[Congressional Record Volume 169, Number 128 (Tuesday, July 25, 2023)]
[Senate]
[Pages S3541-S3542]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 1038. Mrs. GILLIBRAND submitted an amendment intended to be 
proposed by her to the bill S. 2226, to authorize appropriations for 
fiscal year 2024 for military activities of the Department of Defense, 
for military construction, and for defense activities of the Department 
of Energy, to prescribe military personnel strengths for such fiscal 
year, and for other purposes; which was ordered to lie on the table; as 
follows:

       At the appropriate place in subtitle G of title X, insert 
     the following:

     SEC. ___. 9/11 RESPONDER AND SURVIVOR HEALTH FUNDING 
                   CORRECTION ACT OF 2023.

       (a) Department of Defense, Armed Forces, or Other Federal 
     Worker Responders to the September 11 Attacks at the Pentagon 
     and Shanksville, Pennsylvania.--Title XXXIII of the Public 
     Health Service Act (42 U.S.C. 300mm et seq.) is amended--
       (1) in section 3306 (42 U.S.C. 300mm-5)--
       (A) by redesignating paragraphs (5) through (11) and 
     paragraphs (12) through (17) as paragraphs (6) through (12) 
     and paragraphs (14) through (19), respectively;
       (B) by inserting after paragraph (4) the following:
       ``(5) The term `Federal agency' means an agency, office, or 
     other establishment in the executive, legislative, or 
     judicial branch of the Federal Government.''; and
       (C) by inserting after paragraph (12), as so redesignated, 
     the following:
       ``(13) The term `uniformed services' has the meaning given 
     the term in section 101(a) of title 10, United States 
     Code.''; and
       (2) in section 3311(a) (42 U.S.C. 300mm-21(a))--
       (A) in paragraph (2)(C)(i)--
       (i) in subclause (I), by striking ``; or'' and inserting a 
     semicolon;
       (ii) in subclause (II), by striking ``; and'' and inserting 
     a semicolon; and
       (iii) by adding at the end the following:
       ``(III) was an employee of the Department of Defense or any 
     other Federal agency, worked during the period beginning on 
     September 11, 2001, and ending on September 18, 2001, for a 
     contractor of the Department of Defense or any other Federal 
     agency, or was a member of a regular or reserve component of 
     the uniformed services; 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
       ``(IV) was an employee of the Department of Defense or any 
     other Federal agency, worked during the period beginning on 
     September 11, 2001, and ending on September 18, 2001, for a 
     contractor of the Department of Defense or any other Federal 
     agency, or was a member of a regular or reserve component of 
     the uniformed services; 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''; and
       (B) in paragraph (4)(A)--
       (i) by striking ``(A) In general.--The'' and inserting the 
     following:
       ``(A) Limit.--
       ``(i) In general.--The'';
       (ii) by inserting ``or subclause (III) or (IV) of paragraph 
     (2)(C)(i)'' after ``or (2)(A)(ii)''; and
       (iii) by adding at the end the following:
       ``(ii) Certain responders to the september 11 attacks at 
     the pentagon and shanksville, pennsylvania.--The total number 
     of individuals who may be enrolled under paragraph (3)(A)(ii) 
     based on eligibility criteria described in subclause (III) or 
     (IV) of paragraph (2)(C)(i) shall not exceed 500 at any 
     time.''.
       (b) Additional Funding for the World Trade Center Health 
     Program.--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. 3353. SPECIAL FUND.

       ``(a) In General.--There is established a fund to be known 
     as the World Trade Center Health Program Special Fund 
     (referred to in this section as the `Special Fund'), 
     consisting of amounts deposited into the Special Fund under 
     subsection (b).
       ``(b) Amount.--Out of any money in the Treasury not 
     otherwise appropriated, there is appropriated for fiscal year 
     2024

[[Page S3542]]

     $443,000,000 for deposit into the Special Fund, which amounts 
     shall remain available in such Fund through fiscal year 2033.
       ``(c) Uses of Funds.--Amounts deposited into the Special 
     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) Remaining Amounts.--Any amounts that remain in the 
     Special Fund on September 30, 2033, shall be deposited into 
     the Treasury as miscellaneous receipts.

