[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3543 Introduced in House (IH)]







110th CONGRESS
  1st Session
                                H. R. 3543

     To amend the Public Health Service Act to extend and improve 
   protections and services to individuals directly impacted by the 
terrorist attack in New York City on September 11, 2001, and for other 
                               purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 17, 2007

 Mrs. Maloney of New York (for herself, Mr. Nadler, Mr. Fossella, Mr. 
 Ackerman, Mr. Arcuri, Mr. Bishop of New York, Mrs. Capps, Ms. Clarke, 
 Mr. Crowley, Mr. Engel, Mr. Ferguson, Mr. Fortuno, Mr. Garrett of New 
 Jersey, Mrs. Gillibrand, Mr. Hall of New York, Mr. Hare, Mr. Higgins, 
   Mr. Hinchey, Mr. Holden, Mr. Holt, Mr. Israel, Ms. Jackson-Lee of 
    Texas, Mr. King of New York, Mr. Kuhl of New York, Mr. Lewis of 
Georgia, Mrs. Lowey, Mr. Lynch, Mrs. McCarthy of New York, Mr. McHugh, 
 Mr. McNulty, Mr. Meeks of New York, Mr. George Miller of California, 
 Mr. Pascrell, Mr. Rangel, Mr. Reynolds, Mr. Ruppersberger, Mr. Rush, 
 Ms. Linda T. Sanchez of California, Mr. Serrano, Mr. Shays, Ms. Shea-
    Porter, Ms. Slaughter, Mr. Smith of New Jersey, Mr. Towns, Ms. 
  Velazquez, Mr. Walsh of New York, Mr. Weiner, Ms. Woolsey, and Mr. 
    Wynn) introduced the following bill; which was referred to the 
 Committee on Energy and Commerce, and in addition to the Committee on 
   the Judiciary, for a period to be subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
     To amend the Public Health Service Act to extend and improve 
   protections and services to individuals directly impacted by the 
terrorist attack in New York City on September 11, 2001, and for other 
                               purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``James Zadroga 9/11 
Health and Compensation Act of 2007''.
    (b) Table of Contents.--The table of contents of this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. Emergency funding.
               TITLE I--WORLD TRADE CENTER HEALTH PROGRAM

Sec. 101. World Trade Center Health Program.
             ``TITLE XXX--WORLD TRADE CENTER HEALTH PROGRAM

     ``Subtitle A--Establishment of Program; Steering and Advisory 
                               Committees

        ``Sec. 3001. Establishment of World Trade Center Health Program 
                            within NIOSH.
        ``Sec. 3002. WTC Health Program Steering Committee.
        ``Sec. 3003. WTC Health Program Scientific/Technical Advisory 
                            Committee.
        ``Sec. 3004. Community education and outreach.
        ``Sec. 3005. Uniform data collection.
        ``Sec. 3006. Centers of Excellence.
        ``Sec. 3007. Programs regarding attack at Pentagon.
        ``Sec. 3008. Entitlement authorities.
        ``Sec. 3009. Definitions.
           ``Subtitle B--Program of Monitoring and Treatment

                      ``Part 1--For WTC Responders

        ``Sec. 3011. Identification of eligible WTC responders and 
                            provision of WTC-related monitoring 
                            services.
        ``Sec. 3012. Treatment of eligible WTC responders for WTC-
                            related health conditions.
                      ``Part 2--Community Program

        ``Sec. 3021. Identification of eligible WTC residents and other 
                            non-responders and provision of WTC-related 
                            monitoring services.
        ``Sec. 3022. Treatment of eligible WTC residents and other non-
                            responders for WTC-related health 
                            conditions.
 ``Part 3--National Arrangement for Benefits for Eligible Individuals 
                            Outside New York

        ``Sec. 3031. National arrangement for benefits for eligible 
                            individuals outside New York.
                 ``Subtitle C--Research Into Conditions

        ``Sec. 3041. Research regarding certain health conditions 
                            related to September 11 terrorist attacks 
                            in New York City.
 ``Subtitle D--Programs of the New York City Department of Health and 
                             Mental Hygiene

        ``Sec. 3051. World Trade Center Health Registry.
        ``Sec. 3052. Mental health services.
        TITLE II--SEPTEMBER 11 VICTIM COMPENSATION FUND OF 2001

