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[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1638 Introduced in House (IH)]

110th CONGRESS
  1st Session
                                H. R. 1638

To extend and improve protections and services to individuals directly 
  impacted by the terrorist attack in New York City on September 11, 
                     2001, and for other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             March 22, 2007

 Mrs. Maloney of New York (for herself, Mr. Fossella, Mr. Serrano, Mr. 
Shays, Mr. Hinchey, Mr. McHugh, Mr. Hall of New York, Mr. McNulty, Mr. 
Crowley, Mr. Grijalva, and Mr. McCotter) introduced the following bill; 
  which was referred to the Committee on Energy and Commerce, and in 
    addition to the Committee on the Judiciary, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL

 
To extend and improve protections and services to individuals directly 
  impacted by the terrorist attack in New York City on September 11, 
                     2001, 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; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``James Zadroga 9/11 
Health and Compensation Act''.
    (b) Table of Contents.--The table of contents of this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings.
TITLE I--EXTENDING PROTECTIONS AND SERVICES TO THOSE EXPOSED TO TOXINS 
                               FROM 9/11

Sec. 101. Extending protections and services to those exposed to toxins 
                            from 9/11.
Sec. 102. Research regarding certain health conditions.
Sec. 103. Programs regarding attack at Pentagon.
          TITLE II--9/11 HEALTH EMERGENCY COORDINATING COUNCIL

Sec. 201. Establishment.
Sec. 202. Membership.
Sec. 203. Meetings.
Sec. 204. Reports.
Sec. 205. Authorization of appropriations.
        TITLE III--SEPTEMBER 11 VICTIM COMPENSATION FUND OF 2001

Sec. 301. Deadline extension for certain claims under September 11 
                            Victim Compensation Fund of 2001.
Sec. 302. Exception to single claim requirement in certain 
                            circumstances.
Sec. 303. Eligibility of claimants suffering from psychological harm.
Sec. 304. Immediate aftermath defined.
TITLE IV--PROGRAMS OF THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL 
                                HYGIENE

Sec. 401. World Trade Center Health Registry.
Sec. 402. Mental health services.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) Thousands of rescue workers who responded to the areas 
        devastated by the terrorist attacks of September 11, local 
        residents, office and area workers, and school children 
        continue to suffer significant medical problems as a result of 
        compromised air quality and the release of other toxins from 
        the attack sites.
            (2) In a September 2006 peer-reviewed study conducted by 
        the World Trade Center Medical Monitoring Program, of 9,500 
        World Trade Center responders, almost 70 percent of World Trade 
        Center responders had a new or worsened respiratory symptom 
        that developed during or after their time working at the World 
        Trade Center; among the responders who were asymptomatic before 
        9/11, 61 percent developed respiratory symptoms while working 
        at the World Trade Center; close to 60 percent still had a new 
        or worsened respiratory symptom at the time of their 
        examination; one-third had abnormal pulmonary function tests; 
        and severe respiratory conditions including pneumonia were 
        significantly more common in the 6 months after 9/11 than in 
        the prior 6 months.
            (3) An April 2006 study documented that, on average, a New 
        York City firefighter who responded to the World Trade Center 
        has experienced a loss of 12 years of lung capacity.
            (4) A peer-reviewed study of residents who lived near the 
        World Trade Center titled ``The World Trade Center Residents' 
        Respiratory Health Study: New Onset Respiratory Symptoms and 
        Pulmonary Function'', found that data demonstrated a three fold 
        increase in new-onset, persistent lower respiratory symptoms in 
        residents near the former World Trade Center as compared to a 
        control population.
            (5) Previous research on the health impacts of the 
        devastation caused by the September 11 terrorist attacks has 
        shown relationships between the air quality from Ground Zero 
        and a host of health impacts, including lower pregnancy rates, 
        lower birth weights in babies born 9 months after the disaster, 
        higher rates of respiratory and lung disorders, and a variety 
        of post-disaster mental health conditions (including 
        posttraumatic stress disorder) in workers and residents near 
        Ground Zero.
            (6) Federal funding allocated for the monitoring of rescue 
        workers' health is not sufficient to ensure the long-term study 
        of health impacts of September 11.
            (7) The Federal funding allocated for medical monitoring 
        does not provide for the medical monitoring of New York City 
        area residents, office and area workers, schoolchildren, or 
        Federal employees who responded to the terrorist attacks of 
        September 11, 2001.
            (8) A significant portion of those who responded to the 
        September 11 aftermath have no health insurance, lost their 
        health insurance as a result of the attacks, or have inadequate 
        health insurance for the medical conditions they developed as a 
        result of recovery work at the World Trade Center site.
            (9) The Federal program to provide medical treatments to 
        those who responded to the September 11 aftermath, and who 
        continue to experience health problems as a result, was finally 
        established more than five years after the attacks, but is not 
        adequately funded and is projected to exhaust all Federal 
        funding before the end of fiscal year 2007.
            (10) Rescue workers and volunteers seeking workers 
        compensation have reported that their applications have been 
        denied, delayed for months, or redirected, instead of receiving 
        assistance in a timely and supportive manner.
            (11) A February 2007 report released by the City of New 
        York revealed that 410,000 people were ``heavily exposed'', to 
        the toxins of Ground Zero. The report also found that an 
        estimated 30,000 responders are sick yet 21,000 of them do not 
        have adequate health insurance.
            (12) The September 11 Victim Compensation Fund of 2001 was 
        established to provide compensation to individuals who were 
        physically injured or killed as a result of the terrorist-
        related aircraft crashes of September 11, 2001.
            (13) The deadline for filing claims for compensation under 
        the Victim Compensation Fund was December 22, 2003.
            (14) Some individuals did not know they were eligible to 
        file claims for compensation for injuries or did not know they 
        had suffered physical harm as a result of the terrorist-related 
        aircraft crashes until after the December 22, 2003, deadline.
            (15) Further research is needed to evaluate more 
        comprehensively the extent of the health impacts of September 
        11, including research for emerging health problems such as 
        cancer, which have been predicted.
            (16) Research is needed regarding possible treatment for 
        the illnesses and injuries of September 11.
            (17) The Federal response to medical and financial issues 
        arising from the September 11 response efforts needs a 
        comprehensive, coordinated long-term response in order to meet 
        the needs of all the individuals who were exposed to the toxins 
        of Ground Zero and are suffering health problems from the 
        disaster.

