[House Report 111-46]
[From the U.S. Government Publishing Office]
111th Congress Report
HOUSE OF REPRESENTATIVES
1st Session 111-46
======================================================================
VISION CARE FOR KIDS ACT OF 2009
_______
March 23, 2009.--Committed to the Committee of the Whole House on the
State of the Union and ordered to be printed
_______
Mr. Waxman, from the Committee on Energy and Commerce, submitted the
following
R E P O R T
[To accompany H.R. 577]
[Including cost estimate of the Congressional Budget Office]
The Committee on Energy and Commerce, to whom was referred
the bill (H.R. 577) to establish a grant program to provide
vision care to children, and for other purposes, having
considered the same, report favorably thereon with an amendment
and recommend that the bill as amended do pass.
CONTENTS
Page
Purpose and Summary.............................................. 3
Background and Need for Legislation.............................. 4
Hearings......................................................... 4
Committee Consideration.......................................... 4
Committee Votes.................................................. 4
Committee Oversight Findings..................................... 5
Statement of General Performance Goals and Objectives............ 5
New Budget Authority, Entitlement Authority, and Tax Expenditures 5
Earmarks and Tax and Tariff Benefits............................. 5
Committee Cost Estimate.......................................... 5
Congressional Budget Office Estimate............................. 5
Federal Mandates Statement....................................... 7
Advisory Committee Statement..................................... 7
Constitutional Authority Statement............................... 7
Applicability to Legislative Branch.............................. 7
Section-by-Section Analysis of the Legislation................... 7
Explanation of Amendments........................................ 8
Changes in Existing Law Made by the Bill, As Reported............ 8
The amendment is as follows:
Strike all after the enacting clause and insert the
following:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Vision Care for Kids Act of 2009''.
SEC. 2. GRANTS REGARDING VISION CARE FOR CHILDREN.
Part Q of title III of the Public Health Service Act (42 U.S.C. 280h
et seq.) is amended by adding at the end the following:
``SEC. 399Z-1. GRANTS REGARDING VISION CARE FOR CHILDREN.
``(a) In General.--The Secretary, acting through the Director of the
Centers for Disease Control and Prevention, may award grants to States
on the basis of an established review process for the purpose of
complementing existing State efforts for--
``(1) providing comprehensive eye examinations (as defined in
subsection (i)) by a licensed optometrist or ophthalmologist
for eligible children (as defined in subsection (b)) who have
been previously identified through a vision screening or eye
examination by a licensed health care provider or vision
screener as needing such services, with priority given to
children who are under the age of 9 years;
``(2) providing treatment or services to such children,
subsequent to the examinations described in paragraph (1), that
are necessary to correct vision problems; and
``(3) developing and disseminating, to parents, teachers, and
health care practitioners, educational materials on recognizing
signs of visual impairment in children.
``(b) Eligible Children.--
``(1) In general.--For purposes of this section, the term
`eligible child' means, with respect to an examination
described in paragraph (1) of subsection (a) or a treatment or
service described in paragraph (2) of such subsection and with
respect to a State, a child who is a low-income child (as
defined by the State) and who--
``(A) is not eligible for medical assistance under
the State plan under title XIX of such Act;
``(B) subject to paragraph (2)(A), is not eligible
for child health assistance under the State child
health plan under title XXI of the Social Security Act;
``(C) subject to paragraph (2)(B), does not have
health insurance coverage (as defined in section 2791)
in the group market or in the individual market (as
such terms are defined in such section) and is not a
beneficiary or participant under a group health plan
(as defined in such section); and
``(D) is not receiving assistance under any State
health compensation program or under any other Federal
or State health benefits program for such examination,
treatment, or service, respectively.
``(2) Inclusion of certain low-income children with health
benefits.--With respect to an examination described in
paragraph (1) of subsection (a) or a treatment or service
described in paragraph (2) of such subsection and with respect
to a State--
``(A) paragraph (1)(B) shall not apply to a child who
is eligible for child health assistance under the State
child health plan under title XXI of the Social
Security Act (whether or not such child is enrolled
under such plan), if such plan does not provide for
coverage of such examination, treatment, or service,
respectively; and
``(B) paragraph (1)(C) shall not apply to a child
described in such paragraph if no amount is payable
under the coverage or plan described in such paragraph
for such examination, treatment, or service,
respectively.
