111th CONGRESS
2d Session
H.R. 847
In the Senate of the United
States,
December 22, 2010.
Amendment:
That the bill from the House of Representatives
(H.R. 847) entitled An Act 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.
, do pass with the following
Strike all after
the enacting clause and insert the
following:
1.Short title; table of
contents
(a)This Act may be cited
as the James Zadroga 9/11 Health and Compensation Act of
2010
.
(b)The table of contents of this Act is as follows:
Sec. 1. Short title; table of
contents.
TITLE
I—World Trade Center Health Program
Sec.
101. World Trade Center Health Program.
TITLE XXXIII—World Trade Center Health
Program
Subtitle A—Establishment of Program; Advisory
Committee
Sec. 3301. Establishment of World Trade Center Health
Program.
Sec. 3302. WTC Health Program Scientific/Technical Advisory
Committee; WTC Health Program Steering
Committees.
Sec. 3303. Education and
outreach.
Sec. 3304. Uniform data collection and
analysis.
Sec. 3305. Clinical Centers of Excellence and Data
Centers.
Sec. 3306.
Definitions.
Subtitle B—Program of Monitoring, Initial Health Evaluations,
and Treatment
PART
1—WTC Responders
Sec. 3311. Identification of WTC responders and provision of
WTC-related monitoring
services.
Sec. 3312. Treatment of enrolled WTC responders for WTC-related
health conditions.
Sec. 3313. National arrangement for benefits for eligible
individuals outside New York.
PART
2—WTC Survivors
Sec. 3321. Identification and initial health evaluation of
screening-eligible and certified-eligible WTC
survivors.
Sec. 3322. Followup monitoring and treatment of
certified-eligible WTC survivors for WTC-related health
conditions.
Sec. 3323. Followup monitoring and treatment of other
individuals with WTC-related health
conditions.
PART
3—Payor provisions
Sec. 3331. Payment of
claims.
Sec. 3332. Administrative arrangement
authority.
Subtitle C—Research into
Conditions
Sec. 3341. Research regarding certain health conditions related
to September 11 terrorist
attacks.
Sec. 3342. World Trade Center Health
Registry.
Subtitle
D—Funding
Sec. 3351. World Trade Center Health Program
Fund.
TITLE
II—September 11th Victim Compensation Fund of 2001
Sec.
201. Definitions.
Sec.
202. Extended and expanded eligibility for compensation.
Sec.
203. Requirement to update regulations.
Sec.
204. Limited liability for certain claims.
Sec.
205. Funding; attorney fees.
TITLE
III—Revenue related provisions
Sec. 301. Excise tax on foreign
procurement.
Sec. 302. Renewal of fees for
visa-dependent employers.
TITLE
IV—Budgetary Effects
Sec.
401. Compliance with Statutory Pay-As-You-Go Act of 2010.
<enum>I</enum><header>World
Trade Center Health Program</header>
<section id="H61F12A5B25CE4371BD77E113AA194E70"><enum>101.</enum><header>World Trade
Center Health Program</header><text display-inline="no-display-inline">The
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> is amended
by adding at the end the following new title:</text>
<quoted-block display-inline="no-display-inline" id="H219C260B337A4422963C23B7A5942239" style="OLC">
<title id="HD17AF77256F8462BA29BDE889A952F7F"><enum>XXXIII</enum><header>World Trade
Center Health Program</header>
<subtitle id="H9D65FDAFB61946AAB04E61E2C709D6B2"><enum>A</enum><header>Establishment of
Program; Advisory Committee</header>
<section id="H3BE9290517614F31BDBF17AC64083D69"><enum>3301.</enum><header>Establishment
of World Trade Center Health Program</header>
<subsection id="H0BF2813337184D78AE2209E90051AB6C"><enum>(a)</enum><header>In
general</header><text>There is hereby established within the Department of
Health and Human Services a program to be known as the World Trade Center
Health Program, which shall be administered by the WTC Program Administrator,
to provide beginning on July 1, 2011—</text>
<paragraph id="HF0ADC27B2D914B93913CE36E98654586"><enum>(1)</enum><text display-inline="yes-display-inline">medical monitoring and treatment benefits
to eligible emergency responders and recovery and cleanup workers (including
those who are Federal employees) who responded to the September 11, 2001,
terrorist attacks; and</text>
</paragraph><paragraph id="H4457E3A1FC4E4D37A42FB0586E174A4D"><enum>(2)</enum><text>initial health
evaluation, monitoring, and treatment benefits to residents and other building
occupants and area workers in New York City who were directly impacted and
adversely affected by such attacks.</text>
</paragraph></subsection><subsection id="HD078A9D94A5B4316A5E35EF0F932FEA0"><enum>(b)</enum><header>Components of
Program</header><text>The WTC Program includes the following components:</text>
<paragraph id="HF299C39C0EC4403A99BDCBE36CDBE04F"><enum>(1)</enum><header>Medical
monitoring for responders</header><text>Medical monitoring under section 3311,
including clinical examinations and long-term health monitoring and analysis
for enrolled WTC responders who were likely to have been exposed to airborne
toxins that were released, or to other hazards, as a result of the September
11, 2001, terrorist attacks.</text>
</paragraph><paragraph id="HC62C9578E5184FA5B775BB5374F0DB59"><enum>(2)</enum><header>Initial health
evaluation for survivors</header><text display-inline="yes-display-inline">An
initial health evaluation under section 3321, including an evaluation to
determine eligibility for followup monitoring and treatment.</text>
</paragraph><paragraph id="H153C42DFB0D8486694483A2FA0F63B97"><enum>(3)</enum><header>Followup
monitoring and treatment for WTC-related health conditions for responders and
survivors</header><text>Provision under sections 3312, 3322, and 3323 of
followup monitoring and treatment and payment, subject to the provisions of
subsection (d), for all medically necessary health and mental health care
expenses of an individual with respect to a WTC-related health condition
(including necessary prescription drugs).</text>
</paragraph><paragraph id="H7661844923C54E7CA683B02DC72BB3EB"><enum>(4)</enum><header>Outreach</header><text display-inline="yes-display-inline">Establishment under section 3303 of an
education and outreach program to potentially eligible individuals concerning
the benefits under this title.</text>
</paragraph><paragraph id="HF1E64E2149CE4455BB0DFBAE9E133F4B"><enum>(5)</enum><header>Clinical data
collection and analysis</header><text>Collection and analysis under section
3304 of health and mental health data relating to individuals receiving
monitoring or treatment benefits in a uniform manner in collaboration with the
collection of epidemiological data under section 3342.</text>
</paragraph><paragraph id="H50A977436BBC46039C9DB48D98138F3D"><enum>(6)</enum><header>Research on
health conditions</header><text>Establishment under subtitle C of a research
program on health conditions resulting from the September 11, 2001, terrorist
attacks.</text>
</paragraph></subsection><subsection id="HB241F3A834284650BBE4D60B2E4C1986"><enum>(c)</enum><header>No cost
sharing</header><text display-inline="yes-display-inline">Monitoring and
treatment benefits and initial health evaluation benefits are provided under
subtitle B without any deductibles, copayments, or other cost sharing to an
enrolled WTC responder or certified-eligible WTC survivor. Initial health
evaluation benefits are provided under subtitle B without any deductibles,
copayments, or other cost sharing to a screening-eligible WTC survivor.</text>
</subsection><subsection id="H948DB0643AE24894809EC405E5F15093"><enum>(d)</enum><header>Preventing fraud
and unreasonable administrative costs</header>
<paragraph id="H97F8F8211198475BBB91B439BDA29488"><enum>(1)</enum><header>Fraud</header><text>The
Inspector General of the Department of Health and Human Services shall develop
and implement a program to review the WTC Program’s health care expenditures to
detect fraudulent or duplicate billing and payment for inappropriate services.
This title is a Federal health care program (as defined in section 1128B(f) of
the Social Security Act) and is a health plan (as defined in section 1128C(c)
of such Act) for purposes of applying sections 1128 through 1128E of such
Act.</text>
</paragraph><paragraph id="HAD5D67E66B264C8D8A85D7499693EAB5"><enum>(2)</enum><header>Unreasonable
administrative costs</header><text display-inline="yes-display-inline">The
Inspector General of the Department of Health and Human Services shall develop
and implement a program to review the WTC Program for unreasonable
administrative costs, including with respect to infrastructure, administration,
and claims processing.</text>
</paragraph></subsection><subsection id="H4402E730D5E6418DA865E80D8A28AF38"><enum>(e)</enum><header>Quality
assurance</header><text display-inline="yes-display-inline">The WTC Program
Administrator working with the Clinical Centers of Excellence shall develop and
implement a quality assurance program for the monitoring and treatment
delivered by such Centers of Excellence and any other participating health care
providers. Such program shall include—</text>
<paragraph id="HB3A2EDBF68F64A0696B31E1B28229484"><enum>(1)</enum><text>adherence to
monitoring and treatment protocols;</text>
</paragraph><paragraph id="HE83ACAFB426549C889CF8B09123FFCA0"><enum>(2)</enum><text>appropriate
diagnostic and treatment referrals for participants;</text>
</paragraph><paragraph id="HAD534858F2534A44BA5AA0E630443DF7"><enum>(3)</enum><text>prompt
communication of test results to participants; and</text>
</paragraph><paragraph id="H571DFBD9FFF94345AE91829E66CC302E"><enum>(4)</enum><text>such other
elements as the Administrator specifies in consultation with the Clinical
Centers of Excellence.</text>
</paragraph></subsection><subsection id="HED791772BBA64C58AA03F8FF6B77E9AF"><enum>(f)</enum><header>Annual program
report</header>
<paragraph id="HE52665BB82B245BC8A001ECB77AB29F4"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">Not later than 6
months after the end of each fiscal year in which the WTC Program is in
operation, the WTC Program Administrator shall submit an annual report to the
Congress on the operations of this title for such fiscal year and for the
entire period of operation of the program.</text>
</paragraph><paragraph id="HC46EA56AEE8948C7BE2274234D7387D6"><enum>(2)</enum><header>Contents
included in report</header><text display-inline="yes-display-inline">Each
annual report under paragraph (1) shall include at least the following:</text>
<subparagraph id="HE84A5B8A288F4E0CAD46C96E13E0B03E"><enum>(A)</enum><header>Eligible
individuals</header><text display-inline="yes-display-inline">Information for
each clinical program described in paragraph (3)—</text>
<clause id="HB290B3800BE64434B8EA91CAC29ECCCB"><enum>(i)</enum><text display-inline="yes-display-inline">on the number of individuals who applied
for certification under subtitle B and the number of such individuals who were
so certified;</text>
</clause><clause id="H90445F557C9B449589547EFD8682F3CF"><enum>(ii)</enum><text>of
the individuals who were certified, on the number who received monitoring under
the program and the number of such individuals who received medical treatment
under the program;</text>
</clause><clause id="HD726B22D73224FCDA474CE645F865F34"><enum>(iii)</enum><text>with
respect to individuals so certified who received such treatment, on the
WTC-related health conditions for which they were treated; and</text>
</clause><clause id="H6DA1D6B9164D4251B14466DDB8F0B42D"><enum>(iv)</enum><text display-inline="yes-display-inline">on the projected number of individuals who
will be certified under subtitle B in the succeeding fiscal year and the
succeeding 10-year period.</text>
</clause></subparagraph><subparagraph id="H24BE37DAE3804C06B65962751713784B"><enum>(B)</enum><header>Monitoring,
initial health evaluation, and treatment costs</header><text>For each clinical
program so described—</text>
<clause id="H432D1383817E48D184ACB889ED8F3CC4"><enum>(i)</enum><text>information on the
costs of monitoring and initial health evaluation and the costs of treatment
and on the estimated costs of such monitoring, evaluation, and treatment in the
succeeding fiscal year; and</text>
</clause><clause id="HA0D4FD6CFD1A4BDEB2012B7B9BB46FD9"><enum>(ii)</enum><text>an
estimate of the cost of medical treatment for WTC-related health conditions
that have been paid for or reimbursed by workers’ compensation, by public or
private health plans, or by New York City under section 3331.</text>
</clause></subparagraph><subparagraph id="HAB3EA16048284254B78F166769FA49A1"><enum>(C)</enum><header>Administrative
costs</header><text>Information on the cost of administering the program,
including costs of program support, data collection and analysis, and research
conducted under the program.</text>
</subparagraph><subparagraph id="HD605E5F3DCC84552B68E50F78938B032"><enum>(D)</enum><header>Administrative
experience</header><text>Information on the administrative performance of the
program, including—</text>
<clause id="H530E02529EF240FCAB3A0B333BF5CA93"><enum>(i)</enum><text>the
performance of the program in providing timely evaluation of and treatment to
eligible individuals; and</text>
</clause><clause id="H0012747833574E57AD94F07F249BFDC4"><enum>(ii)</enum><text>a
list of the Clinical Centers of Excellence and other providers that are
participating in the program.</text>
</clause></subparagraph><subparagraph id="HE5C020D15C3F4ADD99B6BB7292D7952E"><enum>(E)</enum><header>Scientific
reports</header><text display-inline="yes-display-inline">A summary of the
findings of any new scientific reports or studies on the health effects
associated with exposure described in section 3306(1), including the findings
of research conducted under section 3341(a).</text>
</subparagraph><subparagraph id="HFF39ED31C8C6487BA4B7F081AA82B4FE"><enum>(F)</enum><header>Advisory
committee recommendations</header><text>A list of recommendations by the WTC
Scientific/Technical Advisory Committee on additional WTC Program eligibility
criteria and on additional WTC-related health conditions and the action of the
WTC Program Administrator concerning each such recommendation.</text>
</subparagraph></paragraph><paragraph id="H5F9EE94761E44450A7E2EC18A29AB346"><enum>(3)</enum><header>Separate
clinical programs described</header><text>In paragraph (2), each of the
following shall be treated as a separate clinical program of the WTC
Program:</text>
<subparagraph commented="no" id="H27EF1463FA3B4A34BCB1FACE94D45AB7"><enum>(A)</enum><header>Firefighters and
related personnel</header><text>The benefits provided for enrolled WTC
responders described in section 3311(a)(2)(A).</text>
</subparagraph><subparagraph id="HD3D12E2398C147319B4E85CB1466B60C"><enum>(B)</enum><header>Other WTC
responders</header><text display-inline="yes-display-inline">The benefits
provided for enrolled WTC responders not described in subparagraph (A).</text>
</subparagraph><subparagraph id="HF57433C555C34A8ABB3B7A2B0B47D2BA"><enum>(C)</enum><header>WTC
survivors</header><text display-inline="yes-display-inline">The benefits
provided for screening-eligible WTC survivors and certified-eligible WTC
survivors in section 3321(a).</text>
</subparagraph></paragraph></subsection><subsection id="HD333E8B5A7504BD0A2EB4AC21BCF69D7"><enum>(g)</enum><header>Notification to
Congress upon reaching 80 percent of eligibility numerical limits</header><text display-inline="yes-display-inline">The Secretary shall promptly notify the
Congress of each of the following:</text>
<paragraph id="H80A1CBF1BDCD406E93A62A17F33AB18A"><enum>(1)</enum><text>When the number of
enrollments of WTC responders subject to the limit established under section
3311(a)(4) has reached 80 percent of such limit.</text>
</paragraph><paragraph id="HB35EDCDF0FE44AC8A1CCB52AAFEC879D"><enum>(2)</enum><text display-inline="yes-display-inline">When the number of certifications for
certified-eligible WTC survivors subject to the limit established under section
3321(a)(3) has reached 80 percent of such limit.</text>
</paragraph></subsection><subsection id="HE9861B358726434592D18DFB573EE6A4"><enum>(h)</enum><header>Consultation</header><text display-inline="yes-display-inline">The WTC Program Administrator shall engage
in ongoing outreach and consultation with relevant stakeholders, including the
WTC Health Program Steering Committees and the Advisory Committee under section
3302, regarding the implementation and improvement of programs under this
title.</text>
</subsection></section><section id="H4C155116ACE24A86A165B21138D0D24C"><enum>3302.</enum><header>WTC Health
Program Scientific/Technical Advisory Committee; WTC Health Program Steering
Committees</header>
<subsection id="H0DD2874E578B47899C7F3D395253F79E"><enum>(a)</enum><header>Advisory
Committee</header>
<paragraph id="HF314480F49A94218B226A3E287FFD669"><enum>(1)</enum><header>Establishment</header><text display-inline="yes-display-inline">The WTC Program Administrator shall
establish an advisory committee to be known as the WTC Health Program
Scientific/Technical Advisory Committee (in this subsection referred to as the
<quote>Advisory Committee</quote>) 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.</text>
</paragraph><paragraph id="H56D2E896FAD0438D95790D532DF23FA7"><enum>(2)</enum><header>Composition</header><text display-inline="yes-display-inline">The WTC Program Administrator shall appoint
the members of the Advisory Committee and shall include at least—</text>
<subparagraph id="H668E7A6C685649A18DF135EE27CD292B"><enum>(A)</enum><text>4 occupational
physicians, at least 2 of whom have experience treating WTC rescue and recovery
workers;</text>
</subparagraph><subparagraph id="HA18D43DFC8F940D19CA2976DEADB9E03"><enum>(B)</enum><text display-inline="yes-display-inline">1 physician with expertise in pulmonary
medicine;</text>
</subparagraph><subparagraph id="HCB93732E49BD4E0291B238D53B6D33E3"><enum>(C)</enum><text display-inline="yes-display-inline">2 environmental medicine or environmental
health specialists;</text>
</subparagraph><subparagraph id="HD5D0297606AF4F9D80D4617FDD6B745F"><enum>(D)</enum><text display-inline="yes-display-inline">2 representatives of WTC responders;</text>
</subparagraph><subparagraph id="H0117168CE56A4D7C826A1825EDF34FCB"><enum>(E)</enum><text display-inline="yes-display-inline">2 representatives of certified-eligible WTC
survivors;</text>
</subparagraph><subparagraph id="HE7698E26046C40738FC380BC86D38EFB"><enum>(F)</enum><text>an industrial
hygienist;</text>
</subparagraph><subparagraph id="H188A4DFC5FAE445FB002BD10FDC8BCAB"><enum>(G)</enum><text>a
toxicologist;</text>
</subparagraph><subparagraph id="H30BB1C3699F34AD196E9769A44E3BE82"><enum>(H)</enum><text>an epidemiologist;
and</text>
</subparagraph><subparagraph id="HA975BB0F61C3496BA61863B1B1C3CFF9"><enum>(I)</enum><text>a mental health
professional.</text>
</subparagraph></paragraph><paragraph display-inline="no-display-inline" id="H11AAADB03E1046D4B7933D4C2D5D0138"><enum>(3)</enum><header>Meetings</header><text>The
Advisory Committee shall meet at such frequency as may be required to carry out
its duties.</text>
</paragraph><paragraph id="H6BB2E87B794443778039C8DCEC3A880F"><enum>(4)</enum><header>Reports</header><text>The
WTC Program Administrator shall provide for publication of recommendations of
the Advisory Committee on the public Web site established for the WTC
Program.</text>
</paragraph><paragraph id="H520B2BCFC5C64A81B8FD67AAB64C192F"><enum>(5)</enum><header>Duration</header><text>Notwithstanding
any other provision of law, the Advisory Committee shall continue in operation
during the period in which the WTC Program is in operation.</text>
</paragraph><paragraph id="H11A73C9934B04F11AC29949F5E069EE3"><enum>(6)</enum><header>Application of
FACA</header><text>Except as otherwise specifically provided, the Advisory
Committee shall be subject to the Federal Advisory Committee Act.</text>
</paragraph></subsection><subsection commented="no" id="H7ACE1EC365E3458086D475ED1EF69286"><enum>(b)</enum><header>WTC Health
Program Steering Committees</header>
<paragraph commented="no" id="HB263B525DC6D4F6ABEDD7386469905C1"><enum>(1)</enum><header>Consultation</header><text>The
WTC Program Administrator shall consult with 2 steering committees (each in
this section referred to as a <quote>Steering Committee</quote>) that are
established as follows:</text>
<subparagraph commented="no" id="H71D766B084F74BE6935E8FDEC5D1B83D"><enum>(A)</enum><header>WTC responders
steering committee</header><text>One Steering Committee, to be known as the WTC
Responders Steering Committee, for the purpose of receiving input from affected
stakeholders and facilitating the coordination of monitoring and treatment
programs for the enrolled WTC responders under part 1 of subtitle B.</text>
</subparagraph><subparagraph commented="no" id="H73D94276DE3D4906AA4702AD8FB49D4A"><enum>(B)</enum><header>WTC survivors
steering committee</header><text>One Steering Committee, to be known as the WTC
Survivors Steering Committee, for the purpose of receiving input from affected
stakeholders and facilitating the coordination of initial health evaluations,
monitoring, and treatment programs for screening-eligible and
certified-eligible WTC survivors under part 2 of subtitle B.</text>
</subparagraph></paragraph><paragraph commented="no" id="H5D3064495FEF49F4AC20C038888E5CDA"><enum>(2)</enum><header>Membership</header>
<subparagraph commented="no" id="HAF217F60C5FC426CBCDDB14A652D2457"><enum>(A)</enum><header>WTC responders
steering committee</header>
<clause commented="no" id="HDCEEDBAF31684510B0707EBB06C3ED4F"><enum>(i)</enum><header>Representation</header><text>The
WTC Responders Steering Committee shall include—</text>
<subclause commented="no" id="HDFB6DE34AA7147889F2971EFFBC318BA"><enum>(I)</enum><text display-inline="yes-display-inline">representatives of the Centers of
