Sec. 1851. FLEXIBILITY AND FUNDING FOR THE WORLD TRADE CENTER HEALTH PROGRAM

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## SEC. 1851 FLEXIBILITY AND FUNDING FOR THE WORLD TRADE CENTER HEALTH PROGRAM ###

(a)Department of Defense, Armed Forces, or Other Federal Worker Responders to the September 11 Attacks at the Pentagon and Shanksville, Pennsylvania Title XXXIII of the Public Health Service Act (42 U.S.C. 300mm et seq.) is amended— ####

(1)in section 3306 (42 U.S.C. 300mm-5)— #####

(A)by redesignating paragraphs

(5)through

(11)and paragraphs

(12)through

(17)as paragraphs

(6)through

(12)and paragraphs

(14)through (19), respectively; #####

(B)by inserting after paragraph

(4)the following: > > #### “(5) > > The term ‘Federal agency’ means an agency, office, or other establishment in the executive, legislative, or judicial branch of the Federal Government.” > ; and #####

(C)by inserting after paragraph (12), as so redesignated, the following: > > #### “(13) > > The term ‘uniformed services’ has the meaning given the term in section 101(a) of title 10, United States Code.” > ; and ####

(2)in section 3311(a) (42 U.S.C. 300mm-21(a))— #####

(A)in paragraph (2)(C)(i)— ######

(i)in subclause (I), by striking “; or” and inserting a semicolon; ######

(ii)in subclause (II), by striking “; and” and inserting a semicolon; and ######

(iii)by adding at the end the following: > > ###### “(III) > > was an employee of the Department of Defense or any other Federal agency, worked during the period beginning on September 11, 2001, and ending on September 18, 2001, for a contractor of the Department of Defense or any other Federal agency, or was a member of a regular or reserve component of the uniformed services; and performed rescue, recovery, demolition, debris cleanup, or other related services at the Pentagon site of the terrorist-related aircraft crash of September 11, 2001, during the period beginning on September 11, 2001, and ending on the date on which the cleanup of the site was concluded, as determined by the WTC Program Administrator; or > > > ###### “(IV) > > was an employee of the Department of Defense or any other Federal agency, worked during the period beginning on September 11, 2001, and ending on September 18, 2001, for a contractor of the Department of Defense or any other Federal agency, or was a member of a regular or reserve component of the uniformed services; and performed rescue, recovery, demolition, debris cleanup, or other related services at the Shanksville, Pennsylvania, site of the terrorist-related aircraft crash of September 11, 2001, during the period beginning on September 11, 2001, and ending on the date on which the cleanup of the site was concluded, as determined by the WTC Program Administrator; and” > ; and #####

(B)in paragraph (4)(A)— ######

(i)by striking “

(A)In general.—The ” and inserting the following: > > ##### “(A) Limit > > > ###### “(i) In general > > The” > ; ######

(ii)by inserting “or subclause

(III)or

(IV)of paragraph (2)(C)(i)” after “or (2)(A)(ii)”; and ######

(iii)by adding at the end the following: > > ### “(ii) Certain responders to the september 11 attacks at the pentagon and shanksville, pennsylvania > > The total number of individuals who may be enrolled under paragraph (3)(A)(ii) based on eligibility criteria described in subclause

(III)or

(IV)of paragraph (2)(C)(i) shall not exceed 500 at any time.” > . ###

(b)Additional Funding for the World Trade Center Health Program Title XXXIII of the Public Health Service Act (42 U.S.C. 300mm et seq.) is amended by adding at the end the following: > > ## “SEC. 3353 SPECIAL FUND > > > ### “(a) In General > > There is established a fund to be known as the World Trade Center Health Program Special Fund (referred to in this section as the ‘Special Fund’), consisting of amounts deposited into the Special Fund under subsection (b). > > > ### “(b) Amount > > Out of any money in the Treasury not otherwise appropriated, there is appropriated for fiscal year 2024 $444,000,000 for deposit into the Special Fund, which amounts shall remain available in such Fund through fiscal year 2033. > > > ### “(c) Uses of Funds > > Amounts deposited into the Special Fund under subsection

