[Congressional Record Volume 171, Number 133 (Friday, August 1, 2025)]
[Senate]
[Pages S5312-S5313]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 3547. Mrs. GILLIBRAND (for herself and Mr. Schumer) submitted an 
amendment intended to be proposed by her to the bill S. 2296, to 
authorize appropriations for fiscal year 2026 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 end of subtitle F of title X, insert the following:

     SEC. __. FUNDING FOR THE WORLD TRADE CENTER HEALTH PROGRAM.

       (a) In General.--Section 3351 of the Public Health Service 
     Act (42 U.S.C. 300mm-61) is amended--
       (1) in subsection (a)(2)(A), by amending clause (xi) to 
     read as follows:
       ``(xi) for each of fiscal years 2026 through 2090--

[[Page S5313]]

       ``(I) the amount determined under this subparagraph for the 
     previous fiscal year multiplied by 1.07; multiplied by
       ``(II) the ratio of--

       ``(aa) the total number of individuals enrolled in the WTC 
     Program on July 1 of such previous fiscal year; to
       ``(bb) the total number of individuals so enrolled on July 
     1 of the fiscal year prior to such previous fiscal year; 
     plus''; and
       (2) in subsection (c)--
       (A) in paragraph (4)--
       (i) by amending subparagraph (A) to read as follows:
       ``(A) for fiscal year 2025, the amount determined for such 
     fiscal year under this paragraph as in effect on the day 
     before the date of enactment of the National Defense 
     Authorization Act for Fiscal Year 2026;'';
       (ii) by amending subparagraph (B) to read as follows:
       ``(B) for fiscal year 2026, the greater of--
       ``(i) the amount determined for such fiscal year under this 
     paragraph as in effect on the day before the date of 
     enactment of the National Defense Authorization Act for 
     Fiscal Year 2026; or
       ``(ii) the amount expended for the previous fiscal year for 
     the purposes described in this paragraph increased by 25 
     percent; and''; and
       (iii) in subparagraph (C), by striking ``the amount 
     specified under this paragraph for the previous fiscal year'' 
     and inserting ``the amount expended for the previous fiscal 
     year for such purposes''; and
       (B) in paragraph (5)--
       (i) by amending subparagraph (A) to read as follows:
       ``(A) for fiscal year 2025, the amount determined for such 
     fiscal year under this paragraph as in effect on the day 
     before the date of enactment of the National Defense 
     Authorization Act for Fiscal Year 2026;'';
       (ii) by redesignating subparagraph (B) as subparagraph (C);
       (iii) by inserting after subparagraph (A) the following:
       ``(B) for fiscal year 2026, the greater of--
       ``(i) the amount determined for such fiscal year under this 
     paragraph as in effect on the day before the date of 
     enactment of the National Defense Authorization Act for 
     Fiscal Year 2026; or
       ``(ii) the amount expended for the previous fiscal year for 
     the purpose described in this paragraph increased by 25 
     percent; and''; and
       (iv) in subparagraph (C), as so redesignated, by striking 
     ``the amount specified under this paragraph for the previous 
     fiscal year'' and inserting ``the amount expended for the 
     previous fiscal year for such purpose''.
       (b) Technical Amendments.--Title XXXIII of the Public 
     Health Service Act (42 U.S.C. 300mm et seq.) is amended--
       (1) in section 3352 (42 U.S.C. 300mm-62), by amending 
     subsection (d) to read as follows:
       ``(d) Remaining Amounts.--Amounts remaining in the 
     Supplemental Fund shall revert to the Treasury in accordance 
     with section 1552 of title 31, United States Code.'';
       (2) in section 3353 (42 U.S.C. 300mm-63), by amending 
     subsection (d) to read as follows:
       ``(d) Remaining Amounts.--Amounts remaining in the Special 
     Fund shall revert to the Treasury in accordance with section 
     1552 of title 31, United States Code.''; and
       (3) in section 3354 (42 U.S.C. 300mm-64), by amending 
     subsection (d) to read as follows:
       ``(d) Remaining Amounts.--Amounts remaining in the 
     Pentagon/Shanksville Fund shall revert to the Treasury in 
     accordance with section 1552 of title 31, United States 
     Code.''.
       (c) Report to Congress.--
       (1) In general.--Not later than 3 years after the date of 
     enactment of this Act, the Secretary of Health and Human 
     Services (referred to in this section as the ``Secretary'') 
     shall conduct an assessment of anticipated budget authority 
     and outlays of the World Trade Center Health Program 
     (referred to in this section as the ``Program'') through the 
     duration of the Program and submit a report summarizing such 
     assessment to--
       (A) the Speaker and minority leader of the House of 
     Representatives;
       (B) the majority and minority leaders of the Senate;
       (C) the Committee on Health, Education, Labor, and Pensions 
     and the Committee on the Budget of the Senate; and
       (D) the Committee on Energy and Commerce and the Committee 
     on the Budget of the House of Representatives.
       (2) Inclusions.--The report required under paragraph (1) 
     shall include--
       (A) a projection of Program budgetary needs on a per-fiscal 
     year basis through fiscal year 2090;
       (B) a review of Program modeling for each of fiscal years 
     2017 through the fiscal year prior to the fiscal year in 
     which the report is issued to assess how anticipated 
     budgetary needs compared to actual expenditures;
       (C) an assessment of the projected budget authority and 
     expenditures of the Program through fiscal year 2090; and
       (D) any recommendations of the Secretary to make changes to 
     the formula under section 3351(a)(2)(A) of the Public Health 
     Service Act (42 U.S.C. 300mm-61(a)(2)(A)), as amended by 
     subsection (a)(1), to fully offset anticipated Program 
     expenditures through fiscal year 2090.
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