210 
the dust or dust cloud on September 
11, 2001. 
‘‘(B) A person who worked, re-
sided or attended school, child care 
or adult day care in the New York 
City disaster area for— 
‘‘(i) at least four days during 
the 4-month period beginning on 
September 11, 2001, and ending 
on January 10, 2002; or 
‘‘(ii) at least 30 days during 
the period beginning on Sep-
tember 11, 2001, and ending on 
July 31, 2002. 
‘‘(C) Any person who worked as a 
clean-up worker or performed main-
tenance work in the New York City 
disaster area during the 4-month pe-
riod described in subparagraph (B)(i) 
and had extensive exposure to WTC 
dust as a result of such work. 
‘‘(D) A person who was deemed el-
igible to receive a grant from the 
Lower Manhattan Development Cor-
poration Residential Grant Program, 
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who possessed a lease for a residence 
or purchased a residence in the New 
York City disaster area, and who re-
sided in such residence during the 
period beginning on September 11, 
2001, and ending on May 31, 2003. 
‘‘(E) A person whose place of em-
ployment— 
‘‘(i) at any time during the pe-
riod beginning on September 11, 
2001, and ending on May 31, 2003, 
was in the New York City disaster 
area; and 
‘‘(ii) was deemed eligible to re-
ceive a grant from the Lower 
Manhattan Development Corpora-
tion WTC Small Firms Attraction 
and Retention Act program or 
other government incentive pro-
gram designed to revitalize the 
Lower Manhattan economy after 
the September 11, 2001, terrorist 
attacks on the World Trade Cen-
ter. 
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‘‘(3) APPLICATION PROCESS.—The WTC 
Program Administrator in consultation 
with the Coordinating Centers of Excel-
lence shall establish a process for indi-
viduals, other than individuals described 
in paragraph (1)(A), to be determined eli-
gible WTC community member. Under 
such process— 
‘‘(A) there shall be no fee charged 
to the applicant for making an appli-
cation for such determination; 
‘‘(B) the Administrator shall make 
a determination on such an applica-
tion not later than 60 days after the 
date of filing the application; and 
‘‘(C) an individual who is deter-
mined not to be an eligible WTC com-
munity member shall have an oppor-
tunity to appeal such determination 
before an administrative law judge in 
a manner established under such 
process. 
‘‘(4) CERTIFICATION.— 
‘‘(A) IN
GENERAL.—In the case of 
an individual who is described in 
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paragraph (1)(A) or who is deter-
mined under paragraph (3) (con-
sistent with paragraph (5)) to be an 
eligible WTC community member, the 
WTC Program Administrator shall 
provide an appropriate certification 
of such fact and of eligibility for fol-
lowup monitoring and treatment ben-
efits under this part. The Adminis-
trator shall make determinations of 
eligibility relating to an applicant’s 
compliance with this title, including 
the verification of information sub-
mitted in support of the application 
and shall not deny such a certifi-
cation to an individual unless the Ad-
ministrator determines that— 
‘‘(i) based on the application 
submitted, the individual does not 
meet the eligibility criteria; or 
‘‘(ii) the numerical limitation 
on certification of eligible WTC 
community members set forth in 
paragraph (5) has been met. 
‘‘(B) TIMING.— 
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‘‘(i) 
CURRENTLY
IDENTIFIED 
COMMUNITY MEMBERS.—In the case 
of an individual who is described 
in paragraph (1)(A), the WTC Pro-
gram Administrator shall provide 
the certification under subpara-
graph (A) not later than 60 days 
after the date of the enactment of 
this title. 
‘‘(ii) OTHER
MEMBERS.—In the 
case of another individual who is 
determined under paragraph (3) 
and consistent with paragraph (5) 
to be an eligible WTC community 
member, the WTC Program Ad-
ministrator shall provide the cer-
tification under subparagraph (A) 
at the time of such determination. 