Sec. 201. Deadline extension for certain claims under September 11 
                            Victim Compensation Fund of 2001.
Sec. 202. Exception to single claim requirement in certain 
                            circumstances.
Sec. 203. Eligibility of claimants suffering from psychological harm.
Sec. 204. Immediate aftermath defined.
Sec. 205. Eligible individuals to include eligible WTC responders and 
                            eligible WTC residents and other non-
                            responders.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Thousands of rescue workers who responded to the areas 
        devastated by the terrorist attacks of September 11, local 
        residents, office and area workers, and school children 
        continue to suffer significant medical problems as a result of 
        compromised air quality and the release of other toxins from 
        the attack sites.
            (2) In a September 2006 peer-reviewed study conducted by 
        the World Trade Center Medical Monitoring Program, of 9,500 
        World Trade Center responders, almost 70 percent of World Trade 
        Center responders had a new or worsened respiratory symptom 
        that developed during or after their time working at the World 
        Trade Center; among the responders who were asymptomatic before 
        9/11, 61 percent developed respiratory symptoms while working 
        at the World Trade Center; close to 60 percent still had a new 
        or worsened respiratory symptom at the time of their 
        examination; one-third had abnormal pulmonary function tests; 
        and severe respiratory conditions including pneumonia were 
        significantly more common in the 6 months after 9/11 than in 
        the prior 6 months.
            (3) An April 2006 study documented that, on average, a New 
        York City firefighter who responded to the World Trade Center 
        has experienced a loss of 12 years of lung capacity.
            (4) A peer-reviewed study of residents who lived near the 
        World Trade Center titled ``The World Trade Center Residents' 
        Respiratory Health Study: New Onset Respiratory Symptoms and 
        Pulmonary Function'', found that data demonstrated a three fold 
        increase in new-onset, persistent lower respiratory symptoms in 
        residents near the former World Trade Center as compared to a 
        control population.
            (5) Previous research on the health impacts of the 
        devastation caused by the September 11 terrorist attacks has 
        shown relationships between the air quality from Ground Zero 
        and a host of health impacts, including lower pregnancy rates, 
        higher rates of respiratory and lung disorders, and a variety 
        of post-disaster mental health conditions (including 
        posttraumatic stress disorder) in workers and residents near 
        Ground Zero.
            (6) Launched in December 2001 by researchers at Columbia 
        University's Center for Children's Environmental Health, the 
        World Trade Center Pregnancy Study is ongoing. Thus far, the 
        results of the study show that babies born to women living 
        within 2 miles of the World Trade Center in the month following 
        9/11 were significantly smaller and lighter than babies born to 
        women who lived farther away, and that in utero exposure to 
        WTC-derived Polycyclic Aromatic Hydrocarbons may have increased 
        the carcinogenic risk to cohort children and contributed to a 
        modest reduction in their cognitive development.
            (7) Federal funding allocated for the monitoring of rescue 
        workers' health is not sufficient to ensure the long-term study 
        of health impacts of September 11.
            (8) The Federal funding allocated for medical monitoring 
        does not provide for the medical monitoring of New York City 
        area residents, office and area workers, schoolchildren, or 
        Federal employees who responded to the terrorist attacks of 
        September 11, 2001.
            (9) A significant portion of those who responded to the 
        September 11 aftermath have no health insurance, lost their 
        health insurance as a result of the attacks, or have inadequate 
        health insurance for the medical conditions they developed as a 
        result of recovery work at the World Trade Center site.
            (10) The Federal program to provide medical treatments to 
        those who responded to the September 11 aftermath, and who 
        continue to experience health problems as a result, was finally 
        established more than five years after the attacks, but is not 
        adequately funded and is projected to exhaust all Federal 
        funding before the end of fiscal year 2007.
            (11) Rescue workers and volunteers seeking workers 
        compensation have reported that their applications have been 
        denied, delayed for months, or redirected, instead of receiving 
        assistance in a timely and supportive manner.
            (12) A February 2007 report released by the City of New 
        York estimated that approximately 410,000 people were the most 
        heavily exposed to the environmental hazards and trauma of the 
        September 11 terrorist attacks. More than 30 percent of the 
        Fire Department of the City of New York first responders were 
        still experiencing some respiratory symptoms more than five 
        years after the attacks and according to the report, 59 percent 
        of those seen by the WTC Environmental Health Center at 
        Bellevue Hospital (which serves non-responders) are without 
        insurance and 65 percent have incomes less than $15,000 per 
        year. The report also found a need to continue and expand 
        mental health services.
            (13) Since the 5th anniversary of the attack (September 11, 
        2006), about 500 workers a month have been signing up with the 
        monitoring and treatment programs, more than at any time since 
        early 2004.
            (14) According to press reports, documents prepared by the 
        National Institute for Occupational Safety and Health reveal 
        that the number of recovery workers getting sick is increasing, 
        and their illnesses are becoming more severe. More than 6,500 
        responders are receiving treatment for physical health 
        conditions.
            (15) The September 11 Victim Compensation Fund of 2001 was 
        established to provide compensation to individuals who were 
        physically injured or killed as a result of the terrorist-
        related aircraft crashes of September 11, 2001.
            (16) The deadline for filing claims for compensation under 
        the Victim Compensation Fund was December 22, 2003.
            (17) Some individuals did not know they were eligible to 
        file claims for compensation for injuries or did not know they 
        had suffered physical harm as a result of the terrorist-related 
        aircraft crashes until after the December 22, 2003, deadline.
            (18) Further research is needed to evaluate more 
        comprehensively the extent of the health impacts of September 
        11, including research for emerging health problems such as 
        cancer, which have been predicted.
            (19) Research is needed regarding possible treatment for 
        the illnesses and injuries of September 11.
            (20) The Federal response to medical and financial issues 
        arising from the September 11 response efforts needs a 
        comprehensive, coordinated long-term response in order to meet 
        the needs of all the individuals who were exposed to the toxins 
        of Ground Zero and are suffering health problems from the 
        disaster.

SEC. 3. EMERGENCY FUNDING.

    Amounts appropriated pursuant to this Act (other than amounts 
appropriated for the WTC Health Program Steering Committee or for the 
WTC Health Program Scientific/Technical Advisory Committee) are 
designated as emergency requirements and necessary to meet emergency 
needs pursuant to subsections (a) and (b) of section 204 of S. Con. 
Res. 21 (110th Congress), the concurrent resolution on the budget for 
fiscal year 2008.

               TITLE I--WORLD TRADE CENTER HEALTH PROGRAM

SEC. 101. WORLD TRADE CENTER HEALTH PROGRAM.

    The Public Health Service Act is amended by adding at the end the 
following new title:

             ``TITLE XXX--WORLD TRADE CENTER HEALTH PROGRAM

     ``Subtitle A--Establishment of Program; Steering and Advisory 
                               Committees

``SEC. 3001. ESTABLISHMENT OF WORLD TRADE CENTER HEALTH PROGRAM WITHIN 
              NIOSH.

    ``(a) In General.--There is hereby established within the National 
Institute for Occupational Safety and Health a program to be known as 
the `World Trade Center Health Program' (in this title referred to as 
the `WTC program') to provide medical monitoring and treatment 
benefits--
            ``(1) to eligible emergency responders and recovery and 
        clean-up workers (including those who are Federal employees) 
        who responded to the 9/11 NYC terrorist attacks; and
            ``(2) to residents and other building occupants and area 
        workers in New York City who were directly impacted and 
        adversely affected by such attacks.
    ``(b) Components of Program.--The WTC program includes the 
following components:
            ``(1) Medical monitoring.--Medical monitoring under 
        sections 3011 and 3021, including screening, clinical 
        examinations, and long-term health monitoring and analysis for 
        individuals who were likely to have been exposed to airborne 
        toxins that were released as a result of the 9/11 NYC terrorist 
        attacks.
            ``(2) Treatment for wtc-related conditions.--Provision 
        under sections 3012 and 3022 of treatment and payment, without 
        any cost-sharing, for all medically necessary health and mental 
        health care expenses (including necessary prescription drugs) 
        of individuals with a WTC-related health condition.
            ``(3) Outreach.--Establishment under section 3004 of an 
        outreach program to potentially eligible individuals concerning 
        the benefits under this title.
            ``(4) Uniform data collection.--Collection under section 
        3005 of health and mental health data on individuals receiving 
        monitoring or treatment benefits, using a uniform system of 
        data collection.
            ``(5) Research on wtc conditions.--Establishment under 
        subtitle C of a research program on health conditions resulting 
        from the 9/11 NYC terrorist attacks.
    ``(c) No Cost-Sharing.--Monitoring and treatment benefits are 
provided under subtitle B without any deductibles, co-payments, or 
other cost-sharing.
    ``(d) Primary Payer.--
            ``(1) In general.--Subject to paragraph (2), monitoring and 
        treatment benefits are provided under subtitle B without regard 
        to whether an individual may have coverage for some or all of 
        such benefits through health insurance or otherwise.
            ``(2) Workers' compensation exception.--Payment for 
        treatment under subtitle B of a WTC-related health condition of 
        an individual shall be reduced or recouped to the extent that 
        payment is made under a workers' compensation law or plan of 
        the United States or a State for such treatment.
    ``(e) WTC Program Administration.--The WTC program shall be 
administered by the Director of the National Institute for Occupational 
Safety and Health, or a designee of such Director.

``SEC. 3002. WTC HEALTH PROGRAM STEERING COMMITTEE.

