Mr. President, in honor of World Social Work Day, I rise today to introduce the Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act and the Clinical Social Work Medicare Equity…
Mr. President, in honor of World Social Work Day, I rise today to introduce the Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act and the Clinical Social Work Medicare Equity Act of 2011. I am proud to introduce legislation that will reduce the shortage of social workers in our nation and properly reimburse social workers for the services they provide.
Social workers play a crucial role combating the social problems facing our nation and are essential providers in our health care system. Our health care and social service needs have drastically increased over the past decade and will continue to do so in the next decade. We must have the workforce in place to make sure that our returning soldiers have access to mental health services, our elderly maintain their independence in the communities in which they live, and abused children are placed in safe homes. Social workers provide mental health therapy, caregiver and family counseling, health education, program coordination, and case management. In these tough economic times, social workers have an essential role in keeping communities together and helping individuals and families cope with the stresses they are facing. Social workers are vital to America's social safety net.
The Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act provides grants to social workers, identifies workforce challenges and resource needs, and determines how any workforce shortage will affect the communities social workers serve. I am honored to introduce this bill named after two social visionaries, Dorothy I. Height and Whitney M. Young. Dorothy Height, who passed away last year, was a pioneer of the civil rights movement. Like me, she began her career as a case worker and continued to fight for social justice. Whitney Young, another trailblazer of the civil rights movement, also began his career transforming our social landscape as a social worker. He helped create President Johnson's War on Poverty and has served as President of the National Association of Social Workers.
This bill is about continued investment in social work. It provides grants for social work education, research, and training. These grants will fund community-based programs of excellence and provide scholarships to train the next generation of social workers. This bill addresses the recruitment and retention of social workers and will result in a renewed focus on improving social worker workplace safety. According to the National Association of Social Workers, 44 percent of social workers surveyed have faced personal safety issues when on the job. In addition, this bill will help identify and disseminate evidence-based best practices in social work interventions. This bill also establishes a national coordination center that will allow social education, advocacy and research institutions to collaborate and work together. The coordination center will facilitate gathering and distributing social work research to make the most effective use of the information we have on how social work service improves our social fabric. This bill also creates a media campaign that will promote social work. This bill gives social work the attention it deserves.
As a social worker, I understand the critical role social workers have in the overall care of our populations. Social workers can be found in every facet of community life--in hospitals, mental health clinics, senior centers, and private agencies that serve individuals and families in need. Social workers are there to help struggling students, returning soldiers, and the chronically ill. Oftentimes, socials workers are the only available option for mental health care in rural and underserved urban areas. Yet there are not enough social workers to meet these needs. By 2018, it is estimated an additional 100,000 social workers will be needed. We need to get our workforce in place today so that we can meet the needs of our population, particularly our aging Americans. The first of the baby boomers turn 65 this year. The aging tsunami will hit us. We must be prepared.
I believe that social work is full of great opportunities, both to serve and to lead. Social work is about putting our values into action. Social workers are among our best and brightest, our most committed and compassionate. They are at the frontlines of providing care, often putting themselves in dangerous and violent situations. Social workers have the ability to provide psychological, emotional, and social support--quite simply, the ability to change lives. I think we can do better by our constituents including our servicemembers, seniors, and children. We must make sure we have the social workers in place to meet their needs. I'm fighting to make sure we do.
I also stand on the Senate floor today to introduce the Clinical Social Work Medicare Equity Act of 2009. This bill ensures that clinical social workers receive Medicare reimbursement for the mental health services they provide in skilled nursing facilities. Under the current system, social workers cannot
bill Medicare directly for the services they provide. Psychologists and psychiatrists, who provide similar counseling, are able to separately bill Medicare for their services.
Since my first days in Congress, I have been fighting to protect and strengthen the safety of our Nation's seniors. Making sure that seniors have access to quality, affordable mental health care is an important part of this fight. I know that millions of seniors do not have access to, or are not receiving, the mental health services they urgently need. Five million seniors are affected by depression, yet few ever receive treatment. According to the American Psychological Association, 20 percent of people over the age of 55 have a mental health disorder and 2/3 of nursing home residents have a mental or behavioral health issue, but less than 3 percent receive treatment. These mental health disorders, which include severe depression and debilitating anxiety, interfere with a person's ability to carry out activities of daily living and adversely affect their quality of life. Furthermore, older people account for 20 percent of suicide deaths in the U.S., and white men age 85 or older have the highest suicide rate of any age group. Every year nearly 5,000 older Americans kill themselves. This is unacceptable and must be addressed.
This bill helps residents of skilled nursing facilities across the country get the mental health and psychosocial services they need. It ensures that seniors living in underserved urban and rural areas, where clinical social workers are often the only available option for mental health care, continue to receive the treatment they need. Clinical social workers, much like psychologists and psychiatrists, diagnose and treat mental illnesses. In fact, clinical social workers are the primary mental health providers for nursing home residents and seniors residing in rural environments. Unlike other mental health providers, clinical social workers cannot bill Medicare directly for the important services they provide to their patients. Protecting seniors' access to clinical social workers ensures that our most vulnerable citizens get the quality, affordable mental health care they need. This bill will correct this inequity and make sure clinical social workers get the payments and respect they deserve.
Before the Balanced Budget Act of 1997, clinical social workers billed Medicare Part B directly for mental health services they provided in nursing facilities for each patient they served. Under the Prospective Payment System, services provided by clinical social workers are lumped, or ``bundled,'' along with the services of other health care providers for the purposes of billing and payments. Psychologists and psychiatrists, who provide similar counseling, were exempted from this system and continue to bill Medicare directly. This bill would exempt clinical social workers, like their colleagues, from the Prospective Payment System, and would make sure that clinical social workers are paid for the services they provide to patients in skilled nursing facilities.
This bill is about more than paperwork and payment procedures. This bill is about equal access to Medicare payments for the equal and important work done by clinical social workers. It is about making sure our nation's most vulnerable citizens have access to quality, affordable mental health care. The overarching goal we should be striving to achieve for our seniors is an improved quality of life. Without clinical social workers, many nursing home residents would never get the counseling they need when faced with a life threatening illness or the loss of a loved one. I think we can do better by our nation's seniors. I am fighting to make sure we do.
As a social worker, I have been on the frontlines of helping people cope with issues in their everyday lives. I started off fighting for abused children, making sure they were placed in safe homes. I will continue to fight every day for our children, seniors, and families on the floor of the United States Senate.
The Dorothy I. Height and Whitney M. Young, Jr. Social Work Reinvestment Act and the Clinical Social Work Medicare Equity Act of 2011 are both strongly supported by the National Association of Social Workers. I also want to thank Senator Inouye for his cosponsorship of the Clinical Social Work Medicare Equity Act of 2012 and thank Senator Begich, Senator Cardin, and Senator Inouye for their cosponsorship of the Social Work Reinvestment Act. I look forward to working with my colleagues to enact these two important pieces of legislation.