Excellence providing services to WTC responders;</text>
</subclause><subclause commented="no" id="HA135419B5FBB4FFAB963F6BC1B036B9A"><enum>(II)</enum><text>representatives
of labor organizations representing firefighters, police, other New York City
employees, and recovery and cleanup workers who responded to the September 11,
2001, terrorist attacks; and</text>
</subclause><subclause commented="no" id="HAC829C55A52B49569EEE5E7D0F741B00"><enum>(III)</enum><text>3
representatives of New York City, 1 of whom will be selected by the police
commissioner of New York City, 1 by the health commissioner of New York City,
and 1 by the mayor of New York City.</text>
</subclause></clause><clause commented="no" id="H429F46E47FAA45BAA0D19484BD1DD379"><enum>(ii)</enum><header>Initial
membership</header><text>The WTC Responders Steering Committee shall initially
be composed of 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).</text>
</clause></subparagraph><subparagraph commented="no" id="H2F4B95254EC3486F990792630FC70811"><enum>(B)</enum><header>WTC survivors
steering committee</header>
<clause commented="no" id="H734E9C4C6B6B486B931FC2D8BEE6D44F"><enum>(i)</enum><header>Representation</header><text>The
WTC Survivors Steering Committee shall include representatives of—</text>
<subclause commented="no" id="HE0042C02C3094DC9B7C877E7BD974944"><enum>(I)</enum><text>the Centers of
Excellence providing services to screening-eligible and certified-eligible WTC
survivors;</text>
</subclause><subclause commented="no" id="H5C740E51CED8451CB0C3E89111F406E5"><enum>(II)</enum><text>the population of
residents, students, and area and other workers affected by the September 11,
2001, terrorist attacks;</text>
</subclause><subclause commented="no" id="HB21BF73709AF442599D2DE92FCF7E251"><enum>(III)</enum><text display-inline="yes-display-inline">screening-eligible and certified-eligible
survivors receiving initial health evaluations, monitoring, or treatment under
part 2 of subtitle B and organizations advocating on their behalf; and</text>
</subclause><subclause commented="no" id="H40E2DEDDAEBF45B885346D5C5628CEB9"><enum>(IV)</enum><text>New York
City.</text>
</subclause></clause><clause commented="no" id="H8EFB865DAC1846D7B276D60C64F24BA0"><enum>(ii)</enum><header>Initial
membership</header><text>The WTC Survivors Steering Committee shall initially
be composed of members of the WTC Environmental Health Center Survivor Advisory
Committee (as in existence on the day before the date of the enactment of this
title).</text>
</clause></subparagraph><subparagraph commented="no" id="HD60C88E7F53A41DEA4F7043C55CDECE0"><enum>(C)</enum><header>Additional
appointments</header><text>Each Steering Committee may recommend, if approved
by a majority of voting members of the Committee, additional members to the
Committee.</text>
</subparagraph><subparagraph commented="no" id="H6AFC7F2C02FE43348545E17BEC5F9108"><enum>(D)</enum><header>Vacancies</header><text>A
vacancy in a Steering Committee shall be filled by an individual recommended by
the Steering Committee.</text>
</subparagraph></paragraph></subsection></section><section id="H179544438A3D48238CB56E32AD8E7857"><enum>3303.</enum><header>Education and
outreach</header><text display-inline="no-display-inline">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—</text>
<paragraph id="HA746BC9DC2EA4185A967B846DC0F2158"><enum>(1)</enum><text display-inline="yes-display-inline">shall include—</text>
<subparagraph id="H67C68B1BF43D427E8AC38BF7D3911694"><enum>(A)</enum><text>the establishment
of a public Web site with information about the WTC Program;</text>
</subparagraph><subparagraph id="HFD5330632F9C46179F6E3DD76912B1CB"><enum>(B)</enum><text>meetings with
potentially eligible populations;</text>
</subparagraph><subparagraph id="H7F524192CB02444D98855E59A7221AFA"><enum>(C)</enum><text>development and
dissemination of outreach materials informing people about the program;
and</text>
</subparagraph><subparagraph id="H1C98DE60E1C44F8AB5E378A600DF05D8"><enum>(D)</enum><text>the establishment
of phone information services; and</text>
</subparagraph></paragraph><paragraph id="H751455A1138D403CB1FBFD243D523C19"><enum>(2)</enum><text>shall be conducted
in a manner intended—</text>
<subparagraph id="HB12997EE8766480CBFAEEC3673954E0D"><enum>(A)</enum><text>to reach all
affected populations; and</text>
</subparagraph><subparagraph id="H56BACC003415432E85CD767AA2496E3B"><enum>(B)</enum><text>to include
materials for culturally and linguistically diverse populations.</text>
</subparagraph></paragraph></section><section commented="no" id="H74DE3F9BF1614D6398E360D49CACE640"><enum>3304.</enum><header>Uniform data
collection and analysis</header>
<subsection commented="no" id="HA01B8FADF95D4D8A8DBF1CA7C4D4FB21"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">The WTC Program
Administrator shall provide for the uniform collection of data, including
claims data (and analysis of data and regular reports to the Administrator) on
the prevalence of WTC-related health conditions and the identification of new
WTC-related health 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. The WTC Program Administrator shall provide, through the
Data Centers or otherwise, for the integration of such data into the monitoring
and treatment program activities under this title.</text>
</subsection><subsection commented="no" id="H8E8B083A77B74DA2974D3D40E3FEDC0B"><enum>(b)</enum><header>Coordinating
through Centers of Excellence</header><text>Each Clinical Center of Excellence
shall collect data described in subsection (a) and report such data to the
corresponding Data Center for analysis by such Data Center.</text>
</subsection><subsection id="HD83FE2F9ECAC471D9CC76BB5BC80714D"><enum>(c)</enum><header>Collaboration
with WTC health registry</header><text>The WTC Program Administrator shall
provide for collaboration between the Data Centers and the World Trade Center
Health Registry described in section 3342.</text>
</subsection><subsection commented="no" id="HD46EF578B3E044B9AC6BDB04DC6208EB"><enum>(d)</enum><header>Privacy</header><text display-inline="yes-display-inline">The data collection and analysis under this
section shall be conducted and maintained in a manner that protects the
confidentiality of individually identifiable health information consistent with
applicable statutes and regulations, including, as applicable, HIPAA privacy
and security law (as defined in section 3009(a)(2)) and section 552a of title
5, United States Code.</text>
</subsection></section><section id="HDF806291ED0D407CAE2098A79096154C"><enum>3305.</enum><header>Clinical
Centers of Excellence and Data Centers</header>
<subsection id="H5CD133CE1613432C8FF46C2065A99EA6"><enum>(a)</enum><header>In
general</header>
<paragraph id="H0E69EE82FFEC4CDB8A0FEE364A07E267"><enum>(1)</enum><header>Contracts with
clinical centers of excellence</header><text display-inline="yes-display-inline">The WTC Program Administrator shall,
subject to subsection (b)(1)(B), enter into contracts with Clinical Centers of
Excellence (as defined in subsection (b)(1)(A))—</text>
<subparagraph id="H2EB8821A01184CBEADABAFD5E75CDB36"><enum>(A)</enum><text>for the provision
of monitoring and treatment benefits and initial health evaluation benefits
under subtitle B;</text>
</subparagraph><subparagraph id="H7F32553EA34E42D9AEF1133373542C26"><enum>(B)</enum><text display-inline="yes-display-inline">for the provision of outreach activities to
individuals eligible for such monitoring and treatment benefits, for initial
health evaluation benefits, and for followup to individuals who are enrolled in
the monitoring program;</text>
</subparagraph><subparagraph id="HFB44475D94EF483EA044FA979F9A57CC"><enum>(C)</enum><text>for the provision
of counseling for benefits under subtitle B, with respect to WTC-related health
conditions, for individuals eligible for such benefits;</text>
</subparagraph><subparagraph id="H9E0909DD227140839F9028CBE7F24ADB"><enum>(D)</enum><text display-inline="yes-display-inline">for the provision of counseling for
benefits for WTC-related health conditions that may be available under workers’
compensation or other benefit programs for work-related injuries or illnesses,
health insurance, disability insurance, or other insurance plans or through
public or private social service agencies and assisting eligible individuals in
applying for such benefits;</text>
</subparagraph><subparagraph id="H9CC155DAE0F645BBAAFBE24FD94CA8C1"><enum>(E)</enum><text display-inline="yes-display-inline">for the provision of translational and
interpretive services for program participants who are not English language
proficient; and</text>
</subparagraph><subparagraph id="HAA00F10862D04438B3AA86AA176EE8B7"><enum>(F)</enum><text>for the collection
and reporting of data, including claims data, in accordance with section
3304.</text>
</subparagraph></paragraph><paragraph id="H5BC2984B3B1446549167C8AD800C8AEE"><enum>(2)</enum><header>Contracts with
data centers</header>
<subparagraph id="HCB37DDC91C7648958FE4D4855849847B"><enum>(A)</enum><header>In
general</header><text>The WTC Program Administrator shall enter into contracts
with one or more Data Centers (as defined in subsection (b)(2))—</text>
<clause id="H98470230EE56467E96B0F559F1DBA67C"><enum>(i)</enum><text>for
receiving, analyzing, and reporting to the WTC Program Administrator on data,
in accordance with section 3304, that have been collected and reported to such
Data Centers by the corresponding Clinical Centers of Excellence under
subsection (b)(1)(B)(iii);</text>
</clause><clause id="HBEFED38143AB4325B148A48B29656F05"><enum>(ii)</enum><text>for
the development of monitoring, initial health evaluation, and treatment
protocols, with respect to WTC-related health conditions;</text>
</clause><clause id="H3A39195637EA40479382C16FF874C97F"><enum>(iii)</enum><text>for
coordinating the outreach activities conducted under paragraph (1)(B) by each
corresponding Clinical Center of Excellence;</text>
</clause><clause id="H439B307F1B6E4E30B0105FBB66B3BE73"><enum>(iv)</enum><text>for
establishing criteria for the credentialing of medical providers participating
in the nationwide network under section 3313;</text>
</clause><clause id="H16E6B59875264682AD7D110237CF6EC0"><enum>(v)</enum><text>for
coordinating and administering the activities of the WTC Health Program
Steering Committees established under section 3002(b); and</text>
</clause><clause id="H16C17F47E01D4B8D957C9A1417A4E3DA"><enum>(vi)</enum><text display-inline="yes-display-inline">for meeting periodically with the
corresponding Clinical Centers of Excellence to obtain input on the analysis
and reporting of data collected under clause (i) and on the development of
monitoring, initial health evaluation, and treatment protocols under clause
(ii).</text>
</clause></subparagraph><subparagraph id="H6A22429C8D824B608499FCDFEFA3A4FA"><enum>(B)</enum><header>Medical provider
selection</header><text>The medical providers under subparagraph (A)(iv) shall
be selected by the WTC Program Administrator on the basis of their experience
treating or diagnosing the health conditions included in the list of
WTC-related health conditions.</text>
</subparagraph><subparagraph id="H4D26CBD01C4A47F9A1DEB20EBFBEE08B"><enum>(C)</enum><header>Clinical
discussions</header><text display-inline="yes-display-inline">In carrying out
subparagraph (A)(ii), a Data Center shall engage in clinical discussions across
the WTC Program to guide treatment approaches for individuals with a
WTC-related health condition.</text>
</subparagraph><subparagraph id="H92ABE3E1BBEE456DA3CEDECFFD3097F2"><enum>(D)</enum><header>Transparency of
data</header><text>A contract entered into under this subsection with a Data
Center shall require the Data Center to make any data collected and reported to
such Center under subsection (b)(1)(B)(iii) available to health researchers and
others as provided in the CDC/ATSDR Policy on Releasing and Sharing
Data.</text>
</subparagraph></paragraph><paragraph id="H39229FE8B00C4E9F82AFE098F6A90462"><enum>(3)</enum><header>Authority for
contracts to be class specific</header><text>A contract entered into under this
subsection with a Clinical Center of Excellence or a Data Center may be with
respect to one or more class of enrolled WTC responders, screening-eligible WTC
survivors, or certified-eligible WTC survivors.</text>
</paragraph><paragraph id="H82392EBAC4C04806815718C24D2DC597"><enum>(4)</enum><header>Use of
cooperative agreements</header><text>Any contract under this title between the
WTC Program Administrator and a Data Center or a Clinical Center of Excellence
may be in the form of a cooperative agreement.</text>
</paragraph><paragraph id="ID83b062f458764aa8a085104ce68d85ac"><enum>(5)</enum><header>Review on
feasibility of consolidating Data Centers</header><text>Not later than July 1,
2011, the Comptroller General of the United States shall submit to the
Committee on Energy and Commerce of the House of Representatives and the
Committee on Health, Education, Labor, and Pensions of the Senate a report on
the feasibility of consolidating Data Centers into a single Data Center.</text>
</paragraph></subsection><subsection id="H63683D7E2D6F44578A30171AF8C1700F"><enum>(b)</enum><header>Centers of
excellence</header>
<paragraph id="H052183D0B8BD426D81E02E762AB9940E"><enum>(1)</enum><header>Clinical Centers
of Excellence</header>
<subparagraph id="HC8DB4DA653C8465498E2575303C1A311"><enum>(A)</enum><header>Definition</header><text>For
purposes of this title, the term <quote>Clinical Center of Excellence</quote>
means a Center that demonstrates to the satisfaction of the Administrator that
the Center—</text>
<clause id="H5AA5FDC83D8445EABB0C2E522D536B1F"><enum>(i)</enum><text display-inline="yes-display-inline">uses an integrated, centralized health care
provider approach to create a comprehensive suite of health services under this
title that are accessible to enrolled WTC responders, screening-eligible WTC
survivors, or certified-eligible WTC survivors;</text>
</clause><clause commented="no" id="HD864AB455B9C4EBC8C556A23E158537F"><enum>(ii)</enum><text>has experience in
caring for WTC responders and screening-eligible WTC survivors or includes
health care providers who have been trained pursuant to section 3313(c);</text>
</clause><clause id="H55538C24A06A4FE7BA5B7A187A8E6154"><enum>(iii)</enum><text>employs health
care provider staff with expertise that includes, at a minimum, occupational
medicine, environmental medicine, trauma-related psychiatry and psychology, and
social services counseling; and</text>
</clause><clause id="HD3EFA797DD6F4F4998F2ECD9873301C8"><enum>(iv)</enum><text>meets
such other requirements as specified by the Administrator.</text>
</clause></subparagraph><subparagraph id="H3A123B07B1ED44D8BCAD2ECFEB6A689D"><enum>(B)</enum><header>Contract
requirements</header><text>The WTC Program Administrator shall not enter into a
contract with a Clinical Center of Excellence under subsection (a)(1) unless
the Center agrees to do each of the following:</text>
<clause id="H0ACC99A39C424E8D93BBDB74EF69620A"><enum>(i)</enum><text>Establish 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.</text>
</clause><clause id="H45F98D9BC7294A1CB90127810E1F22B7"><enum>(ii)</enum><text>Coordinate
monitoring and treatment benefits under subtitle B with routine medical care
provided for the treatment of conditions other than WTC-related health
conditions.</text>
</clause><clause id="H1890C1AD851C4AA2A3EEEE22321D7463"><enum>(iii)</enum><text>Collect and
report to the corresponding Data Center data, including claims data, in
accordance with section 3304(b).</text>
</clause><clause id="HDD20B79C832B4420B48488CFEE6EDFFF"><enum>(iv)</enum><text display-inline="yes-display-inline">Have in place safeguards against fraud that
are satisfactory to the Administrator, in consultation with the Inspector
General of the Department of Health and Human Services.</text>
</clause><clause id="H4562086306544C739E39BDB16F5CC26D"><enum>(v)</enum><text>Treat
or refer for treatment all individuals who are enrolled WTC responders or
certified-eligible WTC survivors with respect to such Center who present
themselves for treatment of a WTC-related health condition.</text>
</clause><clause id="H8FCB0532950C48AA8D6099E16F3402F2"><enum>(vi)</enum><text>Have
in place safeguards, consistent with section 3304(c), to ensure the
confidentiality of an individual’s individually identifiable health
information, including requiring that such information not be disclosed to the
individual’s employer without the authorization of the individual.</text>
</clause><clause id="H2287BF2A890546A5BC279E98778C0B7D"><enum>(vii)</enum><text display-inline="yes-display-inline">Use amounts paid under subsection (c)(1)
only for costs incurred in carrying out the activities described in subsection
(a), other than those described in subsection (a)(1)(A).</text>
</clause><clause id="H9FFE952A99D74B488951F18A6BEE2CE0"><enum>(viii)</enum><text>Utilize health
care providers with occupational and environmental medicine expertise to
conduct physical and mental health assessments, in accordance with protocols
developed under subsection (a)(2)(A)(ii).</text>
</clause><clause id="HD92D8DB95FF44848B7E019F38FF19C78"><enum>(ix)</enum><text>Communicate with
WTC responders and screening-eligible and certified-eligible WTC survivors in
appropriate languages and conduct outreach activities with relevant stakeholder
worker or community associations.</text>
</clause><clause id="H63B083E19B654F1A841B41140404BDBE"><enum>(x)</enum><text>Meet
all the other applicable requirements of this title, including regulations
implementing such requirements.</text>
</clause></subparagraph><subparagraph id="H354BD7C58A8B45D2B6355B599FB55F76"><enum>(C)</enum><header>Transition rule
to ensure continuity of care</header><text display-inline="yes-display-inline">The WTC Program Administrator shall to the
maximum extent feasible ensure continuity of care in any period of transition
from monitoring and treatment of an enrolled WTC responder or
certified-eligible WTC survivor by a provider to a Clinical Center of
Excellence or a health care provider participating in the nationwide network
under section 3313.</text>
</subparagraph></paragraph><paragraph commented="no" id="H34C55EAE64394A66B7419ABF832612A6"><enum>(2)</enum><header>Data
Centers</header><text display-inline="yes-display-inline">For purposes of this
title, the term <quote>Data Center</quote> means a Center that the WTC Program
Administrator determines has the capacity to carry out the responsibilities for
a Data Center under subsection (a)(2).</text>
</paragraph><paragraph id="HFB8A91021B1448AC847E99679D445D9E"><enum>(3)</enum><header>Corresponding
centers</header><text>For purposes of this title, a Clinical Center of
Excellence and a Data Center shall be treated as <quote>corresponding</quote>
to the extent that such Clinical Center and Data Center serve the same
population group.</text>
</paragraph></subsection><subsection id="H60719FFCBE1C4AE09E8DEC8EE8AFCAE3"><enum>(c)</enum><header>Payment for
infrastructure costs</header>
<paragraph id="H18D96E06D6A040D893B22892103AFACD"><enum>(1)</enum><header>In
general</header><text>The WTC Program Administrator shall reimburse a Clinical
Center of Excellence for the fixed infrastructure costs of such Center in
carrying out the activities described in subtitle B at a rate negotiated by the
Administrator and such Centers. Such negotiated rate shall be fair and
appropriate and take into account the number of enrolled WTC responders
receiving services from such Center under this title.</text>
</paragraph><paragraph id="H83C41EAD0B45495E823F25FD9D9E721E"><enum>(2)</enum><header>Fixed
infrastructure costs</header><text>For purposes of paragraph (1), the term
<quote>fixed infrastructure costs</quote> means, with respect to a Clinical
Center of Excellence, the costs incurred by such Center that are not otherwise
reimbursable by the WTC Program Administrator under section 3312(c) for patient
evaluation, monitoring, or treatment but which are needed to operate the WTC
program such as the costs involved in outreach to participants or recruiting
participants, data collection and analysis, social services for counseling
patients on other available assistance outside the WTC program, and the
development of treatment protocols. Such term does not include costs for new
construction or other capital costs.</text>
</paragraph></subsection><subsection id="ID0a055f3fb146415da21c77bc9b8b09bf"><enum>(d)</enum><header>GAO
analysis</header><text>Not later than July 1, 2011, the Comptroller General
shall submit to the Committee on Energy and Commerce of the House of
Representatives and the Committee on Health, Education, Labor, and Pensions of
the Senate an analysis on whether Clinical Centers of Excellence with which the
WTC Program Administrator enters into a contract under this section have
financial systems that will allow for the timely submission of claims data for
purposes of section 3304 and subsections (a)(1)(F) and (b)(1)(B)(iii).</text>
</subsection></section><section id="HB336FA9EAF8B452C96E92A9D626AC389"><enum>3306.</enum><header>Definitions</header><text display-inline="no-display-inline">In this title:</text>
<paragraph id="HFD50ADB0C7BE4F0D94CA26A632C59426"><enum>(1)</enum><text display-inline="yes-display-inline">The term <term>aggravating</term> means,
with respect to a health condition, a health condition that existed on
September 11, 2001, and that, as a result of exposure to airborne toxins, any
other hazard, or any other adverse condition resulting from the September 11,
