XVIII of such Act pursuant to section 226(a) of 
such Act. Any costs for items and services covered 
under such plan that are not reimbursed by such 
health plan, due to the application of deductibles, co-
payments, coinsurance, other cost sharing, or other-
wise, are reimbursable under this title to the extent 
that they are covered under the WTC Program. The 
program under this title shall not be treated as a le-
gally liable party for purposes of applying section 
1902(a)(25) of the Social Security Act. 
‘‘(2) RECOVERY BY INDIVIDUAL PROVIDERS.— 
Nothing in paragraph (1) shall be construed as re-
quiring an entity providing monitoring and treat-
ment under this title to seek reimbursement under 
a health plan with which the entity has no contract 
for reimbursement. 
‘‘(3) MAINTENANCE
OF
REQUIRED
MINIMUM 
ESSENTIAL COVERAGE.—No payment may be made 
for monitoring and treatment under this title for an 
individual for a month (beginning with July 2014) 
if with respect to such month the individual— 
‘‘(A) is an applicable individual (as defined 
in subsection (d) of section 5000A of Internal 
Revenue Code of 1986) for whom the exemption
under subsection (e) of such section does not 
apply; and 
‘‘(B) is not covered under minimum essen-
tial coverage, as required under subsection (a) 
of such section. 
‘‘(d) REQUIRED CONTRIBUTION BY NEW YORK CITY 
IN PROGRAM COSTS.— 
‘‘(1) CONTRACT REQUIREMENT.— 
‘‘(A) IN GENERAL.—No funds may be dis-
bursed from the World Trade Center Health 
Program Fund under section 3351 unless New 
York City has entered into a contract with the 
WTC Program Administrator under which New 
York City agrees, in a form and manner speci-
fied by the Administrator, to pay the full con-
tribution described in subparagraph (B) in ac-
cordance with this subsection on a timely basis, 
plus any interest owed pursuant to subpara-
graph (E)(i). Such contract shall specify the 
terms under which New York City shall be con-
sidered to have made the full payment required 
for a quarter for purposes of subsection (b)(2). 
‘‘(B) FULL
CONTRIBUTION
AMOUNT.— 
Under such contract, with respect to the last 
calendar quarter of fiscal year 2011 and each
calendar quarter in fiscal years 2012 through 
2018 the full contribution amount under this 
subparagraph shall be equal to 10 percent of 
the expenditures in carrying out this title for 
the respective quarter and with respect to cal-
endar quarters in fiscal years 2019 and 2020, 
such full contribution amount shall be equal to 
1⁄9 of the Federal expenditures in carrying out 
this title for the respective quarter. 
‘‘(C) SATISFACTION OF PAYMENT OBLIGA-
TION.—The payment obligation under such con-
tract may not be satisfied through any of the 
following: 
‘‘(i) An amount derived from Federal 
sources. 
‘‘(ii) An amount paid before the date 
of the enactment of this title. 
‘‘(iii) An amount paid to satisfy a 
judgment or as part of a settlement related 
to injuries or illnesses arising out of the 
September 11, 2001, terrorist attacks. 
‘‘(D) TIMING
OF
CONTRIBUTION.—The 
payment obligation under such contract for a 
calendar quarter in a fiscal year shall be paid
not later than the last day of the second suc-
ceeding calendar quarter. 
‘‘(E) COMPLIANCE.— 
‘‘(i) INTEREST FOR LATE PAYMENT.— 
If New York City fails to pay to the WTC 
Program Administrator pursuant to such 
contract the amount required for any cal-
endar quarter by the day specified in sub-
paragraph (D), interest shall accrue on the 
amount not so paid at the rate (deter-
mined by the Administrator) based on the 
average yield to maturity, plus 1 percent-
age point, on outstanding municipal bonds 
issued by New York City with a remaining 
maturity of at least 1 year. 
‘‘(ii) 
RECOVERY
OF
AMOUNTS 
OWED.— The amounts owed to the WTC 
Program Administrator under such con-
tract shall be recoverable by the United 
States in an action in the same manner as 
payments made under title XVIII of the 
Social Security Act may be recoverable in 
an 
action 
brought 
under 
section 
1862(b)(2)(B)(iii) of such Act.