    ``(a) Establishment.--The WTC program administrator shall establish 
an advisory committee to be known as the WTC Health Program Steering 
Committee (in this section referred to as the `Steering Committee') for 
the purpose of providing the administrator with advice and oversight on 
the WTC program.
    ``(b) Membership.--
            ``(1) Initial membership.--The Steering Committee shall 
        initially be composed of the following:
                    ``(A) WTC monitoring and treatment program steering 
                committee.--The members of the WTC Monitoring and 
                Treatment Program Steering Committee (as in existence 
                on the day before the date of the enactment of this 
                title).
                    ``(B) Appointments by initial members.--The 
                following members, appointed by the Steering Committee 
                described under subparagraph (A) and subject to the 
                approval of the WTC program administrator:
                            ``(i) One representative of the World Trade 
                        Center Environmental Health Center at Bellevue 
                        Hospital.
                            ``(ii) Two representatives of the resident 
                        and other non-responder population.
            ``(2) Additional appointments.--The Steering Committee may 
        appoint additional members to the Committee, subject to the 
        approval of the WTC program administrator.
            ``(3) Vacancies.--A vacancy in the Steering Committee shall 
        be filled by the Steering Committee, subject to the approval of 
        the WTC program administrator, so long as the composition of 
        the Committee includes representatives of affected workers and 
        residents, representatives described in paragraph (1)(B), 
        representatives of the Clinical Centers of Excellence, and a 
        representative of each Coordinating Center of Excellence.
    ``(c) Relation to FACA.--The Steering Committee shall not be 
subject to the Federal Advisory Committee Act.
    ``(d) Meetings.--The Steering Committee shall meet at such 
frequency necessary to carry out its duties, but not less than 4 times 
each calendar year.
    ``(e) Reports.--Not less than once each calendar year, the Steering 
Committee shall submit to the Congress a report on the recommendations 
of the Committee.
    ``(f) Duration.--Notwithstanding any other provision of law, the 
Steering Committee shall continue in operation during the period in 
which the WTC program is in operation.
    ``(g) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each fiscal year beginning with fiscal year 2008.

``SEC. 3003. WTC HEALTH PROGRAM SCIENTIFIC/TECHNICAL ADVISORY 
              COMMITTEE.

    ``(a) Establishment.--The WTC program administrator shall establish 
an advisory committee to be known as the WTC Health Program Scientific/
Technical Advisory Committee (in this section referred to as the 
`Advisory Committee') to review scientific and medical evidence and to 
make recommendations to the administrator on additional WTC program 
eligibility criteria and on additional WTC-related health conditions.
    ``(b) Composition.--The WTC program administrator shall appoint the 
members of the Advisory Committee and shall include at least--
            ``(1) 4 occupational physicians, at least two of whom have 
        experience treating WTC rescue and recovery workers;
            ``(2) 2 representatives of WTC responders;
            ``(3) 2 representatives of WTC residents and other non-
        responders;
            ``(4) an industrial hygienist;
            ``(5) a toxicologist;
            ``(6) an epidemiologist; and
            ``(7) a mental health professional.
    ``(c) Meetings.--The Advisory Committee shall meet at such 
frequency as may be required to carry out its duties.
    ``(d) Reports.--The WTC program administrator shall provide for 
publication of recommendations of the Advisory Committee on the public 
website established for the WTC program.
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each fiscal year beginning with fiscal year 2008.
    ``(f) Duration.--Notwithstanding any other provision of law, the 
Advisory Committee shall continue in operation during the period in 
which the WTC program is in operation.
    ``(g) Application of FACA.--Except as otherwise specifically 
provided, the Advisory Committee shall be subject to the Federal 
Advisory Committee Act.

``SEC. 3004. COMMUNITY EDUCATION AND OUTREACH.

    ``(a) In General.--The WTC program administrator shall institute a 
program that provides education and outreach on the existence and 
availability of services under the WTC program. The outreach and 
education program--
            ``(1) shall include the establishment of a public website 
        with information about the WTC program; and
            ``(2) shall be conducted in a manner intended--
                    ``(A) to reach all affected populations; and
                    ``(B) to include materials for culturally and 
                linguistically diverse populations.
    ``(b) Partnerships.--To the greatest extent possible, in carrying 
out this section, the WTC program administrator shall enter into 
partnerships with local governments and organizations with experience 
performing outreach to the affected populations, including community 
and labor-based organizations.

``SEC. 3005. UNIFORM DATA COLLECTION.

    ``(a) In General.--The WTC program administrator shall provide for 
the uniform collection of data (and analysis of data and regular 
reports to the administrator) on the utilization of monitoring and 
treatment benefits provided to eligible WTC responders and eligible WTC 
residents and other non-responders, the prevalence of WTC-related 
health conditions, and the identification of new WTC-related medical 
conditions. Such data shall be collected for all individuals provided 
monitoring or treatment benefits under subtitle B and regardless of 
their place of residence or Clinical Center of Excellence through which 
the benefits are provided.
    ``(b) Coordinating Through Centers of Excellence.--Each Clinical 
Center of Excellence shall, under section 3006(d)(3), collect data 
described in subsection (a) and report such data to the corresponding 
Coordinating Center of Excellence for analysis by such Coordinating 
Center of Excellence under section 3006(a)(2)(A).
    ``(c) Privacy.--The data collection and analysis under this section 
shall be conducted in a manner that protects the confidentiality of 
individually identifiable health information consistent with applicable 
legal requirements.

``SEC. 3006. CENTERS OF EXCELLENCE.

    ``(a) In General.--The WTC program administrator shall enter into 
contracts--
            ``(1) with Clinical Centers of Excellence specified in 
        subsection (b)(1)--
                    ``(A) for the provision of monitoring and treatment 
                benefits under subtitle B;
                    ``(B) for the provision of outreach activities to 
                individuals eligible for such monitoring and treatment 
                benefits;
                    ``(C) for the provision of counseling for benefits 
                under subtitle B, with respect to WTC-related health 
                conditions, for individuals eligible for such benefits; 
                and
                    ``(D) for the credentialing of other medical 
                providers participating in the national network; and
            ``(2) with Coordinating Centers of Excellence specified in 
        subsection (b)(2)--
                    ``(A) for receiving, analyzing, and reporting to 
                the WTC program administrator on data, in accordance 
                with section 3005, that has been collected and reported 
                to such Coordinating Centers by the corresponding 
                Clinical Centers of Excellence under subsection (d)(3);
                    ``(B) for the development of medical monitoring and 
                treatment protocols, with respect to WTC-related health 
                conditions; and
                    ``(C) for coordinating the outreach activities 
                conducted under paragraph (1)(B) by each corresponding 
                Clinical Center of Excellence.
    ``(b) Centers of Excellence Defined.--
            ``(1) Clinical center of excellence.--In this title, the 
        term `Clinical Center of Excellence' means the following:
                    ``(A) For fdny responders in new york.--With 
                respect to an eligible WTC responder who responded to 
                the 9/11 attacks as an employee of the Fire Department 
                of the City of New York and who resides in the New York 
                Metropolitan area, such Fire Department (or such entity 
                as has entered into a contract with the Fire Department 
                for monitoring or treatment of such responders).
                    ``(B) Other wtc responders in new york.--With 
                respect to other eligible WTC responders who reside in 
                the New York Metropolitan area, the Mt. Sinai 
                coordinated consortium, Queens College, State 
                University of New York at Stony Brook, University of 
                Medicine and Dentistry of New Jersey, and Bellevue 
                Hospital.
                    ``(C) WTC residents and other non-responders in new 
                york.--With respect to eligible WTC residents and other 
                non-responders who reside in the New York Metropolitan 
                area, the World Trade Center Environmental Health 
                Center at Bellevue Hospital and such hospitals or other 
                facilities, including but not limited to those within 
                the New York City Health and Hospitals Corporation, as 
                are identified by the WTC program administrator.
                    ``(D) All wtc responders and non-responders.--With 
                respect to all eligible WTC responders and non-
                responders, such other hospitals or other facilities as 
                are identified by the WTC program administrator.
            ``(2) Coordinating center of excellence.--In this title, 
        the term `Coordinating Center of Excellence' means the 
        following:
                    ``(A) For fdny responders.--With respect to an 
                eligible WTC responder who responded to the 9/11 
                attacks as an employee of the Fire Department of the 
                City of New York, such Fire Department.
                    ``(B) Other wtc responders.--With respect to other 
                eligible WTC responders, the Mt. Sinai coordinated 
                consortium.
                    ``(C) WTC residents and other non-responders.--With 
                respect to eligible WTC residents and other non-
                responders, the World Trade Center Environmental Health 
                Center at Bellevue Hospital.
            ``(3) Corresponding centers.--In this title, a Clinical 
        Center of Excellence and a Coordinating Center of Excellence 
        shall be treated as `corresponding' to the extent that such 
        Clinical Center and Coordinating Center serve the same 
        population group.
    ``(c) Entitlement.--A Clinical or Coordinating Center of Excellence 
with a contract under this section is entitled to payment of the costs 
of such Center in carrying out the activities described in subsection 
(a).
    ``(d) Requirements.--The WTC program administrator shall not enter 
into a contract with a Clinical Center of Excellence under subsection 
(a)(1) unless--
            ``(1) the Center establishes a formal mechanism for 
        consulting with and receiving input from representatives of 
        eligible populations receiving monitoring and treatment 
        benefits under subtitle B from such Center;
            ``(2) the Center provides for the coordination of 
        monitoring and treatment benefits under subtitle B with routine 
        medical care provided for the treatment of conditions other 
        than WTC-related health conditions; and
            ``(3) the Center collects and reports to the corresponding 
        Coordinating Center of Excellence data in accordance with 
        section 3005.