2001, terrorist attacks, requires medical treatment that is (or will be) in
addition to, more frequent than, or of longer duration than the medical
treatment that would have been required for such condition in the absence of
such exposure.</text>
</paragraph><paragraph id="HECDBC61CD7CE48F2AD3A17266D01DFF2"><enum>(2)</enum><text>The
term <quote>certified-eligible WTC survivor</quote> has the meaning given such
term in section 3321(a)(2).</text>
</paragraph><paragraph commented="no" id="HEF5EA13864A64E3AADF81D8CB94B754F"><enum>(3)</enum><text>The terms
<term>Clinical Center of Excellence</term> and <term>Data Center</term> have
the meanings given such terms in section 3305.</text>
</paragraph><paragraph id="H41FBDAEFA0E64F32BF4040FD367C97D1"><enum>(4)</enum><text display-inline="yes-display-inline">The term <term>enrolled WTC
responder</term> means a WTC responder enrolled under section
3311(a)(3).</text>
</paragraph><paragraph id="HAC50F7C728164D68B779FB970A4BE86D"><enum>(5)</enum><text display-inline="yes-display-inline">The term <term>initial health
evaluation</term> includes, with respect to an individual, a medical and
exposure history, a physical examination, and additional medical testing as
needed to evaluate whether the individual has a WTC-related health condition
and is eligible for treatment under the WTC Program.</text>
</paragraph><paragraph id="H5803E399BA964EBA97E41346406DA12D"><enum>(6)</enum><text>The
term <term>list of WTC-related health conditions</term> means—</text>
<subparagraph id="HD7C41D523121483E8974682066E9070A"><enum>(A)</enum><text display-inline="yes-display-inline">for WTC responders, the health conditions
listed in section 3312(a)(3); and</text>
</subparagraph><subparagraph id="HD076B1A458B54DF7B3B06DEA3FDC7F2F"><enum>(B)</enum><text display-inline="yes-display-inline">for screening-eligible and
certified-eligible WTC survivors, the health conditions listed in section
3322(b).</text>
</subparagraph></paragraph><paragraph id="H531CFFD05B614389843C6531852FEDC4"><enum>(7)</enum><text>The
term <term>New York City disaster area</term> means the area within New York
City that is—</text>
<subparagraph id="H06D2D6CEA5464586BF7460886F7B235A"><enum>(A)</enum><text>the area of
Manhattan that is south of Houston Street; and</text>
</subparagraph><subparagraph id="HE7E4731D826949A88F5F32E72743D3BE"><enum>(B)</enum><text>any block in
Brooklyn that is wholly or partially contained within a 1.5-mile radius of the
former World Trade Center site.</text>
</subparagraph></paragraph><paragraph commented="no" id="HDE91B36F6E954E35B00CE1BB9EE9476C"><enum>(8)</enum><text display-inline="yes-display-inline">The term <term>New York metropolitan
area</term> means an area, specified by the WTC Program Administrator, within
which WTC responders and eligible WTC screening-eligible survivors who reside
in such area are reasonably able to access monitoring and treatment benefits
and initial health evaluation benefits under this title through a Clinical
Center of Excellence described in subparagraphs (A), (B), or (C) of section
3305(b)(1).</text>
</paragraph><paragraph id="H590C859E9586469E81472B2B0C1D0B77"><enum>(9)</enum><text>The
term <quote>screening-eligible WTC survivor</quote> has the meaning given such
term in section 3321(a)(1).</text>
</paragraph><paragraph id="H07A233E79F154E0F9FFEBEC500F9F580"><enum>(10)</enum><text>Any reference to
<quote>September 11, 2001</quote> shall be deemed a reference to the period on
such date subsequent to the terrorist attacks at the World Trade Center,
Shanksville, Pennsylvania, or the Pentagon, as applicable, on such date.</text>
</paragraph><paragraph display-inline="no-display-inline" id="HD7155F1794E049EBB294545357E456E3"><enum>(11)</enum><text display-inline="yes-display-inline">The term <quote>September 11, 2001,
terrorist attacks</quote> means the terrorist attacks that occurred on
September 11, 2001, in New York City, in Shanksville, Pennsylvania, and at the
Pentagon, and includes the aftermath of such attacks.</text>
</paragraph><paragraph id="HE1F77B079AAA42E7963B0BF23BFD3604"><enum>(12)</enum><text>The term
<quote>WTC Health Program Steering Committee</quote> means such a Steering
Committee established under section 3302(b).</text>
</paragraph><paragraph id="H27AD007A865D4B67B6D3BBB24C371023"><enum>(13)</enum><text>The term
<quote>WTC Program</quote> means the Word Trade Center Health Program
established under section 3301(a).</text>
</paragraph><paragraph display-inline="no-display-inline" id="H312529B254BC4809B00324066D2A9E1C"><enum>(14)(A)</enum><text>The term
<term>WTC Program Administrator</term> means—</text>
<subparagraph id="ID82c177d9395148cab224219468c2ac7d"><enum>(i)</enum><text>subject to
subparagraph (B), with respect to paragraphs (3) and (4) of section 3311(a)
(relating to enrollment of WTC responders), section 3312(c) and the
corresponding provisions of section 3322 (relating to payment for initial
health evaluation, monitoring, and treatment, paragraphs (1)(C), (2)(B), and
(3) of section 3321(a) (relating to determination or certification of
screening-eligible or certified-eligible WTC responders), and part 3 of
subtitle B (relating to payor provisions), an official in the Department of
Health and Human Services, to be designated by the Secretary; and</text>
</subparagraph><subparagraph id="ID34887971c8384bb2949e06529e424373"><enum>(ii)</enum><text>with respect to
any other provision of this title, the Director of the National Institute for
Occupational Safety and Health, or a designee of such Director.</text>
</subparagraph></paragraph><paragraph id="ID4e702adb254141a7ba5059d543c8b3c5"><enum>(B)</enum><text>In
no case may the Secretary designate under subparagraph (A)(i) the Director of
the National Institute for Occupational Safety and Health or a designee of such
Director with respect to section 3322 (relating to payment for initial health
evaluation, monitoring, and treatment).</text>
</paragraph><paragraph id="HF736E15BCF704B0CA71B62FDE0E09259"><enum>(15)</enum><text>The term
<term>WTC-related health condition</term> is defined in section 3312(a).</text>
</paragraph><paragraph id="HCD2DFE22CBA54F3AB9C34281DBCB7C3C"><enum>(16)</enum><text>The term
<term>WTC responder</term> is defined in section 3311(a).</text>
</paragraph><paragraph id="H57D75E01DC5C460AB02B02A1A39669A6"><enum>(17)</enum><text>The term
<term>WTC Scientific/Technical Advisory Committee</term> means such Committee
established under section 3302(a).</text>
</paragraph></section></subtitle><subtitle id="H534D58F99E7B4109A55087ED37F4D604"><enum>B</enum><header>Program of
Monitoring, Initial Health Evaluations, and Treatment</header>
<part id="HADB8A937478A48C6BA3892D5F40FCD55"><enum>1</enum><header>WTC
Responders </header>
<section id="HF03DFD941A654A98BCE1898DE3CFFEC2"><enum>3311.</enum><header>Identification
of WTC responders and provision of WTC-related monitoring services</header>
<subsection id="H3A074E8263CD4C0680364D618D360DDB"><enum>(a)</enum><header>WTC responder
defined</header>
<paragraph id="HB286C073B5014B4AAEF3E5A7B441C750"><enum>(1)</enum><header>In
general</header><text>For purposes of this title, the term <term>WTC
responder</term> means any of the following individuals, subject to paragraph
(4):</text>
<subparagraph id="HD4E0E5371CDB41F888D4F5BBE567A769"><enum>(A)</enum><header>Currently
identified responder</header><text>An individual who has been identified as
eligible for monitoring under the arrangements as in effect on the date of the
enactment of this title between the National Institute for Occupational Safety
and Health and—</text>
<clause id="HC5840DE95C934A538E27D7500A880A7E"><enum>(i)</enum><text>the
consortium coordinated by Mt. Sinai Hospital in New York City that coordinates
the monitoring and treatment for enrolled WTC responders other than with
respect to those covered under the arrangement with the Fire Department of New
York City; or</text>
</clause><clause id="HB2447962E2314B78A0A2E4720E38C9AD"><enum>(ii)</enum><text>the
Fire Department of New York City.</text>
</clause></subparagraph><subparagraph id="H0822CB5D63ED42549A35606582FE1095"><enum>(B)</enum><header>Responder who
meets current eligibility criteria</header><text>An individual who meets the
current eligibility criteria described in paragraph (2).</text>
</subparagraph><subparagraph commented="no" id="HFAC91FD7D12E444F8011516B829BAA3F"><enum>(C)</enum><header>Responder who
meets modified eligibility criteria</header><text>An individual who—</text>
<clause commented="no" id="HDE6CC43C0B5946F59922F240F307ABC6"><enum>(i)</enum><text>performed rescue,
recovery, demolition, debris cleanup, or other related services in the New York
City disaster area in response to the September 11, 2001, terrorist attacks,
regardless of whether such services were performed by a State or Federal
employee or member of the National Guard or otherwise; and</text>
</clause><clause commented="no" id="HCE5F791A88AC433891C40D61BD42EFB1"><enum>(ii)</enum><text>meets such
eligibility criteria relating to exposure to airborne toxins, other hazards, or
adverse conditions resulting from the September 11, 2001, terrorist attacks as
the WTC Program Administrator, after consultation with the WTC
Scientific/Technical Advisory Committee, determines appropriate.</text>
</clause><continuation-text commented="no" continuation-text-level="subparagraph">The WTC Program Administrator
shall not modify such eligibility criteria on or after the date that the number
of enrollments of WTC responders has reached 80 percent of the limit described
in paragraph (4) or on or after the date that the number of certifications for
certified-eligible WTC survivors under section 3321(a)(2)(B) has reached 80
percent of the limit described in section 3321(a)(3).</continuation-text></subparagraph></paragraph><paragraph id="HEB7AE1C3BDB9406DB67AE583922DCC97"><enum>(2)</enum><header>Current
eligibility criteria</header><text>The eligibility criteria described in this
paragraph for an individual is that the individual is described in any of the
following categories:</text>
<subparagraph id="HADDB888436C340C1BF646FC1DF41A93E"><enum>(A)</enum><header>Firefighters and
related personnel</header><text>The individual—</text>
<clause id="H90FA243DDC164EC48E244FD25629ED51"><enum>(i)</enum><text>was a
member of the Fire Department of New York City (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 Center sites (including
Ground Zero, Staten Island Landfill, and the New York City Chief Medical
Examiner’s Office) for any time during the period beginning on September 11,
2001, and ending on July 31, 2002; or</text>
</clause><clause id="HD3246745187A4516AA522E4E13F4D254"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="HBC097A3DFED2494681686573C330895F"><enum>(I)</enum><text display-inline="yes-display-inline">is a surviving immediate family member of
an individual who was a member of the Fire Department of New York City (whether
fire or emergency personnel, active or retired) and was killed at the World
Trade site on September 11, 2001; and</text>
</subclause><subclause id="HCBBD943FF0C845E7AD01AE6F27EB3800" indent="up1"><enum>(II)</enum><text>received any treatment for a WTC-related
health condition described in section 3312(a)(1)(A)(ii) (relating to mental
health conditions) on or before September 1, 2008.</text>
</subclause></clause></subparagraph><subparagraph id="HB4092B770D51409189DFDE371E86903F"><enum>(B)</enum><header>Law enforcement
officers and WTC rescue, recovery, and cleanup workers</header><text>The
individual—</text>
<clause id="HC87ED955BA78457387656E5591FA06FE"><enum>(i)</enum><text>worked
or volunteered onsite 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;</text>
</clause><clause id="HFDF83C7D35D44BEE8694F1E7CA1FDF98"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="H5B752B3CC0264DB68962DE3A19ADE8B0"><enum>(I)</enum><text>was a member of the
Police Department of New York City (whether active or retired) or a member of
the Port Authority Police of the Port Authority of New York and New Jersey
(whether active or retired) who participated onsite in rescue, recovery, debris
cleanup, or related services in lower Manhattan (south of Canal St.), including
Ground Zero, the Staten Island Landfill, or the barge loading piers, for at
least 4 hours during the period beginning September 11, 2001, and ending on
September 14, 2001;</text>
</subclause><subclause id="H7BDC6DF5DCCE41B18D5F8E009F045E35" indent="up1"><enum>(II)</enum><text>participated onsite in rescue, recovery,
debris cleanup, or related services at Ground Zero, the Staten Island Landfill,
or the barge loading piers, for at least one day during the period beginning on
September 11, 2001, and ending on July 31, 2002;</text>
</subclause><subclause id="H24B134BDA8CF437D98D95D29E2E71B2D" indent="up1"><enum>(III)</enum><text>participated onsite in rescue,
recovery, debris cleanup, or related services in lower Manhattan (south of
Canal St.) for at least 24 hours during the period beginning on September 11,
2001, and ending on September 30, 2001; or</text>
</subclause><subclause id="H3EB26F85804E4C72BD69E91EC0AB9BD8" indent="up1"><enum>(IV)</enum><text>participated onsite in rescue, recovery,
debris cleanup, or related services in lower Manhattan (south of Canal St.) for
at least 80 hours during the period beginning on September 11, 2001, and ending
on July 31, 2002;</text>
</subclause></clause><clause id="H6A4042A8053D423DA4EDF522275554C5"><enum>(iii)</enum><text display-inline="yes-display-inline">was an employee of the Office of the Chief
Medical Examiner of New York City involved in the examination and handling of
human remains from the World Trade Center attacks, or other morgue worker who
performed similar post-September 11 functions for such Office staff, during the
period beginning on September 11, 2001, and ending on July 31, 2002;</text>
</clause><clause id="HAF5CA5559A9F42ED9526613396AE7D07"><enum>(iv)</enum><text>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</text>
</clause><clause id="H791DDE614F944582BC1C84F82767D50E"><enum>(v)</enum><text>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 September 11, 2001, terrorist
attacks during a duration and period described in subparagraph (A).</text>
</clause></subparagraph><subparagraph id="H416FFB8E57584B62B5668188AF93B109"><enum>(C)</enum><header>Responders to
the September 11 attacks at the Pentagon and Shanksville,
Pennsylvania</header><text display-inline="yes-display-inline">The
individual—</text>
<clause id="H91BA34DA58C44972B714F7DA5CB8B4CC"><enum>(i)</enum><subclause commented="no" display-inline="yes-display-inline" id="HF7827A5438464297B9A4223E8325DF28"><enum>(I)</enum><text>was a member of a fire
or police department (whether fire or emergency personnel, active or retired),
worked for a recovery or cleanup contractor, or was a volunteer; and performed
rescue, recovery, demolition, debris cleanup, or other related services at the
Pentagon site of the terrorist-related aircraft crash of September 11, 2001,
during the period beginning on September 11, 2001, and ending on the date on
which the cleanup of the site was concluded, as determined by the WTC Program
Administrator; or</text>
</subclause><subclause id="H21FE946BADCB41C489B7BCD962E25643" indent="up1"><enum>(II)</enum><text display-inline="yes-display-inline">was
a member of a fire or police department (whether fire or emergency personnel,
active or retired), worked for a recovery or cleanup contractor, or was a
volunteer; and performed rescue, recovery, demolition, debris cleanup, or other
related services at the Shanksville, Pennsylvania, site of the
terrorist-related aircraft crash of September 11, 2001, during the period
beginning on September 11, 2001, and ending on the date on which the cleanup of
the site was concluded, as determined by the WTC Program Administrator;
and</text>
</subclause></clause><clause id="HFCD1DF10E7FF4E50BEC95739F253811A"><enum>(ii)</enum><text>is
determined by the WTC Program Administrator to be at an increased risk of
developing a WTC-related health condition as a result of exposure to airborne
toxins, other hazards, or adverse conditions resulting from the September 11,
2001, terrorist attacks, and meets such eligibility criteria related to such
exposures, as the WTC Program Administrator determines are appropriate, after
consultation with the WTC Scientific/Technical Advisory Committee.</text>
</clause></subparagraph></paragraph><paragraph id="H86C1D3B45E4C436E8DCA536583E505E4"><enum>(3)</enum><header>Enrollment
process</header>
<subparagraph id="H965DAB9F8E0542999D02C6A7F3D67B9C"><enum>(A)</enum><header>In
general</header><text>The WTC Program Administrator shall establish a process
for enrolling WTC responders in the WTC Program. Under such process—</text>
<clause id="H59FF400676044960AED8CE347E61E306"><enum>(i)</enum><text>WTC
responders described in paragraph (1)(A) shall be deemed to be enrolled in such
Program;</text>
</clause><clause id="HD3D303DE530742EA94F8AEDCCA33183D"><enum>(ii)</enum><text>subject to clause
(iii), the Administrator shall enroll in such program individuals who are
determined to be WTC responders;</text>
</clause><clause id="H94DBF6CC70A94F21A0373CF830F552F5"><enum>(iii)</enum><text>the
Administrator shall deny such enrollment to an individual if the Administrator
determines that the numerical limitation in paragraph (4) on enrollment of WTC
responders has been met;</text>
</clause><clause id="H46709058C4AF43048129915DA20143AD"><enum>(iv)</enum><text>there
shall be no fee charged to the applicant for making an application for such
enrollment;</text>
</clause><clause id="H5AF73B02C5FC4F7BABCE1C82DF53A8C4"><enum>(v)</enum><text>the
Administrator shall make a determination on such an application not later than
60 days after the date of filing the application; and</text>
</clause><clause id="H78195B1DC3C9471FBECF33B1B4889B20"><enum>(vi)</enum><text>an
individual who is denied enrollment in such Program shall have an opportunity
to appeal such determination in a manner established under such process.</text>
</clause></subparagraph><subparagraph display-inline="no-display-inline" id="H31926E422A324397BF9C5866B2D039F6"><enum>(B)</enum><header>Timing</header>
<clause id="HBADA7F318A174323A576D0B353BBAC7B"><enum>(i)</enum><header>Currently
identified responders</header><text>In accordance with subparagraph (A)(i), the
WTC Program Administrator shall enroll an individual described in paragraph
(1)(A) in the WTC Program not later than July 1, 2011.</text>
</clause><clause id="HC56CFC8ADD864D46B4496B90431F1611"><enum>(ii)</enum><header>Other
responders</header><text>In accordance with subparagraph (A)(ii) and consistent
with paragraph (4), the WTC Program Administrator shall enroll any other
individual who is determined to be a WTC responder in the WTC Program at the
time of such determination.</text>
</clause></subparagraph></paragraph><paragraph id="H05F0EE0D25914B6FA761E99CBB72D821"><enum>(4)</enum><header>Numerical
limitation on eligible WTC responders</header>
<subparagraph id="H3E78C6F6369B4DECA39B6FEDE1AA3AF0"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">The total number of
individuals not described in paragraph (1)(A) or (2)(A)(ii) who may be enrolled
under paragraph (3)(A)(ii) shall not exceed 25,000 at any time, of which no
more than 2,500 may be individuals enrolled based on modified eligibility
criteria established under paragraph (1)(C).</text>
</subparagraph><subparagraph id="HD03A262E3720469EAD825F01AFC92851"><enum>(B)</enum><header>Process</header><text>In
implementing subparagraph (A), the WTC Program Administrator shall—</text>
<clause id="HE48765EFCDC6452390FACF275787DCF7"><enum>(i)</enum><text>limit
the number of enrollments made under paragraph (3)—</text>
<subclause id="H2CDD05DFFC674257BC4099DAA4F806E7"><enum>(I)</enum><text>in
accordance with such subparagraph; and</text>
</subclause><subclause id="H9F3086BEF30E4D8E8479F16C7E1972D1"><enum>(II)</enum><text>to
such number, as determined by the Administrator based on the best available
information and subject to amounts available under section 3351, that will
ensure sufficient funds will be available to provide treatment and monitoring
benefits under this title, with respect to all individuals who are enrolled
through the end of fiscal year 2020; and</text>
</subclause></clause><clause id="H4BF2F7989D8148F88042A486003F4D9D"><enum>(ii)</enum><text display-inline="yes-display-inline">provide priority (subject to paragraph
(3)(A)(i)) in such enrollments in the order in which individuals apply for
enrollment under paragraph (3).</text>
</clause></subparagraph></paragraph><paragraph display-inline="no-display-inline" id="H4B9966B53D234307B0C7BF47A1CD8A77"><enum>(5)</enum><header>Disqualification
of individuals on terrorist watch list</header><text display-inline="yes-display-inline">No individual who is on the terrorist watch
list maintained by the Department of Homeland Security shall qualify as an
eligible WTC responder. Before enrolling any individual as a WTC responder in
the WTC Program under paragraph (3), the Administrator, in consultation with
the Secretary of Homeland Security, shall determine whether the individual is
on such list.</text>
</paragraph></subsection><subsection id="HA7C751464468400FA7744576F7B21057"><enum>(b)</enum><header>Monitoring
Benefits</header>
<paragraph id="HD5926B88CCF048359BF28E158CC065D8"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">In the case of an
enrolled WTC responder (other than one described in subsection (a)(2)(A)(ii)),
the WTC Program shall provide for monitoring benefits that include monitoring
consistent with protocols approved by the WTC Program Administrator and
including clinical examinations and long-term health monitoring and analysis.
