1.   Many cities have implemented needle exchange programs without using federal funds.

2.   The GAO said its latest report shows the city never implemented the spending cuts and has recorded savings by switching money from one agency to another.

3.   The two cities should implement as much of the plan as possible, he said.

4.   The city implemented the program before he left office.

5.   The cities have been implementing the programme on a trial basis since last year.