     ``SEC. 3354. PENTAGON/SHANKSVILLE FUND.

       ``(a) In General.--There is established a fund to be known 
     as the World Trade Center Health Program Fund for Certain WTC 
     Responders at the Pentagon and Shanksville, Pennsylvania 
     (referred to in this section as the `Pentagon/Shanksville 
     Fund'), consisting of amounts deposited into the Pentagon/
     Shanksville Fund under subsection (b).
       ``(b) Amount.--Out of any money in the Treasury not 
     otherwise appropriated, there is appropriated for fiscal year 
     2024 $257,000,000 for deposit into the Pentagon/Shanksville 
     Fund, which amounts shall remain available in such Fund 
     through fiscal year 2033.
       ``(c) Uses of Funds.--
       ``(1) In general.--Amounts deposited into the Pentagon/
     Shanksville 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 for the purpose of carrying out section 3312 
     with regard to WTC responders enrolled in the WTC Program 
     based on eligibility criteria described in subclause (III) or 
     (IV) of section 3311(a)(2)(C)(i).
       ``(2) Limitation on other funding.--Notwithstanding 
     sections 3331(a), 3351(b)(1), 3352(c), and 3353(c), and any 
     other provision in this title, for the period of fiscal years 
     2024 through 2033, no amounts made available under this title 
     other than those amounts appropriated under subsection (b) 
     may be available for the purpose described in paragraph (1).
       ``(d) Remaining Amounts.--Any amounts that remain in the 
     Pentagon/Shanksville Fund on September 30, 2033, shall be 
     deposited into the Treasury as miscellaneous receipts.''.
       (c) 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 ``sections 3351 and 3352'' 
     and inserting ``this title'';
       (2) in section 3321(a)(3)(B)(i)(II) (42 U.S.C. 300mm-
     31(a)(3)(B)(i)(II)), by striking ``sections 3351 and 3352'' 
     and inserting ``this title'';
       (3) in section 3331 (42 U.S.C. 300mm-41)--
       (A) in subsection (a), by striking ``the World Trade Center 
     Health Program Fund and the World Trade Center Health Program 
     Supplemental Fund'' and inserting ``(as applicable) the Funds 
     established under sections 3351, 3352, 3353, and 3354''; and
       (B) in subsection (d)--
       (i) in paragraph (1)(A), by inserting ``or the World Trade 
     Center Health Program Special Fund under section 3353'' after 
     ``section 3351'';
       (ii) in paragraph (1)(B), by inserting ``or the World Trade 
     Center Health Program Fund for Certain WTC Responders at the 
     Pentagon and Shanksville, Pennsylvania under section 3354'' 
     after ``section 3352''; and
       (iii) in paragraph (2), in the flush text following 
     subparagraph (C), by inserting ``or the World Trade Center 
     Health Program Fund for Certain WTC Responders at the 
     Pentagon and Shanksville, Pennsylvania under section 3354'' 
     after ``section 3352''; and
       (4) in section 3351(b) (42 U.S.C. 300mm-61(b))--
       (A) in paragraph (2), by inserting ``, the World Trade 
     Center Health Program Special Fund under section 3353, or the 
     World Trade Center Health Program Fund for Certain WTC 
     Responders at the Pentagon and Shanksville, Pennsylvania 
     under section 3354'' before the period at the end; and
       (B) in paragraph (3), by inserting ``, the World Trade 
     Center Health Program Special Fund under section 3353, or the 
     World Trade Center Health Program Fund for Certain WTC 
     Responders at the Pentagon and Shanksville, Pennsylvania 
     under section 3354'' before the period at the end.
       (d) 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 (9), by striking ``$1,725,000,000; and'' 
     and inserting ``$1,568,000,000;''; and
       (2) by striking paragraph (10) and inserting the following:
       ``(10) for fiscal year 2030, $1,783,000,000;
       ``(11) for fiscal year 2031, $1,784,000,000; and
       ``(12) for fiscal year 2032 and each fiscal year 
     thereafter, $2,000,000,000.''.
                                 ______