In the case of an enrolled WTC responder who is an active member of the Fire
Department of New York City, the responder shall receive such benefits as part
of the individual’s periodic company medical exams.</text>
</paragraph><paragraph id="H2F6817D925024C01A3AFB20680F23B41"><enum>(2)</enum><header>Provision of
monitoring benefits</header><text display-inline="yes-display-inline">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 3313.</text>
</paragraph></subsection></section><section display-inline="no-display-inline" id="H155643262E40434C91BC9BE2B95A1BBA" section-type="subsequent-section"><enum>3312.</enum><header>Treatment of
enrolled WTC responders for WTC-related health conditions</header>
<subsection id="HB22CF4C5FEB94D0E98496CA691B31F16"><enum>(a)</enum><header>WTC-Related
Health Condition Defined</header>
<paragraph id="H5B5E36F49AE143E0A6631AA48EC8AF29"><enum>(1)</enum><header>In
general</header><text>For purposes of this title, the term <term>WTC-related
health condition</term> means a condition that—</text>
<subparagraph id="H4C3F94C5D3194F7A9593BFCACF379CBB"><enum>(A)</enum><clause commented="no" display-inline="yes-display-inline" id="H79F8A4BC582344A798DF0C3E88C4211E"><enum>(i)</enum><text>is an illness or health
condition for which exposure to airborne toxins, any other hazard, or any other
adverse condition resulting from the September 11, 2001, terrorist attacks,
based on an examination by a medical professional with experience in treating
or diagnosing the health conditions included in the applicable list of
WTC-related health conditions, is substantially likely to be a significant
factor in aggravating, contributing to, or causing the illness or health
condition, as determined under paragraph (2); or</text>
</clause><clause id="HDB94265E0051440F8F55AC12A97F8B20" indent="up1"><enum>(ii)</enum><text display-inline="yes-display-inline">is a mental health condition for which such
attacks, based on an examination by a medical professional with experience in
treating or diagnosing the health conditions included in the applicable list of
WTC-related health conditions, is substantially likely to be a significant
factor in aggravating, contributing to, or causing the condition, as determined
under paragraph (2); and</text>
</clause></subparagraph><subparagraph id="HEE226404AE9648ABACFDFA233A96A5A1"><enum>(B)</enum><text>is included in the
applicable list of WTC-related health conditions or—</text>
<clause id="H912EEB9BEAA6454CB2A6C919926EE23C"><enum>(i)</enum><text>with
respect to a WTC responder, is provided certification of coverage under
subsection (b)(2)(B)(iii); or</text>
</clause><clause id="H3FE22305B61049008D3258942CCF171B"><enum>(ii)</enum><text display-inline="yes-display-inline">with respect to a screening-eligible WTC
survivor or certified-eligible WTC survivor, is provided certification of
coverage under subsection (b)(2)(B)(iii), as applied under section
3322(a).</text>
</clause></subparagraph><continuation-text continuation-text-level="paragraph">In the case of
a WTC responder described in section 3311(a)(2)(A)(ii) (relating to a surviving
immediate family member of a firefighter), such term does not include an
illness or health condition described in subparagraph (A)(i).</continuation-text></paragraph><paragraph id="HD5E5ABBEA9764046889F1F46B980D774"><enum>(2)</enum><header>Determination</header><text>The
determination under paragraph (1) or subsection (b) of whether the September
11, 2001, terrorist attacks were substantially likely to be a significant
factor in aggravating, contributing to, or causing an individual’s illness or
health condition shall be made based on an assessment of the following:</text>
<subparagraph id="HFDAB0442424E421C8B475B17C285BF14"><enum>(A)</enum><text>The individual’s
exposure to airborne toxins, any other hazard, or any other adverse condition
resulting from the terrorist attacks. Such exposure shall be—</text>
<clause id="HCE29C517AE074227A8298D0C0A6ACE32"><enum>(i)</enum><text>evaluated and
characterized through the use of a standardized, population-appropriate
questionnaire approved by the Director of the National Institute for
Occupational Safety and Health; and</text>
</clause><clause id="HA664E322E17741979F57896AF1184A4A"><enum>(ii)</enum><text>assessed and
documented by a medical professional with experience in treating or diagnosing
health conditions included on the list of WTC-related health conditions.</text>
</clause></subparagraph><subparagraph id="H9081BD9F78FD4AD6B433FA2275469718"><enum>(B)</enum><text>The type of
symptoms and temporal sequence of symptoms. Such symptoms shall be—</text>
<clause id="HDBE381F4D3B04B73A62CB654007505A9"><enum>(i)</enum><text display-inline="yes-display-inline">assessed through the use of a standardized,
population-appropriate medical questionnaire approved by the Director of the
National Institute for Occupational Safety and Health and a medical
examination; and</text>
</clause><clause id="H2D2BF1616E964F4E879338CEA5384EA1"><enum>(ii)</enum><text>diagnosed and
documented by a medical professional described in subparagraph (A)(ii).</text>
</clause></subparagraph></paragraph><paragraph id="HF7378199902745CCB1FE03A172C3F5D2"><enum>(3)</enum><header>List of health
conditions for WTC responders</header><text>The list of health conditions for
WTC responders consists of the following:</text>
<subparagraph id="H3444C7A61CD14893BEF82B4F1034DC2A"><enum>(A)</enum><header>Aerodigestive
disorders</header>
<clause id="H6DE35C607F364400A0CECAAAD2B6397E"><enum>(i)</enum><text>Interstitial lung
diseases.</text>
</clause><clause id="H6614FC6693A74DB69EDA38594599C748"><enum>(ii)</enum><text>Chronic
respiratory disorder—fumes/vapors.</text>
</clause><clause id="HD92919D5D506452FB52C201CB2E60E04"><enum>(iii)</enum><text>Asthma.</text>
</clause><clause id="H78E5686B071D40EBB43DE2E198E9B56D"><enum>(iv)</enum><text>Reactive airways
dysfunction syndrome (RADS).</text>
</clause><clause id="HA4A1DB6D887B4FC6B80D59B1E73F9B16"><enum>(v)</enum><text>WTC-exacerbated
chronic obstructive pulmonary disease (COPD).</text>
</clause><clause id="H28CDCC3EADE24923BCC13ECA7B219223"><enum>(vi)</enum><text>Chronic cough
syndrome.</text>
</clause><clause id="H2E103553D2854579AD87754E00B03CDF"><enum>(vii)</enum><text>Upper airway
hyperreactivity.</text>
</clause><clause id="HF18C59EAD86243C49A55009733872918"><enum>(viii)</enum><text>Chronic
rhinosinusitis.</text>
</clause><clause id="H1208DFB7503043B18F77CE73C61D0720"><enum>(ix)</enum><text>Chronic
nasopharyngitis.</text>
</clause><clause id="H9EF22D6383824F169F2F6EFDF674FB8C"><enum>(x)</enum><text>Chronic
laryngitis.</text>
</clause><clause id="H8E728226E4EE40B0848444517188E576"><enum>(xi)</enum><text>Gastroesophageal
reflux disorder (GERD).</text>
</clause><clause id="H142193A0F4DF4810977F55E47A118A79"><enum>(xii)</enum><text>Sleep apnea
exacerbated by or related to a condition described in a previous clause.</text>
</clause></subparagraph><subparagraph id="H1C95413C94594A2CA7285B9AB025CC7C"><enum>(B)</enum><header>Mental health
conditions</header>
<clause id="H129C5236C4774FD6A1B47EE92A52B968"><enum>(i)</enum><text>Posttraumatic
stress disorder (PTSD).</text>
</clause><clause id="H4B76979A4CC34FFA95491A3319000302"><enum>(ii)</enum><text>Major
depressive disorder.</text>
</clause><clause id="HC13D99E8970243CAA8507A203CFBF97D"><enum>(iii)</enum><text>Panic
disorder.</text>
</clause><clause id="H7EDCD146AFCD484AA436EB4405163C45"><enum>(iv)</enum><text>Generalized
anxiety disorder.</text>
</clause><clause id="H0AB64B609D3B44609E315B91A6B8DAA3"><enum>(v)</enum><text>Anxiety disorder
(not otherwise specified).</text>
</clause><clause id="H7B6AC4BDAB1B4F4886C6EA173225131F"><enum>(vi)</enum><text>Depression (not
otherwise specified).</text>
</clause><clause id="H67DD98903BBB4EA5B9C1BF48271ECFB0"><enum>(vii)</enum><text>Acute stress
disorder.</text>
</clause><clause id="HB33C261C6998410DB4AD7E72DA8E7163"><enum>(viii)</enum><text>Dysthymic
disorder.</text>
</clause><clause id="H8F2A80BE29B94511ACBDF52A2CF443E4"><enum>(ix)</enum><text>Adjustment
disorder.</text>
</clause><clause id="HFC75E7D144084429A762F978FB81CE18"><enum>(x)</enum><text>Substance
abuse.</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HC096BAC16CC049BEB9BB761766E657C3"><enum>(C)</enum><header>Musculoskeletal
disorders for certain WTC responders</header><text display-inline="yes-display-inline">In the case of a WTC responder described in
paragraph (4), a condition described in such paragraph.</text>
</subparagraph><subparagraph commented="no" id="H873AA685A78741429B4AAB5E4920686F"><enum>(D)</enum><header>Additional
conditions</header><text>Any cancer (or type of cancer) or other condition
added, pursuant to paragraph (5) or (6), to the list under this
paragraph.</text>
</subparagraph></paragraph><paragraph commented="no" id="H46FEC8BAD7D94290BAEA0DC9CCB86F40"><enum>(4)</enum><header>Musculoskeletal
disorders</header>
<subparagraph commented="no" id="H3EA01F7386994E7F93BD50C5731EE435"><enum>(A)</enum><header>In
general</header><text>For purposes of this title, in the case of a WTC
responder who received any treatment for a WTC-related musculoskeletal disorder
on or before September 11, 2003, the list of health conditions in paragraph (3)
shall include:</text>
<clause commented="no" id="H817FF9499ABD43DEB359193F5BBA9700"><enum>(i)</enum><text display-inline="yes-display-inline">Low back pain.</text>
</clause><clause commented="no" id="H2381757F8F1E44A795AAB872C30A7F6B"><enum>(ii)</enum><text>Carpal tunnel
syndrome (CTS).</text>
</clause><clause commented="no" id="HABBDF4E9ED10471A935A8BE4B8E9050B"><enum>(iii)</enum><text>Other
musculoskeletal disorders.</text>
</clause></subparagraph><subparagraph commented="no" id="H34717DBBA5BD462083C1F67BEB2B20DB"><enum>(B)</enum><header>Definition</header><text>The
term <quote>WTC-related musculoskeletal disorder</quote> means a chronic or
recurrent disorder of the musculoskeletal system caused by heavy lifting or
repetitive strain on the joints or musculoskeletal system occurring during
rescue or recovery efforts in the New York City disaster area in the aftermath
of the September 11, 2001, terrorist attacks.</text>
</subparagraph></paragraph><paragraph commented="no" id="H02588DBF16AE4CDEB1F9989AB78BB8F9"><enum>(5)</enum><header>Cancer</header>
<subparagraph commented="no" id="H069DFBBCE68F4C359B8A8EFE4970FB50"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">The WTC Program
Administrator shall periodically conduct a review of all available scientific
and medical evidence, including findings and recommendations of Clinical
Centers of Excellence, published in peer-reviewed journals to determine if,
based on such evidence, cancer or a certain type of cancer should be added to
the applicable list of WTC-related health conditions. The WTC Program
Administrator shall conduct the first review under this subparagraph not later
than 180 days after the date of the enactment of this title.</text>
</subparagraph><subparagraph commented="no" id="H52C9D020100F46B0A870CD90A4342459"><enum>(B)</enum><header>Proposed
regulations and rulemaking</header><text display-inline="yes-display-inline">Based on the periodic reviews under
subparagraph (A), if the WTC Program Administrator determines that cancer or a
certain type of cancer should be added to such list of WTC-related health
conditions, the WTC Program Administrator shall propose regulations, through
rulemaking, to add cancer or the certain type of cancer to such list.</text>
</subparagraph><subparagraph commented="no" id="H60E86F5ED9C54A2E802758B24ACB92A4"><enum>(C)</enum><header>Final
regulations</header><text>Based on all the available evidence in the rulemaking
record, the WTC Program Administrator shall make a final determination of
whether cancer or a certain type of cancer should be added to such list of
WTC-related health conditions. If such a determination is made to make such an
addition, the WTC Program Administrator shall by regulation add cancer or the
certain type of cancer to such list.</text>
</subparagraph><subparagraph commented="no" id="H935B0CB5196B47088754927E27D42295"><enum>(D)</enum><header>Determinations
not to add cancer or certain types of cancer</header><text display-inline="yes-display-inline">In the case that the WTC Program
Administrator determines under subparagraph (B) or (C) that cancer or a certain
type of cancer should not be added to such list of WTC-related health
conditions, the WTC Program Administrator shall publish an explanation for such
determination in the Federal Register. Any such determination to not make such
an addition shall not preclude the addition of cancer or the certain type of
cancer to such list at a later date.</text>
</subparagraph></paragraph><paragraph id="HC230F275FEB54B60B9A1FF3E5A68F959"><enum>(6)</enum><header>Addition of
health conditions to list for WTC responders</header>
<subparagraph id="H2F28D97ABF6746808075DB006169CABF"><enum>(A)</enum><header>In
general</header><text>Whenever the WTC Program Administrator determines that a
proposed rule should be promulgated to add a health condition to the list of
health conditions in paragraph (3), the Administrator may request a
recommendation of the Advisory Committee or may publish such a proposed rule in
the Federal Register in accordance with subparagraph (D).</text>
</subparagraph><subparagraph id="H7B3E78C738314280A8CEAACF70DD1BE6"><enum>(B)</enum><header>Administrator’s
options after receipt of petition</header><text display-inline="yes-display-inline">In the case that the WTC Program
Administrator receives a written petition by an interested party to add a
health condition to the list of health conditions in paragraph (3), not later
than 60 days after the date of receipt of such petition the Administrator
shall—</text>
<clause id="HC5588F188BD7452E8DDBFDDDC5BE0B20"><enum>(i)</enum><text>request a
recommendation of the Advisory Committee;</text>
</clause><clause id="H182FF2E89BAB463C9FA462F8EB2F03D8"><enum>(ii)</enum><text>publish a
proposed rule in the Federal Register to add such health condition, in
accordance with subparagraph (D);</text>
</clause><clause id="HA6CDB1DB31874C56AED4BCEB88EDE79D"><enum>(iii)</enum><text>publish in the
Federal Register the Administrator’s determination not to publish such a
proposed rule and the basis for such determination; or</text>
</clause><clause id="H0986125F282940898AC7B6DDF6C2BDC5"><enum>(iv)</enum><text>publish in the
Federal Register a determination that insufficient evidence exists to take
action under clauses (i) through (iii).</text>
</clause></subparagraph><subparagraph id="H421F57803A854AE48E493F09F96B96E4"><enum>(C)</enum><header>Action by
Advisory Committee</header><text>In the case that the Administrator requests a
recommendation of the Advisory Committee under this paragraph, with respect to
adding a health condition to the list in paragraph (3), the Advisory Committee
shall submit to the Administrator such recommendation not later than 60 days
after the date of such request or by such date (not to exceed 180 days after
such date of request) as specified by the Administrator. Not later than 60 days
after the date of receipt of such recommendation, the Administrator shall, in
accordance with subparagraph (D), publish in the Federal Register a proposed
rule with respect to such recommendation or a determination not to propose such
a proposed rule and the basis for such determination.</text>
</subparagraph><subparagraph id="H69FB2E6E902E44678F2AAD0922199FD7"><enum>(D)</enum><header>Publication</header><text>The
WTC Program Administrator shall, with respect to any proposed rule under this
paragraph—</text>
<clause id="H9D44361BE8094F06B543CA4FA597CF4F"><enum>(i)</enum><text>publish such
proposed rule in accordance with section 553 of title 5, United States Code;
and</text>
</clause><clause id="H9A85C4BAF88C4D8CABB754997985E67D"><enum>(ii)</enum><text>provide
interested parties a period of 30 days after such publication to submit written
comments on the proposed rule.</text>
</clause><continuation-text continuation-text-level="subparagraph">The WTC
Program Administrator may extend the period described in clause (ii) upon a
finding of good cause. In the case of such an extension, the Administrator
shall publish such extension in the Federal Register.</continuation-text></subparagraph><subparagraph id="H1885B571045D4CABBE79D8C837AAF511"><enum>(E)</enum><header>Interested Party
defined</header><text>For purposes of this paragraph, the term
<quote>interested party</quote> includes a representative of any organization
representing WTC responders, a nationally recognized medical association, a
Clinical or Data Center, a State or political subdivision, or any other
interested person.</text>
</subparagraph></paragraph></subsection><subsection id="HE7FBEDD5835A4984B456F2D955C8A684"><enum>(b)</enum><header>Coverage of
Treatment for WTC-Related Health Conditions</header>
<paragraph id="HB57B4DE4BFBA4E79BA3AC1CC0E795606"><enum>(1)</enum><header>Determination
for enrolled WTC responders based on a WTC-related health condition</header>
<subparagraph id="H662EAD219A284525AC36AFAB7B8A1E2E"><enum>(A)</enum><header>In
general</header><text>If a physician at a Clinical Center of Excellence that is
providing monitoring benefits under section 3311 for an enrolled WTC responder
makes a determination that the responder has a WTC-related health condition
that is in the list in subsection (a)(3) and that exposure to airborne toxins,
other hazards, or adverse conditions resulting from the September 1, 2001,
terrorist attacks is substantially likely to be a significant factor in
aggravating, contributing to, or causing the condition—</text>
<clause id="H77F8355ADF7F4D3FB5CB814C55E12A85"><enum>(i)</enum><text>the
physician shall promptly transmit such determination to the WTC Program
Administrator and provide the Administrator with the medical facts supporting
such determination; and</text>
</clause><clause id="H60F9E5B834C84EA28A5C5E73010D3E0C"><enum>(ii)</enum><text display-inline="yes-display-inline">on and after the date of such transmittal
and subject to subparagraph (B), the WTC Program shall provide for payment
under subsection (c) for medically necessary treatment for such
condition.</text>
</clause></subparagraph><subparagraph display-inline="no-display-inline" id="H8F9D45CF35B14E248C08C4B60140B70F"><enum>(B)</enum><header>Review;
certification; appeals</header>
<clause id="HFAF587C647E34832AE61D851C9F9451F"><enum>(i)</enum><header>Review</header><text>A
Federal employee designated by the WTC Program Administrator shall review
determinations made under subparagraph (A).</text>
</clause><clause id="HEEE1F8B672FE424CB0F69D3DF7844FFE"><enum>(ii)</enum><header>Certification</header><text>The
Administrator shall provide a certification 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
WTC-related health condition in the list in subsection (a)(3) or that exposure
to airborne toxins, other hazards, or adverse conditions resulting from the
September 1, 2001, terrorist attacks is not substantially likely to be a
significant factor in aggravating, contributing to, or causing the
condition.</text>
</clause><clause id="H06064D0CE46C40B18439B4DAB42E333E"><enum>(iii)</enum><header>Appeal
process</header><text>The Administrator shall establish, by rule, a process for
the appeal of determinations under clause (ii).</text>
</clause></subparagraph></paragraph><paragraph id="HB787B175DD724E02B7B05D5C236F5F48"><enum>(2)</enum><header>Determination
based on medically associated WTC-related health conditions</header>
<subparagraph id="H73AC9776B5D548AAB51CBB7F02A56C1A"><enum>(A)</enum><header>In
general</header><text>If a physician at a Clinical Center of Excellence
determines pursuant to subsection (a) that the enrolled WTC responder has a
health condition described in subsection (a)(1)(A) that is not in the list in
subsection (a)(3) but which is medically associated with a WTC-related health
condition—</text>
<clause id="HB913870054CD43978A89EEC52BAFAD0E"><enum>(i)</enum><text>the
physician shall promptly transmit such determination to the WTC Program
Administrator and provide the Administrator with the facts supporting such
determination; and</text>
</clause><clause id="HFC00E0046C484E2B915E13477F43CF81"><enum>(ii)</enum><text>the
Administrator shall make a determination under subparagraph (B) with respect to
such physician’s determination.</text>
</clause></subparagraph><subparagraph id="H0553197011684993B7FFB324570968F7"><enum>(B)</enum><header>Procedures for
review, certification, and appeal</header><text display-inline="yes-display-inline">The WTC Program Administrator shall, by
rule, establish procedures for the review and certification of physician
determinations under subparagraph (A). Such rule shall provide for—</text>
<clause id="H244F2C7F62CF462DB66B17D9D0523B88"><enum>(i)</enum><text>the
timely review of such a determination by a physician panel with appropriate
expertise for the condition and recommendations to the WTC Program
Administrator;</text>
</clause><clause id="HAD37C9B8CB8B4DA4AA5582362B773C8E"><enum>(ii)</enum><text>not
later than 60 days after the date of the transmittal under subparagraph (A)(i),
a determination by the WTC Program Administrator on whether or not the
condition involved is described in subsection (a)(1)(A) and is medically
associated with a WTC-related health condition;</text>
</clause><clause id="H9122C4F0E50A4DA097C52DD30E5DF63A"><enum>(iii)</enum><text display-inline="yes-display-inline">certification in accordance with paragraph
(1)(B)(ii) of coverage of such condition if determined to be described in
subsection (a)(1)(A) and medically associated with a WTC-related health
condition; and</text>
</clause><clause id="HD93CA156560144BCB50D312B1EB293BA"><enum>(iv)</enum><text>a
process for appeals of determinations relating to such conditions.</text>
</clause></subparagraph><subparagraph id="H6CA04844AA5F4C83A3D37AF04BB1F66F"><enum>(C)</enum><header>Inclusion in
list of health conditions</header><text>If the WTC Program Administrator
provides certification under subparagraph (B)(iii) for coverage of a condition,
the Administrator may, pursuant to subsection (a)(6), add the condition to the
list in subsection (a)(3).</text>
</subparagraph><subparagraph id="HB40BBBCB3A4D45A89FCCA42A045A9632"><enum>(D)</enum><header>Conditions
already declined for inclusion in list</header><text display-inline="yes-display-inline">If the WTC Program Administrator publishes
a determination under subsection (a)(6)(B) not to include a condition in the
list in subsection (a)(3), the WTC Program Administrator shall not provide
certification under subparagraph (B)(iii) for coverage of the condition. In the
case of an individual who is certified under subparagraph (B)(iii) with respect
to such condition before the date of the publication of such determination the
previous sentence shall not apply.</text>
</subparagraph></paragraph><paragraph id="H795FC36B3C0D467381D68A92D99F5562"><enum>(3)</enum><header>Requirement of
medical necessity</header>
<subparagraph id="HEA4646EB00AF4E64B1CB955FC390C805"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">In providing
treatment for a WTC-related health condition, a physician or other provider
shall provide treatment that is medically necessary and in accordance with
medical treatment protocols established under subsection (d).</text>
</subparagraph><subparagraph id="H81DAB012A056467DA7EFFBC35B838A0E"><enum>(B)</enum><header>Regulations
relating to medical necessity</header><text>For the purpose of this title, the
WTC Program Administrator shall issue regulations specifying a standard for
determining medical necessity with respect to health care services and
prescription pharmaceuticals, a process for determining whether treatment
furnished and pharmaceuticals prescribed under this title meet such standard
(including any prior authorization requirement), and a process for appeal of a
determination under subsection (c)(3).</text>
</subparagraph></paragraph><paragraph id="HA1CC619B0A4D4850AC6F82DFA5E56A10"><enum>(4)</enum><header>Scope of
treatment covered</header>
<subparagraph id="H0015B789613A4D25B7E8A7AF4F6D011D"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">The scope of
treatment covered under this subsection includes services of physicians and
other health care providers, diagnostic and laboratory tests, prescription
drugs, inpatient and outpatient hospital services, and other medically
necessary treatment.</text>
</subparagraph><subparagraph id="H660244808CF3412D8D9165E223FC1FCD"><enum>(B)</enum><header>Pharmaceutical
coverage</header><text>With respect to ensuring coverage of medically necessary
outpatient prescription drugs, such drugs shall be provided, under arrangements
made by the WTC Program Administrator, directly through participating Clinical
Centers of Excellence or through one or more outside vendors.</text>
</subparagraph><subparagraph id="HF3F4BD5E6F06475A911CD94122848526"><enum>(C)</enum><header>Transportation
expenses for nationwide network</header><text>The WTC Program Administrator may
provide for necessary and reasonable transportation and expenses incident to
the securing of medically necessary treatment through the nationwide network
under section 3313 involving travel of more than 250 miles and for which
payment is made under this section in the same manner in which individuals may
be furnished necessary and reasonable transportation and expenses incident to
services involving travel of more than 250 miles under regulations implementing
section 3629(c) of the Energy Employees Occupational Illness Compensation
Program Act of 2000 (title XXXVI of Public Law 106–398; 42 U.S.C.