``SEC. 3007. PROGRAMS REGARDING ATTACK AT PENTAGON.

    ``The Secretary may, to the extent determined appropriate by the 
Secretary, establish with respect to the terrorist attack at the 
Pentagon on September 11, 2001, programs similar to the programs that 
are established in subtitles B and C with respect to the 9/11 NYC 
terrorist attacks.

``SEC. 3008. ENTITLEMENT AUTHORITIES.

    ``Subtitle B constitutes budget authority in advance of 
appropriations Acts and represents the obligation of the Federal 
Government to provide for the payment of costs of monitoring and 
treatment in accordance with such subtitle and section 3006(c) 
constitutes such budget authority and represents the obligation of the 
Federal Government to provide for the payment of costs described in 
such section.

``SEC. 3009. DEFINITIONS.

    ``In this title:
            ``(1) The terms `Clinical Center of Excellence' and 
        `Coordinating Center of Excellence' have the meanings given 
        such terms in section 3006(b).
            ``(2) The term `current consortium arrangements' means the 
        arrangements as in effect on the date of the enactment of this 
        title between the National Institute for Occupational Safety 
        and Health and the Mt. Sinai-coordinated consortium and the 
        Fire Department of the City of New York.
            ``(3) The terms `eligible WTC responder' and `eligible WTC 
        resident or other non-responder' are defined in sections 
        3011(a) and 3021(a), respectively.
            ``(4) The term `Mt.-Sinai-coordinated consortium' means the 
        consortium coordinated by Mt. Sinai hospital in New York City 
        that coordinates the monitoring and treatment under the current 
        consortium arrangements for WTC responders other than with 
        respect to those covered under the arrangement with the Fire 
        Department for the City of New York.
            ``(5) The term `New York City disaster area' means an area, 
        specified by the WTC program administrator, within which 
        individuals who resided, worked, or otherwise were regularly 
        present during the period beginning on September 11, 2001, and 
        ending on July 31, 2002, were likely to have been exposed to 
        airborne toxins that were released as a result of the 9/11 NYC 
        terrorist attacks, and includes the area within 2 miles of the 
        perimeter of the former World Trade Center site. In determining 
        the boundaries of the New York City disaster area, the 
        administrator shall take into consideration peer-reviewed 
        research that has demonstrated potential exposure to such 
        toxins at a distance of within 5 miles from the former World 
        Trade Center.
            ``(6) The term `New York metropolitan area' means an area, 
        specified by the WTC program administrator, within which 
        eligible WTC responders and eligible WTC residents and other 
        non-responders who reside in such area are reasonably able to 
        access monitoring and treatment benefits under this title 
        through a Clinical Centers of Excellence described in 
        subparagraphs (A), (B), or (C) of section 3006(b)(1).
            ``(7) The term `9/11 NYC terrorist attacks' means the 
        terrorist attacks that occurred on September 11, 2001, in New 
        York City and includes the aftermath of such attacks.
            ``(8) The term `WTC Health Program Steering Committee' 
        means such Committee established under section 3002.
            ``(9) The term `WTC program administrator' means the 
        individual responsible under section 3001(d) for the 
        administration of the WTC program.
            ``(10) The term `WTC-related health condition' is defined 
        in section 3012(a).
            ``(11) The term `WTC Scientific/Technical Advisory 
        Committee' means such Committee established under section 3003.

           ``Subtitle B--Program of Monitoring and Treatment

                      ``PART 1--FOR WTC RESPONDERS

``SEC. 3011. IDENTIFICATION OF ELIGIBLE WTC RESPONDERS AND PROVISION OF 
              WTC-RELATED MONITORING SERVICES.