TITLE I--EXTENDING PROTECTIONS AND SERVICES TO THOSE EXPOSED TO TOXINS 
                               FROM 9/11

SEC. 101. EXTENDING PROTECTIONS AND SERVICES TO THOSE EXPOSED TO TOXINS 
              FROM 9/11.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 317S the following 
section:

``SEC. 317T. EXTENDING PROTECTIONS AND SERVICES TO THOSE EXPOSED TO 
              TOXINS FROM 9/11.

    ``(a) Program Extension.--For the purpose of ensuring on-going 
monitoring, treatment, and data collection for victims of the September 
11 terrorist attacks in New York City, the Secretary, acting through 
the National Institute for Occupational Safety and Health of the 
Centers for Disease Control and Prevention, shall extend and expand, in 
accordance with this section, the arrangements in effect as of January 
1, 2007, with the coordinating consortium body and with the Fire 
Department of the City of New York that provide for the following:
            ``(1) Medical monitoring, including screening, clinical 
        examinations, and long-term health monitoring and analysis, for 
        individuals who were likely to have been exposed to airborne 
        toxins that were released as a result of the aftermath of the 
        terrorist attacks that occurred on September 11, 2001, in New 
        York City. The extent and frequency of such monitoring shall be 
        in accordance with guidelines developed by the program steering 
        committee.
            ``(2) Provision of treatment and payment, without any cost-
        sharing, for all health and mental health care expenses 
        (including necessary prescription drugs) of individuals with a 
        qualifying health condition, using a uniform standard of 
        coverage for all eligible individuals.
            ``(3) Collection of health and mental health data on such 
        individuals, using a uniform system of data collection.
    ``(b) Covered Individuals.--The program administered by the 
coordinating consortium body under subsection (a) shall be expanded so 
as to include, among the individuals described in subsection (a)(1) and 
under the arrangement with such body, any of the following individuals 
if they are not otherwise covered under either of the arrangements 
described in such subsection:
            ``(1) Emergency service personnel and rescue and recovery 
        personnel who responded in the New York City disaster area to 
        the terrorist attacks that occurred on September 11, 2001, in 
        New York City, any time during the period of September 11, 
        2001, through August 31, 2002.
            ``(2) Any other worker or volunteer who responded in such 
        area to such attacks at any time during such period, 
        including--
                    ``(A) a police officer;
                    ``(B) a firefighter;
                    ``(C) an emergency medical technician;
                    ``(D) a transit worker;
                    ``(E) any participating member of an urban search 
                and rescue team;
                    ``(F) Federal and State employees;
                    ``(G) a person who worked to recover human remains; 
                and
                    ``(H) a person who worked on the criminal 
                investigation.
            ``(3) A worker who responded at any time during such period 
        to such attacks by assisting in the cleanup or restoration of 
        critical infrastructure in the New York City disaster area.
            ``(4) A worker who assisted at any time during such period 
        in the cleaning of a building situated in the New York City 
        disaster area.
            ``(5) A person whose place of residence at any time during 
        such period was in the New York City disaster area.
            ``(6) A person who was working at any time during such 
        period in the New York City disaster area.
            ``(7) A person who attended school, child care, or adult 
        day care at any time during such period in a building located 
        in the New York City disaster area.
            ``(8) A person who was employed at any time during such 
        period at the Fresh Kills recovery site on Staten Island.
            ``(9) A person who was present in the New York City 
        disaster area on September 11, 2001.
            ``(10) Any other person whom the Secretary determines to be 
        appropriate.
    ``(c) Extension of Services.--In order to ensure reasonable access 
to monitoring and treatment for individuals under subsection (a) who 
reside in the Downtown Manhattan area or who reside outside of the New 
York City disaster area, the arrangements under such subsection shall 
be expanded--
            ``(1) to enter into arrangements with the World Trade 
        Center Environmental Health Center at Bellevue Hospital to 
        coordinate and provide services for residents, office and area 
        workers, and students in Downtown Manhattan and nearby areas; 
        and
            ``(2) to establish a nationwide network of health care 
        providers to provide such monitoring and treatment near such 
        individuals' areas of residence, or to establish a mechanism 