‘‘(5) NUMERICAL LIMITATION ON CERTIFI-
CATION OF ELIGIBLE WTC COMMUNITY MEM-
BERS.— 
‘‘(A) IN GENERAL.—The total num-
ber of individuals not described in 
subparagraph (C) who may be cer-
tified as eligible WTC community 
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215 
members under paragraph (4) shall 
not exceed 15,000. In applying the 
previous 
sentence, 
any 
individual 
who at any time so qualifies as an eli-
gible WTC community member shall 
be counted against such numerical 
limitation. 
‘‘(B) PROCESS.—In implementing 
subparagraph (A), the WTC Program 
Administrator shall— 
‘‘(i) limit the number of cer-
tifications provided under para-
graph (4) in accordance with such 
subparagraph; and 
‘‘(ii) provide priority in such 
certifications 
in 
the 
order 
in 
which individuals apply for a de-
termination under paragraph (4). 
‘‘(C) INDIVIDUALS
CURRENTLY
RE-
CEIVING TREATMENT NOT COUNTED.—In-
dividuals described in this subpara-
graph are individuals who— 
‘‘(i) are described in para-
graph (1)(A); or 
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‘‘(ii) before the date of the en-
actment of this title, have re-
ceived monitoring or treatment at 
the World Trade Center Environ-
mental Health Center at Bellevue 
Hospital 
Center, 
Gouverneur 
Health Care Services, or Elmhurst 
Hospital Center. 
The New York City Health and Hos-
pitals Corporation shall, not later 
than 6 months after the date of enact-
ment of this title, enter into arrange-
ments with the Mt. Sinai Data and 
Clinical Coordination Center for the 
reporting of medical data concerning 
eligible WTC responders described in 
paragraph (1)(A), as determined by 
the WTC Program Administrator and 
consistent with applicable Federal 
and State laws and regulations relat-
ing to confidentiality of individually 
identifiable health information. 
‘‘(D) REPORT
TO
CONGRESS
IF
NU-
MERICAL LIMITATION TO BE REACHED.— 
If the WTC Program Administrator 
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determines that the number of indi-
viduals subject to the numerical limi-
tation of subparagraph (A) is likely to 
exceed such numerical limitation, the 
Administrator shall submit to Con-
gress a report on such determination. 
Such report shall include an estimate 
of the number of such individuals in 
excess of such numerical limitation 
and of the additional expenditures 
that would result under this title if 
such numerical limitation were re-
moved. 
‘‘(b) INITIAL HEALTH EVALUATION TO DETER-
MINE ELIGIBILITY FOR FOLLOWUP MONITORING 
OR TREATMENT.— 
‘‘(1) IN GENERAL.—In the case of a cer-
tified eligible WTC community member, 
the WTC program shall provide for an 
initial health evaluation to determine if 
the member has a WTC-related health 
condition and is eligible for followup 
monitoring and treatment benefits under 
the WTC program. Initial health evalua-
tion protocols shall be approved by the 
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218 
WTC Program Administrator, in consulta-
tion with the World Trade Center Envi-
ronmental Health Center at Bellevue Hos-
pital and the WTC Community Program 
Steering Committee. 
‘‘(2) INITIAL
HEALTH
EVALUATION
PRO-
VIDERS.—The initial health evaluation de-
scribed in paragraph (1) shall be pro-
vided through a Clinical Center of Excel-
lence with respect to the individual in-
volved. 
‘‘(3) LIMITATION
ON
INITIAL
HEALTH 
EVALUATION BENEFITS.—Benefits for initial 
health evaluation under this part for an 
eligible WTC community member shall 
consist only of a single medical initial 
health evaluation consistent with initial 
health evaluation protocols described in 
paragraph (1). Nothing in this paragraph 
shall be construed as preventing such an 
individual from seeking additional med-
ical initial health evaluations at the ex-
pense of the individual. 
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219 
‘‘SEC. 3022. FOLLOWUP MONITORING AND TREATMENT OF 
CERTIFIED ELIGIBLE WTC COMMUNITY MEM-
BERS FOR WTC-RELATED HEALTH CONDI-
TIONS. 
