. Because these restrictions took effect in March 2026, not enough time has passed to determine their effects on homebuyers. If effectively implemented, these restrictions could limit access to trigger leads and reduce the volume of solicitations homebuyers receive while preserving opportunities to comparison shop. Why GAO Did This Study Each year, millions of homebuyers apply for a mortgage, and some receive marketing calls and texts from other lenders and brokers with competing offers based on trigger leads. The volume of these mortgage solicitations prompted the enactment of the Homebuyers Privacy Protection Act in 2025. The act includes a provision for GAO to assess the value of trigger leads for homebuyers. This report examines (1) the potential benefits of trigger leads, (2) drawbacks associated with them, and (3) how the act’s restrictions may affect those benefits and drawbacks.  GAO reviewed federal and state laws, searched for and reviewed relevant literature, and analyzed 2022–2024 responses to the National Survey of Mortgage Originations. In addition, GAO obtained information from or interviewed officials of credit reporting agencies, consumer groups, mortgage lenders (banks, credit unions, and nonbanks), industry associations, the association for state banking regulators, and a state regulatory agency. GAO also analyzed the Consumer Financial Protection Bureau’s (CFPB) consumer complaints database and used artificial intelligence to identify complaints related to mortgage solicitations, and interviewed officials from CFPB and the Federal Trade Commission. For more information, contact William W. Colvin at colvinw@gao.gov. Tue, 06 Oct 2026 07:29:33 -0400 /products/gao-27-108874 Rural Health Transformation Program: Early Implementation Actions and Monitoring Plans https://www.gao.gov/ What GAO Found The Rural Health Transformation program provides funding for states to conduct rural health activities, such as recruiting clinicians to rural areas and providing training and technology to improve care delivery in rural hospitals. In the latter half of 2025, the Centers for Medicare & Medicaid Services (CMS) completed a number of early key actions to implement the Rural Health Transformation program. These actions included the release of the notice of funding opportunity—which provided details on program goals and requirements—and initial funding awards to all 50 states totaling $10 billion. The initial allotment of state funding ranged from $147 million for New Jersey to $281 million for Texas. CMS and merit reviewers assessed state applications based on a variety of factors—such as rural characteristics (e.g., total area in square miles and percent of population in rural areas) and the strength of states’ proposed initiatives. As a result, funding amounts variedacross states. Rural Health Transformation Program Funding, by State, Budget Period 1 (December 29, 2025, Through October 30, 2026) CMS plans on conducting a range of activities to monitor states’ activities and use of program funding. These monitoring activities include communicating with states to discuss progress and challenges, reviewing information states submit, and conducting audits and site visits. GAO found that its planned activities are generally consistent with selected requirements related to monitoring of federal awards. For example, CMS plans to measure awardee performance to show achievement of program goals and objectives, and hold webinars to share lessons learned, improve program outcomes, and foster the adoption of promising practices. CMS plans to allot up to $40 billion of the remaining program funds to states over the next 4 years based on their demonstration of satisfactory progress toward approved initiatives (e.g., progress toward planned milestones), among other activities. If states do not comply with the terms and conditions of their notices of award, CMS may withhold, reduce, or recover a portion of states’ program funding. The authorizing legislation of the Rural Health Transformation program limits states’ ability to appeal or challenge any funding changes made by CMS. However, officials said issues related to appeals or challenges of funding changes may depend on the specific facts and circumstances, and they are in the process of determining how the agency will handle any such disputes or challenges. Why GAO Did This Study In July 2025, the One Big Beautiful Bill Act established the Rural Health Transformation program to provide funding allotments to states for specified rural health activities. It will fund up to $50 billion to states over 5 years. The program is administered by CMS as cooperative agreements with states. Federal law provided CMS with broad discretion to determine funding allotments to states. Among other topics, this report describes CMS’s initial steps to establish the program, examines CMS’s plans to monitor states’ activities, and describes CMS’s approach for determining states’ future funding allotments. To conduct this work, GAO reviewed CMS documentation on Rural Health Transformation program implementation and monitoring. GAO also interviewed CMS officials and representatives from two rural health stakeholder groups and one state government stakeholder group selected among those with national membership. For more information, contact Leslie V. Gordon at GordonLV@gao.gov. Tue, 06 Oct 2026 07:34:17 -0400 Concrete Masonry Promotion Program: Commerce Could Enhance Its Oversight Controls https://www.gao.gov/products/gao-27-108692 What GAO Found The Concrete Masonry Checkoff (CMC) program is a federally authorized, industry-funded program that supports research, education, and promotion projects intended to strengthen the concrete masonry industry and expand markets for its products. The term checkoff refers to the way similar programs are funded—that is, through assessments. The CMC Board administers the program, which is funded through mandatory assessments on specified concrete masonry units sold. From 2023 through 2025, the board collected over $27 million in assessments and spent nearly $15 million of the funds, p

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