,,ii  #aahth ,,congress  #ast ,session  
,s4 #efi  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #bh1      
#bjbc,mrs4 ,gillibrand 7for herself1    
,mr4 ,schumer1 ,mr4 ,booker1 ,mr4       
,menendez1 and ,mr4 ,blumenthal7        
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,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    
#bjbc4  #b4 ,department of ,defense1    
,armed ,forces1 or other ,federal worker
 responders to the ,september #aa       
attacks at the ,pentagon and            
,shanksville1 ,pennsylvania ,title      
,,xxxiii of the ,public ,health ,service
 ,act 7#db ,u4,s4,c4 #cjjmm et seq47 is 
amended-- 7#a7 in section #ccjf 7#db    

,u4,s4,c4 #cjjmm-#e7-- 7,a7 by          
redesignating paragraphs 7#e7 through   
7#aa7 and paragraphs 7#ab7 through 7#ag7
 as paragraphs 7#f7 through 7#ab7 and   
paragraphs 7#ad7 through 7#ai71         
respectively2  7,b7 by inserting after  
paragraph 7#d7 the following3  7#e7 ,the
 term ,federal agency means an agency1  
office1 or other establishment in the   
executive1 legislative1 or judicial     
branch of the ,federal ,government4  2  
and  7,c7 by inserting after paragraph  
7#ab71 as so redesignated1 the          
following3  7#ac7 ,the term uniformed   
services has the meaning given the term 
in section #aja7;a7 of title #aj1       
,united ,states ,code4  2 and  7#b7 in  
section #ccaa7;a7 7#db ,u4,s4,c4        
#cjjmm-#ba7;a77-- 7,a7 in paragraph     
7#b77;,c77i7-- 7i7 in subclause 7,i71 by
 striking 2 or and inserting a          
semicolon2  7ii7 in subclause 7,,ii71 by
 striking 2 and and inserting a         
semicolon2 and  7iii7 by adding at the  
end the following3  7,,iii7 was an      

employee of the ,department of ,defense 
or any other ,federal agency1 worked    
during the period beginning on          
,september #aa1 #bjja1 and ending on    
,september #ah1 #bjja1 for a contractor 
of the ,department of ,defense or any   
other ,federal agency1 or was a member  
of a regular or reserve component of the
 uniformed services2 and performed      
rescue1 recovery1 demolition1 debris    
cleanup1 or other related services at   
the ,pentagon site of the               
terrorist-related aircraft crash of     
,september #aa1 #bjja1 during the period
 beginning on ,september #aa1 #bjja1 and
 ending on the date on which the cleanup
 of the site was concluded1 as          
determined by the ,,wtc ,program        
,administrator2 or  7,,iv7 was an       
employee of the ,department of ,defense 
or any other ,federal agency1 worked    
during the period beginning on          
,september #aa1 #bjja1 and ending on    
,september #ah1 #bjja1 for a contractor 
of the ,department of ,defense or any   

other ,federal agency1 or was a member  
of a regular or reserve component of the
 uniformed services2 and performed      
rescue1 recovery1 demolition1 debris    
cleanup1 or other related services at   
the ,shanksville1 ,pennsylvania1 site of
 the terrorist-related aircraft crash of
 ,september #aa1 #bjja1 during the      
period beginning on ,september #aa1     
#bjja1 and ending on the date on which  
the cleanup of the site was concluded1  
as determined by the ,,wtc ,program     
,administrator2 and  2 and  7,b7 in     
paragraph 7#d77;,a7-- 7i7 by striking   
7,a7 ,in general4--,the and inserting   
the following3  7,a7 ,limit  7i7 ,in    
general ,the  2  7ii7 by inserting or   
subclause 7,,iii7 or 7,,iv7 of paragraph
 7#b77;,c77i7 after or 7#b77;,a77ii72   
and  7iii7 by adding at the end the     
following3  7ii7 ,certain responders to 
the ,september #aa attacks at the       
,pentagon and ,shanksville1             
,pennsylvania ,the total number of      
individuals who may be enrolled under   

paragraph 7#c77;,a77ii7 based on        
eligibility criteria described in       
subclause 7,,iii7 or 7,,iv7 of paragraph
 7#b77;,c77i7 shall not exceed #ejj at  
any time4  4  #c4 ,flexibility for      
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      
health care provider flexibility  7,a7  
,in general ,for purposes of an initial 
health evaluation described in paragraph
 7#a77;,a7 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 health  
care provider in a category of health   
care providers determined by the ,,wtc  