‘‘(a) IN GENERAL.—Subject to subsection 
(b), the provisions of sections 3011 and 3012 
shall apply to followup monitoring and treat-
ment of WTC-related health conditions for 
certified eligible WTC community members in 
the same manner as such provisions apply to 
the monitoring and treatment of identified 
WTC-related health conditions for certified el-
igible WTC responders, except that such mon-
itoring shall only be available to those cer-
tified as eligible for treatment under this title. 
Under section 3006(a)(3), the City of New York 
is required to contribute a share of the costs 
of such treatment. 
‘‘(b) LIST
OF
IDENTIFIED
WTC-RELATED 
HEALTH
CONDITIONS
FOR
WTC COMMUNITY 
MEMBERS.— 
‘‘(1) IDENTIFIED
WTC-RELATED
HEALTH 
CONDITIONS
FOR
WTC
COMMUNITY
MEM-
BERS.—For purposes of this title, the term 
‘identified WTC-related health conditions 
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220 
for WTC community members’ means any 
of the following health conditions: 
‘‘(A) AERODIGESTIVE DISORDERS.— 
‘‘(i) Interstitial lung diseases. 
‘‘(ii) Chronic respiratory dis-
order—fumes/vapors. 
‘‘(iii) Asthma. 
‘‘(iv) Reactive airways dys-
function syndrome (RADS). 
‘‘(v) WTC-exacerbated chronic 
obstructive 
pulmonary 
disease 
(COPD). 
‘‘(vi) Chronic cough syndrome. 
‘‘(vii) 
Upper 
airway 
hyperreactivity. 
‘‘(viii) Chronic rhinosinusitis. 
‘‘(ix) Chronic nasopharyngitis. 
‘‘(x) Chronic laryngitis. 
‘‘(xi) Gastro-esophageal reflux 
disorder (GERD). 
‘‘(xii) Sleep apnea exacerbated 
by or related to a condition de-
scribed in a previous clause. 
‘‘(B) MENTAL HEALTH CONDITIONS.— 
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‘‘(i) Post traumatic stress dis-
order (PTSD). 
‘‘(ii) 
Major 
depressive 
dis-
order. 
‘‘(iii) Panic disorder. 
‘‘(iv) Generalized anxiety dis-
order. 
‘‘(v) Anxiety disorder (not oth-
erwise specified). 
‘‘(vi) Depression (not other-
wise specified). 
‘‘(vii) Acute stress disorder. 
‘‘(viii) Dysthymic disorder. 
‘‘(ix) Adjustment disorder. 
‘‘(x) Substance abuse. 
‘‘(xi) V codes (treatments not 
specifically related to psychiatric 
disorders, such as marital prob-
lems, parenting problems etc.), 
secondary to another identified 
WTC-related health condition for 
WTC community members. 
‘‘(2) ADDITIONS TO IDENTIFIED WTC-RE-
LATED HEALTH CONDITIONS FOR WTC COMMU-
NITY
MEMBERS.—The provisions of para-
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graph (4) of section 3012(a) shall apply 
with respect to an addition to the list of 
identified WTC-related conditions for eli-
gible WTC community members under 
paragraph (1) in the same manner as 
such provisions apply to an addition to 
the list of identified WTC-related condi-
tions for eligible WTC responders under 
section 3012(a)(3). 
‘‘SEC. 3023. FOLLOWUP MONITORING AND TREATMENT OF 
OTHER INDIVIDUALS WITH WTC-RELATED 
HEALTH CONDITIONS. 
‘‘(a) IN GENERAL.—Subject to subsection 
(c), the provisions of section 3022 shall apply 
to the followup monitoring and treatment of 
WTC-related health conditions for eligible 
WTC community members in the case of indi-
viduals described in subsection (b) in the 
same manner as such provisions apply to the 
followup monitoring and treatment of WTC- 
related health conditions for WTC community 
members. Under section 3006(a)(3), the City of 
New York is required to contribute a share of 
the costs of such monitoring and treatment. 
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223 
‘‘(b) 
INDIVIDUALS
DESCRIBED.—An 
indi-
vidual described in this subsection is an indi-
vidual who, regardless of location of resi-
dence— 
‘‘(1) is not a eligible WTC responder 
or an eligible WTC community member; 
and 
‘‘(2) is diagnosed at a Clinical Center 
of Excellence (with respect to an eligible 
WTC community member) with an identi-
fied WTC-related health condition for 
WTC community members. 
