[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4965 Introduced in House (IH)]
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117th CONGRESS
1st Session
H. R. 4965
To amend title XXXIII of the Public Health Service Act with respect to
flexibility and funding for the World Trade Center Health Program, and
for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
August 6, 2021
Mrs. Carolyn B. Maloney of New York (for herself, Mr. Nadler, Mr.
Garbarino, Mr. Suozzi, Mr. Sean Patrick Maloney of New York, Ms. Meng,
Ms. Velazquez, Mr. Espaillat, Ms. Malliotakis, Mr. Torres of New York,
Mr. Pascrell, Mr. Gottheimer, Mr. Sires, Mr. Payne, Mr. Tonko, Ms.
Clarke of New York, Mr. Higgins of New York, Mr. Fitzpatrick, Mr.
Jacobs of New York, Mr. Zeldin, Mrs. Hayes, Mr. McKinley, Mrs. Watson
Coleman, Mr. Van Drew, Mr. Himes, Mr. Smith of New Jersey, Ms.
Stefanik, Mr. Bacon, Mr. Jeffries, Mr. Katko, Mr. Morelle, Mr. Joyce of
Ohio, Miss Rice of New York, Mr. Delgado, Ms. Tenney, Mr. Reed, Mr.
Bowman, Mr. Meeks, Mr. Jones, and Ms. Ocasio-Cortez) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
_______________________________________________________________________
A BILL
To amend title XXXIII of the Public Health Service Act with respect to
flexibility and funding for the World Trade Center Health Program, and
for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``9/11 Responder and Survivor Health
Funding Correction Act''.
SEC. 2. FLEXIBILITY FOR CERTIFICATIONS UNDER THE WORLD TRADE CENTER
HEALTH PROGRAM.
(a) In General.--Section 3305(a) of the Public Health Service Act
(42 U.S.C. 300mm-4(a)) is amended--
(1) in paragraph (2)(A)(ii), by inserting ``subject to
paragraph (6),'' before ``for''; and
(2) by adding at the end the following:
``(6) Licensed health care provider flexibility.--
``(A) In general.--For purposes of an initial
health evaluation described in paragraph (2)(A)(ii)
(including any such evaluation provided under section
3321(b) or through the nationwide network under section
3313), 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
Secretary under subparagraph (B).
``(B) Categories of licensed health care
providers.--Not later than 60 days after the date of
enactment of the 9/11 Responder and Survivor Health
Funding Correction Act, the WTC Program Administrator
shall issue regulations for the categories of licensed
health care providers who, in addition to licensed
physicians, may conduct evaluations under subparagraph
(A) and make determinations under section 3312(b).''.
(b) Flexibility for WTC Responders.--Section 3312(b) of such Act
(42 U.S.C. 300mm-22(b)) is amended--
(1) in paragraph (1), by striking ``physician'' each place
it appears and inserting ``physician or other licensed health
care provider in a category determined by the Secretary under
section 3305(a)(6)(B)'';
(2) in paragraph (2)--
(A) in subparagraph (A)--
(i) in the matter preceding clause (i), by
striking ``physician'' and inserting
``physician or other licensed health care
provider in a category determined by the
Secretary under section 3305(a)(6)(B)'';
(ii) in clause (i), by striking
``physician'' and inserting ``physician or
other licensed health care provider''; and
(iii) in clause (ii), by striking ``such
physician's determination'' and inserting ``the
determination of such physician or other
licensed health care provider''; and
(B) in subparagraph (B)--
(i) in the matter preceding clause (i), by
striking ``physician determinations'' and
inserting ``determinations by physicians or
other licensed health care providers in
categories determined by the Secretary under
section 3305(a)(6)(B)''; and
(ii) in clause (i), by striking ``physician
panel'' and inserting ``panel of physicians or
other licensed health care providers in
categories determined by the Secretary under
section 3305(a)(6)(B)''; and
(3) in paragraph (5), by striking ``examining physician''
and inserting ``examining physician or other licensed health
care provider in a category determined by the Secretary under
section 3305(a)(6)(B)''.
SEC. 3. CRITERIA FOR CREDENTIALING HEALTH CARE PROVIDERS PARTICIPATING
IN THE NATIONWIDE NETWORK.
Title XXXIII of the Public Health Service Act (42 U.S.C. 300mm et
seq.) is amended--
(1) in section 3305(a)(2) (42 U.S.C. 300mm-4(a)(2))--
(A) in subparagraph (A)--
(i) by striking clause (iv); and
(ii) by redesignating clauses (v) and (vi)
as clauses (iv) and (v), respectively;
(B) by striking subparagraph (B); and
(C) by redesignating subparagraphs (C) and (D) as
subparagraphs (B) and (C), respectively; and
(2) in section 3313(b)(1) (42 U.S.C. 300mm-23(b)(1)), by
striking ``Data Centers'' and inserting ``WTC Program
Administrator''.