``(c) Criteria.--The Secretary, in consultation with appropriate
professional and patient organizations including individuals with
knowledge of age appropriate vision services, shall develop criteria--
``(1) governing the operation of the grant program under
subsection (a); and
``(2) for the collection of data related to vision assessment
and the utilization of follow-up services.
``(d) Application.--To be eligible to receive a grant under
subsection (a), a State shall submit to the Secretary an application in
such form, made in such manner, and containing such information as the
Secretary may require, including--
``(1) information on existing Federal, Federal-State, or
State-funded children's vision programs;
``(2) a plan for the use of grant funds, including how funds
will be used to complement existing State efforts (including
possible partnerships with non-profit entities);
``(3) a plan to determine if an eligible child has been
identified as provided for in subsection (a);
``(4) an assurance that funds will be used consistent with
this section;
``(5) a description of how funds will be used to provide
examinations, treatments, and services, consistent with this
section; and
``(6) an assurance that, in providing examinations,
treatments, and services through use of such grant, the State
will give priority to eligible children with the lowest income.
``(e) Evaluations.--To be eligible to receive a grant under
subsection (a), a State shall agree that, not later than 1 year after
the date on which amounts under the grant are first received by the
State, and annually thereafter while receiving amounts under the grant,
the State will submit to the Secretary an evaluation of the operations
and activities carried out under the grant, including--
``(1) an assessment of the utilization of vision services and
the status of children receiving these services as a result of
the activities carried out under the grant;
``(2) the collection, analysis, and reporting of children's
vision data according to guidelines prescribed by the
Secretary; and
``(3) such other information as the Secretary may require.
``(f) Limitations in Expenditure of Grant.--A grant may be made under
subsection (a) only if the State involved agrees that the State will
expend amounts received under such grant as follows:
``(1) The State will expend at least 80 percent of such
amounts for the purposes described in paragraphs (1) and (2) of
such subsection.
``(2) The State will not expend more than 10 percent of such
amounts to carry out the purpose described in paragraph (3) of
such subsection.
``(3) The State will not expend more than 10 percent of such
amounts for administrative purposes.
``(g) Matching Funds.--
``(1) In general.--With respect to the costs of the
activities to be carried out with a grant under subsection (a),
a condition for the receipt of the grant is that the State
involved agrees to make available (directly or through
donations from public or private entities) non-Federal
contributions toward such costs in an amount that is not less
than 25 percent of such costs.
``(2) Determination of amount contributed.--Non-Federal
contributions required in paragraph (1) may be in cash or in
kind, fairly evaluated, including plant, equipment, or
services. Amounts provided by the Federal Government, or
services assisted or subsidized to any significant extent by
the Federal Government, may not be included in determining the
amount of such non-Federal contributions.
``(h) Supplement Not Supplant.--A State that receives a grant under
this section shall ensure that amounts received under such grant will
be used to supplement, and not supplant, any other Federal, State, or
local funds available to carry out activities of the type carried out
under the grant.
``(i) Definitions.--For purposes of this section:
``(1) Child.--The term `child' means an individual who--
``(A) has not attained 18 years of age; or
``(B) has not attained 19 years of age and is a full-
time student in a secondary school (or in the
equivalent level of vocational or technical training).
``(2) Comprehensive eye examination.--The term `comprehensive
eye examination' includes an assessment of a patient's history,
general medical observation, external and ophthalmoscopic
examination, visual acuity, ocular alignment and motility,
refraction, and as appropriate, binocular vision or gross
visual fields, performed by an optometrist or an
ophthalmologist.
``(j) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated--
``(1) $10,000,000 for fiscal year 2010;
``(2) $13,000,000 for fiscal year 2011; and
``(3) $14,000,000 for each of the fiscal years 2012 through
2014.''.
Purpose and Summary
The purpose of H.R. 577, the ``Vision Care for Kids Act of
2009'', is to establish a grant program to provide care for
children with visual impairment. The bill authorizes the
Secretary of Health and Human Services to award grants to
states to provide comprehensive eye examinations and corrective
treatment services to children identified by a vision screening
as needing such services. The bill authorizes the appropriation
of $10 million in FY 2010 and $51 million over the 5-year
period FY 2010 through 2014 for this grant program, which would
be administered through the Centers for Disease Control and
Prevention.