‘‘(c) LIMITATION.— 
‘‘(1) IN GENERAL.—The WTC Program 
Administrator shall limit benefits for any 
fiscal year under subsection (a) in a man-
ner so that payments under this section 
for such fiscal year do not exceed the 
amount specified in paragraph (2) for 
such fiscal year. 
‘‘(2) LIMITATION.—The amount speci-
fied in this paragraph for— 
‘‘(A) fiscal year 2009 is $20,000,000; 
or 
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‘‘(B) a succeeding fiscal year is 
the amount specified in this para-
graph for the previous fiscal year in-
creased by the annual percentage in-
crease in the medical care component 
of the consumer price index for all 
urban consumers. 
‘‘PART 3—NATIONAL ARRANGEMENT FOR BENE-
FITS FOR ELIGIBLE INDIVIDUALS OUTSIDE 
NEW YORK 
‘‘SEC. 3031. NATIONAL ARRANGEMENT FOR BENEFITS FOR 
ELIGIBLE INDIVIDUALS OUTSIDE NEW YORK. 
‘‘(a) IN GENERAL.—In order to ensure rea-
sonable access to benefits under this subtitle 
for individuals who are eligible WTC respond-
ers or eligible WTC community members and 
who reside in any State, as defined in section 
2(f), outside the New York metropolitan area, 
the WTC Program Administrator shall estab-
lish a nationwide network of health care pro-
viders to provide monitoring and treatment 
benefits and initial health evaluations near 
such individuals’ areas of residence in such 
States. Nothing in this subsection shall be 
construed as preventing such individuals 
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from being provided such monitoring and 
treatment benefits or initial health evaluation 
through any Clinical Center of Excellence. 
‘‘(b) NETWORK REQUIREMENTS.—Any health 
care provider participating in the network 
under subsection (a) shall— 
‘‘(1) meet criteria for credentialing es-
tablished by the Coordinating Centers of 
Excellence; 
‘‘(2) follow the monitoring, initial 
health evaluation, and treatment proto-
cols 
developed 
under 
section 
3006(a)(2)(B); 
‘‘(3) collect and report data in accord-
ance with section 3005; and 
‘‘(4) meet such fraud, quality assur-
ance, and other requirements as the WTC 
Program Administrator establishes. 
‘‘Subtitle C—Research Into 
Conditions 
‘‘SEC. 3041. RESEARCH REGARDING CERTAIN HEALTH CON-
DITIONS RELATED TO SEPTEMBER 11 TER-
RORIST ATTACKS IN NEW YORK CITY. 
‘‘(a) IN GENERAL.—With respect to individ-
uals, including eligible WTC responders and 
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eligible WTC community members, receiving 
monitoring or treatment under subtitle B, the 
WTC Program Administrator shall conduct or 
support— 
‘‘(1) research on physical and mental 
health conditions that may be related to 
the September 11, 2001, terrorist attacks; 
‘‘(2) research on diagnosing WTC-re-
lated health conditions of such individ-
uals, in the case of conditions for which 
there has been diagnostic uncertainty; 
and 
‘‘(3) research on treating WTC-related 
health conditions of such individuals, in 
the case of conditions for which there has 
been treatment uncertainty. 
The Administrator may provide such support 
through continuation and expansion of re-
search that was initiated before the date of 
the enactment of this title and through the 
World Trade Center Health Registry (referred 
to in section 3051), through a Clinical Center 
of Excellence, or through a Coordinating Cen-
ter of Excellence. 
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227 
‘‘(b) TYPES
OF RESEARCH.—The research 
under subsection (a)(1) shall include epi-
demiologic and other research studies on 
WTC-related conditions or emerging condi-
tions— 
‘‘(1) among WTC responders and com-
munity members under treatment; and 
‘‘(2) in sampled populations outside 
the New York City disaster area in Man-
hattan as far north as 14th Street and in 
Brooklyn, along with control populations, 
to identify potential for long-term ad-
verse health effects in less exposed popu-
lations. 
