‘‘(ii) COMPETITIVE BIDDING.—Under 
such program the Administrator shall— 
‘‘(I) select one or more appro-
priate vendors through a Federal com-
petitive bid process; and 
‘‘(II) select the lowest bidder (or 
bidders) meeting the requirements for 
providing pharmaceutical benefits for 
participants in the WTC program. 
‘‘(iii) TREATMENT OF FDNY PARTICI-
PANTS.—Under such program the Admin-
istrator may enter select a separate vendor 
to provide pharmaceutical benefits to cer-
tified eligible WTC responders for whom 
the Clinical Center of Excellence is de-
scribed in section 3006(b)(1)(A) if such an 
arrangement is deemed necessary and ben-
eficial to the program by the WTC Pro-
gram Administrator. 
‘‘(C) OTHER TREATMENT.—For treatment 
not covered under a preceding subparagraph, 
the WTC Program Administrator shall des-
ignate a reimbursement rate for each such serv-
ice. 
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‘‘(2) 
MEDICAL
MONITORING
AND
INITIAL 
HEALTH EVALUATION.—The WTC Program Admin-
istrator shall reimburse the costs of medical moni-
toring and the costs of an initial health evaluation 
provided under this title at a rate set by the Admin-
istrator. 
‘‘(3) ADMINISTRATIVE ARRANGEMENT AUTHOR-
ITY.—The WTC Program Administrator may enter 
into arrangements with other government agencies, 
insurance companies, or other third-party adminis-
trators to provide for timely and accurate processing 
of claims under this section. 
‘‘(4) CLAIMS PROCESSING SUBJECT TO APPRO-
PRIATIONS.—The payment by the WTC Program 
Administrator for the processing of claims under 
this title is limited to the amounts provided in ad-
vance in appropriations Acts. 
‘‘(d) MEDICAL TREATMENT PROTOCOLS.— 
‘‘(1) DEVELOPMENT.—The Coordinating Cen-
ters of Excellence shall develop medical treatment 
protocols for the treatment of certified eligible WTC 
responders and certified eligible WTC community 
members for identified WTC-related health condi-
tions. 
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‘‘(2) APPROVAL.—The WTC Program Adminis-
trator shall approve the medical treatment protocols, 
in consultation with the WTC Health Program 
Steering Committees. 
‘‘PART 2—COMMUNITY PROGRAM 
‘‘SEC. 3021. IDENTIFICATION AND INITIAL HEALTH EVALUA-
TION OF ELIGIBLE WTC COMMUNITY MEM-
BERS. 
‘‘(a) ELIGIBLE WTC COMMUNITY MEMBER DE-
FINED.— 
‘‘(1) IN GENERAL.—In this title, the term ‘eligi-
ble WTC community member’ means, subject to 
paragraphs (3) and (5), an individual who claims 
symptoms of a WTC-related health condition and is 
described in any of the following subparagraphs: 
‘‘(A) CURRENTLY IDENTIFIED COMMUNITY 
MEMBER.—An individual, including an eligible 
WTC responder, who has been identified as eli-
gible for medical treatment or monitoring by 
the WTC Environmental Health Center as of 
the date of enactment of this title. 
‘‘(B) COMMUNITY
MEMBER
WHO
MEETS 
CURRENT
ELIGIBILITY
CRITERIA.—An indi-
vidual who is not an eligible WTC responder 
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and meets any of the current eligibility criteria 
described in a subparagraph of paragraph (2). 
‘‘(C) COMMUNITY
MEMBER
WHO
MEETS 
MODIFIED
ELIGIBILITY
CRITERIA.—An indi-
vidual who is not an eligible WTC responder 
and meets such eligibility criteria relating to ex-
posure to airborne toxins, other hazards, or ad-
verse conditions resulting from the September 
11, 2001, terrorist attacks on the World Trade 
Center as the WTC Administrator determines 
eligible, after consultation with the WTC Com-
munity Program Steering Committee, Coordi-
nating Centers of Excellence described in sec-
tion 3006(b)(1)(C), and the WTC Scientific/ 
Technical Advisory Committee. 
The Administrator shall not modify such criteria 
under subparagraph (C) on or after the date that 
the number of certifications for eligible community 
members has reached 80 percent of the limit de-
scribed in paragraph (5) or on or after the date that 
the number of certifications for eligible responders 
has reached 80 percent of the limit described in sec-
tion 3021(a)(5). 
‘‘(2) CURRENT
ELIGIBILITY
CRITERIA.—The 
eligibility criteria described in this paragraph for an 
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individual are that the individual is described in any 
of the following subparagraphs: 
‘‘(A) A person who was present in the New 
York City disaster area in the dust or dust 
cloud on September 11, 2001. 
‘‘(B) A person who worked, resided or at-
tended 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 pe-
riod beginning on September 11, 2001, 
and ending on July 31, 2002. 
‘‘(C) Any person who worked as a clean-up 
worker or performed maintenance work in the 
New York City disaster area during the 4- 
month period described in subparagraph (B)(i) 
and had extensive exposure to WTC dust as a 
result of such work. 
‘‘(D) A person who was deemed eligible to 
receive a grant from the Lower Manhattan De-
velopment Corporation Residential Grant Pro-
gram, who possessed a lease for a residence or 
purchased a residence in the New York City 
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disaster area, and who resided in such residence 
during the period beginning on September 11, 
2001, and ending on May 31, 2003. 
‘‘(E) A person whose place of employ-
ment— 
‘‘(i) at any time during the period be-
ginning on September 11, 2001, and end-
ing on May 31, 2003, was in the New 
York City disaster area; and 
‘‘(ii) was deemed eligible to receive a 
grant from the Lower Manhattan Develop-
ment Corporation WTC Small Firms At-
traction and Retention Act program or 
other government incentive program de-
signed to revitalize the Lower Manhattan 
economy after the September 11, 2001, 
terrorist attacks on the World Trade Cen-
ter. 
‘‘(3) APPLICATION PROCESS.—The WTC Pro-
gram Administrator in consultation with the Coordi-
nating Centers of Excellence shall establish a proc-
ess for individuals, other than individuals described 
in paragraph (1)(A), to be determined eligible WTC 
community member. Under such process— 
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