I 
109TH CONGRESS 
2D SESSION 
H. R. 6124 
To provide protections and services to certain individuals after the terrorist 
attack on September 11, 2001, in New York City, in the State of 
New York, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 20, 2006 
Mrs. MALONEY (for herself and Mr. FOSSELLA) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on Transportation and Infrastructure, 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 com-
mittee concerned 
A BILL 
To provide protections and services to certain individuals 
after the terrorist attack on September 11, 2001, in 
New York City, in the State of New York, 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. 
This Act may be cited as the ‘‘Remember 9/11 Health 
Act’’. 
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SEC. 2. FINDINGS. 
Congress finds the following: 
(1) Thousands of rescue workers who responded 
to the areas devastated by the terrorist attacks of 
September 11th and local residents continue to suf-
fer significant medical problems as a result of com-
promised air quality and other toxins at the attack 
sites. 
(2) To date, the Mount Sinai Center for Occu-
pational and Environmental Medicine in New York 
City has examined approximately 9,000 first re-
sponders and Ground Zero workers. Of those exam-
ined, more than 50 percent show physical or mental 
health problems that are directly related to their 
work at the World Trade Center and Fresh Kill 
sites. 
(3) It appears that no Federal program exists 
to support fully the medical treatment of those who 
responded to the September 11th aftermath and who 
continue to experience health problems as a result. 
(4) A significant portion of those who re-
sponded to the September 11th aftermath have no 
health insurance, lost their health insurance as a re-
sult of the attacks, or have inadequate health insur-
ance for the medical conditions they developed as a 
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result of recovery work at the World Trade Center 
site. 
(5) Rescue workers and volunteers seeking 
workers compensation apparently have had their ap-
plications denied, delayed for months, or redirected, 
instead of receiving assistance in a timely and sup-
portive manner. 
(6) Confusion still exists within the population 
of recovery workers and first responders about where 
to obtain compensation for income losses and med-
ical costs related to their service in the September 
11th recovery effort. 
(7) Residents of the City of New York need to 
be included in any health monitoring program to 
best protect their long-term health. 
(8) Federal aid allocated for the monitoring of 
rescue workers’ health may need to be increased to 
ensure the long-term study of health impacts of 9/ 
11. 
(9) Research on the health impacts of the dev-
astation caused by the September 11th terrorist at-
tacks has started, with initial findings of relation-
ships between the air quality from Ground Zero and 
a host of health impacts including, lower pregnancy 
rates, lower birth weights in babies born nine 
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months after the disaster, and higher rates of res-
piratory and lung disorders in workers and residents 
near Ground Zero. 
(10) Further research is needed to evaluate 
more comprehensively the health impacts of Sep-
tember 11 and research is needed regarding possible 
treatment for the illnesses and injuries of September 
11. 
(11) The Federal response to medical issues 
arising from September 11th response efforts need 
improvement to meet the needs of rescue workers 
and local residents still suffering health problems 
from the disaster. 
(12) A Federal agency or official needs to be 
designated to coordinate and monitor the overall 
Federal response to the health impacts of September 
11. 
SEC. 3. HEALTH CARE INSURANCE. 
Subtitle B of title VI of the Robert T. Stafford Dis-
aster Relief and Emergency Assistance Act is amended by 
adding at the end the following: 
‘‘SEC. 630. PROTECTIONS FOR CERTAIN INDIVIDUALS. 
‘‘(a) WORK INJURIES.—For the purposes of sub-
chapter I of chapter 81 of title 5, United States Code, 
relating to compensation to Federal employees for work 
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injuries, eligible recipients as defined in subsection (d) 
under this Act shall be deemed civil employees of the 
United States within the meaning of the term ‘employee’ 
as defined in section 8101 of title 5, United States Code, 
and the provisions of that subchapter shall apply. 
‘‘(b) PERSONAL PROPERTY.—For the purpose of 
claims relating to damage to, or loss of, personal property 
of an eligible recipient incident to service, an eligible re-
cipient under this Act shall be considered in the same 
manner as if such eligible recipient was a civil employee 
of the Government of the United States, except that an 
eligible recipient shall not be responsible for the payment 
of any health care expenses, including mental health cov-
erage, prescription drugs, or copayments for all health and 
mental health care expenses that result from exposure to 
the adverse conditions after the terrorist attack on Sep-
tember 11, 2001. 
‘‘(c) GENERAL RULE.—Except as otherwise provided 
in this section, an eligible recipient shall not be deemed 
a Federal employee and shall not be subject to the provi-
sions of law relating to Federal employment, including 
those relating to hours of work, rates of compensation, 
leave, unemployment compensation, and Federal employee 
benefits. 