,program ,administrator under           
subparagraph 7,b74  7,b7 ,categories of 
licensed health care providers ,not     
later than #ahj days after the date of  
enactment of the #i_/aa ,responder and  
,survivor ,health ,funding ,correction  
,act of #bjbc1 the ,,wtc ,program       
,administrator shall issue regulations  
for the categories of licensed health   
care providers who1 in addition to      
licensed physicians1 may conduct        
evaluations under subparagraph 7,a7 and 
make determinations under section       
#ccab7;b74  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#a71 by
 striking physician each place it       
appears and inserting physician or other
 licensed health care provider in a     
category determined by the ,,wtc        
,program ,administrator under section   
#ccje7;a77#f77;,b72  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 or other licensed health care 
provider in a category determined by the
 ,,wtc ,program ,administrator under    
section #ccje7;a77#f77;,b72  7ii7 in    
clause 7i71 by striking physician and   
inserting physician or other licensed   
health care provider2 and  7iii7 in     
clause 7ii71 by striking such           
physician's determination and inserting 
the determination of such physician or  
other licensed health care provider2 and
  7,b7 in subparagraph 7,b7-- 7i7 in the
 matter preceding clause 7i71 by        
striking physician determinations and   
inserting determinations by physicians  
or other licensed health care providers 
in categories determined by the ,,wtc   
,program ,administrator under section   
#ccje7;a77#f77;,b72 and  7ii7 in clause 
7i71 by striking physician panel and    
inserting panel of physicians or other  
licensed health care providers in       
categories determined by the ,,wtc      
,program ,administrator under section   

#ccje7;a77#f77;,b72 and  7#c7 in        
paragraph 7#e71 by striking examining   
physician and inserting examining       
physician or other licensed health care 
provider in a category determined by the
 ,,wtc ,program ,administrator under    
section #ccje7;a77#f77;,b74  #d4        
,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  #e4 ,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  #f4 ,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  #g4 ,funding for the ,world      
,trade ,center ,health ,program  7a7    
,federal funding ,section #ccea of the  
,public ,health ,service ,act 7#db      
,u4,s4,c4 #cjjmm-#fa7 is amended-- 7#a7 
in subsection 7a7-- 7,a7 in paragraph   
7#b77;,a7-- 7i7 in clause 7x71 by       
striking and2  7ii7 in clause 7xi7--    
7,i7 by striking subsequent fiscal year 
through fiscal year #bjij and inserting 
of fiscal years #bjbf through #bjcc2 and
  7,,ii7 by striking plus and inserting 
and2 and  7iii7 by adding at the end the
 following3  7xii7 for each of fiscal   
years #bjcd through #bjij-- 7,i7 the    
amount determined under this            
subparagraph for the previous fiscal    
year 7plus the sum of any amount        
expended in the previous fiscal year    
from the ,world ,trade ,center ,health  

,program ,special ,fund established     
under section #ccec or the ,world ,trade
 ,center ,health ,program ,fund for     
,certain ,,wtc ,responders at the       
,pentagon and ,shanksville1             
,pennsylvania established under section 
#cced and any amount expended from the  
,world ,trade ,center ,health ,program  
,fund established under this section 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 paragraph 7#f77       
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 by adding at the end the following3
  7#f7 ,remaining amounts from ,special 
,fund and ,pentagon_/,shanksville ,fund 

,any amounts that remain available1 on  
,september #cj1 #bjcc1 in the ,world    
,trade ,center ,health ,program ,special
 ,fund under section #ccec or the ,world
 ,trade ,center ,health ,program ,fund  
for ,certain ,,wtc ,responders at the   
,pentagon and ,shanksville1             
,pennsylvania under section #cced shall 
be deposited into the ,fund4  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 #bjbc1 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 #bjbc2  2  
and  7ii7 in subparagraph 7,b71 by      
striking #bjag1 #ae1jjj1jjj and         
inserting #bjbd1 #bj1jjj1jjj2 and  7,b7 
in paragraph 7#e7-- 7i7 by amending     
subparagraph 7,a7 to read as follows3   
7,a7 for fiscal year #bjbc1 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 #bjbc2  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 #bjbd1 
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 #bjbc2 or  
7ii7 #bj1jjj1jjj2 and  4  7b7           
,additional funding for the ,world      
,trade ,center ,health ,program  7#a7   
,in general ,title ,,xxxiii of the      
,public ,health ,service ,act 7#db      
,u4,s4,c4 #cjjmm et seq47 is amended by 
adding at the end the following3  #ccec4
 ,special ,fund  7a7 ,in general ,there 
is established a fund to be known as the
 ,world ,trade ,center ,health ,program 
,special ,fund 7referred to in this     

section as the ,special ,fund71         
consisting of amounts deposited into the
 ,special ,fund under subsection 7b74   
7b7 ,amount ,out of any money in the    
,treasury not otherwise appropriated1   
there is appropriated for fiscal year   
#bjbd #a1ghd1ceh1ccf for deposit into   
the ,special ,fund1 which amounts shall 
remain available in such ,fund through  
fiscal year #bjcc4  7c7 ,uses of funds  
,amounts deposited into the ,special    
,fund under subsection 7b7 shall be     
available1 without further appropriation
 and without regard to any spending     
limitation under section #ccea7;c71 to  
the ,,wtc ,program ,administrator as    
needed at the discretion of such        
,administrator1 for carrying out any    
provision in this title 7including      
sections #ccjc and #ccda7;c774  7d7     
,remaining amounts ,any amounts that    
remain in the ,special ,fund on         
,september #cj1 #bjcc1 shall be         
deposited into the ,world ,trade ,center
 ,health ,program ,fund in accordance   

