,i #aahth ,,congress #b;d ,session ,h4 ,r4 #iaja ,,in ,,the ,,house ,,of ,,representatives ,july #bc1 #bjbd,mr4 ,garbarino 7for himself1 ,mr4 ,williams of ,new ,york1 ,mr4 ,meeks1 ,mr4 ,kennedy1 ,ms4 ,clarke of ,new ,york1 ,ms4 ,malliotakis1 ,ms4 ,meng1 ,ms4 ,tenney1 ,mr4 ,lawler1 ,mr4 ,la,lota1 ,mr4 ,langworthy1 ,mr4 ,tonko1 ,mr4 ,ryan1 ,mr4 ,morelle1 ,ms4 ,ocasio-,cortez1 ,ms4 ,stefanik1 ,mr4 ,torres of ,new ,york1 ,mr4 ,molinaro1 ,mr4 ,bowman1 ,ms4 ,velzquez1 ,mr4 ,suozzi1 ,mr4 ,fitzpatrick1 and ,mr4 ,kean of ,new ,jersey7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on the ,budget1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend title ,,xxxiii of the ,public ,health ,service ,act with respect to flexibility and funding for the ,world ,trade ,center ,health ,program4 #a4 ,short title ,this ,act may be cited as the #i_/aa ,responder and ,survivor ,health ,funding ,correction ,act of #bjbd4 #b4 ,flexibility for mental health condition certifications under the ,world ,trade ,center ,health ,program 7a7 ,in general ,section #ccje7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm-#d7;a77 is amended-- 7#a7 in paragraph 7#a77;,a71 by inserting subject to paragraph 7#f71 before for2 and 7#b7 by adding at the end the following3 7#f7 ,licensed mental health provider flexibility for mental health condition certifications 7,a7 ,in general ,for purposes of an initial health evaluation described in paragraph 7#a77;,a7 with respect to a mental health condition 7including any such evaluation provided under section #ccba7;b7 or through the nationwide network under section #ccac71 such evaluation may be conducted by a physician or any other licensed mental health provider in a category of mental health care providers determined by the ,,wtc ,program ,administrator under subparagraph 7,b74 7,b7 ,categories of licensed mental health providers ,not later than #ahj days after the date of enactment of the #i_/aa ,responder and ,survivor ,health ,funding ,correction ,act of #bjbd1 the ,,wtc ,program ,administrator shall issue regulations for the categories of licensed mental health providers who1 in addition to licensed physicians1 may conduct evaluations under subparagraph 7,a7 with respect to a mental health condition and make determinations under section #ccab7;b7 with respect to such a condition4 4 7b7 ,flexibility for ,,wtc responders ,section #ccab7;b7 of such ,act 7#db ,u4,s4,c4 #cjjmm-#bb7;b77 is amended-- 7#a7 in paragraph 7#a77;,a7-- 7,a7 in the matter preceding clause 7i71 by striking physician and inserting physician 7or1 in the case of a mental health condition1 a physician or any other qualified mental health provider72 and 7,b7 in clause 7i71 by striking physician and inserting physician or other qualified mental health provider2 7#b7 in paragraph 7#b7-- 7,a7 in subparagraph 7,a7-- 7i7 in the matter preceding clause 7i71 by striking physician and inserting physician 7or1 in the case of a mental health condition1 a physician or any other qualified mental health provider72 7ii7 in clause 7i71 by striking physician and inserting physician or other qualified mental health provider2 and 7iii7 in clause 7ii71 by striking such physician's determination and inserting the determination of such physician or other qualified mental health provider2 and 7,b7 in subparagraph 7,b7-- 7i7 in the matter preceding clause 7i71 by striking physician determinations and inserting determinations by physicians 7or1 in the case of a mental health condition1 physicians or other qualified mental health providers72 and 7ii7 in clause 7i71 by striking physician panel and inserting panel of physicians 7or1 in the case of a mental health condition1 physicians or other qualified mental health providers72 7#c7 in paragraph 7#e71 by striking examining physician and inserting examining physician 7or1 in the case of a mental health condition1 examining physician or other qualified mental health provider72 and 7#d7 by adding at the end the following3 7#f7 ,definition of qualified mental health provider ,for purposes of this subsection1 the term qualified mental health provider means