7384t(c)).</text>
</subparagraph></paragraph><paragraph id="HF24774658AE2458589C6B6936113772B"><enum>(5)</enum><header>Provision of
treatment pending certification</header><text display-inline="yes-display-inline">With respect to an enrolled WTC responder
for whom a determination is made by an examining physician under paragraph (1)
or (2), but for whom the WTC Program Administrator has not yet determined
whether to certify the determination, the WTC Program Administrator may
establish by rule a process through which the Administrator may approve the
provision of medical treatment under this subsection (and payment under
subsection (c)) with respect to such responder and such responder’s WTC-related
health condition (under such terms and conditions as the Administrator may
provide) until the Administrator makes a decision on whether to certify the
determination.</text>
</paragraph></subsection><subsection id="H8F765D5EF031448899F5AD0067E825F6"><enum>(c)</enum><header>Payment for
Initial health evaluation, monitoring, and treatment of WTC-Related Health
Conditions</header>
<paragraph id="H0801C701A8B449DFB81F9CC3AC99B2E1"><enum>(1)</enum><header>Medical
treatment</header>
<subparagraph id="HEFB4E6B373BA4F4B9FF34F516B4E92BD"><enum>(A)</enum><header>Use of FECA
payment rates</header>
<clause id="id339F3563FB8F4DE8857F78E78D368157"><enum>(i)</enum><header>In
general</header><text display-inline="yes-display-inline">Subject to clause
(ii):</text>
<subclause id="idD95DB9B82A4B4B88977A249BE86E248E"><enum>(I)</enum><text display-inline="yes-display-inline">Subject to subparagraphs (B) and (C), the
WTC Program Administrator shall reimburse costs for medically necessary
treatment under this title for WTC-related health conditions according to the
payment rates that would apply to the provision of such treatment and services
by the facility under the Federal Employees Compensation Act.</text>
</subclause><subclause id="id05F521606E1E44619987CF2F9A76F13A"><enum>(II)</enum><text display-inline="yes-display-inline">For treatment not covered under subclause
(i) or subparagraph (B), the WTC Program Administrator shall establish by
regulation a reimbursement rate for such treatment.</text>
</subclause></clause><clause id="id46311338CAF44DF689C5C8172AF1786E"><enum>(ii)</enum><header>Exception</header><text display-inline="yes-display-inline">In no case shall payments for products or
services under clause (i) be made at a rate higher than the Office of Worker's
Compensation Programs in the Department Labor would pay for such products or
services rendered at the time such products or services were provided.</text>
</clause></subparagraph><subparagraph commented="no" id="HCBB278A0F2874ACA990B17FF595C8413"><enum>(B)</enum><header>Pharmaceuticals</header>
<clause id="HF7FFA0B4708549629A8D3D728EF6EFE1"><enum>(i)</enum><header>In
general</header><text>The WTC Program Administrator shall establish a program
for paying for the medically necessary outpatient prescription pharmaceuticals
prescribed under this title for WTC-related health conditions through one or
more contracts with outside vendors.</text>
</clause><clause id="HD9407F2E9D43420B844BB40D4DB06989"><enum>(ii)</enum><header>Competitive
bidding</header><text>Under such program the Administrator shall—</text>
<subclause id="H16F12ACCA0EC48D2B7B500235A19AF37"><enum>(I)</enum><text>select one or more
appropriate vendors through a Federal competitive bid process; and</text>
</subclause><subclause id="HF48923A88ECB4AFBB9F7810EA5762FA8"><enum>(II)</enum><text>select the lowest
bidder (or bidders) meeting the requirements for providing pharmaceutical
benefits for participants in the WTC Program.</text>
</subclause></clause><clause id="H2B10817CACB5465D9E10DE123D129F31"><enum>(iii)</enum><header>Treatment of
FDNY participants</header><text>Under such program the Administrator may enter
into an agreement with a separate vendor to provide pharmaceutical benefits to
enrolled WTC responders for whom the Clinical Center of Excellence is described
in section 3305 if such an arrangement is deemed necessary and beneficial to
the program by the WTC Program Administrator.</text>
</clause><clause id="id9998196895FE468FB92B67F01BB38610"><enum>(iv)</enum><header>Pharmaceuticals</header><text>Not
later than July 1, 2011, the Comptroller General of the United States shall
submit to the Committee on Energy and Commerce of the House of Representatives
and the Committee on Health, Education, Labor, and Pensions of the Senate a
report on whether existing Federal pharmaceutical purchasing programs can
provide pharmaceutical benefits more efficiently and effectively than through
the WTC program.</text>
</clause></subparagraph><subparagraph id="H8F62E5586EF44E07BAB921569D7A9287"><enum>(C)</enum><header>Improving
quality and efficiency through modification of payment amounts and
methodologies</header><text>The WTC Program Administrator may modify the
amounts and methodologies for making payments for initial health evaluations,
monitoring, or treatment, if, taking into account utilization and quality data
furnished by the Clinical Centers of Excellence under section
3305(b)(1)(B)(iii), the Administrator determines that a bundling, capitation,
pay for performance, or other payment methodology would better ensure high
quality and efficient delivery of initial health evaluations, monitoring, or
treatment to an enrolled WTC responder, screening-eligible WTC survivor, or
certified-eligible WTC survivor.</text>
</subparagraph></paragraph><paragraph id="HBC254AE4D901489197A9911888998F91"><enum>(2)</enum><header>Monitoring and
initial health evaluation</header><text>The WTC Program Administrator shall
reimburse the costs of monitoring and the costs of an initial health evaluation
provided under this title at a rate set by the Administrator by
regulation.</text>
</paragraph><paragraph id="H55F6F94879C3430390B9FDAB33F24F8F"><enum>(3)</enum><header>Determination of
medical necessity</header>
<subparagraph id="H091E4C871A9B4D83B8B4E422A19BBCA9"><enum>(A)</enum><header>Review of
medical necessity and protocols</header><text>As part of the process for
reimbursement or payment under this subsection, the WTC Program Administrator
shall provide for the review of claims for reimbursement or payment for the
provision of medical treatment to determine if such treatment is medically
necessary and in accordance with medical treatment protocols established under
subsection (d).</text>
</subparagraph><subparagraph id="HACB35C3C285F430DA4C940007DF70DD4"><enum>(B)</enum><header>Withholding of
payment for medically unnecessary treatment</header><text>The Administrator
shall withhold such reimbursement or payment for treatment that the
Administrator determines is not medically necessary or is not in accordance
with such medical treatment protocols.</text>
</subparagraph></paragraph></subsection><subsection id="H73334704CAA548549EC01AFFD4E0E059"><enum>(d)</enum><header>Medical
Treatment Protocols</header>
<paragraph id="HDE3F7F3B88AC42FCBDD63E26DCE01469"><enum>(1)</enum><header>Development</header><text display-inline="yes-display-inline">The Data Centers shall develop medical
treatment protocols for the treatment of enrolled WTC responders and
certified-eligible WTC survivors for health conditions included in the
applicable list of WTC-related health conditions.</text>
</paragraph><paragraph id="H4CBC080E489E4037859E4B61169A1C4F"><enum>(2)</enum><header>Approval</header><text>The
medical treatment protocols developed under paragraph (1) shall be subject to
approval by the WTC Program Administrator.</text>
</paragraph></subsection></section><section id="HEF8AA94EBB07403A8E38B4DCB2A17269"><enum>3313.</enum><header>National
arrangement for benefits for eligible individuals outside New York</header>
<subsection id="H35265F017A5E4053854EEF5C78BD8CFB"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">In order to ensure
reasonable access to benefits under this subtitle for individuals who are
enrolled WTC responders, screening-eligible WTC survivors, or
certified-eligible WTC survivors and 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 monitoring and treatment benefits and initial health evaluations near
such individuals’ areas of residence in such States. Nothing in this subsection
shall be construed as preventing such individuals from being provided such
monitoring and treatment benefits or initial health evaluation through any
Clinical Center of Excellence.</text>
</subsection><subsection commented="no" id="H4A59B4347B454941A0A392D6D7B84D38"><enum>(b)</enum><header>Network
requirements</header><text>Any health care provider participating in the
network under subsection (a) shall—</text>
<paragraph commented="no" id="H25472CEB8E0246AE8EACB2179CB28F77"><enum>(1)</enum><text>meet criteria for
credentialing established by the Data Centers;</text>
</paragraph><paragraph commented="no" id="H30B16BF3EA4643868CEDB4F5F3B5212B"><enum>(2)</enum><text>follow the
monitoring, initial health evaluation, and treatment protocols developed under
section 3305(a)(2)(A)(ii);</text>
</paragraph><paragraph commented="no" id="H5DC86A292916476B9253B9AD937DE760"><enum>(3)</enum><text>collect and report
data in accordance with section 3304; and</text>
</paragraph><paragraph id="H786C224BB0FE42238608393D9EAF40A7"><enum>(4)</enum><text>meet such fraud,
quality assurance, and other requirements as the WTC Program Administrator
establishes, including sections 1128 through 1128E of the Social Security Act,
as applied by section 3301(d).</text>
</paragraph></subsection><subsection id="HEDE1D41BE8474D8E80734BC57C63A23B"><enum>(c)</enum><header>Training and
technical assistance</header><text>The WTC Program Administer may provide,
including through contract, for the provision of training and technical
assistance to health care providers participating in the network under
subsection (a).</text>
</subsection><subsection id="ID2b8a5c1e8dfd47db9c4162c73af40644"><enum>(d)</enum><header>Provision of
services through the VA</header>
<paragraph id="id65A64BF66B224520A3B9E26925E03E1A"><enum>(1)</enum><header>In
general</header><text>The WTC Program Administrator may enter into an agreement
with the Secretary of Veterans Affairs for the Secretary to provide services
under this section through facilities of the Department of Veterans
Affairs.</text>
</paragraph><paragraph id="id4AD941E5FF3349C78620FF4DE726B8D2"><enum>(2)</enum><header>National
program</header><text>Not later than July 1, 2011, the Comptroller General of
the United States shall submit to the Committee on Energy and Commerce of the
House of Representatives and the Committee on Health, Education, Labor, and
Pensions of the Senate a report on whether the Department of Veterans Affairs
can provide monitoring and treatment services to individuals under this section
more efficiently and effectively than through the nationwide network to be
established under subsection (a).</text>
</paragraph></subsection></section></part><part id="HB248D1D3091242A1BBAB9EF0E7D02EA3"><enum>2</enum><header>WTC
Survivors</header>
<section id="HBFBE7E6B147F45C3933289C8E0694CB7"><enum>3321.</enum><header>Identification
and initial health evaluation of screening-eligible and certified-eligible WTC
survivors</header>
<subsection id="H9867ABD8957446668E21CE07DCF84D77"><enum>(a)</enum><header>Identification
of screening-Eligible WTC survivors and certified-Eligible WTC
survivors</header>
<paragraph id="H0CDF43DA275E412B8AEB0F1FAD95515D"><enum>(1)</enum><header>Screening-eligible
WTC survivors</header>
<subparagraph id="H6400195396F14148B323CD2DC054C7A7"><enum>(A)</enum><header>Definition</header><text>In
this title, the term <term>screening-eligible WTC survivor</term> means,
subject to subparagraph (C) and paragraph (3), an individual who is described
in any of the following clauses:</text>
<clause id="H2098E00EE8C64B04B2D87AEA759CA52D"><enum>(i)</enum><header>Currently
identified survivor</header><text display-inline="yes-display-inline">An
individual, including a WTC responder, who has been identified as eligible for
medical treatment and monitoring by the WTC Environmental Health Center as of
the date of enactment of this title.</text>
</clause><clause id="HC4B0A645ED61419FA17EF0E28865EB5E"><enum>(ii)</enum><header>Survivor who
meets current eligibility criteria</header><text display-inline="yes-display-inline">An individual who is not a WTC responder,
for purposes of the initial health evaluation under subsection (b), claims
symptoms of a WTC-related health condition and meets any of the current
eligibility criteria described in subparagraph (B).</text>
</clause><clause id="H717FA80CCB024A0B995A4E0A7357F3FF"><enum>(iii)</enum><header>Survivor who
meets modified eligibility criteria</header><text display-inline="yes-display-inline">An individual who is not a WTC responder,
for purposes of the initial health evaluation under subsection (b), claims
symptoms of a WTC-related health condition and meets such eligibility criteria
relating to exposure to airborne toxins, other hazards, or adverse conditions
resulting from the September 11, 2001, terrorist attacks as the WTC
Administrator determines, after consultation with the Data Centers described in
section 3305 and the WTC Scientific/Technical Advisory Committee and WTC Health
Program Steering Committees under section 3302.</text>
</clause><continuation-text continuation-text-level="subparagraph">The
Administrator shall not modify such criteria under clause (iii) on or after the
date that the number of certifications for certified-eligible WTC survivors
under paragraph (2)(B) has reached 80 percent of the limit described in
paragraph (3) or on or after the date that the number of enrollments of WTC
responders has reached 80 percent of the limit described in section
3311(a)(4).</continuation-text></subparagraph><subparagraph id="H3FE814A8B43A4E88A37D11B6FDA87BF9"><enum>(B)</enum><header>Current
eligibility criteria</header><text>The eligibility criteria described in this
subparagraph for an individual are that the individual is described in any of
the following clauses:</text>
<clause id="HAF89D7B8D4AD4408AC14C585C19EE772"><enum>(i)</enum><text>A
person who was present in the New York City disaster area in the dust or dust
cloud on September 11, 2001.</text>
</clause><clause id="H7518B2B1216C4FC6A4EB4DAB1E7DD9A8"><enum>(ii)</enum><text>A
person who worked, resided, or attended school, childcare, or adult daycare in
the New York City disaster area for—</text>
<subclause id="H8231AB89EBC340FD92C2A4AB5D85B41B"><enum>(I)</enum><text>at
least 4 days during the 4-month period beginning on September 11, 2001, and
ending on January 10, 2002; or</text>
</subclause><subclause id="HB37D6C194E6747B4A8F6C4C714165927"><enum>(II)</enum><text>at
least 30 days during the period beginning on September 11, 2001, and ending on
July 31, 2002.</text>
</subclause></clause><clause id="HD28E2F3A8EC8493F896E1300A1B7CCE6"><enum>(iii)</enum><text>Any
person who worked as a cleanup worker or performed maintenance work in the New
York City disaster area during the 4-month period described in subparagraph
(B)(i) and had extensive exposure to WTC dust as a result of such work.</text>
</clause><clause id="H7D04AA82507E4A7AB24D17B958FE1FE5"><enum>(iv)</enum><text>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 during the period beginning on September 11, 2001,
and ending on May 31, 2003.</text>
</clause><clause id="H99049E4EB3AC4DFB81953582DB9927F5"><enum>(v)</enum><text>A
person whose place of employment—</text>
<subclause id="HDD8EB7DCFBA84C73AA617BB793117A63"><enum>(I)</enum><text>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</text>
</subclause><subclause id="H4F147F2D9A5F4ADFA0637C11C7EB54E8"><enum>(II)</enum><text>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
September 11, 2001, terrorist attacks.</text>
</subclause></clause></subparagraph><subparagraph display-inline="no-display-inline" id="HF346CC9D3ACD4C6485D72B47DD72ED6E"><enum>(C)</enum><header>Application and
determination process for screening eligibility</header>
<clause id="H4D82E55D5B244A6ABF269AC8174470E2"><enum>(i)</enum><header>In
general</header><text>The WTC Program Administrator in consultation with the
Data Centers shall establish a process for individuals, other than individuals
described in subparagraph (A)(i), to be determined to be screening-eligible WTC
survivors. Under such process—</text>
<subclause id="H75B62C39E9784038B72EC99883FFE34E"><enum>(I)</enum><text>there shall be no
fee charged to the applicant for making an application for such
determination;</text>
</subclause><subclause id="HF8CA91AFFF8E45CC94BFC7E8906FF74F"><enum>(II)</enum><text display-inline="yes-display-inline">the Administrator shall make a
determination on such an application not later than 60 days after the date of
filing the application;</text>
</subclause><subclause id="H1661C7DC34224BF2AF0E38BC1B5DD95C"><enum>(III)</enum><text display-inline="yes-display-inline">the Administrator shall make such a
determination relating to an applicant’s compliance with this title and shall
not determine that an individual is not so eligible or deny written
documentation under clause (ii) to such individual unless the Administrator
determines that—</text>
<item display-inline="no-display-inline" id="HE83F28529C76400D8E8EE9FA5BB10980"><enum>(aa)</enum><text>based on the
application submitted, the individual does not meet the eligibility criteria;
or</text>
</item><item commented="no" id="HE5325C943DD44FB0A22A016580309C56"><enum>(bb)</enum><text display-inline="yes-display-inline">the numerical limitation on certifications
of certified-eligible WTC survivors set forth in paragraph (3) has been met;
and</text>
</item></subclause><subclause id="HD1E3C58418A34FAE843DE96B826CDF57"><enum>(IV)</enum><text display-inline="yes-display-inline">an individual who is determined not to be a
screening-eligible WTC survivor shall have an opportunity to appeal such
determination in a manner established under such process.</text>
</subclause></clause><clause id="HFE268EF5E91F439F94BB5DFFC7C833F5"><enum>(ii)</enum><header>Written
documentation of screening-eligibility</header>
<subclause id="HE52FEFBBC64D454CB2F3A8A376A359F7"><enum>(I)</enum><header>In
general</header><text>In the case of an individual who is described in
subparagraph (A)(i) or who is determined under clause (i) (consistent with
paragraph (3)) to be a screening-eligible WTC survivor, the WTC Program
Administrator shall provide an appropriate written documentation of such
fact.</text>
</subclause><subclause id="H191BF01A7954406B8680823C139893EE"><enum>(II)</enum><header>Timing</header>
<item display-inline="no-display-inline" id="H3A18FAB1318B4BBF84364D4A83FE778C"><enum>(aa)</enum><header>Currently
identified survivors</header><text>In the case of an individual who is
described in subparagraph (A)(i), the WTC Program Administrator shall provide
the written documentation under subclause (I) not later than July 1,
2011.</text>
</item><item id="H963DF01394894250834D30DED7B78503"><enum>(bb)</enum><header>Other
members</header><text>In the case of another individual who is determined under
clause (i) and consistent with paragraph (3) to be a screening-eligible WTC
survivor, the WTC Program Administrator shall provide the written documentation
under subclause (I) at the time of such determination.</text>
</item></subclause></clause></subparagraph></paragraph><paragraph id="H9DC01C9902F84815AD2C7B8CD77691C9"><enum>(2)</enum><header>Certified-eligible
WTC survivors</header>
<subparagraph id="H42D11816AA184C9C8F33A5C8802F4892"><enum>(A)</enum><header>Definition</header><text display-inline="yes-display-inline">The term <quote>certified-eligible WTC
survivor</quote> means, subject to paragraph (3), a screening-eligible WTC
survivor who the WTC Program Administrator certifies under subparagraph (B) to
be eligible for followup monitoring and treatment under this part.</text>
</subparagraph><subparagraph display-inline="no-display-inline" id="H49E164A8291142EC8DADF74729A683B4"><enum>(B)</enum><header>Certification of
eligibility for monitoring and treatment</header>
<clause id="HAC2AC4A19A5D4992A1B216527236C1F6"><enum>(i)</enum><header>In
general</header><text display-inline="yes-display-inline">The WTC Program
Administrator shall establish a certification process under which the
Administrator shall provide appropriate certification to screening-eligible WTC
survivors who, pursuant to the initial health evaluation under subsection (b),
are determined to be eligible for followup monitoring and treatment under this
part.</text>
</clause><clause id="H9D0CC8A2856149ECB63D9A7D962C0674"><enum>(ii)</enum><header>Timing</header>
<subclause commented="no" id="H8DEC325DC6A541FFA987FEDCEA7CB6B3"><enum>(I)</enum><header>Currently
identified survivors</header><text>In the case of an individual who is
described in paragraph (1)(A)(i), the WTC Program Administrator shall provide
the certification under clause (i) not later than July 1, 2011.</text>
</subclause><subclause id="HBC6D2319BA4C4026B145606D2E6A3DCC"><enum>(II)</enum><header>Other
members</header><text>In the case of another individual who is determined under
clause (i) to be eligible for followup monitoring and treatment, the WTC
Program Administrator shall provide the certification under such clause at the
time of such determination.</text>
</subclause></clause></subparagraph></paragraph><paragraph commented="no" id="HC7B1E5C344924830B8F9CB5B58DB9D1E"><enum>(3)</enum><header>Numerical
limitation on certified-eligible WTC survivors</header>
<subparagraph commented="no" id="H36392F46EEBC4EAEB0D50BEDA8E6EBF6"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">The total number of
individuals not described in paragraph (1)(A)(i) who may be certified as
certified-eligible WTC survivors under paragraph (2)(B) shall not exceed 25,000
at any time.</text>
</subparagraph><subparagraph commented="no" id="H8621C52BD0B240B4B5775BEB5C8281BB"><enum>(B)</enum><header>Process</header><text>In
implementing subparagraph (A), the WTC Program Administrator shall—</text>
<clause commented="no" id="HC136DA95615846D78387D154ACE8353A"><enum>(i)</enum><text>limit the number
of certifications provided under paragraph (2)(B)—</text>
<subclause commented="no" id="HF315942E3FB84ABD86E11029999A3441"><enum>(I)</enum><text>in accordance with
such subparagraph; and</text>
</subclause><subclause commented="no" id="HED69599037EE490BA2099B6B9C65BDFD"><enum>(II)</enum><text display-inline="yes-display-inline">to such number, as determined by the
Administrator based on the best available information and subject to amounts
made available under section 3351, that will ensure sufficient funds will be
available to provide treatment and monitoring benefits under this title, with
respect to all individuals receiving such certifications through the end of
fiscal year 2020; and</text>
</subclause></clause><clause commented="no" id="H2F12F88F7EF2477A8C74CDC4C15FAC80"><enum>(ii)</enum><text>provide priority
in such certifications in the order in which individuals apply for a
determination under paragraph (2)(B).</text>
</clause></subparagraph></paragraph><paragraph display-inline="no-display-inline" id="H778B83E44E2F4666A31890E7614262B4"><enum>(4)</enum><header>Disqualification
of individuals on terrorist watch list</header><text display-inline="yes-display-inline">No individual who is on the terrorist watch
list maintained by the Department of Homeland Security shall qualify as a