Background and Need for Legislation
Vision impairment affects approximately 1.2 out of every
1,000 8-year-old children. Vision problems can occur at any
point during a lifetime, but tend to be particularly damaging
to school-age children because developmental struggles may
result in physical, emotional, and social consequences. For
instance, a child may miss learning opportunities by failing to
explore his or her environment. Additionally, if a child is
visually impaired, he or she may be unable to imitate social
behavior or understand nonverbal cues.
In addition to the psychological costs, the economic costs
for people with impaired vision are very high. It is estimated
that the lifetime costs for all people with vision impairment
who were born in 2000 will total $2.5 billion. These costs
include both direct and indirect costs. Direct medical costs
include doctor visits, prescription drugs, and inpatient
hospital stays; direct non-medical expenses can include home
modifications and special education. Indirect costs account for
the majority of costs, and include the value of lost wages when
a person dies early, cannot work, or is limited in the amount
or type of work he or she can perform.
The ``Health Vision 2010'' component of the national
Healthy People 2010 initiative to establish national health
objectives underscores the need for correcting children's
vision problems at a young age. Healthy Vision 2010 recommends
that all children receive a vision-screening exam from their
healthcare provider before they reach the age of 5. Early
recognition of eye disease results in more effective treatment
that can be sight-saving or even life-saving. Yet, in 2002, 36%
of children under the age of 5 did not receive any vision
screening.
Hearings
The Committee on Energy and Commerce did not hold hearings
on the legislation.
Committee Consideration
The Committee on Energy and Commerce met in open markup
session on Wednesday, March 4, 2009, and, pursuant to a motion
by Mr. Waxman, agreed by unanimous consent to consider and
approve H.R. 577 and several other bills en bloc. H.R. 577 was
ordered favorably reported, amended, to the House by a voice
vote. An amendment in the nature of a substitute to H.R. 577
offered by Mr. Waxman was adopted by unanimous consent.
Committee Votes
Clause 3(b) of rule XIII of the Rules of the House of
Representatives requires the Committee to list the record votes
on the motion to report legislation and amendments thereto.
There were no recorded votes taken during consideration or
ordering H.R. 577 reported to the House.
Committee Oversight Findings
Regarding clause 3(c)(1) of rule XIII of the Rules of the
House of Representatives, the oversight findings of the
Committee are reflected in this report.
Statement of General Performance Goals and Objectives
H.R. 577 would allow the Secretary of Health and Human
Services, acting through the Director of the Centers for
Disease Control and Prevention (CDC), to award grants to states
to: (1) provide comprehensive eye examinations by a licensed
optometrist or ophthalmologist for children identified by a
licensed healthcare provider or vision screener, with priority
to children under age 9; (2) provide treatment or services to
correct vision problems of such children; and (3) develop and
disseminate educational materials on recognizing signs of
visual impairment in children.
New Budget Authority, Entitlement Authority, and Tax Expenditures
In compliance with clause 3(c)(2) of rule XIII of the Rules
of the House of Representatives, the Committee finds that H.R.
577 would result in no new or increased budget authority,
entitlement authority, or tax expenditures.
Earmarks and Tax and Tariff Benefits
In compliance with clause 9 of rule XXI of the Rules of the
House of Representatives, H.R. 577 does not contain any
congressional earmarks, limited tax benefits, or limited tariff
benefits as defined in clause 9(d), 9(e), or 9(f) of rule XXI.
Committee Cost Estimate
The Committee adopts as its own the cost estimate on H.R.
577 prepared by the Director of the Congressional Budget Office
pursuant to section 402 of the Congressional Budget Act of
1974.
Congressional Budget Office Estimate
Pursuant to clause 3(c)(3) of rule XIII of the Rules of the
House of Representatives, the following is the cost estimate on
H.R. 577 provided by the Congressional Budget Office pursuant
to section 402 of the Congressional Budget Act of 1974:
U.S. Congress,
Congressional Budget Office,
Washington, DC, March 20, 2009.
Hon. Henry A. Waxman,
Chairman, Committee on Energy and Commerce,
House of Representatives, Washington, DC.
Dear Mr. Chairman: The Congressional Budget Office has
prepared the enclosed cost estimate for H.R. 577, the Vision
Care for Kids Act of 2009.
