,,ii  #aah? ,,congress  #a/ ,session    
,s4 #efi  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #bh1          
#bjbc,mrs4 ,gillibr& 7= h]self1 ,mr4    
,s*um]1 ,mr4 ,book]1 ,mr4 ,m55dez1 &    
,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?       
,program4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! #i_/aa ,respond] &         
,survivor ,heal? ,fund+ ,correction ,act
 ( #bjbc4  #b4 ,dep>tm5t ( ,def5se1     
,arm$ ,=ces1 or o!r ,f$]al work]        
respond]s to ! ,septemb] #aa attacks at 
! ,p5tagon & ,%anksville1 ,p5nsylvania  
,title ,,xxxiii ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #cjjmm et   
seq47 is am5d$-- 7#a7 9 section #ccjf   
7#db ,u4,s4,c4 #cjjmm-#e7-- 7,a7 by     
r$esignat+ p>agraphs 7#e7 ?r\gh 7#aa7 & 
p>agraphs 7#ab7 ?r\gh 7#ag7 z p>agraphs 

7#f7 ?r\gh 7#ab7 & p>agraphs 7#ad7 ?r\gh
 7#ai71 respectively2  7,b7 by ins]t+   
aft] p>agraph 7#d7 ! foll[+3  7#e7 ,!   
t]m ,f$]al ag5cy means an ag5cy1 (fice1 
or o!r e/abli%m5t 9 ! executive1        
legislative1 or judicial bran* ( !      
,f$]al ,gov]nm5t4  2 &  7,c7 by ins]t+  
aft] p>agraph 7#ab71 z s r$esignat$1 !  
foll[+3  7#ac7 ,! t]m uni=m$ s]vices has
 ! mean+ giv5 ! t]m 9 section #aja7;a7 (
 title #aj1 ,unit$ ,/ates ,code4  2 &   
7#b7 9 section #ccaa7;a7 7#db ,u4,s4,c4 
#cjjmm-#ba7;a77-- 7,a7 9 p>agraph       
7#b77;,c77i7-- 7i7 9 subclause 7,i71 by 
/rik+ 2 or & ins]t+ a semicolon2  7ii7 9
 subclause 7,,ii71 by /rik+ 2 & & ins]t+
 a semicolon2 &  7iii7 by add+ at ! end 
! foll[+3  7,,iii7 0 an employee ( !    
,dep>tm5t ( ,def5se or any o!r ,f$]al   
ag5cy1 work$ dur+ ! p]iod beg9n+ on     
,septemb] #aa1 #bjja1 & end+ on         
,septemb] #ah1 #bjja1 = a contractor ( !
 ,dep>tm5t ( ,def5se or any o!r ,f$]al  
ag5cy1 or 0 a memb] ( a regul> or res]ve
 compon5t ( ! uni=m$ s]vices2 & p]=m$   

rescue1 recov]y1 demolition1 debris     
cleanup1 or o!r relat$ s]vices at !     
,p5tagon site ( ! t]rori/-relat$        
aircraft cra% ( ,septemb] #aa1 #bjja1   
dur+ ! p]iod beg9n+ on ,septemb] #aa1   
#bjja1 & end+ on ! date on :i* ! cleanup
 ( ! site 0 conclud$1 z det]m9$ by !    
,,wtc ,program ,adm9i/rator2 or  7,,iv7 
0 an employee ( ! ,dep>tm5t ( ,def5se or
 any o!r ,f$]al ag5cy1 work$ dur+ !     
p]iod beg9n+ on ,septemb] #aa1 #bjja1 & 
end+ on ,septemb] #ah1 #bjja1 = a       
contractor ( ! ,dep>tm5t ( ,def5se or   
any o!r ,f$]al ag5cy1 or 0 a memb] ( a  
regul> or res]ve compon5t ( ! uni=m$    
s]vices2 & p]=m$ rescue1 recov]y1       
demolition1 debris cleanup1 or o!r      
relat$ s]vices at ! ,%anksville1        
,p5nsylvania1 site ( ! t]rori/-relat$   
aircraft cra% ( ,septemb] #aa1 #bjja1   
dur+ ! p]iod beg9n+ on ,septemb] #aa1   
#bjja1 & end+ on ! date on :i* ! cleanup
 ( ! site 0 conclud$1 z det]m9$ by !    
,,wtc ,program ,adm9i/rator2 &  2 &     
7,b7 9 p>agraph 7#d77;,a7-- 7i7 by /rik+

