I 
109TH CONGRESS 
2D SESSION 
H. R. 6046 
To amend title XVIII of the Social Security Act to provide for comprehensive 
health benefits for the relief of individuals whose health was adversely 
affected by the 9/11 disaster. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 7, 2006 
Mr. NADLER (for himself, Mr. OWENS, Mr. ISRAEL, Mr. CROWLEY, Mr. 
SERRANO, Mr. HINCHEY, Mr. ENGEL, Mrs. MCCARTHY, Mr. BISHOP of 
New York, Mr. TOWNS, Mr. ACKERMAN, Mrs. LOWEY, and Mr. WEINER) 
introduced the following bill; which was referred to the Committee on En-
ergy and Commerce, and in addition to the Committee on Ways and 
Means, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to provide 
for comprehensive health benefits for the relief of individ-
uals whose health was adversely affected by the 9/11 
disaster. 
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 Comprehensive 
Health Benefits Act of 2006’’. 
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SEC. 2. MEDICARE-BASED ELIGIBILITY AND BENEFITS FOR 
INDIVIDUALS WITH A 9/11 DISASTER-CON-
NECTED HEALTH CONDITION. 
(a) IN GENERAL.—Title XVIII of the Social Security 
Act is amended by inserting after section 1808 the fol-
lowing new section: 
‘‘BENEFITS FOR INDIVIDUALS WITH A 9/11 DISASTER- 
CONNECTED HEALTH CONDITION 
‘‘SEC. 1809. (a) IN GENERAL.—Every 9/11 impacted 
individual (as defined in subsection (b)(1)(A)) who has a 
9/11 disaster-connected health condition (as defined in 
subsection (b)(2))— 
‘‘(1) is entitled to 9/11-related benefits (as de-
fined in subsection (c)(1)) under this title without 
payment of any premium; and 
‘‘(2) if the individual is not otherwise entitled 
to benefits under part A (or enrolled under part B), 
is eligible to enroll under subsection (d) for benefits 
under parts A, B, and D that are in addition to the 
9/11-related benefits provided under paragraph (1). 
Paragraph (1) shall apply regardless of whether or not 
the individual is otherwise entitled to benefits under part 
A, B, or D. Paragraph (2) shall apply regardless of wheth-
er the individual is covered under a group health plan or 
otherwise has other health insurance or benefits coverage. 
‘‘(b) ELIGIBILITY.— 
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‘‘(1) 9/11 IMPACTED INDIVIDUAL DEFINED.— 
‘‘(A) IN GENERAL.—For purposes of this 
section, the term ‘9/11 impacted individual’ 
means any of the following: 
‘‘(i) EMERGENCY SERVICES OR RES-
CUE
AND
RECOVERY
PERSONNEL.—Any 
emergency services or rescue and recovery 
personnel who responded to the 9/11 New 
York terrorist attacks at any time during 
the period beginning on September 11, 
2001, and ending on August 31, 2002. 
‘‘(ii) INDIVIDUALS EXPOSED TO HAZ-
ARDOUS
SUBSTANCES, POLLUTANTS, OR 
CONTAMINANTS.—Any individual exposed 
in New York City to hazardous substances, 
pollutants, or contaminants released from 
the collapse of the World Trade Center 
that occurred in the 9/11 New York ter-
rorist attacks or from the fires that oc-
curred, or from the handling of resulting 
debris, thereafter. 
‘‘(iii) 
OTHER
INDIVIDUALS.—Any 
other individual whom the Secretary deter-
mines to be appropriate. 
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‘‘(B) EMERGENCY
SERVICES
OR
RESCUE 
AND
RECOVERY
PERSONNEL
INCLUDED.—For 
purposes of this paragraph, the term ‘emer-
gency services personnel or rescue and recovery 
personnel’ includes any of the following: 
‘‘(i) A Federal, State, or city employee 
who responded to the 9/11 New York ter-
rorist attacks. 
‘‘(ii) An individual who, as a worker 
or volunteer, was involved in clean-up, re-
pair, or infrastructure restoration activities 
related to the 9/11 New York terrorist at-
tacks. 
‘‘(iii) An individual participating in a 
search and rescue team, or who assisted in 
the recovery of human remains, after the 
9/11 New York terrorist attacks. 
‘‘(iv) Any other relief or rescue worker 
who the Secretary determines to be appro-
priate. 
‘‘(C) PRESUMPTION
OF
EXPOSURE
TO 
HAZARDOUS
SUBSTANCES, 
POLLUTANTS, 
OR 
CONTAMINANTS.— 
‘‘(i) 
IN
GENERAL.—An 
individual 
shall be treated as described in subpara-
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