with section #ccea7;a77#f7 and remain   
available in accordance with section    
#ccea7;a77#e74  #cced4                  
,pentagon_/,shanksville ,fund  7a7 ,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  
,shanksville1 ,pennsylvania 7referred to
 in this section as the                 
,pentagon_/,shanksville ,fund71         
consisting of amounts deposited into the
 ,pentagon_/,shanksville ,fund under    
subsection 7b74  7b7 ,amount ,out of any
 money in the ,treasury not otherwise   
appropriated1 there is appropriated for 
fiscal year #bjbd #beg1jjj1jjj for      
deposit into the ,pentagon_/,shanksville
 ,fund1 which amounts shall remain      
available in such ,fund through fiscal  
year #bjcc4  7c7 ,uses of funds  7#a7   
,in general ,amounts deposited into the 
,pentagon_/,shanksville ,fund under     
subsection 7b7 shall be available1      
without further appropriation and       

without regard to any spending          
limitation under section #ccea7;c71 to  
the ,,wtc ,program ,administrator for   
the purpose of carrying out section     
#ccab with regard to ,,wtc responders   
enrolled in the ,,wtc ,program based on 
eligibility criteria described in       
subclause 7,,iii7 or 7,,iv7 of section  
#ccaa7;a77#b77;,c77i74  7#b7 ,limitation
 on other funding ,notwithstanding      
sections #ccca7;a71 #ccea7;b77#a71      
#cceb7;c71 and #ccec7;c71 and any other 
provision in this title1 for the period 
of fiscal years #bjbd through #bjcc1 no 
amounts made available under this title 
other than those amounts appropriated   
under subsection 7b7 may be available   
for the purpose described in paragraph  
7#a74  7d7 ,remaining amounts ,any      
amounts that remain in the              
,pentagon_/,shanksville ,fund on        
,september #cj1 #bjcc1 shall be         
deposited into the ,world ,trade ,center
 ,health ,program ,fund in accordance   
with section #ccea7;a77#f7 and remain   

available in accordance with section    
#ccea7;a77#e74  4  7c7 ,conforming      
amendments ,title ,,xxxiii of the       
,public ,health ,service ,act 7#db      
,u4,s4,c4 #cjjmm et seq47 is amended--  
7#a7 in section                         
#ccaa7;a77#d77;,b77i77,,ii7 7#db        
,u4,s4,c4                               
#cjjmm-#ba7;a77#d77;,b77i77,,ii771 by   
striking sections #ccea and #cceb and   
inserting this title2  7#b7 in section  
#ccba7;a77#c77;,b77i77,,ii7 7#db        
,u4,s4,c4                               
#cjjmm-#ca7;a77#c77;,b77i77,,ii771 by   
striking sections #ccea and #cceb and   
inserting this title2  7#c7 in section  
#ccca 7#db ,u4,s4,c4 #cjjmm-#da7-- 7,a7 
in subsection 7a71 by striking the      
,world ,trade ,center ,health ,program  
,fund and the ,world ,trade ,center     
,health ,program ,supplemental ,fund and
 inserting 7as applicable7 the ,funds   
established under sections #ccea1 #cceb1
 #ccec1 and #cced2 and  7,b7 in         
subsection 7d7-- 7i7 in paragraph       

7#a77;,a71 by inserting or the ,world   
,trade ,center ,health ,program ,special
 ,fund under section #ccec after section
 #ccea2  7ii7 in paragraph 7#a77;,b71 by
 inserting or the ,world ,trade ,center 
,health ,program ,fund for ,certain     
,,wtc ,responders at the ,pentagon and  
,shanksville1 ,pennsylvania under       
section #cced after section #cceb2 and  
7iii7 in paragraph 7#b71 in the flush   
text following subparagraph 7,c71 by    
inserting or the ,world ,trade ,center  
,health ,program ,fund for ,certain     
,,wtc ,responders at the ,pentagon and  
,shanksville1 ,pennsylvania under       
section #cced after section #cceb2 and  
7#d7 in section #ccea7;b7 7#db ,u4,s4,c4
 #cjjmm-#fa7;b77-- 7,a7 in paragraph    
7#a71 by striking subsection 7a77#b7 and
 inserting paragraph 7#b7 or 7#f7 of    
subsection 7a72  7,b7 in paragraph 7#b71
 by inserting 1 the ,world ,trade       
,center ,health ,program ,special ,fund 
under section #ccec1 or the ,world      
,trade ,center ,health ,program ,fund   

for ,certain ,,wtc ,responders at the   
,pentagon and ,shanksville1             
,pennsylvania under section #cced before
 the period at the end2 and  7,c7 in    
paragraph 7#c71 by inserting 1 the      
,world ,trade ,center ,health ,program  
,special ,fund under section #ccec1 or  
the ,world ,trade ,center ,health       
,program ,fund for ,certain ,,wtc       
,responders at the ,pentagon and        
,shanksville1 ,pennsylvania under       
section #cced before the period at the  
end4