H.R. 795House111th Congress (2009-2011)In Committee

Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act

To establish the Social Work Reinvestment Commission to advise Congress and the Secretary of Health and Human Services on policy issues associated with the profession of social work, to authorize the Secretary to make grants to support recruitment, retention, research, and reinvestment in the profession, and for other purposes.

Introduced February 3, 2009

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Referred to the Subcommittee on Higher Education, Lifelong Learning, and Competitiveness.

March 23, 2009

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HouseIntro Referral

Introduced in House

February 3, 2009

HouseIntro Referral

Referred to the House Committee on Education and Labor.

February 3, 2009

HouseIntro Referral

Sponsor introductory remarks on measure. (CR E232-234)

February 10, 2009

HouseCommittee

Referred to the Subcommittee on Higher Education, Lifelong Learning, and Competitiveness.

March 23, 2009

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Edolphus Towns
Rep. Edolphus TownsD-NY-10 · Feb 10, 2009

Madam Speaker, I rise today to give my remarks on the reintroduction of the Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act, which I first introduced in the 110th Congress.…

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Introduced in HouseIssued February 3, 2009

I

111th CONGRESS

1st Session

H. R. 795

IN THE HOUSE OF REPRESENTATIVES

February 3, 2009

Mr. Towns (for himself, Mr. Abercrombie, Mr. Bishop of Georgia, Ms. Bordallo, Ms. Corrine Brown of Florida, Mr. Cleaver, Mr. Davis of Tennessee, Mr. Hare, Mr. Hinojosa, Ms. Hirono, Mr. Holt, Mr. Kildee, Mr. Lewis of Georgia, Mr. Murphy of Connecticut, Ms. Norton, Mr. Payne, Ms. Woolsey, Mr. Capuano, Mr. Kennedy, Mr. Carnahan, Ms. Schwartz, Ms. Kilpatrick of Michigan, Ms. Shea-Porter, Mr. Gutierrez, Mr. Sestak, Mr. Grijalva, Ms. Lee of California, Mr. Israel, Mrs. Maloney, Mr. Rothman of New Jersey, Mr. Courtney, Mr. Kucinich, Mr. Conyers, Mr. Johnson of Georgia, and Ms. Schakowsky) introduced the following bill; which was referred to the Committee on Education and Labor

A BILL

To establish the Social Work Reinvestment Commission to advise Congress and the Secretary of Health and Human Services on policy issues associated with the profession of social work, to authorize the Secretary to make grants to support recruitment, retention, research, and reinvestment in the profession, and for other purposes.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act.

(b)

Table of contents

The table of contents for this Act is as follows:

Sec. 1. Short title; table of contents.

Sec. 2. Findings.

Sec. 3. Definitions.

Title I—Social Work Reinvestment Commission

Sec. 101. Establishment of Commission.

Sec. 102. Purposes and duties of Commission.

Sec. 103. Appointment of Commission members.

Sec. 104. Powers of the Commission.

Sec. 105. Compensation for Commission members.

Sec. 106. Authorization of appropriations.

Title II—Reinvestment Grant Programs to Support Social Work Profession

Sec. 201. Workplace improvement grants.

Sec. 202. Research grants.

Sec. 203. Education and training grants.

Sec. 204. Community-based programs of excellence grants.

Sec. 205. National coordinating center.

Sec. 206. Multi-media outreach campaign.

2.

Findings

Congress finds the following:

(1)

The Bureau of Labor Statistics states that employment of social workers is expected to increase faster than average (estimated to be 22 percent during the 2006–2016 decade), demonstrating a substantial need for social workers. The need is even greater for social workers in the area of aging. The National Association of Social Workers Center for Workforce Studies estimates that nine percent of, or 30,000, licensed social workers specialize in gerontology. By 2010, as more people reach the age of 65, the National Institute on Aging projects that 60,000 to 70,000 social workers will be needed.

(2)

Social work salaries are among the lowest for professionals in general and for those with Master’s level educations in particular. A survey conducted by the John A. Hartford Foundation found that between 1992 and 1999 the annual rate of wage growth for degree-holding social workers was 0.8 percent. According to the National Association of Social Workers, Center for Workforce Studies, 60 percent of full-time social workers earn between $35,000 and $59,999 per year, with 25 percent earning between $40,000 and $49,999 per year. Social workers who earn lower salaries are more likely to work in challenging agency environments and to serve more vulnerable clients. They are also more likely to leave the profession.

