,,ii  #aag? ,,congress  #a/ ,session    
,s4 #bfhc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #i1 #bjba,mrs4  
,gillibr& 7= h]self1 ,mr4 ,s*um]1 ,mr4  
,m55dez1 ,mr4 ,book]1 ,mr4 ,murphy1 &   
,mr4 ,blum5?al7 introduc$ ! foll[+ bill2
 :i* 0 read twice & ref]r$ to !         
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
title ,,xxxiii ( ! ,public ,heal?       
,s]vice ,act ) respect to flexibility & 
fund+ = ! ,_w ,trade ,c5t] ,heal?       
,program1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! #i_/aa  
,respond] & ,survivor ,heal? ,fund+     
,correction ,act4  #b4 ,flexibility =   
c]tifications "u ! ,_w ,trade ,c5t]     
,heal? ,program  7a7 ,9 g5]al ,section  
#ccje7;a7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjjmm-#d7;a77 is   
am5d$-- 7#a7 9 p>agraph 7#b77;,a77ii71  
by ins]t+ subject to p>agraph 7#f71 be=e
 =2 &  7#b7 by add+ at ! end ! foll[+3  
7#f7 ,lic5s$ heal? c>e provid]          
flexibility  7,a7 ,9 g5]al ,= purposes (

 an initial heal? evaluation describ$ 9 
p>agraph 7#b77;,a77ii7 7includ+ any su* 
evaluation provid$ "u section #ccba7;b7 
or ?r\gh ! nationwide network "u section
 #ccac71 su* evaluation may be conduct$ 
by a physician or any o!r lic5s$ heal?  
c>e provid] 9 a category ( heal? c>e    
provid]s det]m9$ by ! ,secret>y "u      
subp>agraph 7,b74  7,b7 ,categories (   
lic5s$ heal? c>e provid]s ,n lat] ?an   
#fj days aft] ! date ( enactm5t ( !     
#i_/aa ,respond] & ,survivor ,heal?     
,fund+ ,correction ,act1 ! ,,wtc        
,program ,adm9i/rator %all issue        
regulations = ! categories ( lic5s$     
heal? c>e provid]s :o1 9 addition to    
lic5s$ physicians1 may conduct          
evaluations "u subp>agraph 7,a7 & make  
det]m9ations "u section #ccab7;b74  4   
7b7 ,flexibility = ,,wtc respond]s      
,section #ccab7;b7 ( su* ,act 7#db      
,u4,s4,c4 #cjjmm-#bb7;b77 is am5d$--    
7#a7 9 p>agraph 7#a71 by /rik+ physician
 ea* place x appe>s & ins]t+ physician  
or o!r lic5s$ heal? c>e provid] 9 a     

category det]m9$ by ! ,secret>y "u      
section #ccje7;a77#f77;,b72  7#b7 9     
p>agraph 7#b7-- 7,a7 9 subp>agraph      
7,a7-- 7i7 9 ! matt] prec$+ clause 7i71 
by /rik+ physician & ins]t+ physician or
 o!r lic5s$ heal? c>e provid] 9 a       
category det]m9$ by ! ,secret>y "u      
section #ccje7;a77#f77;,b72  7ii7 9     
clause 7i71 by /rik+ physician & ins]t+ 
physician or o!r lic5s$ heal? c>e       
provid]2 &  7iii7 9 clause 7ii71 by     
/rik+ su* physician's det]m9ation &     
ins]t+ ! det]m9ation ( su* physician or 
o!r lic5s$ heal? c>e provid]2 &  7,b7 9 
subp>agraph 7,b7-- 7i7 9 ! matt] prec$+ 
clause 7i71 by /rik+ physician          
det]m9ations & ins]t+ det]m9ations by   
physicians or o!r lic5s$ heal? c>e      
provid]s 9 categories det]m9$ by !      
,secret>y "u section #ccje7;a77#f77;,b72
 &  7ii7 9 clause 7i71 by /rik+         
physician panel & ins]t+ panel (        
physicians or o!r lic5s$ heal? c>e      
provid]s 9 categories det]m9$ by !      
,secret>y "u section #ccje7;a77#f77;,b72