 7,a7 ,9 g5]al4--,! & ins]t+ ! foll[+3  
7,a7 ,limit  7i7 ,9 g5]al ,!  2  7ii7 by
 ins]t+ or subclause 7,,iii7 or 7,,iv7 (
 p>agraph 7#b77;,c77i7 aft] or          
7#b77;,a77ii72 &  7iii7 by add+ at ! end
 ! foll[+3  7ii7 ,c]ta9 respond]s to !  
,septemb] #aa attacks at ! ,p5tagon &   
,%anksville1 ,p5nsylvania ,! total numb]
 ( individuals :o may be enroll$ "u     
p>agraph 7#c77;,a77ii7 bas$ on          
eligibility crit]ia describ$ 9 subclause
 7,,iii7 or 7,,iv7 ( p>agraph           
7#b77;,c77i7 %all n exce$ #ejj at any   
"t4  4  #c4 ,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$-- 7#a7
 9 p>agraph 7#a77;,a71 by ins]t+ subject
 to p>agraph 7#f71 be=e =2 &  7#b7 by   
add+ at ! end ! foll[+3  7#f7 ,lic5s$   
heal? c>e provid] flexibility  7,a7 ,9  
g5]al ,= purposes ( an initial heal?    
evaluation describ$ 9 p>agraph 7#a77;,a7
 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 ! ,,wtc ,program    
,adm9i/rator "u subp>agraph 7,b74  7,b7 
,categories ( lic5s$ heal? c>e provid]s 
,n lat] ?an #ahj days aft] ! date (     
enactm5t ( ! #i_/aa ,respond] &         
,survivor ,heal? ,fund+ ,correction ,act
 ( #bjbc1 ! ,,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 ! ,,wtc ,program    
,adm9i/rator "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 ! ,,wtc ,program ,adm9i/rator
 "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 ! ,,wtc
 ,program ,adm9i/rator "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 !  
,,wtc ,program ,adm9i/rator "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 !   
,,wtc ,program ,adm9i/rator "u section  
#ccje7;a77#f77;,b74  #d4 ,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  #e4 ,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
 ( c]tifi$-eligible survivors "u ?is    
section or 9 any c\nt ( enrollees "u    
section #ccea4  4  #f4 ,"t p]iod = add+ 
heal? conditions to li/ = ,,wtc         
respond]s ,section #ccab7;a77#f7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjjmm-#bb7;a77#f77 is am5d$--
 7#a7 9 subp>agraph 7,b71 by /rik+ #ij &
 ins]t+ #ahj2 &  7#b7 9 subp>agraph     
7,c71 9 ! second s5t5ce1 by /rik+ #ij & 
ins]t+ #ahj4  #g4 ,fund+ = ! ,_w ,trade 
,c5t] ,heal? ,program  7a7 ,f$]al fund+ 
,section #ccea ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #cjjmm-#fa7 

is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 
9 p>agraph 7#b77;,a7-- 7i7 9 clause 7x71
 by /rik+ &2  7ii7 9 clause 7xi7-- 7,i7 
by /rik+ subsequ5t fiscal ye> ?r\gh     
fiscal ye> #bjij & ins]t+ ( fiscal ye>s 
#bjbf ?r\gh #bjcc2 &  7,,ii7 by /rik+   
plus & ins]t+ &2 &  7iii7 by add+ at !  
end ! foll[+3  7xii7 = ea* ( fiscal ye>s
 #bjcd ?r\gh #bjij-- 7,i7 ! am\nt       
det]m9$ "u ?is subp>agraph = ! previ\s  
fiscal ye> 7plus ! sum ( any am\nt      
exp5d$ 9 ! previ\s fiscal ye> f ! ,_w   
,trade ,c5t] ,heal? ,program ,special   
,fund e/abli%$ "u section #ccec or ! ,_w
 ,trade ,c5t] ,heal? ,program ,fund =   
,c]ta9 ,,wtc ,respond]s at ! ,p5tagon & 
,%anksville1 ,p5nsylvania e/abli%$ "u   
section #cced & any am\nt exp5d$ f ! ,_w
 ,trade ,c5t] ,heal? ,program ,fund     
e/abli%$ "u ?is section 9 ! previ\s     
fiscal ye> t 0 c>ri$ ov] f any fiscal   
ye> prior to ! previ\s fiscal ye>       
includ+ z c>ri$ ov] pursuant to a       
deposit into su* ,fund "u p>agraph 7#f77
 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 by add+ at ! end ! foll[+3  7#f7   
,rema9+ am\nts f ,special ,fund &       
,p5tagon_/,%anksville ,fund ,any am\nts 
t rema9 available1 on ,septemb] #cj1    
#bjcc1 9 ! ,_w ,trade ,c5t] ,heal?      
,program ,special ,fund "u section #ccec
 or ! ,_w ,trade ,c5t] ,heal? ,program  
,fund = ,c]ta9 ,,wtc ,respond]s at !    
,p5tagon & ,%anksville1 ,p5nsylvania "u 
section #cced %all be deposit$ into !   
,fund4  2 &  7#b7 9 subsection 7c7--    
7,a7 9 p>agraph 7#d7-- 7i7 by am5d+     
subp>agraph 7,a7 to read z foll[s3  7,a7
 = fiscal ye> #bjbc1 ! 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 ( #bjbc2  2 &   
7ii7 9 subp>agraph 7,b71 by /rik+ #bjag1