‘‘(c) CONSULTATION.—The WTC Program 
Administrator shall carry out this section in 
consultation with the WTC Health Program 
Steering Committees and the WTC Scientific/ 
Technical Advisory Committee. 
‘‘(d) APPLICATION OF PRIVACY AND HUMAN 
SUBJECT
PROTECTIONS.—The 
privacy 
and 
human subject protections applicable to re-
search conducted under this section shall not 
be less than such protections applicable to re-
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search otherwise conducted by the National 
Institutes of Health. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.— 
For the purpose of carrying out this section, 
there are authorized to be appropriated 
$15,000,000 for each fiscal year, in addition to 
any other authorizations of appropriations 
that are available for such purpose. 
‘‘Subtitle D—Programs of the New 
York City Department of Health 
and Mental Hygiene 
‘‘SEC. 3051. WORLD TRADE CENTER HEALTH REGISTRY. 
‘‘(a) PROGRAM EXTENSION.—For the pur-
pose of ensuring on-going data collection for 
victims of the September 11, 2001, terrorist at-
tacks on the World Trade Center, the WTC 
Program Administrator, shall extend and ex-
pand the arrangements in effect as of January 
1, 2008, with the New York City Department 
of Health and Mental Hygiene that provide 
for the World Trade Center Health Registry. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.— 
There are authorized to be appropriated 
$7,000,000 for each fiscal year to carry out this 
section. 
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229 
‘‘SEC. 3052. MENTAL HEALTH SERVICES. 
‘‘(a) IN GENERAL.—The WTC Program Ad-
ministrator may make grants to the New York 
City Department of Health and Mental Hy-
giene to provide mental health services to ad-
dress mental health needs relating to the Sep-
tember 11, 2001, terrorist attacks on the World 
Trade Center. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.— 
There are authorized to be appropriated 
$8,500,000 for each fiscal year to carry out this 
section.’’. 
TITLE II—SEPTEMBER 11TH VIC-
TIM COMPENSATION FUND OF 
2001 
SEC. 201. DEFINITIONS. 
Section 402 of the Air Transportation 
Safety and System Stabilization Act (49 U.S.C. 
40101 note) is amended— 
(1) in paragraph (6) by inserting ‘‘, or 
debris 
removal, 
including 
under 
the 
World Trade Center Health Program es-
tablished under section 3001 of the Pub-
lic Health Service Act’’ after ‘‘September 
11, 2001’’; 
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(2) by inserting after paragraph (6) 
the following new paragraphs and redes-
ignating subsequent paragraphs accord-
ingly: 
‘‘(7) 
CONTRACTOR
AND
SUBCON-
TRACTOR.—The term ‘contractor and sub-
contractor’ means any contractor or sub-
contractor (at any tier of a subcon-
tracting relationship), including any gen-
eral contractor, construction manager, 
prime contractor, consultant, or any par-
ent, subsidiary, associated or allied com-
pany, affiliated company, corporation, 
firm, organization, or joint venture there-
of that participated in debris removal at 
any 9/11 crash site. Such term shall not 
include any entity, including the Port Au-
thority of New York and New Jersey, 
with a property interest in the World 
Trade Center, on September 11, 2001, 
whether fee simple, leasehold or ease-
ment, direct or indirect. 