    ``(a) Eligible WTC Responder Defined.--
            ``(1) In general.--For purposes of this title, the term 
        `eligible WTC responder' means any of the following 
        individuals:
                    ``(A) Currently identified responder.--An 
                individual who has been identified as eligible for 
                medical monitoring under the current consortium 
                arrangements (as defined in section 3009(2)).
                    ``(B) Responder who meets current eligibility 
                criteria.--An individual who meets the current 
                eligibility criteria described in paragraph (2).
                    ``(C) Responder who meets modified eligibility 
                criteria.--An individual who--
                            ``(i) performed rescue, recovery, 
                        demolition, debris cleanup, or other related 
                        services in the New York City disaster area in 
                        response to the 9/11 NYC terrorist attacks, 
                        regardless of whether such services were 
                        performed by a State or Federal employee or 
                        member of the National Guard or otherwise; and
                            ``(ii) meets such eligibility criteria 
                        relating to exposure to airborne toxins, other 
                        hazards, or adverse conditions resulting from 
                        the 9/11 NYC terrorist attacks as the WTC 
                        program administrator, after consultation with 
                        the WTC Health Program Steering Committee and 
                        the WTC Scientific/Technical Advisory 
                        Committee, determines appropriate.
            ``(2) Current eligibility criteria.--The eligibility 
        criteria described in this paragraph for an individual is that 
        the individual is described in either of the following 
        categories:
                    ``(A) Fire fighters and related personnel.--All 
                members of the Fire Department of the City of New York 
                (whether fire or emergency personnel, active or 
                retired) who participated at least one day in the 
                rescue and recovery effort at any of the former World 
                Trade sites (including Ground Zero, Staten Island land 
                fill, and the NYC Chief Medical Examiner's office) for 
                any time during the period beginning on September 11, 
                2001, and ending on July 31, 2002.
                    ``(B) Other wtc rescue, recovery, and clean-up 
                workers.--The individual--
                            ``(i) worked or volunteered on-site in 
                        rescue, recovery, debris-cleanup or related 
                        support services in lower Manhattan (south of 
                        Canal St.), the Staten Island Landfill, or the 
                        barge loading piers, for at least 4 hours 
                        during the period beginning on September 11, 
                        2001, and ending on September 14, 2001, for at 
                        least 24 hours during the period beginning on 
                        September 11, 2001, and ending on September 30, 
                        2001, or for at least 80 hours during the 
                        period beginning on September 11, 2001, and 
                        ending on July 31, 2002;
                            ``(ii) was an employee of the Office of the 
                        Chief Medical Examiner of the City of New York 
                        involved in the examination and processing of 
                        human remains, or other morgue worker who 
                        performed similar post- September 11 functions 
                        for such Office staff;
                            ``(iii) was a worker in the Port Authority 
                        Trans-Hudson Corporation tunnel for at least 24 
                        hours during the period beginning on February 
                        1, 2002, and ending on July 1, 2002; or
                            ``(iv) was a vehicle-maintenance worker who 
                        was exposed to debris from the former World 
                        Trade Center while retrieving, driving, 
                        cleaning, repairing, and maintaining vehicles 
                        contaminated by airborne toxins from the 9/11 
                        NYC terrorist attacks during a duration and 
                        period described in subparagraph (A).
            ``(3) Application process.--The Coordinating Centers of 
        Excellence shall establish a process for individuals, other 
        than eligible WTC responders described in paragraph (1)(A), to 
        apply to be determined to be eligible WTC responders.
            ``(4) Certification.--
                    ``(A) In general.--In the case of an individual 
                described in paragraph (1)(A) or who is determined 
                under paragraph (3) to be an eligible WTC responder, 
                the WTC program administrator shall provide an 
                appropriate certification of such fact and of 
                eligibility for monitoring and treatment benefits under 
                this part. The administrator shall not deny such a 
                certification to an individual who is an eligible WTC 
                responder.
                    ``(B) Timing.--In the case of an individual who is 
                determined under paragraph (3) to be an eligible WTC 
                responder, the WTC program administrator shall provide 
                the certification under subparagraph (A) within 60 days 
                of such determination.
    ``(b) Monitoring Benefits.--
            ``(1) In general.--In the case of an eligible WTC 
        responder, the WTC program shall provide for monitoring 
        benefits that include medical monitoring consistent with 
        protocols approved by the WTC program administrator and 
        including screening, clinical examinations, and long-term 
        health monitoring and analysis. In the case of an eligible WTC 
        responder who is an active member of the Fire Department of the 
        City of New York, the responder shall receiving such benefits 
        as part of the individual's periodic company medical exams.
            ``(2) Provision of monitoring benefits.--The monitoring 
        benefits under paragraph (1) shall be provided through the 
        Clinical Center of Excellence for the type of individual 
        involved or, in the case of an individual residing outside the 
        New York metropolitan area, under an arrangement under section 
        3031.

``SEC. 3012. TREATMENT OF ELIGIBLE WTC RESPONDERS FOR WTC-RELATED 
              HEALTH CONDITIONS.