(b)shall be available, without further appropriation and without regard to any spending limitation under section 3351(c), to the WTC Program Administrator as needed at the discretion of such Administrator, for carrying out any provision in this title (including sections 3303 and 3341(c)). > > > ### “(d) Remaining Amounts > > Any amounts that remain in the Special Fund on September 30, 2033, shall be deposited into the Treasury as miscellaneous receipts. > > > ## “SEC. 3354 PENTAGON/SHANKSVILLE FUND > > > ### “(a) In General > > There is established a fund to be known as the World Trade Center Health Program Fund for Certain WTC Responders at the Pentagon and Shanksville, Pennsylvania (referred to in this section as the ‘Pentagon/Shanksville Fund’), consisting of amounts deposited into the Pentagon/Shanksville Fund under subsection (b). > > > ### “(b) Amount > > Out of any money in the Treasury not otherwise appropriated, there is appropriated for fiscal year 2024 $232,000,000 for deposit into the Pentagon/Shanksville Fund, which amounts shall remain available in such Fund through fiscal year 2033. > > > ### “(c) Uses of Funds > > > #### “(1) In general > > Amounts deposited into the Pentagon/Shanksville Fund under subsection

(b)shall be available, without further appropriation and without regard to any spending limitation under section 3351(c), to the WTC Program Administrator for the purpose of carrying out section 3312 with regard to WTC responders enrolled in the WTC Program based on eligibility criteria described in subclause

(III)or

(IV)of section 3311(a)(2)(C)(i). > > > #### “(2) Limitation on other funding > > Notwithstanding sections 3331(a), 3351(b)(1), 3352(c), and 3353(c), and any other provision in this title, for the period of fiscal years 2024 through 2033, no amounts made available under this title other than those amounts appropriated under subsection

(b)may be available for the purpose described in paragraph (1). > > > ### “(d) Remaining Amounts > > Any amounts that remain in the Pentagon/Shanksville Fund on September 30, 2033, shall be deposited into the Treasury as miscellaneous receipts.” > . ###

(c)Conforming Amendments Title XXXIII of the Public Health Service Act (42 U.S.C. 300mm et seq.) is amended— ####

(1)in section 3311(a)(4)(B)(i)(II) (42 U.S.C. 300mm-21(a)(4)(B)(i)(II)), by striking “sections 3351 and 3352” and inserting “this title”; ####

(2)in section 3321(a)(3)(B)(i)(II) (42 U.S.C. 300mm-31(a)(3)(B)(i)(II)), by striking “sections 3351 and 3352” and inserting “this title”; ####

(3)in section 3331 (42 U.S.C. 300mm-41)— #####

(A)in subsection (a), by striking “the World Trade Center Health Program Fund and the World Trade Center Health Program Supplemental Fund” and inserting “(as applicable) the Funds established under sections 3351, 3352, 3353, and 3354”; and #####

(B)in subsection (d)— ######

(i)in paragraph (1)(A), by inserting “or the World Trade Center Health Program Special Fund under section 3353” after “section 3351”; ######

(ii)in paragraph (1)(B), by inserting “or the World Trade Center Health Program Fund for Certain WTC Responders at the Pentagon and Shanksville, Pennsylvania under section 3354” after “section 3352”; and ######

(iii)in paragraph (2), in the flush text following subparagraph (C), by inserting “or the World Trade Center Health Program Fund for Certain WTC Responders at the Pentagon and Shanksville, Pennsylvania under section 3354” after “section 3352”; and ####

(4)in section 3351(b) (42 U.S.C. 300mm-61(b))— #####

(A)in paragraph (2), by inserting “, the World Trade Center Health Program Special Fund under section 3353, or the World Trade Center Health Program Fund for Certain WTC Responders at the Pentagon and Shanksville, Pennsylvania under section 3354” before the period at the end; and #####

(B)in paragraph (3), by inserting “, the World Trade Center Health Program Special Fund under section 3353, or the World Trade Center Health Program Fund for Certain WTC Responders at the Pentagon and Shanksville, Pennsylvania under section 3354” before the period at the end.

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Sec. 1851

FLEXIBILITY AND FUNDING FOR THE WORLD TRADE CENTER HEALTH PROGRAM

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