        whereby individuals who receive monitoring or treatment for a 
        qualifying health condition can be reimbursed for the cost of 
        such monitoring or treatment.
    ``(d) Administrative Arrangement Authority.--Arrangements under 
subsection (a) may be modified, so as to provide for timely and 
accurate processing of claims, through entering into arrangements for 
the administration of benefits using insurance companies or other 
third-party administrators.
    ``(e) Requirement of Medical Necessity.--If a monitoring or 
treating physician, pursuant to an arrangement under subsection (a), 
determines that an item or service for the provision of health or 
mental health care under subsection (a)(2) is medically necessary for 
an individual, payment under such subsection shall be made available 
for the item or service.
    ``(f) Eligibility Certification for Treatment Benefits.--Effective 
for treatment benefits furnished more than 60 days after the date of 
the enactment of this section, no individual shall be eligible for 
treatment benefits described in paragraph (2) of subsection (a) under 
the arrangements described in such subsection unless a Federal employee 
designated by the Secretary has determined that the individual meets 
the applicable eligibility criteria under such arrangements (as 
modified by the section) for the receipt of such treatment benefits. 
Such Federal employee shall not deny certification if the individual 
meets the applicable eligibility criteria.
    ``(g) Community Outreach.--The Secretary shall institute a program 
that provides education and outreach on the existence and availability 
of services provided for under this section. Any such education and 
outreach shall be done in a manner intended to reach all affected 
populations and to include materials for culturally and linguistically 
diverse populations. To the greatest extent possible, in carrying out 
this subsection, the Secretary should enter into partnerships with 
local governments and organizations with experience performing 
outreach.
    ``(h) Continuation of Treatment While Being Enrolled in Medical 
Monitoring Program.--In the case of an individual receiving medical 
treatment under the arrangements described in paragraph (2) of 
subsection (a) but who is not enrolled in the medical monitoring 
program referred to in paragraph (1) of such subsection, the individual 
may continue to receive such treatment while the individual is being 
enrolled in such medical monitoring program.
    ``(i) Definitions.--In this section:
            ``(1) The term `coordinating consortium body' means the 
        body of medical providers that coordinates the monitoring and 
        treatment under the arrangement under subsection (a) that 
        covers individuals who are not covered under the arrangement 
        with the Fire Department for the City of New York.
            ``(2) The term `New York City disaster area' means an area, 
        specified by the Secretary of Health and Human Services, within 
        which individuals who resided, worked, or otherwise were 
        regularly present during the period beginning on September 11, 
        2001, and ending on August 31, 2002, were likely to have been 
        exposed to airborne toxins that were released as a result of 
        the aftermath of the terrorist attacks that occurred on 
        September 11, 2001, in New York City, and includes the area 
        within 2 miles of the perimeter of the former World Trade 
        Center site. In determining the boundaries of the New York City 
        disaster area, the Secretary shall take into consideration 
        peer-reviewed research that has demonstrated potential exposure 
        to such toxins at a distance of 5 miles or greater from the 
        former World Trade Center.
            ``(3) The term `program steering committee' means the 
        committee, made up of a number of representatives of the 
        medical providers from the coordinating consortium body and the 
        Fire Department of the City of New York, and an equal number of 
        representatives of the covered individuals described in 
        subsection (b), that is responsible for the governance and 
        coordination of the programs administered by the coordinating 
        consortium body and the Fire Department of the City of New York 
        under subsection (a).
            ``(4) The term `qualifying health condition' means an 
        adverse health condition that is presumed by the program 
        steering committee, in consultation with the Secretary, to be 
        associated with exposure to one or more of the sites of the 
        terrorist attacks that occurred on September 11, 2001, in New 
        York City.
    ``(j) Financing.--Out of any funds in the Treasury not otherwise 
appropriated, there are hereby appropriated to the Secretary--
            ``(1) for the period of fiscal years 2007 through 2012, 
        $1,900,000,000 and such additional sums as may be necessary to 
        carry out this section; and
            ``(2) for fiscal years 2013 through 2026, such sums as may 
        be necessary to carry out this section.''.