screening-eligible WTC survivor or a certified-eligible WTC survivor. Before
determining any individual to be a screening-eligible WTC survivor under
paragraph (1) or certifying any individual as a certified eligible WTC survivor
under paragraph (2), the Administrator, in consultation with the Secretary of
Homeland Security, shall determine whether the individual is on such
list.</text>
</paragraph></subsection><subsection id="H5B8277C2A31C41EEADDF37C0F2068D84"><enum>(b)</enum><header>Initial health
evaluation To determine eligibility for followup monitoring or
treatment</header>
<paragraph id="H1FF12B4603DA42408DDDE5438F780828"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">In the case of a
screening-eligible WTC survivor, the WTC Program shall provide for an initial
health evaluation to determine if the survivor has a WTC-related health
condition and is eligible for followup monitoring and treatment benefits under
the WTC Program. Initial health evaluation protocols under section
3305(a)(2)(A)(ii) shall be subject to approval by the WTC Program
Administrator.</text>
</paragraph><paragraph id="H322DF88EE9134FE2B640BC37F0826914"><enum>(2)</enum><header>Initial health
evaluation providers</header><text display-inline="yes-display-inline">The
initial health evaluation described in paragraph (1) shall be provided through
a Clinical Center of Excellence with respect to the individual involved.</text>
</paragraph><paragraph id="HA06D780AF7914A0D9B0C53382A2C9A3D"><enum>(3)</enum><header>Limitation on
initial health evaluation benefits</header><text display-inline="yes-display-inline">Benefits for an initial health evaluation
under this part for a screening-eligible WTC survivor shall consist only of a
single medical initial health evaluation consistent with initial health
evaluation protocols described in paragraph (1). Nothing in this paragraph
shall be construed as preventing such an individual from seeking additional
medical initial health evaluations at the expense of the individual.</text>
</paragraph></subsection></section><section id="HD8677E6704F0421AA78F7E31CB731507"><enum>3322.</enum><header>Followup
monitoring and treatment of certified-eligible WTC survivors for WTC-related
health conditions</header>
<subsection id="H4F99AFFC8E98493EB1F073BB0A36FD9D"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Subject to subsection
(b), the provisions of sections 3311 and 3312 shall apply to followup
monitoring and treatment of WTC-related health conditions for
certified-eligible WTC survivors in the same manner as such provisions apply to
the monitoring and treatment of WTC-related health conditions for enrolled WTC
responders.</text>
</subsection><subsection id="H1DDE80251F174F07BAEA1744106117A7"><enum>(b)</enum><header>List of
WTC-Related health conditions for survivors</header><text display-inline="yes-display-inline">The list of health conditions for
screening-eligible WTC survivors and certified-eligible WTC survivors consists
of the following:</text>
<paragraph id="HDBDE301E85F24330B2DF15D10000A787"><enum>(1)</enum><header>Aerodigestive
disorders</header>
<subparagraph id="H2F6B89572E4C48FAA886B8B39B59217D"><enum>(A)</enum><text>Interstitial lung
diseases.</text>
</subparagraph><subparagraph id="HC407C262EA294B62A4DD61A7749C48BC"><enum>(B)</enum><text>Chronic
respiratory disorder—fumes/vapors.</text>
</subparagraph><subparagraph id="H1914701BDB1F4875A24FB92843F16F5B"><enum>(C)</enum><text>Asthma.</text>
</subparagraph><subparagraph id="HE81676FA47D048AAB5C035869052946A"><enum>(D)</enum><text>Reactive airways
dysfunction syndrome (RADS).</text>
</subparagraph><subparagraph id="HB9F09D17E11A4788B24D178E1A33791E"><enum>(E)</enum><text>WTC-exacerbated
chronic obstructive pulmonary disease (COPD).</text>
</subparagraph><subparagraph id="H7A3DAC2552C248A0A6DB71850BD3A421"><enum>(F)</enum><text>Chronic cough
syndrome.</text>
</subparagraph><subparagraph id="H4B20D84A6C6C4AF785D8693FCC26DBC0"><enum>(G)</enum><text>Upper airway
hyperreactivity.</text>
</subparagraph><subparagraph id="H8438BF8B213548A69E85B2CB4E99E761"><enum>(H)</enum><text>Chronic
rhinosinusitis.</text>
</subparagraph><subparagraph id="H2EB90FF7624F44049B60C47D82F99549"><enum>(I)</enum><text>Chronic
nasopharyngitis.</text>
</subparagraph><subparagraph id="H2AB19E7B9884467A90106FEBFA80C7A7"><enum>(J)</enum><text>Chronic
laryngitis.</text>
</subparagraph><subparagraph id="H679E2468F6DB4E4BB539D6BD0DF3558A"><enum>(K)</enum><text>Gastroesophageal
reflux disorder (GERD).</text>
</subparagraph><subparagraph id="HAB31C02D45044D71A70E2F501A369DD0"><enum>(L)</enum><text>Sleep apnea
exacerbated by or related to a condition described in a previous clause.</text>
</subparagraph></paragraph><paragraph id="H73FCEC07B5824580B09CCD544DF38D6A"><enum>(2)</enum><header>Mental health
conditions</header>
<subparagraph id="HD1F8A5E88C79477EB2243851C45A22DC"><enum>(A)</enum><text>Posttraumatic
stress disorder (PTSD).</text>
</subparagraph><subparagraph id="H2E0C5D2F276D4271A355C653A0FB5567"><enum>(B)</enum><text>Major depressive
disorder.</text>
</subparagraph><subparagraph id="H0AA45B112B424B5A8551E38CB9A80D6B"><enum>(C)</enum><text>Panic
disorder.</text>
</subparagraph><subparagraph id="HBFB7DE50E3EF4ABEA9BA5092CBD719B4"><enum>(D)</enum><text>Generalized
anxiety disorder.</text>
</subparagraph><subparagraph id="H74374D58DA784810826D541F96522548"><enum>(E)</enum><text>Anxiety disorder
(not otherwise specified).</text>
</subparagraph><subparagraph id="HF2901D6476544DDD81DD4C8EF029BF3C"><enum>(F)</enum><text>Depression (not
otherwise specified).</text>
</subparagraph><subparagraph id="H55EC066882964766977EFEDAD2161CF0"><enum>(G)</enum><text>Acute stress
disorder.</text>
</subparagraph><subparagraph id="H151B4E563FDB4A9F8ACF1DE7FAB4404F"><enum>(H)</enum><text>Dysthymic
disorder.</text>
</subparagraph><subparagraph id="H646C82C2281C43579300B7D8A6282B58"><enum>(I)</enum><text>Adjustment
disorder.</text>
</subparagraph><subparagraph id="HE1A4DC050E6B4FB1AE56F7F4AD44E877"><enum>(J)</enum><text>Substance
abuse.</text>
</subparagraph></paragraph><paragraph commented="no" id="HF600C6C943C047E09263DF2988D899C3"><enum>(3)</enum><header>Additional
conditions</header><text display-inline="yes-display-inline">Any cancer (or
type of cancer) or other condition added to the list in section 3312(a)(3)
pursuant to paragraph (5) or (6) of section 3312(a), as such provisions are
applied under subsection (a) with respect to certified-eligible WTC
survivors.</text>
</paragraph></subsection></section><section id="HF20B5B8A32374A54B3D4472BDDDA3DAA"><enum>3323.</enum><header>Followup
monitoring and treatment of other individuals with WTC-related health
conditions</header>
<subsection id="HF406DCCF093E4D459CE992B3DDA2F0D1"><enum>(a)</enum><header>In
General</header><text display-inline="yes-display-inline">Subject to subsection
(c), the provisions of section 3322 shall apply to the followup monitoring and
treatment of WTC-related health conditions in the case of individuals described
in subsection (b) in the same manner as such provisions apply to the followup
monitoring and treatment of WTC-related health conditions for
certified-eligible WTC survivors.</text>
</subsection><subsection id="H8E349DCCE31449EEB81424B3E9BB8301"><enum>(b)</enum><header>Individuals
described</header><text>An individual described in this subsection is an
individual who, regardless of location of residence—</text>
<paragraph id="H743F64E173A74FA7A6A3955453FEA8CD"><enum>(1)</enum><text display-inline="yes-display-inline">is not an enrolled WTC responder or a
certified-eligible WTC survivor; and</text>
</paragraph><paragraph id="HA0E1E88A363E4B19B157949278FB70E2"><enum>(2)</enum><text display-inline="yes-display-inline">is diagnosed at a Clinical Center of
Excellence with a WTC-related health condition for certified-eligible WTC
survivors.</text>
</paragraph></subsection><subsection id="HB2A3F7BB51E9401BABA3773B2343FEFB"><enum>(c)</enum><header>Limitation</header>
<paragraph id="HFD6DB9C7D4C1449A92F8D0A59E314A62"><enum>(1)</enum><header>In
general</header><text>The WTC Program Administrator shall limit benefits for
any fiscal year under subsection (a) in a manner so that payments under this
section for such fiscal year do not exceed the amount specified in paragraph
(2) for such fiscal year.</text>
</paragraph><paragraph id="H3BE22F6DD3D94C33A695777CE9758F2E"><enum>(2)</enum><header>Limitation</header><text>The
amount specified in this paragraph for—</text>
<subparagraph id="HB16617CA249644DBB4956C225404E848"><enum>(A)</enum><text>the last calendar
quarter of fiscal year 2011 is $5,000,000;</text>
</subparagraph><subparagraph id="H63CAE42CA5CB4ACEA4981CDA7865603B"><enum>(B)</enum><text>fiscal year 2012
is $20,000,000; or</text>
</subparagraph><subparagraph id="HDB920AB29A964E6FB093BE7B1D3C0FF4"><enum>(C)</enum><text display-inline="yes-display-inline">a succeeding fiscal year is the amount
specified in this paragraph for the previous fiscal year increased by the
annual percentage increase in the medical care component of the consumer price
index for all urban consumers.</text>
</subparagraph></paragraph></subsection></section></part><part id="HD15019D7A81045BB9D5AA2A73B2D6652"><enum>3</enum><header>Payor
provisions</header>
<section commented="no" id="H707E9D98F1694E2FA53CC0FB01063D77"><enum>3331.</enum><header>Payment of
claims</header>
<subsection commented="no" id="H0908D017BAAC4752935B6667B90939A5"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Except as provided in
subsections (b) and (c), the cost of monitoring and treatment benefits and
initial health evaluation benefits provided under parts 1 and 2 of this
subtitle shall be paid for by the WTC Program from the World Trade Center
Health Program Fund.</text>
</subsection><subsection commented="no" id="H71AA84A781D14DA4BA832B2F53760059"><enum>(b)</enum><header>Workers’
compensation payment</header>
<paragraph id="H3D6568959AEE4501B74F799F1E946B02"><enum>(1)</enum><header>In
general</header><text>Subject to paragraph (2), payment for treatment under
parts 1 and 2 of this subtitle of a WTC-related health condition of an
individual that is work-related shall be reduced or recouped to the extent that
the WTC Program Administrator determines that payment has been made, or can
reasonably be expected to be made, under a workers’ compensation law or plan of
the United States, a State, or a locality, or other work-related injury or
illness benefit plan of the employer of such individual, for such treatment.
The provisions of clauses (iii), (iv), (v), and (vi) of paragraph (2)(B) of
section 1862(b) of the Social Security Act and paragraphs (3) and (4) of such
section shall apply to the recoupment under this subsection of a payment to the
WTC Program (with respect to a workers’ compensation law or plan, or other
work-related injury or illness plan of the employer involved, and such
individual) in the same manner as such provisions apply to the reimbursement of
a payment under section 1862(b)(2) of such Act to the Secretary (with respect
to such a law or plan and an individual entitled to benefits under title XVIII
of such Act) except that any reference in such paragraph (4) to payment rates
under title XVIII of the Social Security Act shall be deemed a reference to
payment rates under this title.</text>
</paragraph><paragraph id="H98C13A80A0954EDFAC6483D57227CD3D"><enum>(2)</enum><header>Exception</header><text display-inline="yes-display-inline">Paragraph (1) shall not apply for any
quarter, with respect to any workers’ compensation law or plan, including line
of duty compensation, to which New York City is obligated to make payments, if,
in accordance with terms specified under the contract under subsection
(d)(1)(A), New York City has made the full payment required under such contract
for such quarter.</text>
</paragraph><paragraph id="HF72565C6FD1541DCB334EA47B4A2DDBC"><enum>(3)</enum><header>Rules of
construction</header><text>Nothing in this title shall be construed to affect,
modify, or relieve any obligations under a worker’s compensation law or plan,
other work-related injury or illness benefit plan of an employer, or any health
insurance plan.</text>
</paragraph></subsection><subsection commented="no" id="H7410A7F9DA674949ACED90ACDD713B5A"><enum>(c)</enum><header>Health insurance
coverage</header>
<paragraph commented="no" id="HCE75606D9B8A4E23BCA3C126785E9799"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">In the case of an
individual who has a WTC-related health condition that is not work-related and
has health coverage for such condition through any public or private health
plan (including health benefits under title XVIII, XIX, or XXI of the Social
Security Act) the provisions of section 1862(b) of the Social Security Act
shall apply to such a health plan and such individual in the same manner as
they apply to group health plan and an individual entitled to benefits under
title XVIII of such Act pursuant to section 226(a) of such Act. Any costs for
items and services covered under such plan that are not reimbursed by such
health plan, due to the application of deductibles, copayments, coinsurance,
other cost sharing, or otherwise, are reimbursable under this title to the
extent that they are covered under the WTC Program. The program under this
title shall not be treated as a legally liable party for purposes of applying
section 1902(a)(25) of the Social Security Act.</text>
</paragraph><paragraph commented="no" id="H6087A26AF5EA4E3992F462AB552912A5"><enum>(2)</enum><header>Recovery by
individual providers</header><text>Nothing in paragraph (1) shall be construed
as requiring an entity providing monitoring and treatment under this title to
seek reimbursement under a health plan with which the entity has no contract
for reimbursement.</text>
</paragraph><paragraph commented="no" id="H67812E1AE7104353AA59079A9B0C48A5"><enum>(3)</enum><header>Maintenance of
required minimum essential coverage</header><text display-inline="yes-display-inline">No payment may be made for monitoring and
treatment under this title for an individual for a month (beginning with July
2014) if with respect to such month the individual—</text>
<subparagraph id="H0F075CAE9E014A1BB4BF965BC1158FEE"><enum>(A)</enum><text>is an applicable
individual (as defined in subsection (d) of section 5000A of Internal Revenue
Code of 1986) for whom the exemption under subsection (e) of such section does
not apply; and</text>
</subparagraph><subparagraph id="HE954AAA2D4FF44B98C914B2B22061357"><enum>(B)</enum><text>is not covered
under minimum essential coverage, as required under subsection (a) of such
section.</text>
</subparagraph></paragraph></subsection><subsection commented="no" id="HBD39EE2D42F841C383BFCE06AB7C97F7"><enum>(d)</enum><header>Required
contribution by New York City in program costs</header>
<paragraph commented="no" id="H7CCA9FF744314736B1C65B2D9A65CD43"><enum>(1)</enum><header>Contract
requirement</header>
<subparagraph display-inline="no-display-inline" id="HEDCF9B00E9C2424F86656C3AD8CB9F75"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">No funds may be
disbursed from the World Trade Center Health Program Fund under section 3351
unless New York City has entered into a contract with the WTC Program
Administrator under which New York City agrees, in a form and manner specified
by the Administrator, to pay the full contribution described in subparagraph
(B) in accordance with this subsection on a timely basis, plus any interest
owed pursuant to subparagraph (E)(i). Such contract shall specify the terms
under which New York City shall be considered to have made the full payment
required for a quarter for purposes of subsection (b)(2).</text>
</subparagraph><subparagraph commented="no" id="H0826367FB3044A2A81A1ED4BB77CA0A4"><enum>(B)</enum><header>Full
contribution amount</header><text display-inline="yes-display-inline">Under
such contract, with respect to the last calendar quarter of fiscal year 2011
and each calendar quarter in fiscal years 2012 through 2015 the full
contribution amount under this subparagraph shall be equal to 10 percent of the
expenditures in carrying out this title for the respective quarter and with
respect to calendar quarters in fiscal year 2016, such full contribution amount
shall be equal to <fraction>1/9</fraction> of the Federal expenditures in
carrying out this title for the respective quarter.</text>
</subparagraph><subparagraph id="HC8B849EB7D8A4BE798B547DD7B2B3E66"><enum>(C)</enum><header>Satisfaction of
payment obligation</header><text>The payment obligation under such contract may
not be satisfied through any of the following:</text>
<clause id="HE0B9CF8F94994476BFC6740511666421"><enum>(i)</enum><text>An
amount derived from Federal sources.</text>
</clause><clause id="HC472E909B3404FDFA409E640317D0938"><enum>(ii)</enum><text>An
amount paid before the date of the enactment of this title.</text>
</clause><clause id="H8C4F3500B3224799A538CB11F2F01CCC"><enum>(iii)</enum><text>An
amount paid to satisfy a judgment or as part of a settlement related to
injuries or illnesses arising out of the September 11, 2001, terrorist
attacks.</text>
</clause></subparagraph><subparagraph id="H3E15231968F24596BECE88969395D7EC"><enum>(D)</enum><header>Timing of
contribution</header><text display-inline="yes-display-inline">The payment
obligation under such contract for a calendar quarter in a fiscal year shall be
paid not later than the last day of the second succeeding calendar
quarter.</text>
</subparagraph><subparagraph commented="no" id="HC1FF91BD5EB740B1A8494B41E9A9AA5E"><enum>(E)</enum><header>Compliance</header>
<clause id="HBBA04D353F074AB19E5CDB10787BE60A"><enum>(i)</enum><header>Interest for
late payment</header><text>If New York City fails to pay to the WTC Program
Administrator pursuant to such contract the amount required for any calendar
quarter by the day specified in subparagraph (D), interest shall accrue on the
amount not so paid at the rate (determined by the Administrator) based on the
average yield to maturity, plus 1 percentage point, on outstanding municipal
bonds issued by New York City with a remaining maturity of at least 1
year.</text>
</clause><clause id="H94C5271182484E24BFD534FE44F35303"><enum>(ii)</enum><header>Recovery of
amounts owed</header><text>The amounts owed to the WTC Program Administrator
under such contract shall be recoverable by the United States in an action in
the same manner as payments made under title XVIII of the Social Security Act
may be recoverable in an action brought under section 1862(b)(2)(B)(iii) of
such Act.</text>
</clause></subparagraph><subparagraph id="H7E08C03908A443B9ABAA1D1047C5CD9E"><enum>(F)</enum><header>Deposit in
Fund</header><text>The WTC Program Administer shall deposit amounts paid under
such contract into the World Trade Center Health Program Fund under section
3351.</text>
</subparagraph></paragraph><paragraph commented="no" id="HA53B91AF24EB471E84E93F2C0240BB08"><enum>(2)</enum><header>Payment of New
York City share of monitoring and treatment costs</header><text display-inline="yes-display-inline">With respect to each calendar quarter for
which a contribution is required by New York City under the contract under
paragraph (1), the WTC Program Administrator shall—</text>
<subparagraph commented="no" id="H53E2C2B0F02A4558B538E435A6799C76"><enum>(A)</enum><text>provide New York
City with an estimate of such amount of the required contribution at the
beginning of such quarter and with an updated estimate of such amount at the
beginning of each of the subsequent 2 quarters;</text>
</subparagraph><subparagraph id="H2B49064584A049D491943F0D7C313E32"><enum>(B)</enum><text>bill such amount
directly to New York City; and</text>
</subparagraph><subparagraph commented="no" id="HE0D50E2DEAC2408F8FE6F8B891AE1589"><enum>(C)</enum><text>certify
periodically, for purposes of this subsection, whether or not New York City has
paid the amount so billed.</text>
</subparagraph><continuation-text commented="no" continuation-text-level="paragraph">Such amount shall initially be
estimated by the WTC Program Administrator and shall be subject to adjustment
and reconciliation based upon actual expenditures in carrying out this
title.</continuation-text></paragraph><paragraph commented="no" id="HD06ECDC0D35147C9AA10589BB05ED5E1"><enum>(3)</enum><header>Rule of
construction</header><text>Nothing in this subsection shall be construed as
authorizing the WTC Administrator, with respect to a fiscal year, to reduce the
numerical limitation under section 3311(a)(4) or 3321(a)(3) for such fiscal
year if New York City fails to comply with paragraph (1) for a calendar quarter
in such fiscal year.</text>
</paragraph></subsection><subsection commented="no" id="HDF7DC27849FB4C09978F376F931042DA"><enum>(e)</enum><header>Work-Related
described</header><text display-inline="yes-display-inline">For the purposes of
this section, a WTC-related health condition shall be treated as a condition
that is work-related if—</text>
<paragraph commented="no" id="H49307B6320554DB3A6220828E9BB50A4"><enum>(1)</enum><text display-inline="yes-display-inline">the condition is diagnosed in an enrolled
WTC responder, or in an individual who qualifies as a certified-eligible WTC
survivor on the basis of being a rescue, recovery, or cleanup worker; or</text>
</paragraph><paragraph commented="no" id="HDC94860C3A63418EB392A14ACBCBDB27"><enum>(2)</enum><text display-inline="yes-display-inline">with respect to the condition the
individual has filed and had established a claim under a workers’ compensation
law or plan of the United States or a State, or other work-related injury or
illness benefit plan of the employer of such individual.</text>
</paragraph></subsection></section><section id="H947D74DE4AFC4B859D543DEBBF47083B"><enum>3332.</enum><header>Administrative
arrangement authority</header><text display-inline="no-display-inline">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 sections 3312, 3313, 3322,
and 3323.</text>
</section></part></subtitle><subtitle id="H17C51A5AC92F4F3A9F0D47D0CAA5F275"><enum>C</enum><header>Research into
Conditions</header>
<section id="HE2C2FA56814E494CA6D3529DE399F316"><enum>3341.</enum><header>Research
regarding certain health conditions related to September 11 terrorist
attacks</header>
<subsection id="HBE32B55E13CE4E5C8BE2DF8A5DC317FF"><enum>(a)</enum><header>In
General</header><text display-inline="yes-display-inline">With respect to
individuals, including enrolled WTC responders and certified-eligible WTC
survivors, receiving monitoring or treatment under subtitle B, the WTC Program
Administrator shall conduct or support—</text>
<paragraph id="H0E0EF6D460024C30B1664B934FEA1A6C"><enum>(1)</enum><text>research on
physical and mental health conditions that may be related to the September 11,
2001, terrorist attacks;</text>
</paragraph><paragraph id="HF9C2AC15A708492CBB499FC4DEDA9505"><enum>(2)</enum><text>research on
diagnosing WTC-related health conditions of such individuals, in the case of
conditions for which there has been diagnostic uncertainty; and</text>
</paragraph><paragraph id="H8531E1F654BC4B78BDC91C54E923609A"><enum>(3)</enum><text>research on
treating WTC-related health conditions of such individuals, in the case of
conditions for which there has been treatment uncertainty.</text>
</paragraph><continuation-text continuation-text-level="subsection">The