(3)

According to one study by the Council on Social Work Education, 68 percent of individuals surveyed who held a Master’s Degree in Social Work graduated with an average debt of $26,777. Additionally, the United States Public Interest Research Group states that 37 percent of public four-year graduates have too much debt to manage as a starting social worker. While social workers may be in positions that are personally fulfilling, due to their high loan debt and low income, many struggle financially.

(4)

Social work can be a dangerous profession. According to the American Federation of State, County, and Municipal Employees, 70 percent of caseworkers report that front line staff in their agency have been victims of violence or have received threats of violence. Social workers are considerably safer when measures such as global positioning systems, self-defense training, and conflict prevention are implemented.

(5)

According to a study by the University of Michigan, approximately one in seven adults over the age of 70 have some form of dementia, and 9.7 percent (or 2,400,000 Americans) of those found with dementia were also found to have Alzheimer’s disease. Social workers in gerontology settings work with older adults, including those with dementia to support their physiological, psychological, and social needs through mental health therapy, caregiver and family counseling, health education, program coordination, and case management. These professionals also assist the hundreds of thousands of older persons who are abused, neglected, frail, and vulnerable. Between 2000 and 2004 there was a 19.7 percent increase in the total number of reports of elder and vulnerable adult abuse and neglect.

(6)

The Children’s Defense Fund states that every 36 seconds a child is confirmed as abused or neglected. The Administration for Children and Families states that 510,000 children were in the United States foster care system in 2006. Most of the children in foster care are placed in foster care due to parental abuse or neglect. Research shows that professional social workers in child welfare agencies are more likely to find permanent homes for children who were in foster care for two or more years. Unfortunately, fewer than 40 percent of child welfare workers are professional social workers.

(7)

The Department of Health and Human Services estimates that 26.2 percent of Americans aged 18 and older (one in four adults) experiences a diagnosable mental disorder. Additionally, one in five children and adolescents experience a mental health disorder. At least one in ten, or about 6,000,000 young people, have a serious emotional disturbance. Social workers provide the majority of mental health counseling services in the United States, and are often the only providers of such services in rural areas.

(8)

The Department of Veterans Affairs estimates that there are 23,977,000 veterans in the United States. More than 1,100,000 members of the Armed Forces have been deployed to Iraq or Afghanistan since 2001. A once declining veteran population is now surging and is in dire need of mental health treatment to address issues such as post traumatic stress disorder, depression, drug and alcohol addiction, and suicide. Veterans make up 25 percent of homeless people in the United States, even though they comprise only 11 percent of the general population. Social workers working with veterans and their families provide case management, crisis intervention, mental health interventions, housing and financial counseling, high risk screening, and advocacy among other services. The Department of Veterans Affairs employs over 5,000 professional social workers and is the single largest employer of social workers in the country. Social workers in the Department also coordinate the Community Residential Care Program, the oldest and most cost-effective of the Department’s extended care programs.

(9)

The American Cancer Society estimates that there were 1,437,180 new cases of cancer and 565,650 cancer deaths in 2008 alone. The incidence of cancer will increase dramatically as the population grows older. The Centers for Disease Control and Prevention reports that at the end of 2003 there were 1,039,000 to 1,285,000 people living with HIV or AIDS in the United States. In 2006, 1,300,000 people received care from hospice providers in the United States. Health care and medical social workers practice in all of these areas and provide outreach for prevention, help individuals and their families adapt to their circumstances, provide grief counseling, and act as a liaison between individuals and their medical team, helping patients make informed decisions about their care.

(10)

The National Center for Education Statistics states that in 2005 the national dropout rate for high school students totaled 9.3 percent. White students dropped out at a rate of 5.8 percent. African-American students dropped out at a rate of 10.7 percent. Hispanic students dropped out at a rate of 22.1 percent. Some vulnerable communities have drop out rates of 50 percent or higher. Social workers in school settings help these students through early identification, prevention, intervention, counseling, and support services.

