Last week's Congressional Budget Office analysis of President Obama's budget projected that it would increase the federal deficit $2.3 trillion more than initially expected during the next 10 years.
VOA: standard.2009.03.24
But the National Audit Officeanalysis said despite improvements, just half of patients were getting the checks.
The report follows a National Audit Officeanalysis published in September which warned that the rapid expansion of academies risked being poor value for money.