‘‘(F) DEPOSIT IN FUND.—The WTC Pro-
gram Administer shall deposit amounts paid 
under such contract into the World Trade Cen-
ter Health Program Fund under section 3351. 
‘‘(2) PAYMENT OF NEW YORK CITY SHARE OF 
MONITORING AND TREATMENT COSTS.—With respect 
to each calendar quarter for which a contribution is 
required by New York City under the contract under 
paragraph (1), the WTC Program Administrator 
shall— 
‘‘(A) provide New York City with an esti-
mate of such amount of the required contribu-
tion at the beginning of such quarter and with 
an updated estimate of such amount at the be-
ginning of each of the subsequent 2 quarters; 
‘‘(B) bill such amount directly to New 
York City; and 
‘‘(C) certify periodically, for purposes of 
this subsection, whether or not New York City 
has paid the amount so billed. 
Such amount shall initially be estimated by the 
WTC Program Administrator and shall be subject to 
adjustment and reconciliation based upon actual ex-
penditures in carrying out this title.
‘‘(3) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed as authorizing the 
WTC Administrator, with respect to a fiscal year, to 
reduce the numerical limitation under section 
3311(a)(4) or 3321(a)(3) for such fiscal year if New 
York City fails to comply with paragraph (1) for a 
calendar quarter in such fiscal year. 
‘‘(e) WORK-RELATED DESCRIBED.—For the pur-
poses of this section, a WTC-related health condition shall 
be treated as a condition that is work-related if— 
‘‘(1) the condition is diagnosed in an enrolled 
WTC responder, or in an individual who qualifies as 
a certified-eligible WTC survivor on the basis of 
being a rescue, recovery, or cleanup worker; or 
‘‘(2) with respect to the condition the individual 
has filed and had established a claim under a work-
ers’ compensation law or plan of the United States 
or a State, or other work-related injury or illness 
benefit plan of the employer of such individual. 
‘‘SEC. 3332. ADMINISTRATIVE ARRANGEMENT AUTHORITY. 
‘‘The WTC Program Administrator may enter into 
arrangements with other government agencies, insurance 
companies, or other third-party administrators to provide 
for timely and accurate processing of claims under sec-
tions 3312, 3313, 3322, and 3323.
‘‘Subtitle C—Research Into 
Conditions 
‘‘SEC. 3341. RESEARCH REGARDING CERTAIN HEALTH CON-
DITIONS RELATED TO SEPTEMBER 11 TER-
RORIST ATTACKS. 
‘‘(a) IN GENERAL.—With respect to individuals, in-
cluding enrolled WTC responders and certified-eligible 
WTC survivors, 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-related 
health conditions of such individuals, in the case of 
conditions for which there has been diagnostic un-
certainty; and 
‘‘(3) research on treating WTC-related health 
conditions of such individuals, in the case of condi-
tions for which there has been treatment uncer-
tainty. 
The Administrator may provide such support through con-
tinuation and expansion of research that was initiated be-
fore the date of the enactment of this title and through 
the World Trade Center Health Registry (referred to in
section 3342), through a Clinical Center of Excellence, or 
through a Data Center. 
‘‘(b) TYPES
OF RESEARCH.—The research under 
subsection (a)(1) shall include epidemiologic and other re-
search studies on WTC-related health conditions or 
emerging conditions— 
‘‘(1) among enrolled WTC responders and cer-
tified-eligible WTC survivors under treatment; and 
‘‘(2) in sampled populations outside the New 
York City disaster area in Manhattan 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 populations. 
‘‘(c) CONSULTATION.—The WTC Program Adminis-
trator shall carry out this section in consultation with the 
WTC Scientific/Technical Advisory Committee. 
‘‘(d) 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 conducted or funded by the Department of 
Health and Human Services. 
‘‘SEC. 3342. WORLD TRADE CENTER HEALTH REGISTRY. 
‘‘For the purpose of ensuring ongoing data collection 
relating to victims of the September 11, 2001, terrorist
attacks, the WTC Program Administrator shall ensure 
that a registry of such victims is maintained that is at 
least as comprehensive as the World Trade Center Health 
Registry maintained under the arrangements in effect as 
of April 20, 2009, with the New York City Department 
of Health and Mental Hygiene. 
