[Congressional Record Volume 168, Number 199 (Wednesday, December 21, 2022)]
[Senate]
[Page S10017]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

       SA 6607. Mrs. GILLIBRAND submitted an amendment intended to be 
     proposed to amendment SA 6552 proposed by Mr. Leahy to the bill H.R. 
     2617, to amend section 1115 of title 31, United States Code, to amend 
     the description of how performance goals are achieved, and for other 
     purposes; which was ordered to lie on the table; as follows:
     
            At the end of division FF, add the following:
     
        TITLE VII--SUPPLEMENTAL FUNDING FOR THE WORLD TRADE CENTER HEALTH 
                                     PROGRAM
     
          SEC. 7701. SUPPLEMENTAL FUNDING FOR THE WORLD TRADE CENTER 
                        HEALTH PROGRAM.
     
            (a) In General.--Title XXXIII of the Public Health Service 
          Act (42 U.S.C. 300mm et seq.) is amended by adding at the end 
          the following:
     
          ``SEC. 3352. SUPPLEMENTAL FUND.
     
            ``(a) In General.--There is established a fund to be known 
          as the World Trade Center Health Program Supplemental Fund 
          (referred to in this section as the `Supplemental Fund'), 
          consisting of amounts deposited into the Fund under 
          subsection (b).
            ``(b) Amount.--Out of any money in the Treasury not 
          otherwise appropriated, there is appropriated for fiscal year 
          2023 $1,000,000,000, for deposit into the Supplemental Fund, 
          which amounts shall remain available through fiscal year 
          2032.
            ``(c) Uses of Funds.--Amounts deposited into the 
          Supplemental Fund under subsection (b) shall be available, 
          without further appropriation and without regard to any 
          spending limitation under section 3351(c), to the WTC Program 
          Administrator as needed at the discretion of such 
          Administrator, for carrying out any provision in this title, 
          including sections 3303 and 3341(c).
            ``(d) Return of Funds.--Any amounts that remain in the 
          Supplemental Fund on September 30, 2032, shall be deposited 
          into the Treasury as miscellaneous receipts.''.
            (b) Conforming Amendments.--Title XXXIII of the Public 
          Health Service Act (42 U.S.C. 300mm et seq.) is amended--
            (1) in section 3311(a)(4)(B)(i)(II) (42 U.S.C. 300mm-
          21(a)(4)(B)(i)(II)), by striking ``section 3351'' and 
          inserting ``sections 3351 and 3352'';
            (2) in section 3321(a)(3)(B)(i)(II) (42 U.S.C. 300mm-
          31(a)(3)(B)(i)(II)), by striking ``section 3351'' and 
          inserting ``sections 3351 and 3352'';
            (3) in section 3331 (42 U.S.C. 300mm-41)--
            (A) in subsection (a), by inserting ``and the World Trade 
          Center Health Program Supplemental Fund'' before the period 
          at the end; and
            (B) in subsection (d)--
            (i) in paragraph (1)(B), by inserting ``(excluding any 
          expenditures from amounts in the World Trade Center Health 
          Program Supplemental Fund under section 3352)'' before the 
          period at the end; and
            (ii) in paragraph (2), in the flush text following 
          subparagraph (C), by inserting ``(excluding any expenditures 
          from amounts in the World Trade Center Health Program 
          Supplemental Fund under section 3352)'' before the period at 
          the end; and
            (4) in section 3351(b) (42 U.S.C. 300mm-61(b))--
            (A) in paragraph (2), by inserting ``or as available from 
          the World Trade Center Health Program Supplemental Fund under 
          section 3352'' before the period at the end; and
            (B) in paragraph (3), by inserting ``or as available from 
          the World Trade Center Health Program Supplemental Fund under 
          section 3352'' before the period at the end.
            (c) Prevention and Public Health Fund.--Section 4002(b) of 
          the Patient Protection and Affordable Care Act (42 U.S.C. 
          300u-11(b)) is amended--
            (1) in paragraph (8), by striking ``$1,800,000,000; and'' 
          and inserting ``$1,525,000,000;'';
            (2) by striking paragraph (9) and inserting the following:
            ``(9) for each of fiscal years 2028 and 2029, 
          $1,725,000,000; and''; and
            (3) by adding at the end the following:
            ``(10) for fiscal year 2030 and each fiscal year 
          thereafter, $2,000,000,000.''.
     
          SEC. 7702. RESEARCH COHORT FOR EMERGING HEALTH IMPACTS ON 
                        YOUTH.
     
            (a) In General.--Section 3341 of the Public Health Service 
          Act (42 U.S.C. 300mm-51) is amended--
            (1) in subsection (a)--
            (A) in the matter preceding paragraph (1), by striking 
          ``With respect'' through ``subtitle B, the'' and inserting 
          ``The''; and
            (B) by striking ``of such individuals'' each place it 
          appears;
            (2) in subsection (b)(1), by inserting ``and individuals 
          who were exposed within a geographic area related to the 
          September 11, 2001, terrorist attacks in a manner similar to 
          the exposure within such geographic area experienced by 
          individuals meeting the eligibility criteria under section 
          3311(a)(2) or 3321(a)(1)(B)'' after ``treatment'';
            (3) by redesignating subsections (c) and (d) as subsections 
          (d) and (e), respectively; and
            (4) by inserting after subsection (b) the following:
            ``(c) Research Cohort for Emerging Health Impacts on 
          Youth.--
            ``(1) In general.--The WTC Program Administrator, in 
          consultation with the Secretary of Education, shall establish 
          a research cohort of sufficient size to conduct future 
          research studies on the health and educational impacts of 
          exposure to airborne toxins, or any other hazard or adverse 
          condition, resulting from the September 11, 2001, terrorist 
          attacks, including on the population of individuals who were 
          21 years of age or younger at the time of exposure, including 
          such individuals who are screening-eligible WTC survivors or 
          certified-eligible WTC survivors.
            ``(2) Populations studied.--The research cohort under 
          paragraph (1) may include--
            ``(A) individuals who, on September 11, 2001, were 21 years 
          of age or younger and were--
            ``(i) outside the New York City disaster area; and
            ``(ii) in--
     
            ``(I) the area of Manhattan not further north than 14th 
          Street; or
            ``(II) Brooklyn; and
     
            ``(B) control populations, including populations of 
          individuals who, on September 11, 2001, were 21 years of age 
          or younger.''.
            (b) Funding.--Section 3351(b) of such Act (42 U.S.C. 300mm-
          61(b)) is amended by inserting after paragraph (3) the 
          following:
            ``(4) Limitation for research cohort for emerging health 
          impacts on youth.--Notwithstanding paragraph (1), the amounts 
          made available under such paragraph may not be used for 
          fiscal years 2023 through 2032 to carry out subsection (c) of 
          section 3341.''.
            (c) Conforming Amendment.--Section 3301(f)(2)(E) of such 
          Act (42 U.S.C. 300mm(f)(2)(E)) is amended by striking 
          ``section 3341(a)'' and inserting ``subsection (a) or (c) of 
          section 3341''.
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