(11)

According to the Department of Justice, every year more than 650,000 ex-offenders are released from Federal and State prisons. Social workers employed in the corrections system address disproportionate minority incarceration rates, provide treatment for mental health problems and drug and alcohol addiction, and work within as well as outside of the prison to reduce recidivism and increase positive community reentry.

3.

Definitions

In this Act:

(1)

Commission

The term Commission means the Social Work Reinvestment Commission.

(2)

Community-based program

The term community-based program means an agency, organization, or other entity carrying out a program that provides direct social work services, or community development services, at a neighborhood, locality, or regional level, to address human service, health care, or psycho-social needs.

(3)

High need and high demand population

The term high need and high demand population means a group that lacks sufficient resources and, as a result, has a greater probability of being harmed by specific social, environmental, or health problems than the population as a whole. The group at issue may be a group residing in an area defined by the Health Resources and Services Administration as a health professional shortage area, which has a shortage of primary medical care, dental, or mental health providers.

(4)

Historically black college or university

The term historically black college or university means the institutions that are within the definition given the term part B institution in section 322(2) of the Higher Education Act of 1965 (20 U.S.C. 1061(2)).

(5)

Minority serving institution

The term minority serving institution means an educational institution that serves a large percentage of minority students, including Alaska/Native Hawaiian Institutions, Asian-Serving Institutions, Black-Serving Institutions, Historically Black Colleges and Universities, Hispanic-Serving Institutions, and Tribal Colleges and Universities. Minority serving institutions are classified based on either legislation or the percentage of minority student enrollment.

(6)

Related professional researcher

The term related professional researcher means a person who is professionally engaged in research in a social, political, economic, health, or mental health field. The research referenced to in this paragraph is primarily conducted by doctoral level researchers under university, government, research institute, or community agency auspices.

(7)

Secretary

The term Secretary means the Secretary of Health and Human Services.

(8)

Social work

The term social work means—

(A)

the professional activity of helping individuals, groups, or communities enhance or restore capacity for social and psycho-social functioning and creating societal conditions favorable to that enhancement or restoration;

(B)

an activity, the practice of which consists of the professional application of values, principles, and techniques related to the professional activity described in subparagraph (A), including—

(i)

diagnosis and treatment of mental and emotional disorders with individuals, families, and groups;

(ii)

helping communities or groups provide or improve social and health services and participating in relevant legislative processes; and

(iii)

helping people obtain tangible services; and

(C)

an activity, the practice of which requires knowledge of—

(i)

human development;

(ii)

behavior of social, economic, and cultural institutions; and

(iii)

the interaction of the factors described in clauses (i) and (ii).

(9)

Social work researcher

The term social work researcher means a person who studies social work at the individual, family, group, community, policy, or organizational level, focusing across the human life span on prevention of, intervention in, treatment of, aftercare of, and rehabilitation from acute and chronic social and psycho-social conditions, and includes a person examining the effect of policies on social work practice. The study referred to in this paragraph is primarily conducted by researchers with doctoral degrees who are social workers or faculty under university, government, research institute, or community agency auspices.

(10)

Social worker

The term social worker means a graduate of a school of social work with a baccalaureate, master’s, or doctoral degree, who uses knowledge and skills to provide social work services for clients who may be individuals, families, groups, communities, organizations, or society in general.

I

Social Work Reinvestment Commission

101.

Establishment of Commission

Not later than three months after the date of enactment of this Act, the Secretary of Health and Human Services shall establish the Social Work Reinvestment Commission to provide independent counsel to Congress and the Secretary on policy issues associated with the recruitment, retention, research, and reinvestment in the profession of social work.

102.