‘‘Subtitle D—Funding 
‘‘SEC. 3351. WORLD TRADE CENTER HEALTH PROGRAM 
FUND. 
‘‘(a) ESTABLISHMENT OF FUND.— 
‘‘(1) IN GENERAL.—There is established a fund 
to be known as the World Trade Center Health Pro-
gram Fund (referred to in this section as the 
‘Fund’). 
‘‘(2) FUNDING.—Out of any money in the 
Treasury not otherwise appropriated, there shall be 
deposited into the Fund for each of fiscal years 
2012 through 2020 (and the last calendar quarter of 
fiscal year 2011)— 
‘‘(A) the Federal share, consisting of an 
amount equal to the lesser of— 
‘‘(i) 90 percent of the expenditures in 
carrying out this title for the respective fis-
cal year (initially based on estimates, sub-
ject to subsequent reconciliation based on 
actual expenditures); or 
‘‘(ii)(I) $71,000,000 for the last cal-
endar 
quarter 
of 
fiscal 
year 
2011, 
$318,000,000 
for 
fiscal 
year 
2012, 
$354,000,000 
for 
fiscal 
year 
2013, 
$382,000,000 
for 
fiscal 
year 
2014, 
$431,000,000 
for 
fiscal 
year 
2015, 
$481,000,000 
for 
fiscal 
year 
2016, 
$537,000,000 
for 
fiscal 
year 
2017, 
$601,000,000 for fiscal year 2018, and 
$173,000,000 for fiscal year 2019; and 
‘‘(II) subject to paragraph (4), an ad-
ditional $499,000,000 for fiscal year 2019 
and $743,000,000 for fiscal year 2020; 
plus 
‘‘(B) the New York City share, consisting 
of the amount contributed under the contract 
under section 3331(d). 
‘‘(3) CONTRACT REQUIREMENT.— 
‘‘(A) IN GENERAL.—No funds may be dis-
bursed from the Fund unless New York City 
has entered into a contract with the WTC Pro-
gram Administrator under section 3331(d)(1).
‘‘(B) BREACH OF CONTRACT.— In the case 
of a failure to pay the amount so required 
under the contract— 
‘‘(i) the amount is recoverable under 
subparagraph (E)(ii) of such section; 
‘‘(ii) such failure shall not affect the 
disbursement of amounts from the Fund; 
and 
‘‘(iii) the Federal share described in 
paragraph (2)(A) shall not be increased by 
the amount so unpaid. 
‘‘(4) AGGREGATE LIMITATION ON FUNDING BE-
GINNING WITH FISCAL YEAR 2019.—Beginning with 
fiscal year 2019, in no case shall the share of Fed-
eral funds deposited into the Fund under paragraph 
(2) for such fiscal year and previous fiscal years and 
quarters exceed the sum of the amounts specified in 
paragraph (2)(A)(ii)(I). 
‘‘(b) MANDATORY FUNDS FOR MONITORING, INITIAL 
HEALTH EVALUATIONS, TREATMENT, AND CLAIMS PROC-
ESSING.— 
‘‘(1) IN
GENERAL.—The amounts deposited 
into the Fund under subsection (a)(2) shall be avail-
able, without further appropriation, consistent with 
paragraph (2) and subsection (c), to carry out sub-
title 
B 
and 
sections 
3302(a), 
3303, 
3304, 
3305(a)(2), 3305(c), 3341, and 3342. 
‘‘(2) LIMITATION ON MANDATORY FUNDING.— 
This title does not establish any Federal obligation 
for payment of amounts in excess of the amounts 
available from the Fund for such purpose. 
‘‘(3) LIMITATION ON AUTHORIZATION FOR FUR-
THER APPROPRIATIONS.—This title does not estab-
lish any authorization for appropriation of amounts 
in excess of the amounts available from the Fund 
under paragraph (1). 
