‘‘(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 de-
termines to be appropriate. 
‘‘(c) EXTENSION OF SERVICES.—In order to ensure 
reasonable access to monitoring and treatment for individ-
uals under subsection (a) who reside in the Downtown 
Manhattan area or who reside outside of the New York 
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City disaster area, the arrangements under such sub-
section shall be expanded— 
‘‘(1) to enter into arrangements with the World 
Trade Center Environmental Health Center at Belle-
vue 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 treat-
ment near such individuals’ areas of residence, or to 
establish a mechanism whereby individuals who re-
ceive monitoring or treatment for a qualifying health 
condition can be reimbursed for the cost of such 
monitoring or treatment. 
‘‘(d) ADMINISTRATIVE
ARRANGEMENT
AUTHOR-
ITY.—Arrangements under subsection (a) may be modi-
fied, so as to provide for timely and accurate processing 
of claims, through entering into arrangements for the ad-
ministration of benefits using insurance companies or 
other third-party administrators. 
‘‘(e) REQUIREMENT OF MEDICAL NECESSITY.—If a 
monitoring or treating physician, pursuant to an arrange-
ment 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 indi-
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vidual, 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 bene-
fits described in paragraph (2) of subsection (a) under the 
arrangements described in such subsection unless a Fed-
eral 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 em-
ployee 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 popu-
lations and to include materials for culturally and linguis-
tically diverse populations. To the greatest extent possible, 
in carrying out this subsection, the Secretary should enter 
into partnerships with local governments and organiza-
tions with experience performing outreach. 
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‘‘(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 pro-
gram 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 coordi-
nates the monitoring and treatment under the ar-
rangement under subsection (a) that covers individ-
uals 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 
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City, and includes the area within 2 miles of the pe-
rimeter of the former World Trade Center site. In 
determining the boundaries of the New York City 
disaster area, the Secretary shall take into consider-
ation peer-reviewed research that has demonstrated 
potential exposure to such toxins at a distance of 5 
miles or greater from the former World Trade Cen-
ter. 
‘‘(3) The term ‘program steering committee’ 
means the committee, made up of a number of rep-
resentatives of the medical providers from the co-
ordinating consortium body and the Fire Depart-
ment of the City of New York, and an equal number 
of representatives of the covered individuals de-
scribed in subsection (b), that is responsible for the 
governance and coordination of the programs admin-
istered 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. 
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‘‘(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 sec-
tion.’’. 
SEC. 102. RESEARCH REGARDING CERTAIN HEALTH CONDI-
TIONS. 
Part B of title IV of the Public Health Service Act 
(42 U.S.C. 284 et seq.) is amended by inserting after sec-
tion 409I the following section: 
‘‘SEC. 409J. RESEARCH REGARDING CERTAIN HEALTH CON-
DITIONS OF INDIVIDUALS ASSISTING WITH 
RESPONSE TO SEPTEMBER 11 TERRORIST AT-
TACKS IN NEW YORK CITY. 
‘‘(a) IN GENERAL.—With respect to individuals re-
ceiving 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; 
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‘‘(2) research on diagnosing qualifying health 
conditions of such individuals, in the case of condi-
tions for which there has been diagnostic uncer-
tainty; and 
‘‘(3) research on treating qualifying health con-
ditions 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 SUB-
JECT 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 annu-
ally submit to the Congress a report describing the find-
ings of research under subsection (a). 
‘‘(e) DEFINITIONS.—In this section, the terms ‘pro-
gram 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 
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