II 
Calendar No. 641 
111TH CONGRESS 
2D SESSION 
H. R. 847 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 29, 2010 
Received; read the first time 
NOVEMBER 15, 2010 
Read the second time and placed on the calendar 
AN ACT 
To amend the Public Health Service Act 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 Representa-
tives 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 of 
2010’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
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Sec. 1. Short title; table of contents. 
TITLE I—WORLD TRADE CENTER HEALTH PROGRAM 
Sec. 101. World Trade Center Health Program. 
‘‘TITLE XXXIII—WORLD TRADE CENTER HEALTH PROGRAM 
‘‘Subtitle A—Establishment of Program; Advisory Committee 
‘‘Sec. 3301. Establishment of World Trade Center Health Program. 
‘‘Sec. 3302. WTC Health Program Scientific/Technical Advisory Com-
mittee; WTC Health Program Steering Committees. 
‘‘Sec. 3303. Education and outreach. 
‘‘Sec. 3304. Uniform data collection and analysis. 
‘‘Sec. 3305. Clinical Centers of Excellence and Data Centers. 
‘‘Sec. 3306. Definitions. 
‘‘Subtitle B—Program of Monitoring, Initial Health Evaluations, and 
Treatment 
‘‘PART 1—WTC RESPONDERS 
‘‘Sec. 3311. Identification of WTC responders and provision of WTC-re-
lated monitoring services. 
‘‘Sec. 3312. Treatment of enrolled WTC responders for WTC-related 
health conditions. 
‘‘Sec. 3313. National arrangement for benefits for eligible individuals out-
side New York. 
‘‘PART 2—WTC SURVIVORS 
‘‘Sec. 3321. Identification and initial health evaluation of screening-eligible 
and certified-eligible WTC survivors. 
‘‘Sec. 3322. Followup monitoring and treatment of certified-eligible WTC 
survivors for WTC-related health conditions. 
‘‘Sec. 3323. Followup monitoring and treatment of other individuals with 
WTC-related health conditions. 
‘‘PART 3—PAYOR PROVISIONS 
‘‘Sec. 3331. Payment of claims. 
‘‘Sec. 3332. Administrative arrangement authority. 
‘‘Subtitle C—Research Into Conditions 
‘‘Sec. 3341. Research regarding certain health conditions related to Sep-
tember 11 terrorist attacks. 
‘‘Sec. 3342. World Trade Center Health Registry. 
‘‘Subtitle D—Funding 
‘‘Sec. 3351. World Trade Center Health Program Fund. 
TITLE II—SEPTEMBER 11TH VICTIM COMPENSATION FUND OF 
2001 
Sec. 201. Definitions. 
Sec. 202. Extended and expanded eligibility for compensation. 
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Sec. 203. Requirement to update regulations. 
Sec. 204. Limited liability for certain claims. 
Sec. 205. Funding; attorney fees. 
TITLE III—LIMITATION ON TREATY BENEFITS FOR CERTAIN DE-
DUCTIBLE PAYMENTS; TIME FOR PAYMENT OF CORPORATE ES-
TIMATED TAXES 
Sec. 301. Limitation on treaty benefits for certain deductible payments. 
Sec. 302. Time for payment of corporate estimated taxes. 
TITLE IV—BUDGETARY EFFECTS 
Sec. 401. Compliance with Statutory Pay-As-You-Go Act of 2010. 
TITLE I—WORLD TRADE CENTER 
HEALTH PROGRAM 
SEC. 101. WORLD TRADE CENTER HEALTH PROGRAM. 
The Public Health Service Act is amended by adding 
at the end the following new title: 
‘‘TITLE XXXIII—WORLD TRADE 
CENTER HEALTH PROGRAM 
‘‘Subtitle A—Establishment of 
Program; Advisory Committee 
‘‘SEC. 3301. ESTABLISHMENT OF WORLD TRADE CENTER 
HEALTH PROGRAM. 
‘‘(a) IN GENERAL.—There is hereby established with-
in the Department of Health and Human Services a pro-
gram to be known as the World Trade Center Health Pro-
gram, which shall be administered by the WTC Program 
Administrator, to provide beginning on July 1, 2011— 
‘‘(1) medical monitoring and treatment benefits 
to eligible emergency responders and recovery and 
cleanup workers (including those who are Federal 
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employees) who responded to the September 11, 
2001, terrorist attacks; and 
‘‘(2) initial health evaluation, monitoring, and 
treatment benefits to residents and other building 
occupants and area workers in New York City who 
were directly impacted and adversely affected by 
such attacks. 
‘‘(b) COMPONENTS OF PROGRAM.—The WTC Pro-
gram includes the following components: 
‘‘(1) MEDICAL
MONITORING
FOR
RESPOND-
ERS.—Medical monitoring under section 3311, in-
cluding clinical examinations and long-term health 
monitoring and analysis for enrolled WTC respond-
ers who were likely to have been exposed to airborne 
toxins that were released, or to other hazards, as a 
result of the September 11, 2001, terrorist attacks. 