a licensed mental health provider in a category determined by the ,,wtc ,program ,administrator under section #ccje7;a77#f77;,b74 4 #c4 ,criteria for credentialing health care providers participating in the nationwide network ,title ,,xxxiii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm et seq47 is amended-- 7#a7 in section #ccje7;a77#b7 7#db ,u4,s4,c4 #cjjmm-#d7;a77#b77-- 7,a7 in subparagraph 7,a7-- 7i7 by striking clause 7iv72 and 7ii7 by redesignating clauses 7v7 and 7vi7 as clauses 7iv7 and 7v71 respectively2 7,b7 by striking subparagraph 7,b72 and 7,c7 by redesignating subparagraphs 7,c7 and 7,d7 as subparagraphs 7,b7 and 7,c71 respectively2 and 7#b7 in section #ccac7;b77#a7 7#db ,u4,s4,c4 #cjjmm-#bc7;b77#a771 by striking ,data ,centers and inserting ,,wtc ,program ,administrator4 #d4 ,clarifying calculation of enrollment 7a7 ,responders ,section #ccaa7;a7 of such ,act 7#db ,u4,s4,c4 #cjjmm-#ba7;a77 is amended by adding at the end the following3 7#f7 ,deceased ,,wtc responders ,an individual known to the ,,wtc ,program ,administrator to be deceased shall not be included in any count of enrollees under this subsection or section #ccea4 4 7b7 ,survivors ,section #ccba7;a7 of such ,act 7#db ,u4,s4,c4 #cjjmm-#ca7;a77 is amended by adding at the end the following3 7#e7 ,deceased ,,wtc survivors ,an individual known to the ,,wtc ,program ,administrator to be deceased shall not be included in any count of certified-eligible survivors under this section or in any count of enrollees under section #ccea4 4 #e4 ,time period for adding health conditions to list for ,,wtc responders ,section #ccab7;a77#f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm-#bb7;a77#f77 is amended-- 7#a7 in subparagraph 7,b71 by striking #ij and inserting #ahj2 and 7#b7 in subparagraph 7,c71 in the second sentence1 by striking #ij and inserting #ahj4 #f4 ,funding for the ,world ,trade ,center ,health ,program 7a7 ,in general ,section #ccea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm-#fa7 is amended-- 7#a7 in subsection 7a77#b77;,a7-- 7,a7 in clause 7x71 by striking and2 7,b7 in clause 7xi7-- 7i7 by striking subsequent fiscal year through fiscal year #bjij and inserting of fiscal years #bjbf through #bjcd2 and 7ii7 by striking plus and inserting and2 and 7,c7 by adding at the end the following3 7xii7 for each of fiscal years #bjce through #bjij-- 7,i7 the amount determined under this subparagraph for the previous fiscal year 7plus any amount expended from the ,fund in the previous fiscal year that was carried over from any fiscal year prior to the previous fiscal year including as carried over pursuant to a deposit into such ,fund under section #cceb7;d71 #ccec7;d71 or #cced7;d77 multiplied by #a4je2 multiplied by 7,,ii7 the ratio of-- 7aa7 the total number of individuals enrolled in the ,,wtc ,program on ,july #a of such previous fiscal year2 to 7bb7 the total number of individuals so enrolled on ,july #a of the fiscal year prior to such previous fiscal year2 plus 2 and 7#b7 in subsection 7c7-- 7,a7 in paragraph 7#d7-- 7i7 by amending subparagraph 7,a7 to read as follows3 7,a7 for fiscal year #bjbd1 the amount determined for such fiscal year under this paragraph as in effect on the day before the date of enactment of the #i_/aa ,responder and ,survivor ,health ,funding ,correction ,act of #bjbd2 2 and 7ii7 by amending subparagraph 7,b7 to read as follows3 7,b7 for fiscal year #bjbe1 the greater of-- 7i7 the amount determined for such fiscal year under this paragraph as in effect on the day before the date of enactment of the #i_/aa ,responder and ,survivor ,health ,funding ,correction ,act of #bjbd2 or 7ii7 #bj1jjj1jjj2 and 2 and 7,b7 in paragraph 7#e7-- 7i7 by amending subparagraph 7,a7 to read as follows3 7,a7 for fiscal year #bjbd1 the amount determined for such fiscal year under this paragraph as in effect on the day before the date of enactment of the #i_/aa ,responder and ,survivor ,health ,funding ,correction ,act of #bjbd2 2 7ii7 by redesignating subparagraph 7,b7 as subparagraph 7,c72 and 7iii7 by inserting after subparagraph 7,a7 the following3 7,b7 for