If you wish further details on this estimate, we will be
pleased to provide them. The CBO staff contact is Stephanie
Cameron.
Sincerely,
Douglas W. Elmendorf.
Enclosure.
H.R. 577--Vision Care for Kids Act of 2009
Summary: H.R. 577 would amend the Public Health Service Act
to authorize the Director of the Centers for Disease Control
and Prevention (CDC) to administer grants to states to increase
examinations of children for vision problems, provide treatment
of any problems detected, and develop and disseminate
educational materials to promote the detection of vision
disorders in children. The bill would authorize the
appropriation of $65 million for those purposes over the 2010-
2014 period. CBO estimates that implementing H.R. 577 would
cost $4 million in 2010 and $54 million over the 2010-2014
period, assuming appropriation of the specified amounts.
Enacting H.R. 577 would not affect direct spending or revenues.
H.R. 577 contains no intergovernmental or private-sector
mandates as defined in the Unfunded Mandates Reform Act (UMRA)
and would impose no costs on state, local, or tribal
governments.
Estimated cost to the Federal Government: The estimated
budgetary impact of H.R. 577 is shown in the following table.
The costs of this legislation fall within budget function 550
(health).
----------------------------------------------------------------------------------------------------------------
By fiscal year, in millions of dollars--
-----------------------------------------------------------
2010-
2010 2011 2012 2013 2014 2014
----------------------------------------------------------------------------------------------------------------
CHANGES IN SPENDING SUBJECT TO APPROPRIATION
Authorization Level................................. 10 13 14 14 14 65
Estimated Outlays................................... 4 10 12 14 14 54
----------------------------------------------------------------------------------------------------------------
Basis of estimate: H.R. 577 would authorize the
appropriation of $10 million in 2010 and a total of $65 million
over the 2010-2014 period for the purposes of detecting and
treating vision disorders in low-income children. In
particular, H.R. 577 would authorize the Director of the CDC to
administer grants to states for three purposes: (1) providing
comprehensive eye examinations to children with potential eye
disorders, as identified by screenings; (2) funding treatment
of disorders identified through the comprehensive eye exam; and
(3) developing and disseminating educational materials on
symptoms of eye disorders to parents, teachers, and health care
practitioners.
Children eligible for Medicaid would not be eligible for
vision care services provided through CDC grants. Other low-
income children with health insurance, including those enrolled
in the Children's Health Insurance Program (CHIP), could be
eligible for vision care services provided through CDC grants
if the coverage of such examination, treatment, or services is
not provided through their health insurance. Provision of those
vision care services to children enrolled in CHIP would not
affect direct spending because this bill would not change
eligibility or benefits provided under CHIP.
Based on historical spending patterns for similar programs
at CDC, and assuming appropriation of the authorized amounts,
CBO estimates that implementing H.R. 577 would cost $54 million
over the 2010-2014 period.
Intergovernmental and private-sector impact: H.R. 577
contains no intergovernmental or private-sector mandates as
defined in UMRA. Public institutions of higher education that
provide education and training for health professionals in pain
care would benefit from grant funds authorized in the bill.
Estimate prepared by: Federal costs: Stephanie Cameron;
Impact on state, local, and tribal governments: Lisa Ramirez-
Branum; Impact on the private sector: Kei Nakagawa.
Estimate approved by: Peter H. Fontaine, Assistant Director
for Budget Analysis.
Federal Mandates Statement
The Committee adopts as its own the estimate of federal
mandates regarding H.R. 577 prepared by the Director of the
Congressional Budget Office pursuant to section 423 of the
Unfunded Mandates Reform Act.
Advisory Committee Statement
No advisory committees within the meaning of section 5(b)
of the Federal Advisory Committee Act were created by the
legislation.
Constitutional Authority Statement
Pursuant to clause 3(d)(1) of rule XIII of the Rules of the
House of Representatives, the Committee finds that the
constitutional authority for H.R. 577 is provided in the
provisions of Article I, section 8, clause 1, that relate to
expending funds to provide for the general welfare of the
United States.
Applicability to Legislative Branch
The Committee finds that the legislation does not relate to
the terms and conditions of employment or access to public
services or accommodations within the meaning of section
102(b)(3) of the Congressional Accountability Act of 1995.