Purposes and duties of Commission

(a)

Study

The Commission shall conduct a comprehensive study to examine and assess—

(1)

the professional capacity of the social work workforce to successfully serve and respond to the increasing biopsychosocial needs of individuals, groups, and communities in the areas of—

(A)

aging;

(B)

child welfare;

(C)

military and veterans affairs;

(D)

mental and behavioral health and disability;

(E)

criminal justice and correctional systems;

(F)

health and issues affecting women and families; and

(G)

other areas as identified by the Commission;

(2)

the workforce challenges facing the profession of social work, such as high social work educational debt, fair market compensation, social work workforce trends, translating social work research to practice, social work safety, State-level social work licensure policies and reciprocity agreements for providing services across State lines, the lack of diversity in the social work profession, or any other area determined by the Secretary, and the effect that such challenges have on the recruitment and retention of professional social workers;

(3)

current workforce challenges and shortages relevant to the needs of clients served by professional social workers;

(4)

the social work workforce challenges described in paragraph (2) and the effects that they will have on the areas described in paragraph (1); and

(5)

the advisability of establishing a social work enhancement account intended to provide direct grant assistance to local governments to encourage the engagement of professional social workers in social service programs.

(b)

Report

Not later than 18 months after the date of its first meeting, the Commission shall submit a report to the Secretary and Congress containing specific findings and conclusions regarding the need for recruitment, retention, research, and reinvestment in the profession of social work. The report shall include recommendations and strategies for corrective actions to ensure a robust social work workforce capable of keeping up with the demand for needed services. The Commission may provide to Congress any additional findings or recommendations considered by the Commission to be important.

103.

Appointment of Commission members

(a)

Appointment by the Secretary

The Secretary shall appoint members to the Commission. The members shall reflect representation by social workers and other members, including:

(1)

Two deans of schools of social work.

(2)

One social work researcher.

(3)

One related professional researcher.

(4)

One governor.

(5)

Two leaders of national social work organizations.

(6)

One senior social work State official.

(7)

One senior related State official.

(8)

Two directors of community-based organizations or nonprofit organizations.

(9)

One labor economist.

(10)

One social work consumer.

(11)

One licensed clinical social worker.

(b)

Appointment by other officials

Four additional members shall be appointed to the Commission, one member chosen by:

(1)

The Speaker of the House of Representatives.

(2)

The minority leader of the House of Representatives.

(3)

The majority leader of the Senate.

(4)

The minority leader of the Senate.

(c)

Appointment of Chairperson and vice-chairperson

The Secretary shall select a chairperson and vice-chairperson for the Commission from among the members of the Commission.

(d)

Period of appointment; vacancies

Members shall be appointed for the life of the Commission, and any vacancy in the Commission shall not affect the powers of the Commission. Vacancies shall be filled in the same manner as the original appointment.

(e)

Organizational representation

Members of the Commission should be appointed so as to demonstrate knowledge, understanding, and participation of individuals and groups from different racial, ethnic, cultural, gender, geographic, religious, sexual orientation, linguistic, and class backgrounds.

(f)

Schedule of meetings

The Commission shall hold its first meeting not later than six weeks after the date on which the final member of the Commission is appointed, and subsequent meetings at the call of the chair.

104.

Powers of the Commission

(a)

Powers

The Commission shall have the power to—

(1)

hold hearings and sit and act at such times and places take testimony, receive evidence, and administer oaths;

(2)

delegate the Commission powers described in paragraph (1) to any Commission subcommittee or member thereof for the purpose of carrying out this Act;

(3)

enter into contracts to enable the Commission to perform its work under this Act; and

(4)

consult, to the extent that it determines necessary or useful, with other agencies and organizations, including—

(A)

agencies within the Department of Health and Human Services, including the Administration for Children and Families, the Administration on Aging, the Agency for Healthcare Research and Quality, the Centers for Disease Control and Prevention, the Centers for Medicaid and Medicare Services, the Health Resources and Service Administration, the Indian Health Service, the National Institutes of Health, the Substance Abuse and Mental Health Services Administration;

(B)

the Social Security Administration;

(C)

the Departments of Agriculture, Defense, Education, Homeland Security, Labor, Justice, State, and Veterans Affairs; and

(D)

any other agency as determined by the Commission.

(b)

Cooperation with the Commission

The entities and agencies described in subsection (a)(3) shall cooperate with and provide counsel to the Commission to the greatest extent practicable.

105.

Compensation for Commission members

(a)

Travel expenses

The members of the Commission shall not receive compensation for the performance of services for the Commission, but shall be allowed travel expenses, including per diem in lieu of subsistence, at rates authorized for employees of agencies under subchapter 1 of chapter 57 of title 5, United States Code, while away from their homes or regular places of business in the performance of services for the Commission. Notwithstanding section 1342 of title 31, United States Code, the Secretary may accept the voluntary and uncompensated services of members of the Commission.

