I 
117TH CONGRESS 
1ST SESSION H. R. 4965 
To amend title XXXIII of the Public Health Service Act with respect to 
flexibility and funding for the World Trade Center Health Program, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 6, 2021 
Mrs. CAROLYN B. MALONEY of New York (for herself, Mr. NADLER, Mr. 
GARBARINO, Mr. SUOZZI, Mr. SEAN PATRICK MALONEY of New York, 
Ms. MENG, Ms. VELA´ZQUEZ, Mr. ESPAILLAT, Ms. MALLIOTAKIS, Mr. 
TORRES of New York, Mr. PASCRELL, Mr. GOTTHEIMER, Mr. SIRES, Mr. 
PAYNE, Mr. TONKO, Ms. CLARKE of New York, Mr. HIGGINS of New 
York, Mr. FITZPATRICK, Mr. JACOBS of New York, Mr. ZELDIN, Mrs. 
HAYES, Mr. MCKINLEY, Mrs. WATSON COLEMAN, Mr. VAN DREW, Mr. 
HIMES, Mr. SMITH of New Jersey, Ms. STEFANIK, Mr. BACON, Mr. 
JEFFRIES, Mr. KATKO, Mr. MORELLE, Mr. JOYCE of Ohio, Miss RICE 
of New York, Mr. DELGADO, Ms. TENNEY, Mr. REED, Mr. BOWMAN, Mr. 
MEEKS, Mr. JONES, and Ms. OCASIO-CORTEZ) introduced the following 
bill; which was referred to the Committee 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, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘9/11 Responder and 
Survivor Health Funding Correction Act’’. 
SEC. 2. FLEXIBILITY FOR 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 (2)(A)(ii), by inserting ‘‘sub-
ject to paragraph (6),’’ before ‘‘for’’; and 
(2) by adding at the end the following: 
‘‘(6) 
LICENSED
HEALTH
CARE
PROVIDER 
FLEXIBILITY.— 
‘‘(A) IN GENERAL.—For purposes of an 
initial health evaluation described in paragraph 
(2)(A)(ii) (including any such evaluation pro-
vided under section 3321(b) or through the na-
tionwide network under section 3313), such 
evaluation may be conducted by a physician or 
any other licensed health care provider in a cat-
egory of health care providers determined by 
the Secretary under subparagraph (B). 
‘‘(B) CATEGORIES OF LICENSED HEALTH 
CARE
PROVIDERS.—Not later than 60 days 
after the date of enactment of the 9/11 Re-
sponder and Survivor Health Funding Correc-
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(iii) in clause (ii), by striking ‘‘such 
physician’s determination’’ and inserting 
‘‘the determination of such physician or 
other licensed health care provider’’; and 
(B) in subparagraph (B)— 
(i) in the matter preceding clause (i), 
by striking ‘‘physician determinations’’ and 
inserting ‘‘determinations by physicians or 
other licensed health care providers in cat-
egories determined by the Secretary under 
section 3305(a)(6)(B)’’; and 
(ii) in clause (i), by striking ‘‘physi-
cian panel’’ and inserting ‘‘panel of physi-
cians or other licensed health care pro-
viders in categories determined by the Sec-
retary under section 3305(a)(6)(B)’’; and 
(3) in paragraph (5), by striking ‘‘examining 
physician’’ and inserting ‘‘examining physician or 
other licensed health care provider in a category de-
termined 
by 
the 
Secretary 
under 
section 
3305(a)(6)(B)’’. 
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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 
(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.’’. 
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(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 en-
rollees under this subsection or section 3351.’’. 
SEC. 5. FUNDING FOR THE WORLD TRADE CENTER HEALTH 
PROGRAM. 
Section 3351 of the Public Health Service Act (42 
U.S.C. 300mm–61) is amended— 
(1) in subsection (a)(2)(A)— 
(A) 
in 
clause 
(x), 
by 
striking 
‘‘$570,000,000; 
and’’ 
and 
inserting 
‘‘$689,130,000;’’; and 
(B) by striking clause (xi) and inserting 
the following: 
‘‘(xi) 
for 
fiscal 
year 
2026, 
$930,325,500; 
‘‘(xii) 
for 
fiscal 
year 
2027, 
$1,004,751,540; 
‘‘(xiii) 
for 
fiscal 
year 
2028, 
$1,085,131,663; 
‘‘(xiv) 
for 
fiscal 
year 
2029, 
$1,139,388,246; 
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‘‘(xv) 
for 
fiscal 
year 
2030, 
$1,196,357,659; 
‘‘(xvi) 
for 
fiscal 
year 
2031, 
$1,256,175,542; and 
‘‘(xvii) for each subsequent fiscal year 
through fiscal year 2090— 
‘‘(I) 
the 
amount 
determined 
under this subparagraph for the pre-
vious fiscal year multiplied by 1.05; 
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) by amending paragraph (3) to read as 
follows: 
‘‘(3) EDUCATION
AND
OUTREACH.—For the 
purpose of carrying out section 3303— 
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‘‘(A) for each of fiscal years 2016 through 
2021, $750,000; and 
‘‘(B) for fiscal year 2022 and each subse-
quent fiscal year, $2,000,000.’’; 
(B) in paragraph (4)— 
(i) by amending subparagraph (A) to 
read as follows: 
‘‘(A) for fiscal year 2021, 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;’’; and 
(ii) in subparagraph (B), by striking 
‘‘2017, $15,000,000’’ and inserting ‘‘2022, 
$20,000,000’’; and 
(C) in paragraph (5)— 
(i) by amending subparagraph (A) to 
read as follows: 
‘‘(A) for fiscal year 2021, 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;’’; 
(ii) by redesignating subparagraph 
(B) as subparagraph (C); and 
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(iii) by inserting after subparagraph 
(A) the following: 
‘‘(B) for fiscal year 2022, $20,000,000; 
and’’. 
SEC. 6. RESEARCH COHORT FOR EMERGING HEALTH IM-
PACTS ON YOUTH. 
(a) IN GENERAL.—Section 3341 of the Public Health 
Service Act (42 U.S.C. 300mm–51) is amended— 
(1) by redesignating subsections (c) and (d) as 
subsections (d) and (e), respectively; and 
(2) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) RESEARCH COHORT FOR EMERGING HEALTH 
IMPACTS ON YOUTH.—The WTC Program Administrator 
shall establish a research cohort of sufficient size to con-
duct research studies on the health and educational im-
pacts of exposure to airborne toxins, or any other hazard 
or adverse condition, resulting from the September 11, 
2001, terrorist attacks on the population of individuals 
who were 21 years of age or younger at the time of expo-
sure and who are enrolled in the WTC Program or other-
wise eligible for enrollment in the Program under section 
3321.’’. 
(b) SPENDING LIMITATION EXEMPTION.—Section 
3351(c)(5) of such Act (42 U.S.C. 300mm–61(c)(5)) is 
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amended in the matter preceding subparagraph (A), by 
inserting ‘‘(other than subsection (c) of such section)’’ 
after ‘‘section 3341’’. 
(c) 
CONFORMING
AMENDMENT.—Section 
3301(f)(2)(E) of such Act (42 U.S.C. 300mm(f)(2)(E)) 
is amended by striking ‘‘section 3341(a)’’ and inserting 
‘‘subsection (a) or (c) of section 3341’’. 
Æ 
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