Section-by-Section Analysis of the Legislation
Section 1. Short title
Section 1 establishes the short title of the Act as the
``Vision Care for Kids Act of 2009''.
Section 2. Grants regarding vision care for children
Section 2 amends Part Q of title III of the Public Health
Service Act (42 U.S.C. 280h et seq.) to add section 399Z-1.
Section 399Z-1. Grants regarding vision care for children
Section 399Z-1 allows the Secretary of Health and Human
Services, acting through the Director for the Centers for
Disease Control and Prevention, to award grants to states to:
(1) provide comprehensive eye examinations by a licensed
optometrist or ophthalmologist for children identified by a
licensed health care provider or vision screener, with priority
to children under age 9; (2) provide treatment or services to
correct vision problems of such children; and (3) develop and
disseminate educational materials on recognizing signs of
visual impairment in children. This section prioritizes
services for children who are under age 9. It also requires the
Secretary to give priority to states that will provide services
to the lowest-income eligible children. States are required to
ensure that grant funds supplement, and not supplant, any other
federal, state, or local funds available to carry out similar
activities; and to coordinate grant programs under this bill
with existing federal and state programs. States are also
required to provide assurances that the state will not
eliminate or otherwise reduce vision care services and that
grant funds are expended on eligible children.
Section 399Z-1 authorizes $10 million for FY2010, $13
million for FY2011, and $14 million for each of fiscal years
2012 through 2014, and it requires that at least 25% of costs
are contributed by the state, directly or through donations.
Explanation of Amendments
Mr. Waxman offered an amendment in the nature of a
substitute to make certain changes to the bill. These included
a clarification of eligibility requirements for children with
regard to specific services; the requirement that up to 10% of
funds be available for educational materials and up to 10% for
administrative costs; and the indication of specific
authorization amounts for each of the 5 fiscal years.
Changes in Existing Law Made by the Bill, as Reported
In compliance with clause 3(e) of rule XIII of the Rules of
the House of Representatives, changes in existing law made by
the bill, as reported, are shown as follows (new matter is
printed in italic and existing law in which no change is
proposed is shown in roman):
PUBLIC HEALTH SERVICE ACT
* * * * * * *
TITLE III--GENERAL POWERS AND DUTIES OF PUBLIC HEALTH SERVICE
* * * * * * *
PART Q--PROGRAMS TO IMPROVE THE HEALTH OF CHILDREN
* * * * * * *
SEC. 399Z-1. GRANTS REGARDING VISION CARE FOR CHILDREN.
(a) In General.--The Secretary, acting through the Director
of the Centers for Disease Control and Prevention, may award
grants to States on the basis of an established review process
for the purpose of complementing existing State efforts for--
(1) providing comprehensive eye examinations (as
defined in subsection (i)) by a licensed optometrist or
ophthalmologist for eligible children (as defined in
subsection (b)) who have been previously identified
through a vision screening or eye examination by a
licensed health care provider or vision screener as
needing such services, with priority given to children
who are under the age of 9 years;
(2) providing treatment or services to such children,
subsequent to the examinations described in paragraph
(1), that are necessary to correct vision problems; and
(3) developing and disseminating, to parents,
teachers, and health care practitioners, educational
materials on recognizing signs of visual impairment in
children.
(b) Eligible Children.--
(1) In general.--For purposes of this section, the
term ``eligible child'' means, with respect to an
examination described in paragraph (1) of subsection
(a) or a treatment or service described in paragraph
(2) of such subsection and with respect to a State, a
child who is a low-income child (as defined by the
State) and who--
(A) is not eligible for medical assistance
under the State plan under title XIX of such
Act;
(B) subject to paragraph (2)(A), is not
eligible for child health assistance under the
State child health plan under title XXI of the
Social Security Act;
(C) subject to paragraph (2)(B), does not
have health insurance coverage (as defined in
section 2791) in the group market or in the
individual market (as such terms are defined in
such section) and is not a beneficiary or
participant under a group health plan (as
defined in such section); and
(D) is not receiving assistance under any
State health compensation program or under any
other Federal or State health benefits program
for such examination, treatment, or service,
respectively.