(b)

Detail of government employees

Any Federal Government employee may be detailed to the Commission without reimbursement, and such detail shall be without interruption or loss of civil service status or privilege.

106.

Authorization of appropriations

There is authorized to be appropriated to the Secretary such sums as may be necessary to carry out the activities of the Commission.

II

Reinvestment Grant Programs to Support Social Work Profession

201.

Workplace improvement grants

(a)

Grants authorized

The Secretary may award grants to four eligible entities described in subsection (c) to address workplace concerns for the social work profession, including caseloads, compensation, social work safety, supervision, and working conditions.

(b)

Local or state government entities requirement

At least two of the grant recipients must be local or State government agencies.

(c)

Grantee eligibility requirements

To be eligible for a grant under this section, an entity must—

(1)

work in a social work capacity that demonstrates a need in a workplace concern area described in subsection (a);

(2)

demonstrate knowledge, understanding, and participation in the entities’ programs of individuals and groups from different racial, ethnic, cultural, gender, geographic, religious, sexual orientation, linguistic, and class backgrounds;

(3)

demonstrate a record of active participation of professionally trained social workers in the entities’ programs; and

(4)

provide services and represent the individuals employed by the entities as competent only within the boundaries of their education, training, licenses, certification, consultation received, supervised experience, or other relevant professional experience.

(d)

Equal amounts

The Secretary shall distribute the grant funds annually to the four grant recipients over a four-year period in equal amounts.

(e)

Priority

In selecting the grant recipients under this section, the Secretary shall give priority to eligible entities that—

(1)

are equipped with the capacity to oversee and monitor the grant-funded workplace improvement program carried out under this section, including proven fiscal responsibility and administrative capability; and

(2)

are knowledgeable about relevant workforce trends and have at least two years of experience relevant to the grant-funded workplace improvement program.

(f)

Authorization of appropriations

There is authorized to be appropriated $16,000,000 to the Secretary to provide grants under this section.

202.

Research grants

(a)

Grants authorized

The Secretary may award grants to not less than 25 social workers who hold a doctoral degree in social work for post-doctoral research in social work—

(1)

to further the knowledge base about effective social work interventions; and

(2)

to promote usable strategies to translate research into practice across diverse community settings and service systems.

(b)

Grantee eligibility requirements

To be eligible for a grant under this section, a social worker must—

(1)

demonstrate knowledge and understanding of individuals and groups from different racial, ethnic, cultural, gender, geographic, religious, sexual orientation, linguistic, and class backgrounds; and

(2)

provide services and represent themselves as competent only within the boundaries of their education, training, licenses, certification, consultation received, supervised experience, or other relevant professional experience.

(c)

Minority representation

At least 10 of the social workers awarded grants in subsection (a) must be employed by a historically black college or university or minority serving institution.

(d)

Amounts

The Secretary shall distribute the grant funds annually to the grant recipients over a four-year period.

(e)

Authorization of appropriations

There is authorized to be appropriated $5,000,000 to the Secretary to provide grants under this section.

203.

Education and training grants

(a)

Grants authorized

The Secretary may award 20 grants to institutions of higher education that offer baccalaureate, master’s, or doctoral degrees in social work to support the recruitment of social work students for, and education of the students in, baccalaureate, master’s, and doctoral degree programs, as well as the development of faculty.

(b)

Grantee eligibility requirements

To be eligible for a grant under this section, an institution must demonstrate knowledge, understanding, and participation in the institutions’ programs of individuals and groups from different racial, ethnic, cultural, gender, geographic, religious, sexual orientation, linguistic, and class backgrounds.

(c)

Institutional requirement

At least four of the grant recipients must be a historically black college or university or other minority serving institution.

(d)

Equal amounts

The Secretary shall distribute the grant funds annually to the 20 grant recipients over a four-year period in equal amounts. A grant recipient may not receive more than $100,000 annually in grant money under this section.

