I 
119TH CONGRESS 
1ST SESSION H. R. 1410 
To amend title XXXIII of the Public Health Service Act with respect to 
flexibility and funding for the World Trade Center Health Program. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 18, 2025 
Mr. GARBARINO (for himself, Mr. NADLER, Mr. KEAN, Mr. GOLDMAN of New 
York, Mr. LAWLER, Ms. GILLEN, Mr. LALOTA, Mr. TORRES of New 
York, Mr. LATIMER, Ms. CLARKE of New York, Mr. LANGWORTHY, Mr. 
ESPAILLAT, Ms. TENNEY, Mr. RYAN, Mr. RILEY of New York, Mr. 
SUOZZI, Ms. VELA´ZQUEZ, Mr. TONKO, Mr. MEEKS, Mr. GOTTHEIMER, 
Mr. FITZPATRICK, Ms. MALLIOTAKIS, Mr. KENNEDY of New York, and 
Ms. MENG) introduced the following bill; which was referred to the Com-
mittee 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. 
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 ‘‘9/11 Responder and 
Survivor Health Funding Correction Act of 2025’’. 
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SEC. 2. FLEXIBILITY FOR MENTAL HEALTH CONDITION 
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 amend-
ed— 
(1) in paragraph (1)(A), by inserting ‘‘subject 
to paragraph (6),’’ before ‘‘for’’; and 
(2) by adding at the end the following: 
‘‘(6) LICENSED
MENTAL
HEALTH
PROVIDER 
FLEXIBILITY FOR MENTAL HEALTH CONDITION CER-
TIFICATIONS.— 
‘‘(A) IN GENERAL.—For purposes of an 
initial health evaluation described in paragraph 
(1)(A) with respect to a mental health condition 
(including any such evaluation provided under 
section 3321(b) or through the nationwide net-
work under section 3313), such evaluation may 
be conducted by a physician or any other li-
censed mental health provider in a category of 
mental health providers determined by the 
WTC Program Administrator under subpara-
graph (B). 
‘‘(B) CATEGORIES OF LICENSED MENTAL 
HEALTH PROVIDERS.—Not later than 180 days 
after the date of enactment of the 9/11 Re-
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sponder and Survivor Health Funding Correc-
tion Act of 2025, the WTC Program Adminis-
trator shall issue regulations for the categories 
of licensed mental health providers who, in ad-
dition to licensed physicians, may conduct eval-
uations under subparagraph (A) with respect to 
a mental health condition and make determina-
tions under section 3312(b) with respect to 
such a condition.’’. 
(b) FLEXIBILITY FOR WTC RESPONDERS.—Section 
3312(b) of such Act (42 U.S.C. 300mm–22(b)) is amend-
ed— 
(1) in paragraph (1)(A)— 
(A) in the matter preceding clause (i), by 
striking ‘‘physician’’ and inserting ‘‘physician 
(or, in the case of a mental health condition, a 
physician or any other qualified mental health 
provider)’’; and 
(B) in clause (i), by striking ‘‘physician’’ 
and inserting ‘‘physician or other qualified men-
tal health provider’’; 
(2) in paragraph (2)— 
(A) in subparagraph (A)— 
(i) in the matter preceding clause (i), 
by striking ‘‘physician’’ and inserting 
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‘‘physician (or, in the case of a mental 
health condition, a physician or any other 
qualified mental health provider)’’; 
(ii) in clause (i), by striking ‘‘physi-
cian’’ and inserting ‘‘physician or other 
qualified mental health provider’’; and 
(iii) in clause (ii), by striking ‘‘such 
physician’s determination’’ and inserting 
‘‘the determination of such physician or 
other qualified mental health provider’’; 
and 
(B) in subparagraph (B)— 
(i) in the matter preceding clause (i), 
by striking ‘‘physician determinations’’ and 
inserting ‘‘determinations by physicians 
(or, in the case of a mental health condi-
tion, physicians or other qualified mental 
health providers)’’; and 
(ii) in clause (i), by striking ‘‘physi-
cian panel’’ and inserting ‘‘panel of physi-
cians (or, in the case of a mental health 
condition, physicians or other qualified 
mental health providers)’’; 
(3) in paragraph (5), by striking ‘‘examining 
physician’’ and inserting ‘‘examining physician (or, 
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in the case of a mental health condition, examining 
physician or other qualified mental health pro-
vider)’’; and 
(4) by adding at the end the following: 
‘‘(6) DEFINITION
OF
‘QUALIFIED
MENTAL 
HEALTH
PROVIDER’.—For purposes of this sub-
section, the term ‘qualified mental health provider’ 
means a licensed mental health provider in a cat-
egory determined by the WTC Program Adminis-
trator under section 3305(a)(6)(B).’’. 
SEC. 3. CRITERIA FOR CREDENTIALING HEALTH CARE 
PROVIDERS PARTICIPATING IN THE NATION-
WIDE 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), respec-
tively; and 
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(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 indi-
vidual known to the WTC Program Administrator to 
be deceased shall not be included in any count of en-
rollees 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 indi-
vidual known to the WTC Program Administrator to 
be deceased shall not be included in any count of 
certified-eligible survivors under this section or in 
any count of enrollees under section 3351.’’. 
SEC. 5. TIME PERIOD FOR ADDING HEALTH CONDITIONS 
TO LIST FOR WTC RESPONDERS. 
Section 3312(a)(6) of the Public Health Service Act 
(42 U.S.C. 300mm–22(a)(6)) is amended— 
(1) in subparagraph (B), by striking ‘‘90’’ and 
inserting ‘‘180’’; and 
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(2) in subparagraph (C), in the second sen-
tence, by striking ‘‘90’’ and inserting ‘‘180’’. 
