,,ii #aaith ,,congress #ast ,session ,s4 #gci ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #bf1 #bjbe,mrs4 ,gillibrand 7for herself and ,mr4 ,schumer7 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 #bjbe4 #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 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 #bjbe1 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;,a71 by amending clause 7xi7 to read as follows3 7xi7 for each of fiscal years #bjbf through #bjij-- 7,i7 the amount determined under this subparagraph for the previous fiscal year multiplied by #a4jg2 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 #bjbe1 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 #bjbe2 2 7ii7 by amending subparagraph 7,b7 to read as follows3 7,b7 for fiscal year #bjbf1 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 #bjbe2 or 7ii7 the amount expended for the previous fiscal year for the purposes described in this paragraph increased by #be percent2 and 2 and 7iii7 in subparagraph 7,c71 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 purposes2 and 7,b7 in paragraph 7#e7-- 7i7 by amending subparagraph 7,a7 to read as follows3 7,a7 for fiscal year #bjbe1 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 #bjbe2 2 7ii7 by redesignating subparagraph 7,b7 as subparagraph 7,c72 7iii7 by inserting after subparagraph 7,a7 the following3 7,b7 for fiscal year #bjbf1 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 #bjbe2 or 7ii7 the amount expended for the previous fiscal year for the purpose described in this paragraph increased by #be percent2 and 2 and 7iv7 in subparagraph 7,c71 as so redesignated1 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 purpose4 7b7 ,technical amendments ,title ,,xxxiii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm et seq47 is amended-- 7#a7 in section #cceb 7#db ,u4,s4,c4 #cjjmm-#fb71 by amending subsection 7d7 to read as follows3 7d7 ,remaining amounts ,amounts remaining in the ,supplemental ,fund shall revert to the ,treasury in accordance with section #aeeb of title #ca1 ,united ,states ,code4 2 7#b7 in section #ccec 7#db ,u4,s4,c4 #cjjmm-#fc71 by amending subsection 7d7 to read as follows3 7d7 ,remaining amounts ,amounts remaining in the ,special ,fund shall revert to the ,treasury in accordance with section #aeeb of title #ca1 ,united ,states ,code4 2 and 7#c7 in section #cced 7#db ,u4,s4,c4 #cjjmm-#fd71 by amending subsection 7d7 to read as follows3 7d7 ,remaining amounts ,amounts remaining in the ,pentagon_/,shanksville ,fund shall revert to the ,treasury in accordance with section #aeeb of title #ca1 ,united ,states ,code4 4 #g4 ,report to ,congress 7a7 ,in general ,not later than #c years after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary7 shall conduct an assessment of anticipated budget authority and outlays of the ,world ,trade ,center ,health ,program 7referred to in this section as the ,program7 through the duration of the ,program and submit a report summarizing such assessment to-- 7#a7 the ,speaker and minority leader of the ,house of ,representatives2 7#b7 the majority and minority leaders of the ,senate2 7#c7 the ,committee on ,health1 ,education1 ,labor1 and ,pensions and ,committee on the ,budget of the ,senate2 and 7#d7 the ,committee on ,energy and ,commerce and the ,committee on the ,budget of the ,house of ,representatives4 7b7 ,inclusions ,the report required under subsection 7a7 shall include-- 7#a7 a projection of ,program budgetary needs on a per-fiscal year basis through fiscal year #bjij2 7#b7 a review of ,program modeling for each of fiscal years #bjag through the fiscal year prior to the fiscal year in which the report is issued to assess how anticipated budgetary needs compared to actual expenditures2 7#c7 an assessment of the projected budget authority and expenditures of the ,program through fiscal year #bjij2 and 7#d7 any recommendations of the ,secretary to make changes to the formula under section #ccea7;a77#b77;,a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjmm-#fa7;a77#b77;,a771 as amended by section #f7;a77#a71 to fully offset anticipated ,program expenditures through fiscal year #bjij4