(e)

Priority

In selecting the grant recipients under this section, the Secretary shall give priority to institutions of higher education that—

(1)

are accredited by the Council on Social Work Education;

(2)

have a graduation rate of not less than 80 percent for social work students; and

(3)

exhibit an ability to recruit social workers from and place them in areas with a high need and high demand population.

(f)

Authorization of appropriations

There is authorized to be appropriated $8,000,000 to the Secretary to provide grants under this section.

204.

Community-based programs of excellence grants

(a)

Grants authorized

The Secretary may award grants to six public community-based programs or nonprofit organizations that are carrying out programs of excellence to further test and replicate effective social work interventions.

(b)

Grantee eligibility requirements

To be eligible for a grant under this section, a public community-based program or nonprofit organization must—

(1)

carry out programs in the areas of aging, child welfare, military and veteran’s issues, mental and behavioral health and disability, criminal justice and correction systems, and health and issues affecting women and families;

(2)

demonstrate knowledge, understanding, and participation in the public community-based programs or nonprofit organizations’ programs of individuals and groups from different racial, ethnic, cultural, gender, geographic, religious, sexual orientation, linguistic, and class backgrounds;

(3)

demonstrate a record of active participation of professionally trained social workers in the public community-based programs or nonprofit organizations’ programs; and

(4)

provide services and represent the individuals employed by the public community-based programs or nonprofit organizations as competent only within the boundaries of their education, training, licenses, certification, consultation received, supervised experience, or other relevant professional experience.

(c)

Equal amounts

The Secretary shall distribute the grant funds annually to the grant recipients over a three-year period in equal amounts. A grant recipient may not receive more than $500,000 annually in grant money under this section.

(d)

Priority

In selecting the grant recipients under this section, the Secretary shall give priority to public community-based programs or nonprofit organizations that—

(1)

have demonstrated successful and measurable outcomes that are worthy of replication;

(2)

have been in operation for at least two years; and

(3)

work with high need and high demand populations.

(e)

Authorization of appropriations

There is authorized to be appropriated $9,000,000 to the Secretary to provide grants under this section.

205.

National coordinating center

(a)

Establishment

The Secretary shall enter into a contract with a national social work research entity that—

(1)

has experience in coordinating the transfer of information and ideas among entities engaged in social work research, practice, education, and policymaking; and

(2)

maintains relationships with Federal entities, social work degree-granting institutions of higher education and departments of social work within such institutions, and organizations and agencies that employ social workers.

(b)

General duties

The contract recipient (in this section referred to as the coordinating center) shall serve as a coordinating center and shall organize information and other data, collect and report data, serve as a clearinghouse, and coordinate activities with the entities, institutions, departments, organizations, and agencies described in subsection (a)(2).

(c)

Collaboration

The coordinating center shall work with institutions of higher education, research entities, and entities with social work practice settings to identify key research areas to be pursued, select research fellows, and organize appropriate mentorship and professional development efforts.

(d)

Specific activities of the coordinating center

The coordinating center shall—

(1)

collect, coordinate, monitor, and distribute data, information on best practices and findings regarding the activities funded under grants made to eligible entities and individuals under the grant programs described in sections 201 though 204;

(2)

prepare and submit to the Secretary a report that includes recommendations regarding the need to recruit new social workers, retain current social workers, conduct social work research, and reinvestment into the profession of social work; and

(3)

demonstrate cultural competency and promote the participation of diverse groups.

(e)

Selection

The Secretary, in collaboration with the coordinating center, shall—

(1)

select topics to be researched under this section;

(2)

select candidates and finalists for research fellow positions; and

(3)

determine other activities to be carried out under this section.

(f)

Authorization of appropriations

There is authorized to be appropriated $1,000,000 to carry out this section for each of fiscal years 2010 to 2014.

206.

Multi-media outreach campaign

(a)

Development and issuance of public service announcements

The Secretary shall develop and issue public service announcements that advertise and promote the social work profession, highlight the advantages and rewards of social work, and encourage individuals to enter the social work profession.

(b)

Method

The public service announcements described in subsection (a) shall be broadcast through appropriate media outlets, including television or radio, in a manner intended to reach as wide and diverse an audience as possible.

(c)

Authorization of appropriations

There is authorized to be appropriated such sums as may be necessary to carry out this section for each of fiscal years 2010 through 2013.