SEC. 102. RESEARCH REGARDING CERTAIN HEALTH CONDITIONS.

    Part B of title IV of the Public Health Service Act (42 U.S.C. 284 
et seq.) is amended by inserting after section 409I the following 
section:

``SEC. 409J. RESEARCH REGARDING CERTAIN HEALTH CONDITIONS OF 
              INDIVIDUALS ASSISTING WITH RESPONSE TO SEPTEMBER 11 
              TERRORIST ATTACKS IN NEW YORK CITY.

    ``(a) In General.--With respect to individuals receiving monitoring 
under section 317T, the Secretary shall conduct or support--
            ``(1) research on physical and mental health conditions 
        that may be related to the September 11 terrorist attacks;
            ``(2) research on diagnosing qualifying health conditions 
        of such individuals, in the case of conditions for which there 
        has been diagnostic uncertainty; and
            ``(3) research on treating qualifying health conditions of 
        such individuals, in the case of conditions for which there has 
        been treatment uncertainty.
    ``(b) Consultation.--The Secretary shall carry out this section in 
consultation with such program steering committee.
    ``(c) Application of Privacy and Human Subject Protections.--The 
privacy and human subject protections applicable to research conducted 
under this section shall not be less than such protections applicable 
to research otherwise conducted by the National Institutes of Health.
    ``(d) Annual Report.--The Secretary shall annually submit to the 
Congress a report describing the findings of research under subsection 
(a).
    ``(e) Definitions.--In this section, the terms `program steering 
committee' and `qualifying health condition' have the meanings given to 
those terms in section 317T(i).
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of fiscal years 2008 through 2026, in 
addition to any other authorizations of appropriations that are 
available for such purpose.''.

SEC. 103. PROGRAMS REGARDING ATTACK AT PENTAGON.

    The Secretary of Health and Human Services may, to the extent 
determined appropriate by the Secretary, establish with respect to the 
terrorist attack at the Pentagon on September 11, 2001, programs 
similar to the programs that are established in sections 317T and 409J 
of the Public Health Service Act with respect to the terrorist attacks 
on such date in New York City.

          TITLE II--9/11 HEALTH EMERGENCY COORDINATING COUNCIL

SEC. 201. ESTABLISHMENT.

    The Secretary of Health and Human Services shall convene a council, 
to be known as ``9/11 Health Emergency Coordinating Council'' (in this 
title referred to as the ``Council''), for the purpose of discussing, 
examining, and formulating recommendations with respect to the adequacy 
and coordination of the following:
            (1) Care and compensation for the victims of the terrorist 
        attacks of September 11, 2001.
            (2) Federal tracking of the monitoring of, and treatment 
        for, individuals who are directly suffering from, or may have 
        long-term health effects from, such attacks.

SEC. 202. MEMBERSHIP.