Administrator may provide such support through continuation and expansion of
research that was initiated before the date of the enactment of this title and
through the World Trade Center Health Registry (referred to in section 3342),
through a Clinical Center of Excellence, or through a Data Center.</continuation-text></subsection><subsection id="H304598037D2C4CBBAD23E9824D55BB8D"><enum>(b)</enum><header>Types of
research</header><text display-inline="yes-display-inline">The research under
subsection (a)(1) shall include epidemiologic and other research studies on
WTC-related health conditions or emerging conditions—</text>
<paragraph id="H1FCEB76D116245509B77CC3317028996"><enum>(1)</enum><text>among enrolled WTC
responders and certified-eligible WTC survivors under treatment; and</text>
</paragraph><paragraph id="H7D5A13AF4CAA43DD877C377426331D54"><enum>(2)</enum><text>in
sampled populations outside the New York City disaster area in Manhattan as far
north as 14th Street and in Brooklyn, along with control populations, to
identify potential for long-term adverse health effects in less exposed
populations.</text>
</paragraph></subsection><subsection id="HAA41AEA7241A45C3BCBE6AEBC6236F69"><enum>(c)</enum><header>Consultation</header><text display-inline="yes-display-inline">The WTC Program Administrator shall carry
out this section in consultation with the WTC Scientific/Technical Advisory
Committee.</text>
</subsection><subsection id="H08A8B55A99D44A52A9BDB9B886A5502D"><enum>(d)</enum><header>Application of
Privacy and Human Subject Protections</header><text>The privacy and human
subject protections applicable to research conducted under this section shall
not be less than such protections applicable to research conducted or funded by
the Department of Health and Human Services.</text>
</subsection></section><section id="HEAED53C467D24107A5C034CBA6C83D39"><enum>3342.</enum><header>World Trade
Center Health Registry</header><text display-inline="no-display-inline">For the
purpose of ensuring ongoing data collection relating to victims of the
September 11, 2001, terrorist attacks, the WTC Program Administrator shall
ensure that a registry of such victims is maintained that is at least as
comprehensive as the World Trade Center Health Registry maintained under the
arrangements in effect as of April 20, 2009, with the New York City Department
of Health and Mental Hygiene.</text>
</section></subtitle><subtitle id="HBE47713B753E45A1991E7A63B862C9FD"><enum>D</enum><header>Funding</header>
<section id="H272423C0742C49D598F283203A39DB1D"><enum>3351.</enum><header>World Trade
Center Health Program Fund</header>
<subsection id="H5758C237398B42099B3257B4CDDD46B2"><enum>(a)</enum><header>Establishment of
Fund</header>
<paragraph id="H6D3DCF1C5FDE4EEDAC12945B32D5ED29"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">There is established
a fund to be known as the World Trade Center Health Program Fund (referred to
in this section as the <quote>Fund</quote>).</text>
</paragraph><paragraph id="H291DF0279FEF4778AC7D167EF051ABB1"><enum>(2)</enum><header>Funding</header><text display-inline="yes-display-inline">Out of any money in the Treasury not
otherwise appropriated, there shall be deposited into the Fund for each of
fiscal years 2012 through 2016 (and the last calendar quarter of fiscal year
2011)—</text>
<subparagraph id="H4C76F013E6024B6A83F5B21E93C319AB"><enum>(A)</enum><text display-inline="yes-display-inline">the Federal share, consisting of an amount
equal to the lesser of—</text>
<clause id="HB712DBC9BE604CDD951887F9E6DF3CFE"><enum>(i)</enum><text display-inline="yes-display-inline">90 percent of the expenditures in carrying
out this title for the respective fiscal year (initially based on estimates,
subject to subsequent reconciliation based on actual expenditures); or</text>
</clause><clause commented="no" id="H498D6DD298A043568DAB7FDDDAB74225"><enum>(ii)(I)</enum><text>$71,000,000
for the last calendar quarter of fiscal year 2011, $318,000,000 for fiscal year
2012, $354,000,000 for fiscal year 2013, $382,000,000 for fiscal year 2014, and
$431,000,000 for fiscal year 2015; and</text>
<subclause commented="no" id="H20E32A7533F84A038039935A774FAB40" indent="up1"><enum>(II)</enum><text>subject to paragraph (4), an additional
amount for fiscal year 2016 from unexpended amounts for previous fiscal years;
plus</text>
</subclause></clause></subparagraph><subparagraph id="HAD08A84F5C334714B7CCA80BC1B4BA06"><enum>(B)</enum><text>the New York City
share, consisting of the amount contributed under the contract under section
3331(d).</text>
</subparagraph></paragraph><paragraph id="H285F8DE7DA89445EB2F7EDC0DF51372D"><enum>(3)</enum><header>Contract
requirement</header>
<subparagraph id="H0C26EF260A494DC0A52D18C6C3E85050"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">No funds may be
disbursed from the Fund unless New York City has entered into a contract with
the WTC Program Administrator under section 3331(d)(1).</text>
</subparagraph><subparagraph id="H585FB2122203497CBCC8C597857E82F6"><enum>(B)</enum><header>Breach of
contract</header><text>In the case of a failure to pay the amount so required
under the contract—</text>
<clause id="HFCB7E14E4956495EA85641EB227A8280"><enum>(i)</enum><text>the
amount is recoverable under subparagraph (E)(ii) of such section;</text>
</clause><clause id="H6CA47CF5FD7246C5A3F857ADDF876D32"><enum>(ii)</enum><text display-inline="yes-display-inline">such failure shall not affect the
disbursement of amounts from the Fund; and</text>
</clause><clause id="HFFCD203841314144890E8E7CFDCFABA7"><enum>(iii)</enum><text>the
Federal share described in paragraph (2)(A) shall not be increased by the
amount so unpaid.</text>
</clause></subparagraph></paragraph><paragraph commented="no" id="H99065AB616094E139FF3043631162395"><enum>(4)</enum><header>Aggregate
limitation on funding beginning with fiscal year 2016</header><text display-inline="yes-display-inline">Beginning with fiscal year 2016, in no case
shall the share of Federal funds deposited into the Fund under paragraph (2)
for such fiscal year and previous fiscal years and quarters exceed the sum of
the amounts specified in paragraph (2)(A)(ii)(I).</text>
</paragraph></subsection><subsection id="HCDDC4556E54A4D21A140013C005D0492"><enum>(b)</enum><header>Mandatory funds
for monitoring, initial health evaluations, treatment, and claims
processing</header>
<paragraph id="H7DEEBA9115414AE3BC0C4EE933329858"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The amounts deposited
into the Fund under subsection (a)(2) shall be available, without further
appropriation, consistent with paragraph (2) and subsection (c), to carry out
subtitle B and sections 3302(a), 3303, 3304, 3305(a)(2), 3305(c), 3341, and
3342.</text>
</paragraph><paragraph id="H44347C3639D54E89862D6B84587B020C"><enum>(2)</enum><header>Limitation on
mandatory funding</header><text display-inline="yes-display-inline">This title
does not establish any Federal obligation for payment of amounts in excess of
the amounts available from the Fund for such purpose.</text>
</paragraph><paragraph id="HEEDCC040E2F048C1BBDBC999126A1C0E"><enum>(3)</enum><header>Limitation on
authorization for further appropriations</header><text display-inline="yes-display-inline">This title does not establish any
authorization for appropriation of amounts in excess of the amounts available
from the Fund under paragraph (1).</text>
</paragraph></subsection><subsection id="H26FB8084AF50496896012BDB206D4CEF"><enum>(c)</enum><header>Limits on
Spending for Certain Purposes</header><text display-inline="yes-display-inline">Of the amounts made available under
subsection (b)(1), not more than each of the following amounts may be available
for each of the following purposes:</text>
<paragraph id="H92BFB9C2BA914A3392D1CA8C576091D1"><enum>(1)</enum><header>Surviving
immediate family members of firefighters</header><text display-inline="yes-display-inline">For the purposes of carrying out subtitle B
with respect to WTC responders described in section 3311(a)(2)(A)(ii)—</text>
<subparagraph id="H364AEEE813C94BC38650FCD465067703"><enum>(A)</enum><text>for the last
calendar quarter of fiscal year 2011, $100,000;</text>
</subparagraph><subparagraph id="H1B01B1B6A99B487DBE06618F7F04A787"><enum>(B)</enum><text>for fiscal year
2012, $400,000; and</text>
</subparagraph><subparagraph commented="no" id="H0A80EE7A79944B1A9B2BCFDBF89449C9"><enum>(C)</enum><text display-inline="yes-display-inline">for each subsequent fiscal year, the amount
specified under this paragraph for the previous fiscal year increased by the
percentage increase in the consumer price index for all urban consumers (all
items; United States city average) as estimated by the Secretary for the
12-month period ending with March of the previous year.</text>
</subparagraph></paragraph><paragraph id="H8ECA5FE203A54D4FB27FF1FA9A4EF9A2"><enum>(2)</enum><header>WTC Health
Program Scientific/Technical Advisory Committee</header><text>For the purpose
of carrying out section 3302(a)—</text>
<subparagraph id="HC9108C4C911B402082343979DDEAE2AA"><enum>(A)</enum><text>for the last
calendar quarter of fiscal year 2011, $25,000;</text>
</subparagraph><subparagraph id="H441E223CF8B44C84A1E377AF6FA05B75"><enum>(B)</enum><text>for fiscal year
2012, $100,000; and</text>
</subparagraph><subparagraph id="H56224036F47D471A9CC4906FC069BC60"><enum>(C)</enum><text>for each
subsequent fiscal year, the amount specified under this paragraph for the
previous fiscal year increased by the percentage increase in the consumer price
index for all urban consumers (all items; United States city average) as
estimated by the Secretary for the 12-month period ending with March of the
previous year.</text>
</subparagraph></paragraph><paragraph id="H79EE2CA17D774274948FA7F265BEE37E"><enum>(3)</enum><header>Education and
outreach</header><text>For the purpose of carrying out section 3303—</text>
<subparagraph id="HBF5A9424064C4A16A2E84FBF4F653213"><enum>(A)</enum><text display-inline="yes-display-inline">for the last calendar quarter of fiscal
year 2011, $500,000;</text>
</subparagraph><subparagraph id="H2D270177ACC248E3989F6ACFF78FE050"><enum>(B)</enum><text>for fiscal year
2012, $2,000,000; and</text>
</subparagraph><subparagraph id="H14EED46071744BAB873DE95CD0F0F020"><enum>(C)</enum><text>for each
subsequent fiscal year, the amount specified under this paragraph for the
previous fiscal year increased by the percentage increase in the consumer price
index for all urban consumers (all items; United States city average) as
estimated by the Secretary for the 12-month period ending with March of the
previous year.</text>
</subparagraph></paragraph><paragraph id="H5415E943C40D4936945B906AAC2B057F"><enum>(4)</enum><header>Uniform data
collection</header><text>For the purpose of carrying out section 3304 and for
reimbursing Data Centers (as defined in section 3305(b)(2)) for the costs
incurred by such Centers in carrying out activities under contracts entered
into under section 3305(a)(2)—</text>
<subparagraph id="HEEBC29C70CC544F5A72826C470D147C6"><enum>(A)</enum><text display-inline="yes-display-inline">for the last calendar quarter of fiscal
year 2011, $2,500,000;</text>
</subparagraph><subparagraph id="H8EAD324FEB8E42B1A74FADCBC306B6A7"><enum>(B)</enum><text>for fiscal year
2012, $10,000,000; and</text>
</subparagraph><subparagraph id="HE40ED6BDC5DC43778907C5CFD8CA1BE3"><enum>(C)</enum><text>for each
subsequent fiscal year, the amount specified under this paragraph for the
previous fiscal year increased by the percentage increase in the consumer price
index for all urban consumers (all items; United States city average) as
estimated by the Secretary for the 12-month period ending with March of the
previous year.</text>
</subparagraph></paragraph><paragraph id="H1E82093E3F1E4FC781D84877C899B007"><enum>(5)</enum><header>Research
regarding certain health conditions</header><text>For the purpose of carrying
out section 3341—</text>
<subparagraph id="HE3D37FDB819A47448558294061B86622"><enum>(A)</enum><text>for the last
calendar quarter of fiscal year 2011, $3,750,000;</text>
</subparagraph><subparagraph id="H02EDD6BFFFB74434A53DF060E6E1D39A"><enum>(B)</enum><text>for fiscal year
2012, $15,000,000; and</text>
</subparagraph><subparagraph id="H33DE95B28C65495298A79D0A91584CB4"><enum>(C)</enum><text>for each
subsequent fiscal year, the amount specified under this paragraph for the
previous fiscal year increased by the percentage increase in the consumer price
index for all urban consumers (all items; United States city average) as
estimated by the Secretary for the 12-month period ending with March of the
previous year.</text>
</subparagraph></paragraph><paragraph id="H1543CD12B12B4812A841D0E642663679"><enum>(6)</enum><header>World Trade
Center Health Registry</header><text display-inline="yes-display-inline">For
the purpose of carrying out section 3342—</text>
<subparagraph id="H3C74CD965278420E8FFBED6B29B1D720"><enum>(A)</enum><text display-inline="yes-display-inline">for the last calendar quarter of fiscal
year 2011, $1,750,000;</text>
</subparagraph><subparagraph id="H1B990259BE1245C4A9EEF2B377B3CF61"><enum>(B)</enum><text>for fiscal year
2012, $7,000,000; and</text>
</subparagraph><subparagraph id="H9D96C08C13DC4653A3A4D4AEE06D30E5"><enum>(C)</enum><text>for each
subsequent fiscal year, the amount specified under this paragraph for the
previous fiscal year increased by the percentage increase in the consumer price
index for all urban consumers (all items; United States city average) as
estimated by the Secretary for the 12-month period ending with March of the
previous
year.</text>
</subparagraph></paragraph></subsection></section></subtitle>.
<enum>II</enum><header>September 11th
Victim Compensation Fund of 2001</header>
<section id="HE0C0C85FA3C74D669358BD3A170389CF"><enum>201.</enum><header>Definitions</header><text display-inline="no-display-inline">Section 402 of the Air Transportation Safety
and System Stabilization Act (<external-xref legal-doc="usc" parsable-cite="usc/49/40101">49 U.S.C. 40101</external-xref> note) is
amended—</text>
<paragraph id="HD685785951E342D188930FD2BD6EAE16"><enum>(1)</enum><text>in
paragraph (6) by inserting <quote>, or debris removal, including under the
World Trade Center Health Program established under section 3001 of the Public
Health Service Act, and payments made pursuant to the settlement of a civil
action described in section 405(c)(3)(C)(iii)</quote> after <quote>September
11, 2001</quote>;</text>
</paragraph><paragraph id="H7FD527BDE00B4C739ECBE48D37D6E1FB"><enum>(2)</enum><text>by
inserting after paragraph (6) the following new paragraphs and redesignating
subsequent paragraphs accordingly:</text>
<quoted-block display-inline="no-display-inline" id="H6898554B5A1C4A6EB5C13DCB5A70E024" style="OLC">
<paragraph id="HAA922B1FE6AE444BA1CAE40755FA60B5"><enum>(7)</enum><header>Contractor and
subcontractor</header><text display-inline="yes-display-inline">The term
<term>contractor and subcontractor</term> means any contractor or subcontractor
(at any tier of a subcontracting relationship), including any general
contractor, construction manager, prime contractor, consultant, or any parent,
subsidiary, associated or allied company, affiliated company, corporation,
firm, organization, or joint venture thereof that participated in debris
removal at any 9/11 crash site. Such term shall not include any entity,
including the Port Authority of New York and New Jersey, with a property
interest in the World Trade Center, on September 11, 2001, whether fee simple,
leasehold or easement, direct or indirect.</text>
</paragraph><paragraph id="H4973E67F5A324493A129C565471DC974"><enum>(8)</enum><header>Debris
removal</header><text display-inline="yes-display-inline">The term <term>debris
removal</term> means rescue and recovery efforts, removal of debris, cleanup,
remediation, and response during the immediate aftermath of the
terrorist-related aircraft crashes of September 11, 2001, with respect to a
9/11 crash
site.</text>
</paragraph><after-quoted-block>;</after-quoted-block></quoted-block>
</paragraph><paragraph id="HA892647A853F4CB4BA7871634E4F802C"><enum>(3)</enum><text>by
inserting after paragraph (10), as so redesignated, the following new paragraph
and redesignating the subsequent paragraphs accordingly:</text>
<quoted-block display-inline="no-display-inline" id="HD05EE54E428D419DBB138F9F67DF31E2" style="OLC">
<paragraph id="HE8FA70EEC9124981932610903D18DDEB"><enum>(11)</enum><header>Immediate
aftermath</header><text display-inline="yes-display-inline">The term
<term>immediate aftermath</term> means any period beginning with the
terrorist-related aircraft crashes of September 11, 2001, and ending on May 30,
2002.</text>
</paragraph><after-quoted-block>;
and</after-quoted-block></quoted-block>
</paragraph><paragraph id="HEB17AA9EDD954B21B4F22A9E3A340B9B"><enum>(4)</enum><text>by
adding at the end the following new paragraph:</text>
<quoted-block display-inline="no-display-inline" id="HD851BB485B8D4D228E79968EC6952DC8" style="OLC">
<paragraph id="H1F6EC0E4026D4CCE8809A799B7801877"><enum>(14)</enum><header>9/11 crash
site</header><text display-inline="yes-display-inline">The term <term>9/11
crash site</term> means—</text>
<subparagraph id="HF75A65276D3A4C7DBB61AB1EE55E25B0"><enum>(A)</enum><text display-inline="yes-display-inline">the World Trade Center site, Pentagon site,
and Shanksville, Pennsylvania site;</text>
</subparagraph><subparagraph id="H18341399305644119FC87899570D70FD"><enum>(B)</enum><text>the buildings or
portions of buildings that were destroyed as a result of the terrorist-related
aircraft crashes of September 11, 2001;</text>
</subparagraph><subparagraph id="HB36001BF207D42D3B3FC4CCB4716EF92"><enum>(C)</enum><text>any area
contiguous to a site of such crashes that the Special Master determines was
sufficiently close to the site that there was a demonstrable risk of physical
harm resulting from the impact of the aircraft or any subsequent fire,
explosions, or building collapses (including the immediate area in which the
impact occurred, fire occurred, portions of buildings fell, or debris fell upon
and injured individuals); and</text>
</subparagraph><subparagraph id="H0C334E67A6B341D9B879FF8558D93EA3"><enum>(D)</enum><text display-inline="yes-display-inline">any area related to, or along, routes of
debris removal, such as barges and Fresh
Kills.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="HD2A5A8B38822450F8C461D4CCA062943"><enum>202.</enum><header>Extended and
expanded eligibility for compensation</header>
<subsection id="H6420336058E34FE09D130ABB7CC780FA"><enum>(a)</enum><header>Information on
losses resulting from debris removal included in contents of claim
form</header><text display-inline="yes-display-inline">Section 405(a)(2)(B) of
the Air Transportation Safety and System Stabilization Act (49 U.S.C. 40101
note) is amended—</text>
<paragraph id="H9909FB276B56434CAEABD114D3ABA15A"><enum>(1)</enum><text>in
clause (i), by inserting <quote>, or debris removal during the immediate
aftermath</quote> after <quote>September 11, 2001</quote>;</text>
</paragraph><paragraph id="H12E5B1317D5646C8B33C4C5D859E8301"><enum>(2)</enum><text>in
clause (ii), by inserting <quote>or debris removal during the immediate
aftermath</quote> after <quote>crashes</quote>; and</text>
</paragraph><paragraph id="H3D158328BFE0415D9AED74467803EB1D"><enum>(3)</enum><text>in
clause (iii), by inserting <quote>or debris removal during the immediate
aftermath</quote> after <quote>crashes</quote>.</text>
</paragraph></subsection><subsection id="H8FE484A315F94D27A8E64A862D96C88B"><enum>(b)</enum><header>Extension of
deadline for claims under September 11th Victim Compensation Fund of
2001</header><text display-inline="yes-display-inline">Section 405(a)(3) of
such Act is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="HD764FA8CAC4A4115850DA1DF18EBBB2F" style="OLC">
<paragraph id="H2C84D2B7EB1C4B9499AF2986417DA3DC"><enum>(3)</enum><header>Limitation</header>
<subparagraph id="HF7B79C8598E64C4CA6C98A6D475EF9A9"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">Except as provided by
subparagraph (B), no claim may be filed under paragraph (1) after the date that
is 2 years after the date on which regulations are promulgated under section
407(a).</text>
</subparagraph><subparagraph id="H446EE78B22A347DF906FD41427ABFE77"><enum>(B)</enum><header>Exception</header><text display-inline="yes-display-inline">A claim may be filed under paragraph (1),
in accordance with subsection (c)(3)(A)(i), by an individual (or by a personal
representative on behalf of a deceased individual) during the period beginning
on the date on which the regulations are updated under section 407(b) and
ending on the date that is 5 years after the date on which such regulations are
updated.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HB5BDFA0229084A3F898E3A1B1DB39032"><enum>(c)</enum><header>Requirements for
filing claims during extended filing period</header><text>Section 405(c)(3) of
such Act is amended—</text>
<paragraph id="HC1CE5A6B37804F5A9EC5B593ECC39A45"><enum>(1)</enum><text>by
redesignating subparagraphs (A) and (B) as subparagraphs (B) and (C),
respectively; and</text>
</paragraph><paragraph id="H6B69970B413D4503904164670DAF489C"><enum>(2)</enum><text>by
inserting before subparagraph (B), as so redesignated, the following new
subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H478005AB41E0448BA420D671DC5D8DF1" style="OLC">
<subparagraph id="HB2234A5752DD421E9AE052D1EAF98800"><enum>(A)</enum><header>Requirements for
filing claims during extended filing period</header>
<clause id="H8CF1E46944BA40F6BF710DEF49D32AEF"><enum>(i)</enum><header>Timing
requirements for filing claims</header><text>An individual (or a personal
representative on behalf of a deceased individual) may file a claim during the
period described in subsection (a)(3)(B) as follows:</text>
<subclause id="HDE976192709F428EA4B4770C76388D7D"><enum>(I)</enum><text>In
the case that the Special Master determines the individual knew (or reasonably
should have known) before the date specified in clause (iii) that the
individual suffered a physical harm at a 9/11 crash site as a result of the
terrorist-related aircraft crashes of September 11, 2001, or as a result of
debris removal, and that the individual knew (or should have known) before such
specified date that the individual was eligible to file a claim under this
title, the individual may file a claim not later than the date that is 2 years
after such specified date.</text>
</subclause><subclause id="HD64731DD4C2E49B993C06C48C960CA2A"><enum>(II)</enum><text>In
the case that the Special Master determines the individual first knew (or
reasonably should have known) on or after the date specified in clause (iii)
that the individual suffered such a physical harm or that the individual first
knew (or should have known) on or after such specified date that the individual
was eligible to file a claim under this title, the individual may file a claim
not later than the last day of the 2-year period beginning on the date the
Special Master determines the individual first knew (or should have known) that
the individual both suffered from such harm and was eligible to file a claim
under this title.</text>
</subclause></clause><clause id="H330933759E8746BFA18DC6722796AA80"><enum>(ii)</enum><header>Other
eligibility requirements for filing claims</header><text>An individual may file