    ``(a) WTC-Related Health Condition Defined.--
            ``(1) In general.--For purposes of this title, the term 
        `WTC-related health condition' means--
                    ``(A) an illness or health condition for which 
                exposure to airborne toxins, any other hazard, or any 
                other adverse condition resulting from the 9/11 NYC 
                terrorist attacks is at least as likely as not to be a 
                significant factor in aggravating, contributing to, or 
                causing the illness or health condition;
                    ``(B) a mental health condition for which such 
                attacks are at least as likely as not to be a 
                significant factor in aggravating, contributing to, or 
                causing the condition; and
                    ``(C) any presumed WTC-related health condition (as 
                defined in paragraph (2)).
            ``(2) Presumed wtc-related health condition.--For purposes 
        of this title, the term `presumed WTC-related health condition' 
        means any of the following health conditions, and any condition 
        specified under paragraph (3):
                    ``(A) Aerodigestive disorders.--
                            ``(i) Interstitial lung diseases.
                            ``(ii) Chronic respiratory disorder--fumes/
                        vapors.
                            ``(iii) Asthma.
                            ``(iv) Reactive airways dysfunction 
                        syndrome (RADS).
                            ``(v) WTC-exacerbated chronic obstructive 
                        pulmonary disease (COPD).
                            ``(vi) Chronic cough syndrome.
                            ``(vii) Upper airway hyperreactivity.
                            ``(viii) Chronic rhinosinusitis.
                            ``(ix) Chronic nasopharyngitis.
                            ``(x) Chronic laryngitis.
                            ``(xi) Gastro-esophageal reflux disorder 
                        (GERD).
                            ``(xii) Sleep apnea exacerbated by or 
                        related to a condition described in a previous 
                        clause.
                    ``(B) Mental health conditions.--
                            ``(i) Post traumatic stress disorder 
                        (PTSD).
                            ``(ii) Major depressive disorder.
                            ``(iii) Panic disorder.
                            ``(iv) Generalized anxiety disorder.
                            ``(v) Anxiety disorder (not otherwise 
                        specified).
                            ``(vi) Depression (not otherwise 
                        specified).
                            ``(vii) Acute stress disorder.
                            ``(viii) Dysthymic disorder.
                            ``(ix) Adjustment disorder.
                            ``(x) Substance abuse.
                            ``(xi) V codes (treatments not specifically 
                        related to psychiatric disorders, such as 
                        marital problems, parenting problems etc.)
                    ``(C) Musculoskeletal disorders.--
                            ``(i) Low back pain.
                            ``(ii) Carpal tunnel syndrome (CTS).
                            ``(iii) Other musculoskeletal disorders.
            ``(3) Application for additional presumed wtc-related 
        health conditions.--
                    ``(A) Application.--Any individual or organization 
                can apply to the WTC program administrator for an 
                illness or health condition not described in paragraph 
                (2) to be added to the list of presumed WTC-related 
                conditions.
                    ``(B) Review.--The administrator shall establish a 
                public process for receiving public input and comments 
                on any application under subparagraph (A).
                    ``(C) Considerations.--In making determinations on 
                such applications, the findings and recommendations of 
                Clinical Centers of Excellence published in peer 
                reviewed journals should be given deference in the 
                determination of whether an additional illness or 
                health condition, such as cancer, should be added to 
                the list of presumed WTC-related health conditions.
                    ``(D) Consultation.--The WTC program administrator 
                shall consult with the WTC Health Program Steering 
                Committee and the WTC Scientific/Technical Advisory 
                Committee in making a determination on whether an 
                additional health condition should be added to the list 
                of presumed WTC-related conditions.
                    ``(E) Determination.--The WTC program administrator 
                shall add an illness or health condition to the list of 
                presumed WTC-related health conditions if, based on a 
                review of the evidence and consultations conducted 
                under subparagraphs (B), (C), and (D), the 
                administrator determines that exposure to airborne 
                toxins, other hazards, or other adverse conditions 
                resulting form the 9/11 NYC terrorist attacks is at 
                least as likely as not to be a significant factor in 
                aggravating, contributing to, or causing the illness or 
                health condition.
    ``(b) Coverage of Treatment for WTC-Related Health Conditions.--
            ``(1) Determination based on presumed wtc-related health 
        condition.--
                    ``(A) In general.--If a physician at a Clinical 
                Center of Excellence that is providing monitoring 
                benefits under section 3011 for an eligible WTC 
                responder determines that the responder has a presumed 
                WTC-related health condition, and the physician makes a 
                clinical determination that exposure to airborne 
                toxins, other hazards, or adverse conditions resulting 
                from the 9/11 terrorist attacks is at least as likely 
                as not to be a significant factor in aggravating, 
                contributing to, or causing the condition--
                            ``(i) the physician shall promptly transmit 
                        such determination to the WTC program 
                        administrator and provide the administrator 
                        with the medical facts supporting such 
                        determination; and
                            ``(ii) on and after the date of such 
                        transmittal and subject to paragraph (2), the 
                        WTC program shall provide for payment under 
                        subsection (c) of the costs of medically 
                        necessary treatment for such condition.
                    ``(B) Review; certification; appeals.--
                            ``(i) Review.--A Federal employee 
                        designated by the WTC program administrator 
                        shall review determinations made under 
                        subparagraph (A)(i) of a WTC-related health 
                        condition.
                            ``(ii) Certification.--The administrator 
                        shall provide a certification of coverage of 
                        the treatment of such condition based upon 
                        reviews conducted under clause (i). Such a 
                        certification shall be provided unless the 
                        administrator determines that the responder's 
                        condition is not a presumed WTC-related health 
                        condition or that exposure to airborne toxins, 
                        other hazards, or adverse conditions resulting 
                        from the 9/11 terrorist attacks is not at least 
                        as likely as not to be a significant factor in 
                        aggravating, contributing to, or causing the 
                        condition.
                            ``(iii) Appeal process.--The administrator 
                        shall provide a process for the appeal of 
                        determinations under clause (ii).
            ``(2) Determination based on other wtc-related health 
        condition.--
                    ``(A) In general.--If a physician at a Clinical 
                Center of Excellence that is providing monitoring 
                benefits under section 3011 for an eligible WTC 
                responder determines that the responder has a WTC-
                related health condition that is not a presumed WTC-
                related health condition--
                            ``(i) the physician shall promptly transmit 
                        such determination to the WTC program 
                        administrator and provide the administrator 
                        with the facts supporting such determination; 
                        and
                            ``(ii) on and after the date of such 
                        transmittal and pending a determination by the 
                        administrator under subparagraph (B), the WTC 
                        program shall provide for payment under 
                        subsection (c) of the costs of medically 
                        necessary services to treat such condition.
                    ``(B) Review; certification.--
                            ``(i) Use of physician panel.--The WTC 
                        program administrator shall provide for the 
                        review of each determination made under 
                        subparagraph (A)(i) of a WTC-related health 
                        condition to be made by a physician panel with 
                        appropriate expertise appointed by the WTC 
                        program administrator. Such a panel shall make 
                        recommendations to the administrator on the 
                        evidence supporting such determination.
                            ``(ii) Review of recommendations of panel; 
                        certification.--The administrator, based on 
                        such recommendations shall determine whether or 
                        not the condition is a WTC-related health 
                        condition and, if it is, provide for a 
                        certification under paragraph (1)(B)(ii) of 
                        coverage of such condition. The administrator 
                        shall provide a process for the appeal of 
                        determinations that the responder's condition 
                        is not a WTC-related health condition.
            ``(3) Requirement of medical necessity.--The determination 
        under paragraphs (1)(A)(ii) and (2)(A)(ii) of whether treatment 
        is medically necessary for a WTC-related health condition shall 
        be made by physicians at the appropriate Clinical Center of 
        Excellence, taking into account, for presumed WTC-related 
        health conditions, medical treatment protocols established 
        under subsection (d).
            ``(4) Scope of treatment covered.--The scope of treatment 
        covered under such paragraphs includes physician services, 
        diagnostic and laboratory tests, prescription drugs, inpatient 
        and outpatient hospital services, and other medically necessary 
        treatment.
            ``(5) Continuation of treatment while being enrolled in 
        medical monitoring program.--In the case of a WTC responder 
        receiving medical treatment under the current consortium 
        arrangements but who has not been determined to be an eligible 
        WTC responder or enrolled in the medical monitoring program 
        under section 3011, while the individual is being enrolled in 
        such program the treatment shall be considered to be treatment 
        under this subsection for which payment may be made under 
        subsection (c).
    ``(c) Payment for Costs of Treatment of WTC-Related Health 
Conditions.--
            ``(1) In general.--The WTC program shall provide for 
        payment of the costs of medically necessary treatment of WTC-
        related health conditions of eligible WTC responders. The WTC 
        program administrator shall establish methods for determining 
        the costs for such treatment.
            ``(2) Administrative arrangement authority.--The WTC 
        program administrator may enter into arrangements with other 
        government agencies, insurance companies, or other third-party 
        administrators to provide for timely and accurate processing of 
        claims under this section.
    ``(d) Medical Treatment Protocols.--
            ``(1) Development.--The Coordinating Centers of Excellence 
        shall develop medical treatment protocols for the treatment of 
        eligible WTC responders and eligible WTC residents and other 
        non-responders for presumed WTC-related health conditions under 
        subsection (b).
            ``(2) Approval.--The WTC program administrator shall 
        approve the medical treatment protocols, in consultation with 
        the WTC Health Program Steering Committee.

                      ``PART 2--COMMUNITY PROGRAM

``SEC. 3021. IDENTIFICATION OF ELIGIBLE WTC RESIDENTS AND OTHER NON-
              RESPONDERS AND PROVISION OF WTC-RELATED MONITORING 
              SERVICES.