 &  7#c7 9 p>agraph 7#e71 by /rik+      
exam9+ physician & ins]t+ exam9+        
physician or o!r lic5s$ heal? c>e       
provid] 9 a category det]m9$ by !       
,secret>y "u section #ccje7;a77#f77;,b74
  #c4 ,crit]ia = cr$5tial+ heal? c>e    
provid]s p>ticipat+ 9 ! nationwide      
network ,title ,,xxxiii ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjjmm et seq47 is am5d$-- 7#a7 9       
section #ccje7;a77#b7 7#db ,u4,s4,c4    
#cjjmm-#d7;a77#b77-- 7,a7 9 subp>agraph 
7,a7-- 7i7 by /rik+ clause 7iv72 &  7ii7
 by r$esignat+ clauses 7v7 & 7vi7 z     
clauses 7iv7 & 7v71 respectively2  7,b7 
by /rik+ subp>agraph 7,b72 &  7,c7 by   
r$esignat+ subp>agraphs 7,c7 & 7,d7 z   
subp>agraphs 7,b7 & 7,c71 respectively2 
&  7#b7 9 section #ccac7;b77#a7 7#db    
,u4,s4,c4 #cjjmm-#bc7;b77#a771 by /rik+ 
,data ,c5t]s & ins]t+ ,,wtc ,program    
,adm9i/rator4  #d4 ,cl>ify+ calculation 
( enrollm5t  7a7 ,respond]s ,section    
#ccaa7;a7 ( su* ,act 7#db ,u4,s4,c4     
#cjjmm-#ba7;a77 is am5d$ by add+ at !   

end ! foll[+3  7#f7 ,deceas$ ,,wtc      
respond]s ,an individual kn[n to ! ,,wtc
 ,program ,adm9i/rator to be deceas$    
%all n be includ$ 9 any c\nt ( enrollees
 "u ?is subsection or section #ccea4  4 
7b7 ,survivors ,section #ccba7;a7 ( su* 
,act 7#db ,u4,s4,c4 #cjjmm-#ca7;a77 is  
am5d$ by add+ at ! end ! foll[+3  7#e7  
,deceas$ ,,wtc survivors ,an individual 
kn[n to ! ,,wtc ,program ,adm9i/rator to
 be deceas$ %all n be includ$ 9 any c\nt
 ( enrollees "u ?is subsection or       
section #ccea4  4  #e4 ,fund+ = ! ,_w   
,trade ,c5t] ,heal? ,program ,section   
#ccea ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #cjjmm-#fa7 is am5d$--   
7#a7 9 subsection 7a77#b77;,a7-- 7,a7 9 
clause 7x71 by /rik+ #egj1jjj1jjj2 & &  
ins]t+ #fhi1acj1jjj22 &  7,b7 by /rik+  
clause 7xi7 & ins]t+ ! foll[+3  7xi7 =  
fiscal ye> #bjbf1 #icj1cbe1ejj2  7xii7 =
 fiscal ye> #bjbg1 #a1jjd1gea1edj2      
7xiii7 = fiscal ye> #bjbh1              
#a1jhe1aca1ffc2  7xiv7 = fiscal ye>     
#bjbi1 #a1aci1chh1bdf2  7xv7 = fiscal   