‘‘(c) LIMITS
ON SPENDING
FOR CERTAIN PUR-
POSES.—Of the amounts made available under subsection 
(b)(1), not more than each of the following amounts may 
be available for each of the following purposes: 
‘‘(1) SURVIVING IMMEDIATE FAMILY MEMBERS 
OF FIREFIGHTERS.—For the purposes of carrying 
out subtitle B with respect to WTC responders de-
scribed in section 3311(a)(2)(A)(ii)— 
‘‘(A) for the last calendar quarter of fiscal 
year 2011, $100,000; 
‘‘(B) for fiscal year 2012, $400,000; and 
‘‘(C) for each subsequent fiscal year, the 
amount specified under this paragraph for the 
previous fiscal year increased by the percentage
increase in the consumer price index for all 
urban consumers (all items; United States city 
average) as estimated by the Secretary for the 
12-month period ending with March of the pre-
vious year. 
‘‘(2) WTC 
HEALTH
PROGRAM
SCIENTIFIC/ 
TECHNICAL
ADVISORY
COMMITTEE.—For the pur-
pose of carrying out section 3302(a)— 
‘‘(A) for the last calendar quarter of fiscal 
year 2011, $25,000; 
‘‘(B) for fiscal year 2012, $100,000; and 
‘‘(C) for each subsequent fiscal year, the 
amount specified under this paragraph for the 
previous fiscal year increased by the percentage 
increase in the consumer price index for all 
urban consumers (all items; United States city 
average) as estimated by the Secretary for the 
12-month period ending with March of the pre-
vious year. 
‘‘(3) EDUCATION
AND
OUTREACH.—For the 
purpose of carrying out section 3303— 
‘‘(A) for the last calendar quarter of fiscal 
year 2011, $500,000; 
‘‘(B) for fiscal year 2012, $2,000,000; and
‘‘(C) for each subsequent fiscal year, the 
amount specified under this paragraph for the 
previous fiscal year increased by the percentage 
increase in the consumer price index for all 
urban consumers (all items; United States city 
average) as estimated by the Secretary for the 
12-month period ending with March of the pre-
vious year. 
‘‘(4) UNIFORM
DATA
COLLECTION.—For the 
purpose of carrying out section 3304 and for reim-
bursing Data Centers (as defined in section 
3305(b)(2)) for the costs incurred by such Centers 
in carrying out activities under contracts entered 
into under section 3305(a)(2)— 
‘‘(A) for the last calendar quarter of fiscal 
year 2011, $2,500,000; 
‘‘(B) for fiscal year 2012, $10,000,000; 
and 
‘‘(C) for each subsequent fiscal year, the 
amount specified under this paragraph for the 
previous fiscal year increased by the percentage 
increase in the consumer price index for all 
urban consumers (all items; United States city 
average) as estimated by the Secretary for the
12-month period ending with March of the pre-
vious year. 
‘‘(5) RESEARCH REGARDING CERTAIN HEALTH 
CONDITIONS.—For the purpose of carrying out sec-
tion 3341— 
‘‘(A) for the last calendar quarter of fiscal 
year 2011, $3,750,000; 
‘‘(B) for fiscal year 2012, $15,000,000; 
and 
‘‘(C) for each subsequent fiscal year, the 
amount specified under this paragraph for the 
previous fiscal year increased by the percentage 
increase in the consumer price index for all 
urban consumers (all items; United States city 
average) as estimated by the Secretary for the 
12-month period ending with March of the pre-
vious year. 
‘‘(6) WORLD
TRADE
CENTER
HEALTH
REG-
ISTRY.—For the purpose of carrying out section 
3342— 
‘‘(A) for the last calendar quarter of fiscal 
year 2011, $1,750,000; 
‘‘(B) for fiscal year 2012, $7,000,000; and 
‘‘(C) for each subsequent fiscal year, the 
amount specified under this paragraph for the
previous fiscal year increased by the percentage 
increase in the consumer price index for all 
urban consumers (all items; United States city 
average) as estimated by the Secretary for the 
12-month period ending with March of the pre-
vious year.’’. 