SEC. 6. FUNDING FOR THE WORLD TRADE CENTER HEALTH 
PROGRAM. 
(a) IN GENERAL.—Section 3351 of the Public Health 
Service Act (42 U.S.C. 300mm–61) is amended— 
(1) in subsection (a)(2)(A), by amending clause 
(xi) to read as follows: 
‘‘(xi) for each of fiscal years 2026 
through 2090— 
‘‘(I) 
the 
amount 
determined 
under this subparagraph for the pre-
vious fiscal year multiplied by 1.07; 
multiplied by 
‘‘(II) the ratio of— 
‘‘(aa) the total number of 
individuals enrolled in the WTC 
Program on July 1 of such pre-
vious 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) in paragraph (4)— 
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(i) by amending subparagraph (A) to 
read as follows: 
‘‘(A) for fiscal year 2025, the amount de-
termined for such fiscal year under this para-
graph as in effect on the day before the date of 
enactment of the 9/11 Responder and Survivor 
Health Funding Correction Act of 2025;’’; 
(ii) by amending subparagraph (B) to 
read as follows: 
‘‘(B) for fiscal year 2026, the greater of— 
‘‘(i) the amount determined for such 
fiscal year under this paragraph as in ef-
fect on the day before the date of enact-
ment of the 9/11 Responder and Survivor 
Health Funding Correction Act of 2025; 
and 
‘‘(ii) the amount expended for the pre-
vious fiscal year for the purposes described 
in this paragraph increased by 25 percent; 
and’’; and 
(iii) in subparagraph (C), by striking 
‘‘the amount specified under this para-
graph for the previous fiscal year’’ and in-
serting ‘‘the amount expended for the pre-
vious fiscal year for such purposes’’; and 
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(B) in paragraph (5)— 
(i) by amending subparagraph (A) to 
read as follows: 
‘‘(A) for fiscal year 2025, the amount de-
termined for such fiscal year under this para-
graph as in effect on the day before the date of 
enactment of the 9/11 Responder and Survivor 
Health Funding Correction Act of 2025;’’; 
(ii) by redesignating subparagraph 
(B) as subparagraph (C); 
(iii) by inserting after subparagraph 
(A) the following: 
‘‘(B) for fiscal year 2026, the greater of— 
‘‘(i) the amount determined for such 
fiscal year under this paragraph as in ef-
fect on the day before the date of enact-
ment of the 9/11 Responder and Survivor 
Health Funding Correction Act of 2025; 
and 
‘‘(ii) the amount expended for the pre-
vious fiscal year for the purpose described 
in this paragraph increased by 25 percent; 
and’’; and 
(iv) in subparagraph (C), as so redes-
ignated, by striking ‘‘the amount specified 
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under this paragraph for the previous fis-
cal year’’ and inserting ‘‘the amount ex-
pended for the previous fiscal year for such 
purpose’’. 
(b) TECHNICAL AMENDMENTS.—Title XXXIII of the 
Public Health Service Act (42 U.S.C. 300mm et seq.) is 
amended— 
(1) in section 3352 (42 U.S.C. 300mm–62), by 
amending subsection (d) to read as follows: 
‘‘(d) REMAINING AMOUNTS.—Amounts remaining in 
the Supplemental Fund shall revert to the Treasury in ac-
cordance with section 1552 of title 31, United States 
Code.’’; 
(2) in section 3353 (42 U.S.C. 300mm–63), by 
amending subsection (d) to read as follows: 
‘‘(d) REMAINING AMOUNTS.—Amounts remaining in 
the Special Fund shall revert to the Treasury in accord-
ance with section 1552 of title 31, United States Code.’’; 
and 
(3) in section 3354 (42 U.S.C. 300mm–64), by 
amending subsection (d) to read as follows: 
‘‘(d) REMAINING AMOUNTS.—Amounts remaining in 
the Pentagon/Shanksville Fund shall revert to the Treas-
ury in accordance with section 1552 of title 31, United 
States Code.’’. 
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SEC. 7. REPORT TO CONGRESS. 
(a) IN GENERAL.—Not later than 3 years after the 
date of enactment of this Act, the Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’) shall conduct an assessment of anticipated budg-
et authority and outlays of the World Trade Center Health 
Program (referred to in this section as the ‘‘Program’’) 
through the duration of the Program and submit a report 
summarizing such assessment to— 
(1) the Speaker and minority leader of the 
House of Representatives; 
(2) the majority and minority leaders of the 
Senate; 
(3) the Committee on Health, Education, 
Labor, and Pensions and Committee on the Budget 
of the Senate; and 
(4) the Committee on Energy and Commerce 
and the Committee on the Budget of the House of 
Representatives. 
(b) INCLUSIONS.—The report required under sub-
section (a) shall include— 
(1) a projection of Program budgetary needs on 
a per-fiscal year basis through fiscal year 2090; 
(2) a review of Program modeling for each of 
fiscal years 2017 through the fiscal year prior to the 
fiscal year in which the report is issued to assess 
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how anticipated budgetary needs compared to actual 
expenditures; 
(3) an assessment of the projected budget au-
thority and expenditures of the Program through fis-
cal year 2090; and 
(4) any recommendations of the Secretary to 
make changes to the formula under section 
3351(a)(2)(A) of the Public Health Service Act (42 
U.S.C. 300mm–61(a)(2)(A)), as amended by section 
6(a)(1), to fully offset anticipated Program expendi-
tures through fiscal year 2090. 
Æ 
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