fiscal year #bjbe1 the greater of-- 7i7 the amount determined for such fiscal year under this paragraph as in effect on the day before the date of enactment of the #i_/aa ,responder and ,survivor ,health ,funding ,correction ,act of #bjbd2 or 7ii7 #bj1jjj1jjj2 and 4 7b7 ,additional amounts for the ,world ,trade ,center ,health ,program ,special ,fund ,section #ccec7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm-#fc7;b77 is amended-- 7#a7 by striking ,out and inserting the following3 7#a7 ,initial deposit ,out 2 and 7#b7 by adding at the end the following3 7#b7 ,additional deposit ,out of any money in the ,treasury not otherwise appropriated1 there is appropriated for fiscal year #bjbd #b1igj1djf1eic for deposit into the ,special ,fund1 which amounts shall remain available in such ,fund through fiscal year #bjcc4 4 7c7 ,reallocation of any remaining amounts in separate funds 7#a7 ,supplemental fund ,section #cceb7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm-#fb7;d77 is amended-- 7,a7 in the subsection heading1 by striking ,return of ,funds and inserting ,remaining amounts2 and 7,b7 by striking the ,treasury as miscellaneous receipts and inserting the ,world ,trade ,center ,health ,program ,fund under section #ccea for fiscal year #bjcc and1 notwithstanding subsections 7b7 and 7c71 remain available1 for the purposes described in this title1 through fiscal year #bjij in accordance with subsection 7a77#e7 of section #ccea and subject to the spending limitations under subsection 7c7 of such section4 7#b7 ,special fund ,section #ccec7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm-#fc7;d77 is amended by striking the ,treasury as miscellaneous receipts and inserting the ,world ,trade ,center ,health ,program ,fund under section #ccea for fiscal year #bjcd and1 notwithstanding subsections 7b7 and 7c71 remain available1 for the purposes described in this title1 through fiscal year #bjij in accordance with subsection 7a77#e7 of section #ccea and subject to the spending limitations under subsection 7c7 of such section4 7#c7 ,pentagon_/shanksville fund ,section #cced7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm-#fd7;d77 is amended by striking the ,treasury as miscellaneous receipts and inserting the ,world ,trade ,center ,health ,program ,fund under section #ccea for fiscal year #bjcd and1 notwithstanding subsections 7b7 and 7c71 remain available1 for the purposes described in this title1 through fiscal year #bjij in accordance with subsection 7a77#e7 of section #ccea and subject to the spending limitations under subsection 7c7 of such section4 7#d7 ,availability ,section #ccea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm-#fa7 is amended-- 7,a7 in subsection 7a77#e71 by inserting or deposited into the ,fund under any other section in this title1 before for a fiscal year2 and 7,b7 in subsection 7b77#a71 by inserting or any other section in this title after subsection 7a77#b74 #g4 ,offset 7a7 ,in general ,section #bea;,a7#f77;,d7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe 7#b ,u4,s4,c4 #ija;a7#f77;,d77 is amended-- 7#a7 in clause 7i71 by striking #h months and inserting #aj months2 and 7#b7 in clause 7ii71 by striking #d months and inserting #b months4 7b7 ,deposit of excess savings in the ,medicare ,improvement ,fund 7#a7 ,definition ,in this subsection1 the term excess savings means the difference obtained by subtracting-- 7,a7 the amount of the budgetary effects 7as determined in accordance with the ,statutory ,pay-,as-,you-,go ,act of #bjaj 7#b ,u4,s4,c4 #ica et seq477 of sections #b through #f of this ,act2 from 7,b7 the amount of the budgetary effects 7as determined in accordance with the ,statutory ,pay-,as-,you-,go ,act of #bjaj 7#b ,u4,s4,c4 #ica et seq477 of the amendment made by subsection 7a7 of this section4 7#b7 ,deposit ,the amount of any excess savings shall be transferred to and merged with amounts in the ,medicare ,improvement ,fund established under section #ahih of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;iii74 ,amounts transferred under this paragraph shall remain available until expended4