‘‘(8) DEBRIS REMOVAL.—The term ‘de-
bris removal’ means rescue and recovery 
efforts, removal of debris, cleanup, reme-
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231 
diation, and response during the imme-
diate aftermath of the terrorist-related 
aircraft crashes of September 11, 2001, 
with respect to a 9/11 crash site.’’; 
(3) by inserting after paragraph (10), 
as so redesignated, the following new 
paragraph and redesignating the subse-
quent paragraphs accordingly: 
‘‘(11) 
IMMEDIATE
AFTERMATH.—The 
term ‘immediate aftermath’ means any 
period beginning with the terrorist-re-
lated aircraft crashes of September 11, 
2001, and ending on August 30, 2002.’’; 
and 
(4) by adding at the end the following 
new paragraph: 
‘‘(14) 9/11 CRASH SITE.—The term ‘9/11 
crash site’ means— 
‘‘(A) the World Trade Center site, 
Pentagon site, and Shanksville, Penn-
sylvania site; 
‘‘(B) the buildings or portions of 
buildings that were destroyed as a re-
sult of the terrorist-related aircraft 
crashes of September 11, 2001; 
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232 
‘‘(C) any area contiguous to a site 
of such crashes that the Special Mas-
ter determines was sufficiently close 
to the site that there was a demon-
strable risk of physical harm result-
ing from the impact of the aircraft or 
any subsequent fire, explosions, or 
building collapses (including the im-
mediate area in which the impact oc-
curred, fire occurred, portions of 
buildings fell, or debris fell upon and 
injured individuals); and 
‘‘(D) any area related to, or along, 
routes of debris removal, such as 
barges and Fresh Kills.’’. 
SEC. 202. EXTENDED AND EXPANDED ELIGIBILITY FOR 
COMPENSATION. 
(a) INFORMATION
ON
LOSSES
RESULTING 
FROM DEBRIS REMOVAL INCLUDED IN CONTENTS 
OF CLAIM FORM.—Section 405(a)(2)(B) of the 
Air Transportation Safety and System Sta-
bilization Act (49 U.S.C. 40101 note) is amend-
ed— 
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(1) in clause (i), by inserting ‘‘, or de-
bris removal during the immediate after-
math’’ after ‘‘September 11, 2001’’; 
(2) in clause (ii), by inserting ‘‘or de-
bris removal during the immediate after-
math’’ after ‘‘crashes’’; and 
(3) in clause (iii), by inserting ‘‘or de-
bris removal during the immediate after-
math’’ after ‘‘crashes’’. 
(b) EXTENSION
OF DEADLINE
FOR CLAIMS 
UNDER SEPTEMBER 11TH VICTIM COMPENSATION 
FUND OF 2001.—Section 405(a)(3) of such Act 
is amended to read as follows: 
‘‘(3) LIMITATION.— 
‘‘(A) IN GENERAL.—Except as pro-
vided by subparagraph (B), no claim 
may be filed under paragraph (1) 
after the date that is 2 years after the 
date on which regulations are pro-
mulgated under section 407(a). 
‘‘(B) EXCEPTION.—A claim may be 
filed under paragraph (1), in accord-
ance with subsection (c)(3)(A)(i), by 
an individual (or by a personal rep-
resentative on behalf of a deceased 
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234 
individual) during the period begin-
ning on the date on which the regula-
tions 
are 
updated 
under 
section 
407(b) and ending on December 22, 
2031.’’. 
(c) REQUIREMENTS FOR FILING CLAIMS DUR-
ING
EXTENDED
FILING
PERIOD.—Section 
405(c)(3) of such Act is amended— 
(1) by redesignating subparagraphs 
(A) and (B) as subparagraphs (B) and (C), 
respectively; and 
(2) by inserting before subparagraph 
(B), as so redesignated, the following new 
subparagraph: 
‘‘(A) 
REQUIREMENTS
FOR
FILING 
CLAIMS
DURING
EXTENDED
FILING
PE-
RIOD.— 
‘‘(i) TIMING REQUIREMENTS FOR 
FILING CLAIMS.—An individual (or 
a personal representative on be-
half of a deceased individual) may 
file a claim during the period de-
scribed in subsection (a)(3)(B) as 
follows: 
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235 
‘‘(I) In the case that the 
Special Master determines the 
individual knew (or reason-
ably should have known) be-
fore the date specified in 
clause (iii) that the individual 
suffered a physical harm at a 
9/11 crash site as a result of 
the terrorist-related aircraft 
crashes of September 11, 2001, 
or as a result of debris re-
moval, and that the individual 
knew (or should have known) 
before 
such 
specified 
date 
that the individual was eligi-
ble to file a claim under this 
title, the individual may file a 
claim not later than the date 
that is 2 years after such spec-
ified date. 
‘‘(II) In the case that the 
Special Master determines the 
individual first knew (or rea-
sonably should have known) 
on or after the date specified 
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