 #ae1jjj1jjj & ins]t+ #bjbd1            
#bj1jjj1jjj2 &  7,b7 9 p>agraph 7#e7--  
7i7 by am5d+ subp>agraph 7,a7 to read z 
foll[s3  7,a7 = fiscal ye> #bjbc1 !     
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
 ( #bjbc2  2  7ii7 by r$esignat+        
subp>agraph 7,b7 z subp>agraph 7,c72 &  
7iii7 by ins]t+ aft] subp>agraph 7,a7 ! 
foll[+3  7,b7 = fiscal ye> #bjbd1 !     
great] (-- 7i7 ! am\nt det]m9$ = su*    
fiscal ye> "u ?is p>agraph z 9 effect on
 ! day be=e ! date ( enactm5t ( ! #i_/aa
 ,respond] & ,survivor ,heal? ,fund+    
,correction ,act ( #bjbc2 or  7ii7      
#bj1jjj1jjj2 &  4  7b7 ,additional fund+
 = ! ,_w ,trade ,c5t] ,heal? ,program   
7#a7 ,9 g5]al ,title ,,xxxiii ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjjmm et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #ccec4 ,special
 ,fund  7a7 ,9 g5]al ,!re is e/abli%$ a 
fund to be kn[n z ! ,_w ,trade ,c5t]    

,heal? ,program ,special ,fund 7ref]r$  
to 9 ?is section z ! ,special ,fund71   
consi/+ ( am\nts deposit$ into !        
,special ,fund "u subsection 7b74  7b7  
,am\nt ,out ( any money 9 ! ,treasury n 
o!rwise appropriat$1 !re is appropriat$ 
= fiscal ye> #bjbd #a1ghd1ceh1ccf =     
deposit into ! ,special ,fund1 :i*      
am\nts %all rema9 available 9 su* ,fund 
?r\gh fiscal ye> #bjcc4  7c7 ,uses (    
funds ,am\nts deposit$ into ! ,special  
,fund "u subsection 7b7 %all be         
available1 )\t fur!r appropriation & )\t
 reg>d to any sp5d+ limitation "u       
section #ccea7;c71 to ! ,,wtc ,program  
,adm9i/rator z ne$$ at ! discretion (   
su* ,adm9i/rator1 = c>ry+ out any       
provision 9 ?is title 7includ+ sections 
#ccjc & #ccda7;c774  7d7 ,rema9+ am\nts 
,any am\nts t rema9 9 ! ,special ,fund  
on ,septemb] #cj1 #bjcc1 %all be        
deposit$ into ! ,_w ,trade ,c5t] ,heal? 
,program ,fund 9 accordance ) section   
#ccea7;a77#f7 & rema9 available 9       
accordance ) section #ccea7;a77#e74     

#cced4 ,p5tagon_/,%anksville ,fund  7a7 
,9 g5]al ,!re is e/abli%$ a fund to be  
kn[n z ! ,_w ,trade ,c5t] ,heal?        
,program ,fund = ,c]ta9 ,,wtc ,respond]s
 at ! ,p5tagon & ,%anksville1           
,p5nsylvania 7ref]r$ to 9 ?is section z 
! ,p5tagon_/,%anksville ,fund71 consi/+ 
( am\nts deposit$ into !                
,p5tagon_/,%anksville ,fund "u          
subsection 7b74  7b7 ,am\nt ,out ( any  
money 9 ! ,treasury n o!rwise           
appropriat$1 !re is appropriat$ = fiscal
 ye> #bjbd #beg1jjj1jjj = deposit into !
 ,p5tagon_/,%anksville ,fund1 :i* am\nts
 %all rema9 available 9 su* ,fund ?r\gh 
fiscal ye> #bjcc4  7c7 ,uses ( funds    
7#a7 ,9 g5]al ,am\nts deposit$ into !   
,p5tagon_/,%anksville ,fund "u          
subsection 7b7 %all be available1 )\t   
fur!r appropriation & )\t reg>d to any  
sp5d+ limitation "u section #ccea7;c71  
to ! ,,wtc ,program ,adm9i/rator = !    
purpose ( c>ry+ out section #ccab )     
reg>d to ,,wtc respond]s enroll$ 9 !    
,,wtc ,program bas$ on eligibility      