    (a) Chairperson.--The Secretary of Health and Human Services (or 
the Secretary's designee) shall serve as the chairperson of the 
Council.
    (b) Required Members.--The members of the Council shall include the 
following:
            (1) The Secretary of Defense (or the Secretary's designee).
            (2) The Secretary of Labor (or the Secretary's designee).
            (3) The Director of the Federal Emergency Management Agency 
        (or the Director's designee).
            (4) The Director of the National Institutes of Health (or 
        the Director's designee).
            (5) The Director of the National Institute for Occupational 
        Safety and Health (or the Director's designee).
            (6) A representative of the Crime Victims Fund established 
        under section 1402 of the Victims of Crime Act of 1984 (42 
        U.S.C. 10601).
    (c) Invitees.--The Secretary of Health and Human Services shall 
invite the following individuals to serve as members of the Council:
            (1) The Governor of the State of New York (or the 
        Governor's designee).
            (2) The Governor of the State of New Jersey (or the 
        Governor's designee).
            (3) The Mayor of New York City (or the Mayor's designee).
            (4) 1 representative of the New York City Fire Department.
            (5) 1 representative of the New York City Police 
        Department.
            (6) 1 representative of the police department of the Port 
        Authority of New York and New Jersey.
            (7) 1 representative of the New York State Department of 
        Health.
            (8) 1 representative of the New York State Workers' 
        Compensation Board.
            (9) 1 representative of the New York City Department of 
        Health and Mental Hygiene.
            (10) 1 representative of the New York City Office of 
        Emergency Management.
            (11) 1 representative of the Association of Occupational 
        and Environmental Clinics.
            (12) 1 representative of the New York Committee for 
        Occupational Safety and Health (NYCOSH).
            (13) 1 representative of charitable organizations that had 
        volunteers at Ground Zero.
            (14) 20 representatives of labor unions reflecting a cross 
        section of workers who responded to, or assisted in the cleanup 
        resulting from, the attack on the World Trade Center, including 
        New York City police, fire, and other municipal employees, Port 
        Authority of New York and New Jersey police, State and Federal 
        employees, construction employees, and employees involved in 
        the resumption of services.
            (15) 20 representatives of community organizations that 
        reflect a cross section of the concerns of residents, office 
        workers, and students.
            (16) 5 representatives of nonprofit volunteer entities that 
        assisted in recovery efforts following the terrorist attacks of 
        September 11, 2001.
            (17) 5 representatives of a regional occupational provider 
        that--
                    (A) works with the World Trade Center Worker and 
                Volunteer Medical Screening Program; and
                    (B) is under the direction of the Mount Sinai 
                Center for Occupational and Environmental Medicine.

SEC. 203. MEETINGS.

    The Council shall meet not less than 4 times each calendar year.

SEC. 204. REPORTS.

    Not less than once each calendar year, the Council shall submit to 
the Congress a report on the recommendations of the Council.

SEC. 205. AUTHORIZATION OF APPROPRIATIONS.

    For the purpose of carrying out this title, there are authorized to 
be appropriated such sums as may be necessary for each of fiscal years 
2007 through 2026.

        TITLE III--SEPTEMBER 11 VICTIM COMPENSATION FUND OF 2001

SEC. 301. DEADLINE EXTENSION FOR CERTAIN CLAIMS UNDER SEPTEMBER 11 
              VICTIM COMPENSATION FUND OF 2001.

    Section 405(a)(3) of the Air Transportation Safety and System 
Stabilization Act (49 U.S.C. 40101 note) is amended to read as follows:
            ``(3) Limitation.--
                    ``(A) In general.--Except as provided by 
                subparagraph (B), no claim may be filed under paragraph 
                (1) after December 22, 2003.
                    ``(B) Exceptions.--A claim may be filed under 
                paragraph (1) by an individual (or by a personal 
                representative on behalf of a deceased individual)--
                            ``(i) during the 5-year period after the 
                        date of enactment of this subparagraph, if the 
                        Special Master determines that the individual--
                                    ``(I) did not know that the 
                                individual had suffered physical harm 
                                as a result of the terrorist-related 
                                aircraft crashes of September 11, 2001, 
                                until after December 22, 2003, and 
                                before the date of the enactment of 
                                this subparagraph;
                                    ``(II) did not for any reason other 
                                than as described in subclause (I) know 
                                that the individual was eligible to 
                                file a claim under paragraph (1) until 
                                after December 22, 2003;
                                    ``(III) suffered psychological harm 
                                as a result of the terrorist-related 
                                aircraft crashes; or
                                    ``(IV) in the case of an individual 
                                who had previously filed a claim under 
                                this title, suffered a significantly 
                                greater physical harm than was known to 
                                the individual as of the date the claim 
                                was filed and did not know the full 
                                extent of the physical harm suffered as 
                                a result of the terrorist-related 
                                aircraft crashes until after the date 
                                on which the claim was filed and before 
                                the date of enactment of this 
                                subparagraph; and
                            ``(ii) during the 5-year period after the 
                        date that the individual--
                                    ``(I) first knew that the 
                                individual had suffered physical or 
                                psychological harm as a result of the 
                                terrorist-related aircraft crashes of 
                                September 11, 2001, if the Special 
                                Master determines that the individual 
                                did not know that the individual had 
                                suffered such physical or psychological 
                                harm until a date that is on or after 
                                the date of enactment of this 
                                subparagraph; or
                                    ``(II) in the case of an individual 
                                who had previously filed a claim under 
                                this title and had suffered a 
                                significantly greater physical harm 
                                than was known to the individual as of 
                                the date the claim was filed, or had 
                                suffered psychological harm as a result 
                                of the terrorist-related crashes, first 
                                knew the full extent of the physical 
                                and psychological harm suffered as a 
                                result of the terrorist-related 
                                aircraft crashes, if the Special Master 
                                determines that the individual did not 
                                know the full extent of the harm 
                                suffered until a date that is on or 
                                after the date of the enactment of this 
                                subparagraph.''.