‘‘(2) INITIAL HEALTH EVALUATION FOR SUR-
VIVORS.—An initial health evaluation under section 
3321, including an evaluation to determine eligibility 
for followup monitoring and treatment. 
‘‘(3) FOLLOWUP MONITORING AND TREATMENT 
FOR WTC-RELATED HEALTH CONDITIONS FOR RE-
SPONDERS AND SURVIVORS.—Provision under sec-
tions 3312, 3322, and 3323 of followup monitoring 
and treatment and payment, subject to the provi-
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sions of subsection (d), for all medically necessary 
health and mental health care expenses of an indi-
vidual with respect to a WTC-related health condi-
tion (including necessary prescription drugs). 
‘‘(4) OUTREACH.—Establishment under section 
3303 of an education and outreach program to po-
tentially eligible individuals concerning the benefits 
under this title. 
‘‘(5) CLINICAL DATA COLLECTION AND ANAL-
YSIS.—Collection and analysis under section 3304 of 
health and mental health data relating to individuals 
receiving monitoring or treatment benefits in a uni-
form manner in collaboration with the collection of 
epidemiological data under section 3342. 
‘‘(6) RESEARCH ON HEALTH CONDITIONS.—Es-
tablishment under subtitle C of a research program 
on health conditions resulting from the September 
11, 2001, terrorist attacks. 
‘‘(c) NO COST SHARING.—Monitoring and treatment 
benefits and initial health evaluation benefits are provided 
under subtitle B without any deductibles, copayments, or 
other cost sharing to an enrolled WTC responder or cer-
tified-eligible WTC survivor. Initial health evaluation ben-
efits are provided under subtitle B without any 
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deductibles, copayments, or other cost sharing to a screen-
ing-eligible WTC survivor. 
‘‘(d) PREVENTING FRAUD AND UNREASONABLE AD-
MINISTRATIVE COSTS.— 
‘‘(1) FRAUD.—The Inspector General of the 
Department of Health and Human Services shall de-
velop and implement a program to review the WTC 
Program’s health care expenditures to detect fraudu-
lent or duplicate billing and payment for inappro-
priate services. This title is a Federal health care 
program (as defined in section 1128B(f) of the So-
cial Security Act) and is a health plan (as defined 
in section 1128C(c) of such Act) for purposes of ap-
plying sections 1128 through 1128E of such Act. 
‘‘(2) 
UNREASONABLE
ADMINISTRATIVE 
COSTS.—The Inspector General of the Department 
of Health and Human Services shall develop and im-
plement a program to review the WTC Program for 
unreasonable administrative costs, including with re-
spect to infrastructure, administration, and claims 
processing. 
‘‘(e) QUALITY ASSURANCE.—The WTC Program Ad-
ministrator working with the Clinical Centers of Excel-
lence shall develop and implement a quality assurance pro-
gram for the monitoring and treatment delivered by such 
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Centers of Excellence and any other participating health 
care providers. Such program shall include— 
‘‘(1) adherence to monitoring and treatment 
protocols; 
‘‘(2) appropriate diagnostic and treatment re-
ferrals for participants; 
‘‘(3) prompt communication of test results to 
participants; and 
‘‘(4) such other elements as the Administrator 
specifies in consultation with the Clinical Centers of 
Excellence. 
‘‘(f) ANNUAL PROGRAM REPORT.— 
‘‘(1) IN GENERAL.—Not later than 6 months 
after the end of each fiscal year in which the WTC 
Program is in operation, the WTC Program Admin-
istrator shall submit an annual report to the Con-
gress on the operations of this title for such fiscal 
year and for the entire period of operation of the 
program. 
‘‘(2) CONTENTS INCLUDED IN REPORT.—Each 
annual report under paragraph (1) shall include at 
least the following: 
‘‘(A) ELIGIBLE
INDIVIDUALS.—Informa-
tion for each clinical program described in para-
graph (3)— 
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treatment in the succeeding fiscal year; 
and 
‘‘(ii) an estimate of the cost of med-
ical treatment for WTC-related health con-
ditions that have been paid for or reim-
bursed by workers’ compensation, by public 
or private health plans, or by New York 
City under section 3331. 
‘‘(C) ADMINISTRATIVE
COSTS.—Informa-
tion on the cost of administering the program, 
including costs of program support, data collec-
tion and analysis, and research conducted under 
the program. 
‘‘(D) ADMINISTRATIVE EXPERIENCE.—In-
formation on the administrative performance of 
the program, including— 
‘‘(i) the performance of the program 
in providing timely evaluation of and treat-
ment to eligible individuals; and 
‘‘(ii) a list of the Clinical Centers of 
Excellence and other providers that are 
participating in the program. 
‘‘(E) SCIENTIFIC
REPORTS.—A summary 
of the findings of any new scientific reports or 
studies on the health effects associated with ex-
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