crit]ia describ$ 9 subclause 7,,iii7 or 
7,,iv7 ( section #ccaa7;a77#b77;,c77i74 
7#b7 ,limitation on o!r fund+ ,not)/&+  
sections #ccca7;a71 #ccea7;b77#a71      
#cceb7;c71 & #ccec7;c71 & any o!r       
provision 9 ?is title1 = ! p]iod (      
fiscal ye>s #bjbd ?r\gh #bjcc1 no am\nts
 made available "u ?is title o!r ?an ^? 
am\nts appropriat$ "u subsection 7b7 may
 be available = ! purpose describ$ 9    
p>agraph 7#a74  7d7 ,rema9+ am\nts ,any 
am\nts t rema9 9 ! ,p5tagon_/,%anksville
 ,fund on ,septemb] #cj1 #bjcc1 %all be 
deposit$ into ! ,_w ,trade ,c5t] ,heal? 
,program ,fund 9 accordance ) section   
#ccea7;a77#f7 & rema9 available 9       
accordance ) section #ccea7;a77#e74  4  
7c7 ,con=m+ am5dm5ts ,title ,,xxxiii ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #cjjmm et seq47 is am5d$--    
7#a7 9 section                          
#ccaa7;a77#d77;,b77i77,,ii7 7#db        
,u4,s4,c4                               
#cjjmm-#ba7;a77#d77;,b77i77,,ii771 by   
/rik+ sections #ccea & #cceb & ins]t+   

?is title2  7#b7 9 section              
#ccba7;a77#c77;,b77i77,,ii7 7#db        
,u4,s4,c4                               
#cjjmm-#ca7;a77#c77;,b77i77,,ii771 by   
/rik+ sections #ccea & #cceb & ins]t+   
?is title2  7#c7 9 section #ccca 7#db   
,u4,s4,c4 #cjjmm-#da7-- 7,a7 9          
subsection 7a71 by /rik+ ! ,_w ,trade   
,c5t] ,heal? ,program ,fund & ! ,_w     
,trade ,c5t] ,heal? ,program            
,supplem5tal ,fund & ins]t+ 7z          
applicable7 ! ,funds e/abli%$ "u        
sections #ccea1 #cceb1 #ccec1 & #cced2 &
  7,b7 9 subsection 7d7-- 7i7 9 p>agraph
 7#a77;,a71 by ins]t+ or ! ,_w ,trade   
,c5t] ,heal? ,program ,special ,fund "u 
section #ccec aft] section #ccea2  7ii7 
9 p>agraph 7#a77;,b71 by ins]t+ or ! ,_w
 ,trade ,c5t] ,heal? ,program ,fund =   
,c]ta9 ,,wtc ,respond]s at ! ,p5tagon & 
,%anksville1 ,p5nsylvania "u section    
#cced aft] section #cceb2 &  7iii7 9    
p>agraph 7#b71 9 ! flu% text foll[+     
subp>agraph 7,c71 by ins]t+ or ! ,_w    
,trade ,c5t] ,heal? ,program ,fund =    

,c]ta9 ,,wtc ,respond]s at ! ,p5tagon & 
,%anksville1 ,p5nsylvania "u section    
#cced aft] section #cceb2 &  7#d7 9     
section #ccea7;b7 7#db ,u4,s4,c4        
#cjjmm-#fa7;b77-- 7,a7 9 p>agraph 7#a71 
by /rik+ subsection 7a77#b7 & ins]t+    
p>agraph 7#b7 or 7#f7 ( subsection 7a72 
7,b7 9 p>agraph 7#b71 by ins]t+ 1 ! ,_w 
,trade ,c5t] ,heal? ,program ,special   
,fund "u section #ccec1 or ! ,_w ,trade 
,c5t] ,heal? ,program ,fund = ,c]ta9    
,,wtc ,respond]s at ! ,p5tagon &        
,%anksville1 ,p5nsylvania "u section    
#cced be=e ! p]iod at ! end2 &  7,c7 9  
p>agraph 7#c71 by ins]t+ 1 ! ,_w ,trade 
,c5t] ,heal? ,program ,special ,fund "u 
section #ccec1 or ! ,_w ,trade ,c5t]    
,heal? ,program ,fund = ,c]ta9 ,,wtc    
,respond]s at ! ,p5tagon & ,%anksville1 
,p5nsylvania "u section #cced be=e !    
p]iod at ! end4