(2) Inclusion of certain low-income children with
health benefits.--With respect to an examination
described in paragraph (1) of subsection (a) or a
treatment or service described in paragraph (2) of such
subsection and with respect to a State--
(A) paragraph (1)(B) shall not apply to a
child who is eligible for child health
assistance under the State child health plan
under title XXI of the Social Security Act
(whether or not such child is enrolled under
such plan), if such plan does not provide for
coverage of such examination, treatment, or
service, respectively; and
(B) paragraph (1)(C) shall not apply to a
child described in such paragraph if no amount
is payable under the coverage or plan described
in such paragraph for such examination,
treatment, or service, respectively.
(c) Criteria.--The Secretary, in consultation with
appropriate professional and patient organizations including
individuals with knowledge of age appropriate vision services,
shall develop criteria--
(1) governing the operation of the grant program
under subsection (a); and
(2) for the collection of data related to vision
assessment and the utilization of follow-up services.
(d) Application.--To be eligible to receive a grant under
subsection (a), a State shall submit to the Secretary an
application in such form, made in such manner, and containing
such information as the Secretary may require, including--
(1) information on existing Federal, Federal-State,
or State-funded children's vision programs;
(2) a plan for the use of grant funds, including how
funds will be used to complement existing State efforts
(including possible partnerships with non-profit
entities);
(3) a plan to determine if an eligible child has been
identified as provided for in subsection (a);
(4) an assurance that funds will be used consistent
with this section;
(5) a description of how funds will be used to
provide examinations, treatments, and services,
consistent with this section; and
(6) an assurance that, in providing examinations,
treatments, and services through use of such grant, the
State will give priority to eligible children with the
lowest income.
(e) Evaluations.--To be eligible to receive a grant under
subsection (a), a State shall agree that, not later than 1 year
after the date on which amounts under the grant are first
received by the State, and annually thereafter while receiving
amounts under the grant, the State will submit to the Secretary
an evaluation of the operations and activities carried out
under the grant, including--
(1) an assessment of the utilization of vision
services and the status of children receiving these
services as a result of the activities carried out
under the grant;
(2) the collection, analysis, and reporting of
children's vision data according to guidelines
prescribed by the Secretary; and
(3) such other information as the Secretary may
require.
(f) Limitations in Expenditure of Grant.--A grant may be made
under subsection (a) only if the State involved agrees that the
State will expend amounts received under such grant as follows:
(1) The State will expend at least 80 percent of such
amounts for the purposes described in paragraphs (1)
and (2) of such subsection.
(2) The State will not expend more than 10 percent of
such amounts to carry out the purpose described in
paragraph (3) of such subsection.
(3) The State will not expend more than 10 percent of
such amounts for administrative purposes.
(g) Matching Funds.--
(1) In general.--With respect to the costs of the
activities to be carried out with a grant under
subsection (a), a condition for the receipt of the
grant is that the State involved agrees to make
available (directly or through donations from public or
private entities) non-Federal contributions toward such
costs in an amount that is not less than 25 percent of
such costs.
(2) Determination of amount contributed.--Non-Federal
contributions required in paragraph (1) may be in cash
or in kind, fairly evaluated, including plant,
equipment, or services. Amounts provided by the Federal
Government, or services assisted or subsidized to any
significant extent by the Federal Government, may not
be included in determining the amount of such non-
Federal contributions.
(h) Supplement Not Supplant.--A State that receives a grant
under this section shall ensure that amounts received under
such grant will be used to supplement, and not supplant, any
other Federal, State, or local funds available to carry out
activities of the type carried out under the grant.
(i) Definitions.--For purposes of this section:
(1) Child.--The term ``child'' means an individual
who--
(A) has not attained 18 years of age; or
(B) has not attained 19 years of age and is a
full-time student in a secondary school (or in
the equivalent level of vocational or technical
training).
(2) Comprehensive eye examination.--The term
``comprehensive eye examination'' includes an
assessment of a patient's history, general medical
observation, external and ophthalmoscopic examination,
visual acuity, ocular alignment and motility,
refraction, and as appropriate, binocular vision or
gross visual fields, performed by an optometrist or an
ophthalmologist.
(j) Authorization of Appropriations.--For the purpose of
carrying out this section, there are authorized to be
appropriated--
(1) $10,000,000 for fiscal year 2010;
(2) $13,000,000 for fiscal year 2011; and
(3) $14,000,000 for each of the fiscal years 2012
through 2014.
* * * * * * *