a claim during the period described in subsection (a)(3)(B) only if—</text>
<subclause id="H9340C3D2AC3F468DABA121F7123E94CF"><enum>(I)</enum><text>the
individual was treated by a medical professional for suffering from a physical
harm described in clause (i)(I) within a reasonable time from the date of
discovering such harm; and</text>
</subclause><subclause id="H81A09C8822AC40F18C11623DB1181582"><enum>(II)</enum><text>the individual’s
physical harm is verified by contemporaneous medical records created by or at
the direction of the medical professional who provided the medical care.</text>
</subclause></clause><clause id="HD7AE90E0279846CBA1A97A97D9E73A42"><enum>(iii)</enum><header>Date
specified</header><text>The date specified in this clause is the date on which
the regulations are updated under section
407(a).</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H841109E3FC0D44F0B29F63AC8B9C97EB"><enum>(d)</enum><header>Clarifying
applicability to all 9/11 crash sites</header><text>Section 405(c)(2)(A)(i) of
such Act is amended by striking <quote>or the site of the aircraft crash at
Shanksville, Pennsylvania</quote> and inserting <quote>the site of the aircraft
crash at Shanksville, Pennsylvania, or any other 9/11 crash
site</quote>.</text>
</subsection><subsection id="HE09939860A1B496CAAFA2AEE5355DCA1"><enum>(e)</enum><header>Inclusion of
physical harm resulting from debris removal</header><text display-inline="yes-display-inline">Section 405(c) of such Act is amended in
paragraph (2)(A)(ii), by inserting <quote>or debris removal</quote> after
<quote>air crash</quote>.</text>
</subsection><subsection id="H35918DF513BC47F8A8EFF02FACF3EB27"><enum>(f)</enum><header>Limitations on
civil actions</header>
<paragraph id="HFAA3329FBE0C4B42AA93EAA473198B16"><enum>(1)</enum><header>Application to
damages related to debris removal</header><text>Clause (i) of section
405(c)(3)(C) of such Act, as redesignated by subsection (c), is amended by
inserting <quote>, or for damages arising from or related to debris
removal</quote> after <quote>September 11, 2001</quote>.</text>
</paragraph><paragraph id="H9B53021E3C9D4980B78900E888D15CDB"><enum>(2)</enum><header>Pending
actions</header><text>Clause (ii) of such section, as so redesignated, is
amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H1828B3C2B8234220B44247F9B2826CC0" style="OLC">
<clause id="HDEDB8630FBF3437D9278E15AAAC37163"><enum>(ii)</enum><header>Pending
actions</header><text display-inline="yes-display-inline">In the case of an
individual who is a party to a civil action described in clause (i), such
individual may not submit a claim under this title—</text>
<subclause id="H45B8C451F67F425792A209EE985D1575"><enum>(I)</enum><text>during the period
described in subsection (a)(3)(A) unless such individual withdraws from such
action by the date that is 90 days after the date on which regulations are
promulgated under section 407(a); and</text>
</subclause><subclause id="H1C75EADF80FA4FE1AFB69130FAD7194D"><enum>(II)</enum><text>during the period
described in subsection (a)(3)(B) unless such individual withdraws from such
action by the date that is 90 days after the date on which the regulations are
updated under section
407(b).</text>
</subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="H95DCD712F52549668DF21D9755440C8C"><enum>(3)</enum><header>Settled
actions</header><text>Such section, as so redesignated, is further amended by
adding at the end the following new clause:</text>
<quoted-block display-inline="no-display-inline" id="H4C489339C2874C49A0D57377AB7DDBC2" style="OLC">
<clause commented="no" id="H0247F0641A9E4991AB47EA5F86EA1AD7"><enum>(iii)</enum><header>Settled
actions</header><text display-inline="yes-display-inline">In the case of an
individual who settled a civil action described in clause (i), such individual
may not submit a claim under this title unless such action was commenced after
December 22, 2003, and a release of all claims in such action was tendered
prior to the date on which the James Zadroga 9/11 Health and Compensation Act
of 2010 was
enacted.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><section id="HE5DC375673464F8DBA18D012F151C122"><enum>203.</enum><header>Requirement to
update regulations</header><text display-inline="no-display-inline">Section 407
of the Air Transportation Safety and System Stabilization Act (49 U.S.C. 40101
note) is amended—</text>
<paragraph id="HDDC6CA1ACA4F4BD9B49296428895C03C"><enum>(1)</enum><text>by
striking <quote>Not later than</quote> and inserting <quote><header-in-text level="subsection" style="OLC"><enum-in-header>(a)</enum-in-header> In
general.—</header-in-text>Not later than</quote>; and</text>
</paragraph><paragraph id="HB2BDF1FF14B24F27BA622EEC6B30F9D8"><enum>(2)</enum><text>by
adding at the end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="HF5CB6AB5144C4407B25ADA9695BEF944" style="OLC">
<subsection id="H5F0C685249B14796880BC0DE042B9539"><enum>(b)</enum><header>Updated
regulations</header><text display-inline="yes-display-inline">Not later than
180 days after the date of the enactment of the James Zadroga 9/11 Health and
Compensation Act of 2010, the Special Master shall update the regulations
promulgated under subsection (a) to the extent necessary to comply with the
provisions of title II of such
Act.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><section id="HA994CC85D4774C029B84E96AB8D73405"><enum>204.</enum><header>Limited
liability for certain claims</header><text display-inline="no-display-inline">Section 408(a) of the Air Transportation
Safety and System Stabilization Act (<external-xref legal-doc="usc" parsable-cite="usc/49/40101">49 U.S.C. 40101</external-xref> note) is amended
by adding at the end the following new paragraphs:</text>
<quoted-block display-inline="no-display-inline" id="HCC7AC6874E1D4D7D846AC91D57EDFEF6" style="OLC">
<paragraph id="HCC198D719408472C85360BE3616A046A"><enum>(4)</enum><header>Liability for
certain claims</header><text display-inline="yes-display-inline">Notwithstanding any other provision of law,
liability for all claims and actions (including claims or actions that have
been previously resolved, that are currently pending, and that may be filed)
for compensatory damages, contribution or indemnity, or any other form or type
of relief, arising from or related to debris removal, against the City of New
York, any entity (including the Port Authority of New York and New Jersey) with
a property interest in the World Trade Center on September 11, 2001 (whether
fee simple, leasehold or easement, or direct or indirect) and any contractors
and subcontractors, shall not be in an amount that exceeds the sum of the
following, as may be applicable:</text>
<subparagraph id="H6EC3F1864D2549A0BEA3FADABC1EB68A"><enum>(A)</enum><text>The amount of
funds of the WTC Captive Insurance Company, including the cumulative
interest.</text>
</subparagraph><subparagraph id="HD8BC3BCBF6ED40A3B43051A55889EED1"><enum>(B)</enum><text>The amount of all
available insurance identified in schedule 2 of the WTC Captive Insurance
Company insurance policy.</text>
</subparagraph><subparagraph id="HC30F3E8E86744384BF2CF349314AB63C"><enum>(C)</enum><text display-inline="yes-display-inline">As it relates to the limitation of
liability of the City of New York, the amount that is the greater of the City
of New York’s insurance coverage or $350,000,000. In determining the amount of
the City’s insurance coverage for purposes of the previous sentence, any amount
described in subparagraphs (A) and (B) shall not be included.</text>
</subparagraph><subparagraph id="HCC6981AC26744B488B78A2A00369E695"><enum>(D)</enum><text>As it relates to
the limitation of liability of any entity, including the Port Authority of New
York and New Jersey, with a property interest in the World Trade Center on
September 11, 2001 (whether fee simple, leasehold or easement, or direct or
indirect), the amount of all available liability insurance coverage maintained
by any such entity.</text>
</subparagraph><subparagraph id="H804AB802B972489DA1342C1CC97D2DEF"><enum>(E)</enum><text display-inline="yes-display-inline">As it relates to the limitation of
liability of any individual contractor or subcontractor, the amount of all
available liability insurance coverage maintained by such contractor or
subcontractor on September 11, 2001.</text>
</subparagraph></paragraph><paragraph id="H429070E6F10740608A56DE656F1A9A6A"><enum>(5)</enum><header>Priority of
claims payments</header><text display-inline="yes-display-inline">Payments to
plaintiffs who obtain a settlement or judgment with respect to a claim or
action to which paragraph (4) applies, shall be paid solely from the following
funds in the following order, as may be applicable:</text>
<subparagraph id="HD1DCDFB4C4F74405A0E3522BFE67BD0B"><enum>(A)</enum><text>The funds
described in subparagraph (A) or (B) of paragraph (4).</text>
</subparagraph><subparagraph id="H008DA2DD952F4EBB89A8E867EA1E4C91"><enum>(B)</enum><text>If there are no
funds available as described in subparagraph (A) or (B) of paragraph (4), the
funds described in subparagraph (C) of such paragraph.</text>
</subparagraph><subparagraph id="HE3B693AE5A2D42A99B103E9AE9AEEB84"><enum>(C)</enum><text display-inline="yes-display-inline">If there are no funds available as
described in subparagraph (A), (B), or (C) of paragraph (4), the funds
described in subparagraph (D) of such paragraph.</text>
</subparagraph><subparagraph id="H4E3085B1009F4946BA08102DCE984133"><enum>(D)</enum><text display-inline="yes-display-inline">If there are no funds available as
described in subparagraph (A), (B), (C), or (D) of paragraph (4), the funds
described in subparagraph (E) of such paragraph.</text>
</subparagraph></paragraph><paragraph id="H87AF060823BD49E1B2C6A695F90A281F"><enum>(6)</enum><header>Declaratory
judgment actions and direct action</header><text display-inline="yes-display-inline">Any claimant to a claim or action to which
paragraph (4) applies may, with respect to such claim or action, either file an
action for a declaratory judgment for insurance coverage or bring a direct
action against the insurance company involved, except that no such action for
declaratory judgment or direct action may be commenced until after the funds
available in subparagraph (A), (B), (C), and (D) of paragraph (5) have been
exhausted consistent with the order described in such paragraph for
payment.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="HB24837C6FDFB411485D27C377ED518BD"><enum>205.</enum><header>Funding;
attorney fees</header><text display-inline="no-display-inline">Section 406 of
the Air Transportation Safety and System Stabilization Act (49 U.S.C. 40101
note) is amended—</text>
<paragraph id="HBA979805E8734CFBA9E00F05C5C5EF61"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a), by striking <quote>Not
later than</quote> and inserting <quote>Subject to the limitations under
subsection (d), not later than</quote>;</text>
</paragraph><paragraph commented="no" id="HBEBC576DFD924452BF38F02790CB4555"><enum>(2)</enum><text>in subsection
(b)—</text>
<subparagraph commented="no" id="H4C1998D839674158B266C3197104B2C9"><enum>(A)</enum><text>by inserting
<quote>in the amounts provided under subsection (d)(1)</quote> after
<quote>appropriations Acts</quote>; and</text>
</subparagraph><subparagraph commented="no" id="H04BDB636A8404F259A2FA69572256C85"><enum>(B)</enum><text>by inserting
<quote>subject to the limitations under subsection (d)</quote> before the
period; and</text>
</subparagraph></paragraph><paragraph id="HFE1BB1BC43F64E66A7B02E8D346D79BB"><enum>(3)</enum><text>by
adding at the end the following new subsections:</text>
<quoted-block display-inline="no-display-inline" id="HE757FE29A2F849E3BD7A77D3A54BB7FF" style="OLC">
<subsection commented="no" id="HCCA123670B594CF08DEDE38AED99D536"><enum>(d)</enum><header>Limitation</header>
<paragraph id="ID91dcc8f25da54f86abbc0107fbe6d44f"><enum>(1)</enum><header>In
general</header><text>The total amount of Federal funds paid for compensation
under this title, with respect to claims filed on or after the date on which
the regulations are updated under section 407(b), shall not exceed
$2,775,000,000. Of such amounts, not to exceed $875,000,000 shall be available
to pay such claims during the 5-year period beginning on such date.</text>
</paragraph><paragraph display-inline="no-display-inline" id="H080D181116F44941821B7959EB676845"><enum>(2)</enum><header>Pro-ration and
payment of remaining claims</header>
<subparagraph id="H9AC713E4877948A89D99EC71929A1356"><enum>(A)</enum><header>In
general</header><text>The Special Master shall ratably reduce the amount of
compensation due claimants under this title in a manner to ensure, to the
extent possible, that—</text>
<clause id="idB519EA56EBB64DECB1E87D15D36D6749"><enum>(i)</enum><text>all
claimants who, before application of the limitation under the second sentence
of paragraph (1), would have been determined to be entitled to a payment under
this title during such 5-year period, receive a payment during such period;
and</text>
</clause><clause id="id0E5BC9B209FA4C30A35DDDB2D4A6717C"><enum>(ii)</enum><text>the
total amount of all such payments made during such 5-year period do not exceed
the amount available under the second sentence of paragraph (1) to pay claims
during such period.</text>
</clause></subparagraph><subparagraph display-inline="no-display-inline" id="idD723205D14EE4F5DB01AEEB711D95C31"><enum>(B)</enum><header>Payment of
remainder of claim amounts</header><text>In any case in which the amount of a
claim is ratably reduced pursuant to subparagraph (A), on or after the first
day after the 5-year period described in paragraph (1), but in no event later
than 1 year after such 5-year period, the Special Master shall pay to the
claimant the amount that is equal to the difference between—</text>
<clause id="id380B71B70AEC4C72ADC1AF453B1741B8"><enum>(i)</enum><text>the
amount that the claimant would have been paid under this title during such
period without regard to the limitation under the second sentence of paragraph
(1) applicable to such period; and</text>
</clause><clause id="idCF152659C87C4340A42AE8FB8D398ED5"><enum>(ii)</enum><text>the
amount the claimant was paid under this title during such period.</text>
</clause></subparagraph><subparagraph id="id6068D83A93684D19AE658F4FBF982B19"><enum>(C)</enum><header>Termination</header><text>Upon
completion of all payments pursuant to this subsection, the Victim’s
Compensation Fund shall be permanently closed.</text>
</subparagraph></paragraph></subsection><subsection id="H23C46DFDEF00436B84F8948FC1BF8478"><enum>(e)</enum><header>Attorney
fees</header>
<paragraph id="HDFA70A544ECB4381BB6408CE178DCE91"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">Notwithstanding any
contract, the representative of an individual may not charge, for services
rendered in connection with the claim of an individual under this title, more
than 10 percent of an award made under this title on such claim.</text>
</paragraph><paragraph id="id13948C4658904019ACB379D42AA35A07"><enum>(2)</enum><header>Limitation</header>
<subparagraph id="IDe22bdeec2a7b4da5a4242374dda94313"><enum>(A)</enum><header>In
general</header><text>Except as provided in subparagraph (B), in the case of an
individual who was charged a legal fee in connection with the settlement of a
civil action described in section 405(c)(3)(C)(iii), the representative of the
individual may not charge any amount for compensation for services rendered in
connection with a claim filed under this title.</text>
</subparagraph><subparagraph id="idE20BC1481CA341A6A07FA8168F3285B6"><enum>(B)</enum><header>Exception</header><text>If
the legal fee charged in connection with the settlement of a civil action
described in section 405(c)(3)(C)(iii) of an individual is less than 10 percent
of the aggregate amount of compensation awarded to such individual through such
settlement, the representative of such individual may charge an amount for
compensation for services rendered to the extent that such amount charged is
not more than—</text>
<clause id="id16292CF50A6B49F199AE99B2DB0AA152"><enum>(i)</enum><text>10
percent of such aggregate amount through the settlement, minus</text>
</clause><clause id="IDbfc1a129584446af96e0c3617a41e045"><enum>(ii)</enum><text>the
total amount of all legal fees charged for services rendered in connection with
such settlement.</text>
</clause></subparagraph></paragraph><paragraph id="idCE1B33657C6648989146A899D1EB774E"><enum>(3)</enum><header>Discretion to
lower fee</header><text>In the event that the special master finds that the fee
limit set by paragraph (1) or (2) provides excessive compensation for services
rendered in connection with such claim, the Special Master may, in the
discretion of the Special Master, award as reasonable compensation for services
rendered an amount lesser than that permitted for in paragraph
(1).</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></section><enum>III</enum><header>Revenue related
provisions</header>
<section id="id290293AFD7DB497BA642781A289078E0"><enum>301.</enum><header>Excise tax on
certain foreign procurement</header>
<subsection id="id3D841ACED5384EBD97D7D7C8E4A54018"><enum>(a)</enum><header>Imposition of
tax</header>
<paragraph id="id2317525EE81247AB87DC4ABA6E82D25B"><enum>(1)</enum><header>In
general</header><text>Subtitle D of the Internal Revenue Code of 1986 is
amended by adding at the end the following new chapter:</text>
<quoted-block display-inline="no-display-inline" id="id4857EE4D679043A7B371C547B5FA5407" style="OLC">
<chapter id="id062B0204138B4D9BA85FCD719E65E5C1"><enum>50</enum><header>Foreign
procurement</header>
<toc>
<toc-entry idref="idCE50762EA25E4D089079EF51C2384052" level="section">Sec. 5000C. Imposition of tax on certain foreign
procurement.</toc-entry>
</toc>
<section id="idCE50762EA25E4D089079EF51C2384052"><enum>5000C.<?LEXA-Enum 5000C.?></enum><header>Imposition of tax on certain foreign
procurement</header>
<subsection id="id7C43709C2576493EA05C8AC02015A544"><enum>(a)</enum><header>Imposition of
tax</header><text>There is hereby imposed on any foreign person that receives a
specified Federal procurement payment a tax equal to 2 percent of the amount of
such specified Federal procurement payment.</text>
</subsection><subsection id="id9D8C180902164E8F8F6F14D28CA508D2"><enum>(b)</enum><header>Specified
Federal procurement payment</header><text>For purposes of this section, the
term <term>specified Federal procurement payment</term> means any payment made
pursuant to a contract with the Government of the United States for—</text>
<paragraph id="id22CD5E6AD291463E98DE39A742692B2F"><enum>(1)</enum><text>the provision of
goods, if such goods are manufactured or produced in any country which is not a
party to an international procurement agreement with the United States,
or</text>
</paragraph><paragraph id="idDD8579B357684E7895699F48C7A01BA6"><enum>(2)</enum><text>the provision of
services, if such services are provided in any country which is not a party to
an international procurement agreement with the United States.</text>
</paragraph></subsection><subsection id="id0932693FC7614F75B89B03C1F88D15E9"><enum>(c)</enum><header>Foreign
person</header><text>For purposes of this section, the term <term>foreign
person</term> means any person other than a United States person.</text>
</subsection><subsection id="id195EEC69211C4372AAEE7AB8EC9E1A3E"><enum>(d)</enum><header>Administrative
provisions</header>
<paragraph id="id714774AFEFF54D8C9CDDB79881CC1C00"><enum>(1)</enum><header>Withholding</header><text>The
amount deducted and withheld under chapter 3 shall be increased by the amount
of tax imposed by this section on such payment.</text>
</paragraph><paragraph id="id2C6DCCCD29484E70B70B8A1A277599CF"><enum>(2)</enum><header>Other
administrative provisions</header><text>For purposes of subtitle F, any tax
imposed by this section shall be treated as a tax imposed by subtitle
A.</text>
</paragraph></subsection></section></chapter><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="id4E3846AA387D4BE19E94391BFE888016"><enum>(2)</enum><header>Clerical
amendment</header><text>The table of chapters for subtitle D of the Internal
Revenue Code of 1986 is amended by adding at the end the following new
item:</text>
<quoted-block id="id1f1a669f-76e1-49e9-b04c-441d4a4995b8" style="OLC">
<toc>
<toc-entry idref="id062B0204138B4D9BA85FCD719E65E5C1" level="chapter">Chapter 50—Foreign
procurement</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idB5A4CB212D7E4394B5ACE63EE4737BB4"><enum>(3)</enum><header display-inline="yes-display-inline">Effective
date</header><text display-inline="yes-display-inline">The amendments made by
this subsection shall apply to payments received pursuant to contracts entered
into on and after the date of the enactment of this Act.</text>
</paragraph></subsection><subsection id="id8EA4C475ABF34B9BBFAAD287655287E3"><enum>(b)</enum><header>Prohibition on
reimbursement of fees</header>
<paragraph id="id1083FD48DF1345D2AFB72171AA929895"><enum>(1)</enum><header>In
general</header><text>The head of each executive agency shall take any and all
measures necessary to ensure that no funds are disbursed to any foreign
contractor in order to reimburse the tax imposed under section 5000C of the
Internal Revenue Code of 1986.</text>
</paragraph><paragraph id="id236824CAFE5C4F028501639B172D2D14"><enum>(2)</enum><header>Annual
review</header><text>The Administrator for Federal Procurement Policy shall
annually review the contracting activities of each executive agency to monitor
compliance with the requirements of paragraph (1).</text>
</paragraph><paragraph id="id4887F1D73CF1463C87B483A7ED7B3F3B"><enum>(3)</enum><header>Executive
agency</header><text>For purposes of this subsection, the term <term>executive
agency</term> has the meaning given the term in section 4 of the Office of
Federal Procurement Policy Act (41 U.S.C. 403).</text>
</paragraph></subsection><subsection id="id276493EAFFDB490CB6CA4DFAEAA0D740"><enum>(c)</enum><header>Application</header><text>This
section and the amendments made by this section shall be applied in a manner
consistent with United States obligations under international
agreements.</text>
</subsection></section><section id="id7DA12D8803B643FF86C898250F123924"><enum>302.</enum><header>Renewal of
fees for visa-dependent employers</header><text display-inline="no-display-inline">Subsections (a), (b), and (c) of section 402
of Public Law 111-230 are amended by striking <quote>2014</quote> each place
that such appears and inserting <quote>2015</quote>.</text>
</section><enum>IV</enum><header>Budgetary
Effects</header>
<section commented="no" display-inline="no-display-inline" id="H27386A9388D3492D953A6CD9CE48C13D" section-type="subsequent-section"><enum>401.</enum><header>Compliance with
Statutory Pay-As-You-Go Act of 2010</header><text display-inline="no-display-inline">The budgetary effects of this Act, for the
purpose of complying with the Statutory Pay-As-You-Go-Act of 2010, shall be
determined by reference to the latest statement titled <quote>Budgetary Effects
of PAYGO Legislation</quote> for this Act, submitted for printing in the
Congressional Record by the Chairman of the Senate Budget Committee, provided
that such statement has been submitted prior to the vote on passage.</text>
</section>
Secretary