SEC. 302. EXCEPTION TO SINGLE CLAIM REQUIREMENT IN CERTAIN 
              CIRCUMSTANCES.

    Section 405(c)(3)(A) of the Air Transportation Safety and System 
Stabilization Act (49 U.S.C. 40101 note) is amended to read as follows:
                    ``(A) Single claim.--
                            ``(i) In general.--Except as provided by 
                        clause (ii), not more than 1 claim may be 
                        submitted under this title by an individual or 
                        on behalf of a deceased individual.
                            ``(ii) Exception.--A second claim may be 
                        filed under subsection (a)(1) by an individual 
                        (or by a personal representative on behalf of a 
                        deceased individual) if the individual is an 
                        individual described in either of clauses 
                        (i)(IV) or (ii)(II) of subsection (a)(3)(B).''.

SEC. 303. ELIGIBILITY OF CLAIMANTS SUFFERING FROM PSYCHOLOGICAL HARM.

    (a) In General.--Section 405(c)(2)(A)(ii) of the Air Transportation 
Safety and System Stabilization Act (49 U.S.C. 40101 note) is amended 
by inserting ``, psychological harm,'' before ``or death''.
    (b) Conforming Amendment.--Section 405(a)(2)(B)(i) of such Act is 
amended by striking ``physical harm'' and inserting ``physical or 
psychological harm''.

SEC. 304. IMMEDIATE AFTERMATH DEFINED.

    Section 402 of the Air Transportation Safety and System 
Stabilization Act (49 U.S.C. 40101 note) is amended by adding at the 
end the following new paragraph:
            ``(11) Immediate aftermath.--In section 405(c)(2)(A)(i), 
        the term `immediate aftermath' means any period of time after 
        the terrorist-related aircraft crashes of September 11, 2001, 
        as determined by the Special Master, that was sufficiently 
        close in time to the crashes that there was a demonstrable risk 
        to the claimant of physical or psychological harm resulting 
        from the crashes, including the period of time during which 
        rescue, recovery, and cleanup activities relating to the 
        crashes were conducted.''.

TITLE IV--PROGRAMS OF THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL 
                                HYGIENE

SEC. 401. WORLD TRADE CENTER HEALTH REGISTRY.

    (a) Program Extension.--For the purpose of ensuring on-going data 
collection for victims of the September 11 terrorist attacks in New 
York City, the Secretary of Health and Human Services, acting through 
the National Institute for Occupational Safety and Health of the 
Centers for Disease Control and Prevention, shall extend and expand the 
arrangements in effect as of January 1, 2007, with the New York City 
Department of Health and Mental Hygiene that provide for the World 
Trade Center Health Registry.
    (b) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary.

SEC. 402. MENTAL HEALTH SERVICES.

    (a) Grants.--The Secretary of Health and Human Services may make 
grants to the New York City Department of Health and Mental Hygiene to 
provide mental health services to address the mental health needs of 
qualified individuals relating to the terrorist attacks that occurred 
on September 11, 2001, in New York City.
    (b) Qualified Individual.--In this section, the term ``qualified 
individual'' means an individual who resides in the New York City 
metropolitan area, but is not a covered individual described in section 
317T(b) of the Public Health Service Act, as added by section 101 of 
this Act.
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