    ``(a) Eligible WTC Resident and Other Non-Responder Defined.--
            ``(1) In general.--For purposes of this title, the term 
        `eligible WTC resident and other non-responder' means an 
        individual who--
                    ``(A) is a WTC non-responder (as defined in 
                paragraph (2));
                    ``(B) is not an eligible WTC responder; and
                    ``(C) meets such eligibility criteria relating to 
                exposure to airborne toxins, any other hazard, or any 
                other adverse condition resulting from the 9/11 NYC 
                terrorist attacks as the WTC program administrator, 
                after consultation with the WTC Health Program Steering 
                Committee and the WTC Scientific/Technical Advisory 
                Committee, determines appropriate.
            ``(2) WTC resident and other non-responder defined.--In 
        this title, the term `WTC resident and other non-responder' 
        means an individual who is described in any of the following 
        subparagraphs:
                    ``(A) A person whose place of residence at any time 
                during the period beginning on September 11, 2001, and 
                ending on July 31, 2002, was in the New York City 
                disaster area.
                    ``(B) A person who was working at any time during 
                such period in the New York City disaster area.
                    ``(C) A person who attended school, child care, or 
                adult day care at any time during such period in a 
                building located in the New York City disaster area.
                    ``(D) A person who was present in the New York City 
                disaster area on September 11, 2001.
                    ``(E) A person who was deemed eligible to receive a 
                grant from the Lower Manhattan Development Corporation 
                Residential Grant Program, who possessed a lease for a 
                residence or purchased a residence in the New York City 
                disaster area, and who resided in such residence after 
                September 11, 2001 and prior to May 31, 2003.
                    ``(F) A person whose place of employment--
                            ``(i) at any time during the period 
                        beginning on September 11, 2001, and ending on 
                        May 31, 2003, was in the New York City disaster 
                        area; and
                            ``(ii) was deemed eligible to receive a 
                        grant from the Lower Manhattan Development 
                        Corporation WTC Small Firms Attraction and 
                        Retention Act program or other government 
                        incentive program designed to revitalize the 
                        Lower Manhattan economy after the 9/11 NYC 
                        terrorist attacks.
                    ``(G) Any other person whom the WTC program 
                administrator determines to be appropriate.
            ``(3) Eligibility criteria.--In establishing eligibility 
        criteria under paragraph (1)(C), the WTC program administrator 
        shall--
                    ``(A) with respect to clause (i) of such paragraph, 
                take into account the period, and, to the extent 
                feasible, intensity, of exposure to airborne toxins, 
                other hazard, or other adverse condition;
                    ``(B) base such criteria on best available evidence 
                of exposure and related adverse health effects; and
                    ``(C) consult with the WTC Health Program Steering 
                Committee, Coordinating Centers of Excellence described 
                in section 3006(b)(1)(C), and affected populations.
        The administrator shall first establish such criteria not later 
        than 90 days after the date of the enactment of this title.
    ``(b) Monitoring Benefits.--
            ``(1) In general.--In the case of an eligible WTC resident 
        or other non-responder, the WTC program shall provide for 
        monitoring benefits that include medical monitoring consistent 
        with protocols approved by the WTC program administrator, in 
        consultation with the World Trade Center Environmental Health 
        Center at Bellevue Hospital and the WTC Health Program Steering 
        Committee, and including screening, clinical examinations, and 
        long-term health monitoring and analysis.
            ``(2) Source of benefits.--The monitoring benefits under 
        paragraph (1) shall be provided through a Clinical Center of 
        Excellence with respect to the individual involved.

``SEC. 3022. TREATMENT OF ELIGIBLE WTC RESIDENTS AND OTHER NON-
              RESPONDERS FOR WTC-RELATED HEALTH CONDITIONS.

    ``(a) In General.--Subject to subsection (b), the provisions of 
section 3012 shall apply to the treatment of WTC-related health 
conditions for eligible WTC residents and other non-responders in the 
same manner as such provisions apply to the treatment of WTC-related 
health conditions for eligible WTC responders.
    ``(b) Substitution of List of Health Conditions for Presumed WTC-
Related Health Conditions.--
            ``(1) In general.--In applying subsection (a), instead of 
        applying the presumed WTC-related health conditions described 
        in section 3102(a)(2), the WTC program administrator shall 
        establish, with input from the Coordinating Center of 
        Excellence described in section 3006(b)(2)(C), a list of WTC-
        related health conditions and associated exposure criteria for 
        which treatment benefits are presumptively available for 
        eligible WTC residents and other non-responders, or subgroups 
        of eligible WTC residents or other non-responders. In 
        establishing such list, the WTC program administrator shall 
        review the presumed WTC-related health conditions listed in 
        paragraph (2) of section 3012(a) to determine which of the 
        conditions meets the criteria for a WTC-related health 
        condition, as defined in paragraph (1) of such section, for 
        eligible WTC residents and other non-responders or sub-groups 
        of eligible WTC residents or other non-responders.
            ``(2) Considerations.--The list of health conditions and 
        associated exposure criteria under paragraph (1) shall, with 
        respect to airborne toxins, other hazards, and other adverse 
        conditions, be based upon the best available scientific and 
        clinical evidence on adverse health effects related to 
        exposures to such toxins, hazards, or adverse conditions, 
        respectively, in the eligible WTC resident and other non-
        responder populations.
            ``(3) Consultation.--The WTC program administrator shall 
        consult with and receive input from the WTC Health Program 
        Steering Committee and affected populations, and shall provide 
        an opportunity for public comment, in establishing the list 
        under paragraph (1).
            ``(4) Deadline.--The WTC program administrator shall first 
        establish and publish the list under paragraph (1) in the 
        Federal Register not later than 180 days after the date of the 
        enactment of this title.
            ``(5) Treatment during interim period.--Until the date on 
        which WTC program administrator first publishes under paragraph 
        (4) the list under paragraph (1) for eligible WTC residents and 
        other non-responder populations, the Clinical Centers of 
        Excellence described in section 3006(b)(1)(C) may provide 
        medical treatment to such a resident or member of such a 
        population, if a physician at the Clinical Center of Excellence 
        involved determines that the resident or member, respectively, 
        has a WTC-related health condition. Such treatment shall be 
        provided, without regard to the requirements of section 
        3012(b)(2).

 ``PART 3--NATIONAL ARRANGEMENT FOR BENEFITS FOR ELIGIBLE INDIVIDUALS 
                            OUTSIDE NEW YORK

``SEC. 3031. NATIONAL ARRANGEMENT FOR BENEFITS FOR ELIGIBLE INDIVIDUALS 
              OUTSIDE NEW YORK.

    ``(a) In General.--In order to ensure reasonable access to 
monitoring and treatment benefits under this subtitle for individuals 
who reside in any State, as defined in section 2(f), outside the New 
York metropolitan area, the WTC program administrator shall establish a 
nationwide network of health care providers to provide such monitoring 
and treatment benefits near such individuals' areas of residence in 
such States, or to establish a mechanism whereby individuals who are 
entitled to benefits for such monitoring or treatment can be reimbursed 
for the cost of such monitoring or treatment.
    ``(b) Network Requirements.--Any health care provider participating 
in the network under subsection (a) shall--
            ``(1) meet criteria for credentialing established by the 
        Coordinating Centers of Excellence;
            ``(2) follow the monitoring and treatment protocols 
        developed under section 3006(a)(1); and
            ``(3) collect and report data in accordance with section 
        3005.

                 ``Subtitle C--Research Into Conditions

``SEC. 3041. RESEARCH REGARDING CERTAIN HEALTH CONDITIONS RELATED TO 
              SEPTEMBER 11 TERRORIST ATTACKS IN NEW YORK CITY.

    ``(a) In General.--With respect to individuals, including WTC 
responders and non-responders, receiving monitoring under subtitle B, 
the WTC program administrator shall conduct or support--
            ``(1) research on physical and mental health conditions 
        that may be related to the September 11 terrorist attacks;
            ``(2) research on diagnosing WTC-related health conditions 
        of such individuals, in the case of conditions for which there 
        has been diagnostic uncertainty; and
            ``(3) research on treating WTC-related health conditions of 
        such individuals, in the case of conditions for which there has 
        been treatment uncertainty.
    ``(b) Consultation.--The WTC program administrator shall carry out 
this section in consultation with the WTC Health Program Steering 
Committee.
    ``(c) Application of Privacy and Human Subject Protections.--The 
privacy and human subject protections applicable to research conducted 
under this section shall not be less than such protections applicable 
to research otherwise conducted by the National Institutes of Health.
    ``(d) Annual Report.--The WTC program administrator shall annually 
submit to the Congress a report describing the findings of research 
under subsection (a).
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of fiscal years 2008 through 2026, in 
addition to any other authorizations of appropriations that are 
available for such purpose.