ye> #bjcj1 #a1aif1ceg1fei2  7xvi7 =     
fiscal ye> #bjca1 #a1bef1age1edb2 &     
7xvii7 = ea* subsequ5t fiscal ye> ?r\gh 
fiscal ye> #bjij-- 7,i7 ! am\nt det]m9$ 
"u ?is subp>agraph = ! previ\s fiscal   
ye> multipli$ by #a4je2 multipli$ by    
7,,ii7 ! ratio (-- 7aa7 ! total numb] ( 
individuals enroll$ 9 ! ,,wtc program on
 ,july #a ( su* previ\s fiscal ye>2 to  
7bb7 ! total numb] ( individuals s      
enroll$ on ,july #a ( ! fiscal ye> prior
 to su* previ\s fiscal ye>2 plus  2 &   
7#b7 9 subsection 7c7-- 7,a7 by am5d+   
p>agraph 7#c7 to read z foll[s3  7#c7   
,education & outrea* ,= ! purpose (     
c>ry+ out section #ccjc-- 7,a7 = ea* (  
fiscal ye>s #bjaf ?r\gh #bjba1 #gej1jjj2
 &  7,b7 = fiscal ye> #bjbb & ea*       
subsequ5t fiscal ye>1 #b1jjj1jjj4  2    
7,b7 9 p>agraph 7#d7-- 7i7 by am5d+     
subp>agraph 7,a7 to read z foll[s3  7,a7
 = fiscal ye> #bjba1 ! am\nt det]m9$ =  
su* fiscal ye> "u ?is p>agraph z 9      
effect on ! day be=e ! date ( enactm5t (
 ! #i_/aa ,respond] & ,survivor ,heal?  

,fund+ ,correction ,act  2 &  7ii7 9    
subp>agraph 7,b71 by /rik+ #bjag1       
#ae1jjj1jjj & ins]t+ #bjbb1 #bj1jjj1jjj2
 &  7,c7 9 p>agraph 7#e7-- 7i7 by am5d+ 
subp>agraph 7,a7 to read z foll[s3  7,a7
 = fiscal ye> #bjba1 ! am\nt det]m9$ =  
su* fiscal ye> "u ?is p>agraph z 9      
effect on ! day be=e ! date ( enactm5t (
 ! #i_/aa ,respond] & ,survivor ,heal?  
,fund+ ,correction ,act2  2  7ii7 by    
r$esignat+ subp>agraph 7,b7 z           
subp>agraph 7,c72 &  7iii7 by ins]t+    
aft] subp>agraph 7,a7 ! foll[+3  7,b7 = 
fiscal ye> #bjbb1 #bj1jjj1jjj2 &  4  #f4
 ,rese>* cohort = em]g+ heal? impacts on
 y\?  7a7 ,9 g5]al ,section #ccda ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjjmm-#ea7 is am5d$-- 7#a7 by
 r$esignat+ subsections 7c7 & 7d7 z     
subsections 7d7 & 7e71 respectively2 &  
7#b7 by ins]t+ aft] subsection 7b7 !    
foll[+3  7c7 ,rese>* cohort = em]g+     
heal? impacts on y\? ,! ,,wtc ,program  
,adm9i/rator %all e/abli% a rese>*      
cohort ( suffici5t size to conduct      

rese>* /udies on ! heal? & educational  
impacts ( exposure to airborne tox9s1 or
 any o!r haz>d or adv]se condition1     
result+ f ! ,septemb] #aa1 #bjja1       
t]rori/ attacks on ! population (       
individuals :o 7 #ba ye>s ( age or y\ng]
 at ! "t ( exposure & :o are enroll$ 9 !
 ,,wtc ,program or o!rwise eligible =   
enrollm5t 9 ! ,program "u section #ccba4
  4  7b7 ,sp5d+ limitation exemption    
,section #ccea7;c77#e7 ( su* ,act 7#db  
,u4,s4,c4 #cjjmm-#fa7;c77#e77 is am5d$ 9
 ! matt] prec$+ subp>agraph 7,a71 by    
ins]t+ 7o!r ?an subsection 7c7 ( su*    
section7 aft] section #ccda4  7c7       
,con=m+ am5dm5t ,section                
#ccja7;f77#b77;,e7 ( su* ,act 7#db      
,u4,s4,c4 #cjjmm7f77#b77;,e77 is am5d$  
by /rik+ section #ccda7;a7 & ins]t+     
subsection 7a7 or 7c7 ( section #ccda4