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 established under section 3001 of 
the Public Health Service Act, and payments made 
pursuant to the settlement of a civil action described 
in section 405(c)(3)(C)(iii)’’ after ‘‘September 11, 
2001’’; 
(2) by inserting after paragraph (6) the fol-
lowing new paragraphs and redesignating subse-
quent paragraphs accordingly: 
‘‘(7) CONTRACTOR AND SUBCONTRACTOR.—The 
term ‘contractor and subcontractor’ means any con-
100 
tractor or subcontractor (at any tier of a subcon-
tracting relationship), including any general con-
tractor, construction manager, prime contractor, 
consultant, or any parent, subsidiary, associated or 
allied company, affiliated company, corporation, 
firm, organization, or joint venture thereof that par-
ticipated in debris removal at any 9/11 crash site. 
Such term shall not include any entity, including the 
Port Authority of New York and New Jersey, with 
a property interest in the World Trade Center, on 
September 11, 2001, whether fee simple, leasehold 
or easement, direct or indirect. 
‘‘(8) DEBRIS REMOVAL.—The term ‘debris re-
moval’ means rescue and recovery efforts, removal of 
debris, cleanup, remediation, and response during 
the immediate aftermath of the terrorist-related air-
craft crashes of September 11, 2001, with respect to 
a 9/11 crash site.’’; 
(3) by inserting after paragraph (10), as so re-
designated, the following new paragraph and redes-
ignating the subsequent paragraphs accordingly: 
‘‘(11) IMMEDIATE AFTERMATH.—The term ‘im-
mediate aftermath’ means any period beginning with 
the terrorist-related aircraft crashes of September 
11, 2001, and ending on August 30, 2002.’’; and
101 
(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, Pen-
tagon site, and Shanksville, Pennsylvania site; 
‘‘(B) the buildings or portions of buildings 
that were destroyed as a result of the terrorist- 
related aircraft crashes of September 11, 2001; 
‘‘(C) any area contiguous to a site of such 
crashes that the Special Master determines was 
sufficiently close to the site that there was a de-
monstrable risk of physical harm resulting from 
the impact of the aircraft or any subsequent 
fire, explosions, or building collapses (including 
the immediate 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 DE-
BRIS REMOVAL INCLUDED
IN CONTENTS
OF CLAIM
102 
FORM.—Section 405(a)(2)(B) of the Air Transportation 
Safety and System Stabilization Act (49 U.S.C. 40101 
note) is amended— 
(1) in clause (i), by inserting ‘‘, or debris re-
moval during the immediate aftermath’’ after ‘‘Sep-
tember 11, 2001’’; 
(2) in clause (ii), by inserting ‘‘or debris re-
moval during the immediate aftermath’’ after 
‘‘crashes’’; and 
(3) in clause (iii), by inserting ‘‘or debris re-
moval during the immediate aftermath’’ 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 provided 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 promul-
gated under section 407(a). 
‘‘(B) EXCEPTION.—A claim may be filed 
under paragraph (1), in accordance with sub-
section (c)(3)(A)(i), by an individual (or by a
103 
personal representative on behalf of a deceased 
individual) during the period beginning on the 
date on which the regulations are updated 
under section 407(b) and ending on December 
22, 2031.’’. 
(c) REQUIREMENTS
FOR FILING CLAIMS DURING 
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 PERIOD.— 
‘‘(i) TIMING REQUIREMENTS FOR FIL-
ING CLAIMS.—An individual (or a personal 
representative on behalf of a deceased indi-
vidual) may file a claim during the period 
described in subsection (a)(3)(B) as fol-
lows: 
‘‘(I) In the case that the Special 
Master 
determines 
the 
individual 
knew (or reasonably should have 
known) before the date specified in 
clause (iii) that the individual suffered
104 
a physical harm at a 9/11 crash site 
as a result of the terrorist-related air-
craft crashes of September 11, 2001, 
or as a result of debris removal, and 
that the individual knew (or should 
have known) before such specified 
date that the individual was eligible to 
file a claim under this title, the indi-
vidual may file a claim not later than 
the date that is 2 years after such 
specified date. 
‘‘(II) In the case that the Special 
Master determines the individual first 
knew (or reasonably should have 
known) on or after the date specified 
in clause (iii) that the individual suf-
fered such a physical harm or that the 
individual first knew (or should have 
known) on or after such specified date 
that the individual was eligible to file 
a claim under this title, the individual 
may file a claim not later than the 
last day of the 2-year period begin-
ning on the date the Special Master 
determines the individual first knew