 ``Subtitle D--Programs of the New York City Department of Health and 
                             Mental Hygiene

``SEC. 3051. WORLD TRADE CENTER HEALTH REGISTRY.

    ``(a) Program Extension.--For the purpose of ensuring on-going data 
collection for victims of the 9/11 NYC terrorist attacks, the WTC 
program administrator, shall extend and expand the arrangements in 
effect as of January 1, 2007, with the New York City Department of 
Health and Mental Hygiene that provide for the World Trade Center 
Health Registry.
    ``(b) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary.

``SEC. 3052. MENTAL HEALTH SERVICES.

    ``The WTC program administrator may make grants to the New York 
City Department of Health and Mental Hygiene to provide mental health 
services to address mental health needs relating to the 9/11 NYC 
terrorist attacks.''.

        TITLE II--SEPTEMBER 11 VICTIM COMPENSATION FUND OF 2001

SEC. 201. DEADLINE EXTENSION FOR CERTAIN CLAIMS UNDER SEPTEMBER 11 
              VICTIM COMPENSATION FUND OF 2001.

    Section 405(a)(3) of the Air Transportation Safety and System 
Stabilization Act (49 U.S.C. 40101 note) is amended to read as follows:
            ``(3) Limitation.--
                    ``(A) In general.--Except as provided by 
                subparagraph (B), no claim may be filed under paragraph 
                (1) after December 22, 2003.
                    ``(B) Exceptions.--
                            ``(i) In general.--A claim may be filed 
                        under paragraph (1) by an individual (or by a 
                        personal representative on behalf of a deceased 
                        individual) during the period described in 
                        clause (ii), if the Special Master determines 
                        that--
                                    ``(I) the individual first knew 
                                that the individual had suffered a 
                                physical or psychological harm as a 
                                result of the terrorist-related 
                                aircraft crashes of September 11, 2001, 
                                or the aftermath of such attacks, after 
                                December 22, 2003, and before the date 
                                that is 5 years after the date of the 
                                enactment of the James Zadroga 9/11 
                                Health and Compensation Act of 2007;
                                    ``(II) the individual did not for 
                                any reason other than as described in 
                                subclause (I) know that the individual 
                                was eligible to file a claim under 
                                paragraph (1) until after December 22, 
                                2003;
                                    ``(III) the individual filed a 
                                claim under this title before, on, or 
                                after December 22, 2003, and suffered a 
                                significantly greater physical or 
                                psychological harm as a result of the 
                                terrorist-related aircraft crashes of 
                                September 11, 2001, or the aftermath of 
                                such attacks, than was known to the 
                                individual as of the date the most 
                                recent previous claim was filed, and 
                                before the date that is 5 years after 
                                the date of the enactment of the James 
                                Zadroga 9/11 Health and Compensation 
                                Act of 2007; or
                                    ``(IV) the individual was not 
                                eligible to file a claim under this 
                                title before December 22, 2003, but who 
                                becomes so eligible because of the 
                                amendments made by the James Zadroga 9/
                                11 Health and Compensation Act of 2007.
                            ``(ii) Period.--
                                    ``(I) In general.--Except as 
                                provided in subclause (II), the period 
                                described in this clause is the two-
                                year period beginning on the date of 
                                the enactment of the James Zadroga 9/11 
                                Health and Compensation Act of 2007.
                                    ``(II) Exception.--In the case of 
                                an individual who first knew on a date 
                                after such date of enactment that the 
                                individual had suffered physical or 
                                psychological harm described in 
                                subclause (I) of clause (i) or a 
                                significantly greater harm, described 
                                in subclause (III) of such clause, the 
                                period described in this clause is the 
                                two-year period beginning on the date 
                                the individual first acquired such 
                                knowledge.''.

SEC. 202. EXCEPTION TO SINGLE CLAIM REQUIREMENT IN CERTAIN 
              CIRCUMSTANCES.

    Section 405(c)(3)(A) of the Air Transportation Safety and System 
Stabilization Act (49 U.S.C. 40101 note) is amended to read as follows:
                    ``(A) Single claim.--
                            ``(i) In general.--Except as provided by 
                        clause (ii), not more than 1 claim may be 
                        submitted under this title by an individual or 
                        on behalf of a deceased individual.
                            ``(ii) Exception.--A second claim may be 
                        filed under subsection (a)(1) by an individual 
                        (or by a personal representative on behalf of a 
                        deceased individual) if the individual is an 
                        individual described in clause (i)(II), 
                        (i)(III), or (ii)(II) of subsection 
                        (a)(3)(B).''.

SEC. 203. ELIGIBILITY OF CLAIMANTS SUFFERING FROM PSYCHOLOGICAL HARM.

    (a) In General.--Section 405(c)(2)(A)(ii) of the Air Transportation 
Safety and System Stabilization Act (49 U.S.C. 40101 note) is amended 
by inserting ``, psychological harm,'' before ``or death''.
    (b) Conforming Amendments.--
            (1) Section 403 of such Act is amended by striking 
        ``physically injured'' and inserting ``physically or 
        psychologically injured''.
            (2) Section 405(a)(2)(B)(i) of such Act is amended by 
        striking ``physical harm'' and inserting ``physical or 
        psychological harm''.

SEC. 204. IMMEDIATE AFTERMATH DEFINED.

    Section 402 of the Air Transportation Safety and System 
Stabilization Act (49 U.S.C. 40101 note) is amended by adding at the 
end the following new paragraph:
            ``(11) Immediate aftermath.--In section 405(c)(2)(A)(i), 
        the term `immediate aftermath' means any period beginning with 
        the terrorist-related aircraft crashes of September 11, 2001, 
        and ending on July 31, 2002.''.

SEC. 205. ELIGIBLE INDIVIDUALS TO INCLUDE ELIGIBLE WTC RESPONDERS AND 
              ELIGIBLE WTC RESIDENTS AND OTHER NON-RESPONDERS.

    Section 405(c)(2) of the Air Transportation Safety and System 
Stabilization Act (49 U.S.C. 40101 note) is amended--
            (1) in subparagraph (A)(i), by striking ``at the World 
        Trade Center, (New York, New York), the Pentagon (Arlington, 
        Virginia), or'' and inserting ``in the New York City disaster 
        area, as defined in section 3009(5) of the Public Health 
        Service Act, (including at the World Trade Center, (New York, 
        New York)), at the Pentagon (Arlington, Virginia), or at'';
            (2) in subparagraph (B), at the end by striking ``or'';
            (3) in subparagraph (C), by striking ``subparagraph (A) or 
        (B)'' and inserting ``subparagraph (A), (B), or (C)'';
            (4) by redesignating subparagraph (C) as subparagraph (D); 
        and
            (5) by adding after subparagraph (B) the following new 
        subparagraph:
                    ``(C) an individual who is an eligible WTC 
                responder or an eligible WTC resident or other non-
                responder, as defined in sections 3011(a) and 3021(a), 
                respectively, of the Public Health Service Act; or''.
                                 <all>