‘‘(d) ELIGIBLE RECIPIENT DEFINED.— 
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‘‘(1) ELIGIBLE
RECIPIENT.—Except as pro-
vided in paragraph (2), for purposes of this section, 
the term ‘eligible recipient’ means— 
‘‘(A) emergency service personnel and res-
cue and recovery personnel who responded to 
the terrorist attacks that occurred on Sep-
tember 11, 2001, in New York City, in the 
State of New York, any time during the period 
of September 11, 2001, through August 31, 
2002; 
‘‘(B) any other worker or volunteer who re-
sponded to such attacks, including— 
‘‘(i) a police officer; 
‘‘(ii) a firefighter; 
‘‘(iii) an emergency medical techni-
cian; 
‘‘(iv) a transit worker; 
‘‘(v) any participating member of an 
urban search and rescue team; 
‘‘(vi) a Federal or State employee; 
‘‘(vii) any other relief or rescue work-
er or volunteer whom the Secretary deter-
mines to be appropriate; 
‘‘(viii) a person who assisted in the re-
covery of human remains; and 
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‘‘(ix) a person who assisted in the 
criminal investigation; 
‘‘(C) a worker who responded to such at-
tacks by assisting in the cleanup or restoration 
of critical infrastructure in and around New 
York City; 
‘‘(D) a person whose place of residence is 
in the declared disaster area; 
‘‘(E) a person who was employed in or at-
tended school, child care, or adult day care in 
a building located in the declared disaster area 
any time during the period of September 11, 
2001, through August 31, 2002; 
‘‘(F) a person who was employed at the 
Fresh Kills recovery site on Staten Island at 
any time during the period of September 11, 
2001, through August 31, 2002; and 
‘‘(G) any other person whom the Secretary 
determines to be appropriate. 
‘‘(2) Notwithstanding the determination re-
quirements of paragraph (1), the immediate family 
members of an individual who is an eligible recipient 
under paragraph (1) may receive benefits under this 
section if the eligible recipient— 
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‘‘(A) is or was on the date of the Sep-
tember 11th attacks the policy holder for such 
family; and 
‘‘(B) received family health insurance as of 
September 11, 2001.’’. 
SEC. 4. HEALTH SCREENINGS, EXAMINATIONS, AND MONI-
TORING SERVICES. 
(a) IN GENERAL.—Part B of title III of the Public 
Health Service Act (42 U.S.C. 243 et seq.) is amended 
by inserting after section 317R the following section: 
‘‘SEC. 317T. CERTAIN HEALTH SERVICES FOR INDIVIDUALS 
ASSISTING WITH RESPONSE TO SEPTEMBER 
11 TERRORIST ATTACKS IN NEW YORK CITY. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall make awards of grants or cooperative agree-
ments for the purpose of carrying out baseline and follow- 
up screening and clinical examinations, and long-term 
health monitoring and analysis, for covered individuals 
who meet the eligibility criteria under subsection (d). 
‘‘(b) COVERED INDIVIDUALS.—For purposes of this 
section, the term ‘covered individuals’ means— 
‘‘(1) emergency service personnel and rescue 
and recovery personnel who responded to the ter-
rorist attacks that occurred on September 11, 2001, 
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in New York City, in the State of New York, any 
time during the period of September 11, 2001, 
through August 31, 2002; 
‘‘(2) any other worker or volunteer who re-
sponded to such attacks, 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; 
‘‘(H) a person who worked on the criminal 
investigation; and 
‘‘(I) any other relief or rescue worker or 
volunteer whom the Secretary determines to be 
appropriate; 
‘‘(3) a worker who responded to such attacks by 
assisting in the cleanup or restoration of critical in-
frastructure in and around the designated disaster 
area; 
‘‘(4) a person whose place of residence is in the 
declared disaster area; 
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‘‘(5) a person who is employed in or attends 
school, child care, or adult day care in a building lo-
cated in the declared disaster area; 
‘‘(6) a person who was employed at the Fresh 
Kills recovery site on Staten Island at any time dur-
ing the period of September 11, 2001, through Au-
gust 31, 2002; and 
‘‘(7) any other person whom the Secretary de-
termines to be appropriate. 
‘‘(c) AWARD RECIPIENT.— 
‘‘(1) IN GENERAL.—Subject to the submission 
of an application satisfactory to the Secretary, 
awards under subsection (a) shall be made only to— 
‘‘(A) the consortium of medical entities 
that, pursuant to the program referred to in 
subsection (g), provided health services de-
scribed in subsection (a) during fiscal year 
2003 for the personnel described in subsection 
(b)(1), subject to the consortium meeting the 
criteria established in paragraph (2); and 
‘‘(B) the separate program carried out by 
the New York City Fire Department. 
‘‘(2) CRITERIA.—For purposes of paragraph 
(1)(A), the criteria described in this paragraph for 
the consortium referred to in such paragraph are 
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that the consortium has appropriate experience in 
the areas of environmental or occupational health, 
toxicology, and safety, including experience in— 
‘‘(A) developing clinical protocols and con-
ducting clinical health examinations, including 
mental health assessments; 
‘‘(B) conducting long-term health moni-
toring and epidemiological studies; 
‘‘(C) conducting long-term mental health 
studies; and 
‘‘(D) establishing and maintaining medical 
surveillance programs and environmental expo-
sure or disease registries. 
‘‘(d) ELIGIBILITY OF COVERED INDIVIDUALS.—The 
Secretary shall determine eligibility criteria for covered in-
dividuals to receive health services under subsection (a). 
Such criteria shall include the requirement that a covered 
individual may not receive services through the program 
under such section unless the individual enrolls in the pro-
gram. 
‘‘(e) CERTAIN PROGRAM REQUIREMENTS.—With re-
spect to the program under subsection (a), the Secretary 
shall provide for the following: 
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