SEC. 4. CLARIFYING CALCULATION OF ENROLLMENT.
(a) Responders.--Section 3311(a) of such Act (42 U.S.C. 300mm-
21(a)) is amended by adding at the end the following:
``(6) 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
3351.''.
(b) Survivors.--Section 3321(a) of such Act (42 U.S.C. 300mm-31(a))
is amended by adding at the end the following:
``(5) Deceased wtc survivors.--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
3351.''.
SEC. 5. FUNDING FOR THE WORLD TRADE CENTER HEALTH PROGRAM.
Section 3351 of the Public Health Service Act (42 U.S.C. 300mm-61)
is amended--
(1) in subsection (a)(2)(A)--
(A) in clause (x), by striking ``$570,000,000;
and'' and inserting ``$689,130,000;''; and
(B) by striking clause (xi) and inserting the
following:
``(xi) for fiscal year 2026, $930,325,500;
``(xii) for fiscal year 2027,
$1,004,751,540;
``(xiii) for fiscal year 2028,
$1,085,131,663;
``(xiv) for fiscal year 2029,
$1,139,388,246;
``(xv) for fiscal year 2030,
$1,196,357,659;
``(xvi) for fiscal year 2031,
$1,256,175,542; and
``(xvii) for each subsequent fiscal year
through fiscal year 2090--
``(I) the amount determined under
this subparagraph for the previous
fiscal year multiplied by 1.05;
multiplied by
``(II) the ratio of--
``(aa) the total number of
individuals enrolled in the WTC
program on July 1 of such
previous fiscal year; to
``(bb) the total number of
individuals so enrolled on July
1 of the fiscal year prior to
such previous fiscal year;
plus''; and
(2) in subsection (c)--
(A) by amending paragraph (3) to read as follows:
``(3) Education and outreach.--For the purpose of carrying
out section 3303--
``(A) for each of fiscal years 2016 through 2021,
$750,000; and
``(B) for fiscal year 2022 and each subsequent
fiscal year, $2,000,000.'';
(B) in paragraph (4)--
(i) by amending subparagraph (A) to read as
follows:
``(A) for fiscal year 2021, the amount determined
for such fiscal year under this paragraph as in effect
on the day before the date of enactment of the 9/11
Responder and Survivor Health Funding Correction
Act;''; and
(ii) in subparagraph (B), by striking
``2017, $15,000,000'' and inserting ``2022,
$20,000,000''; and
(C) in paragraph (5)--
(i) by amending subparagraph (A) to read as
follows:
``(A) for fiscal year 2021, the amount determined
for such fiscal year under this paragraph as in effect
on the day before the date of enactment of the 9/11
Responder and Survivor Health Funding Correction
Act;'';
(ii) by redesignating subparagraph (B) as
subparagraph (C); and
(iii) by inserting after subparagraph (A)
the following:
``(B) for fiscal year 2022, $20,000,000; and''.
SEC. 6. RESEARCH COHORT FOR EMERGING HEALTH IMPACTS ON YOUTH.
(a) In General.--Section 3341 of the Public Health Service Act (42
U.S.C. 300mm-51) is amended--
(1) by redesignating subsections (c) and (d) as subsections
(d) and (e), respectively; and
(2) by inserting after subsection (b) the following:
``(c) Research Cohort for Emerging Health Impacts on Youth.--The
WTC Program Administrator shall establish a research cohort of
sufficient size to conduct research studies on the health and
educational impacts of exposure to airborne toxins, or any other hazard
or adverse condition, resulting from the September 11, 2001, terrorist
attacks on the population of individuals who were 21 years of age or
younger at the time of exposure and who are enrolled in the WTC Program
or otherwise eligible for enrollment in the Program under section
3321.''.
(b) Spending Limitation Exemption.--Section 3351(c)(5) of such Act
(42 U.S.C. 300mm-61(c)(5)) is amended in the matter preceding
subparagraph (A), by inserting ``(other than subsection (c) of such
section)'' after ``section 3341''.
(c) Conforming Amendment.--Section 3301(f)(2)(E) of such Act (42
U.S.C. 300mm(f)(2)(E)) is amended by striking ``section 3341(a)'' and
inserting ``subsection (a) or (c) of section 3341''.
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