| 1 | 1 | | II |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION S. 739 |
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| 5 | 5 | | To amend title XXXIII of the Public Health Service Act with respect to |
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| 6 | 6 | | flexibility and funding for the World Trade Center Health Program. |
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| 7 | 7 | | IN THE SENATE OF THE UNITED STATES |
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| 8 | 8 | | FEBRUARY26, 2025 |
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| 9 | 9 | | Mrs. G |
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| 10 | 10 | | ILLIBRAND(for herself and Mr. SCHUMER) introduced the following |
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| 11 | 11 | | bill; which was read twice and referred to the Committee on Health, Edu- |
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| 12 | 12 | | cation, Labor, and Pensions |
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| 13 | 13 | | A BILL |
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| 14 | 14 | | To amend title XXXIII of the Public Health Service Act |
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| 15 | 15 | | with respect to flexibility and funding for the World |
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| 16 | 16 | | Trade Center Health Program. |
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| 17 | 17 | | Be it enacted by the Senate and House of Representa-1 |
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| 18 | 18 | | tives of the United States of America in Congress assembled, 2 |
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| 19 | 19 | | SECTION 1. SHORT TITLE. 3 |
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| 20 | 20 | | This Act may be cited as the ‘‘9/11 Responder and 4 |
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| 21 | 21 | | Survivor Health Funding Correction Act of 2025’’. 5 |
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| 24 | 24 | | •S 739 IS |
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| 25 | 25 | | SEC. 2. FLEXIBILITY FOR MENTAL HEALTH CONDITION 1 |
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| 26 | 26 | | CERTIFICATIONS UNDER THE WORLD TRADE 2 |
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| 27 | 27 | | CENTER HEALTH PROGRAM. 3 |
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| 28 | 28 | | (a) I |
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| 29 | 29 | | NGENERAL.—Section 3305(a) of the Public 4 |
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| 30 | 30 | | Health Service Act (42 U.S.C. 300mm–4(a)) is amend-5 |
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| 31 | 31 | | ed— 6 |
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| 32 | 32 | | (1) in paragraph (1)(A), by inserting ‘‘subject 7 |
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| 33 | 33 | | to paragraph (6),’’ before ‘‘for’’; and 8 |
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| 34 | 34 | | (2) by adding at the end the following: 9 |
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| 35 | 35 | | ‘‘(6) L |
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| 36 | 36 | | ICENSED MENTAL HEALTH PROVIDER 10 |
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| 37 | 37 | | FLEXIBILITY FOR MENTAL HEALTH CONDITION CER -11 |
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| 38 | 38 | | TIFICATIONS.— 12 |
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| 39 | 39 | | ‘‘(A) I |
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| 40 | 40 | | N GENERAL.—For purposes of an 13 |
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| 41 | 41 | | initial health evaluation described in paragraph 14 |
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| 42 | 42 | | (1)(A) with respect to a mental health condition 15 |
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| 43 | 43 | | (including any such evaluation provided under 16 |
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| 44 | 44 | | section 3321(b) or through the nationwide net-17 |
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| 45 | 45 | | work under section 3313), such evaluation may 18 |
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| 46 | 46 | | be conducted by a physician or any other li-19 |
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| 47 | 47 | | censed mental health provider in a category of 20 |
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| 48 | 48 | | mental health providers determined by the 21 |
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| 49 | 49 | | WTC Program Administrator under subpara-22 |
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| 50 | 50 | | graph (B). 23 |
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| 51 | 51 | | ‘‘(B) C |
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| 52 | 52 | | ATEGORIES OF LICENSED MENTAL 24 |
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| 53 | 53 | | HEALTH PROVIDERS .—Not later than 180 days 25 |
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| 54 | 54 | | after the date of enactment of the 9/11 Re-26 |
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| 57 | 57 | | •S 739 IS |
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| 58 | 58 | | sponder and Survivor Health Funding Correc-1 |
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| 59 | 59 | | tion Act of 2025, the WTC Program Adminis-2 |
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| 60 | 60 | | trator shall issue regulations for the categories 3 |
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| 61 | 61 | | of licensed mental health providers who, in ad-4 |
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| 62 | 62 | | dition to licensed physicians, may conduct eval-5 |
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| 63 | 63 | | uations under subparagraph (A) with respect to 6 |
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| 64 | 64 | | a mental health condition and make determina-7 |
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| 65 | 65 | | tions under section 3312(b) with respect to 8 |
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| 66 | 66 | | such a condition.’’. 9 |
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| 67 | 67 | | (b) F |
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| 68 | 68 | | LEXIBILITY FORWTC RESPONDERS.—Section 10 |
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| 69 | 69 | | 3312(b) of such Act (42 U.S.C. 300mm–22(b)) is amend-11 |
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| 70 | 70 | | ed— 12 |
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| 71 | 71 | | (1) in paragraph (1)(A)— 13 |
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| 72 | 72 | | (A) in the matter preceding clause (i), by 14 |
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| 73 | 73 | | striking ‘‘physician’’ and inserting ‘‘physician 15 |
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| 74 | 74 | | (or, in the case of a mental health condition, a 16 |
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| 75 | 75 | | physician or any other qualified mental health 17 |
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| 76 | 76 | | provider)’’; and 18 |
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| 77 | 77 | | (B) in clause (i), by striking ‘‘physician’’ 19 |
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| 78 | 78 | | and inserting ‘‘physician or other qualified men-20 |
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| 79 | 79 | | tal health provider’’; 21 |
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| 80 | 80 | | (2) in paragraph (2)— 22 |
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| 81 | 81 | | (A) in subparagraph (A)— 23 |
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| 82 | 82 | | (i) in the matter preceding clause (i), 24 |
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| 83 | 83 | | by striking ‘‘physician’’ and inserting 25 |
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| 86 | 86 | | •S 739 IS |
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| 87 | 87 | | ‘‘physician (or, in the case of a mental 1 |
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| 88 | 88 | | health condition, a physician or any other 2 |
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| 89 | 89 | | qualified mental health provider)’’; 3 |
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| 90 | 90 | | (ii) in clause (i), by striking ‘‘physi-4 |
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| 91 | 91 | | cian’’ and inserting ‘‘physician or other 5 |
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| 92 | 92 | | qualified mental health provider’’; and 6 |
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| 93 | 93 | | (iii) in clause (ii), by striking ‘‘such 7 |
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| 94 | 94 | | physician’s determination’’ and inserting 8 |
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| 95 | 95 | | ‘‘the determination of such physician or 9 |
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| 96 | 96 | | other qualified mental health provider’’; 10 |
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| 97 | 97 | | and 11 |
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| 98 | 98 | | (B) in subparagraph (B)— 12 |
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| 99 | 99 | | (i) in the matter preceding clause (i), 13 |
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| 100 | 100 | | by striking ‘‘physician determinations’’ and 14 |
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| 101 | 101 | | inserting ‘‘determinations by physicians 15 |
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| 102 | 102 | | (or, in the case of a mental health condi-16 |
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| 103 | 103 | | tion, physicians or other qualified mental 17 |
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| 104 | 104 | | health providers)’’; and 18 |
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| 105 | 105 | | (ii) in clause (i), by striking ‘‘physi-19 |
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| 106 | 106 | | cian panel’’ and inserting ‘‘panel of physi-20 |
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| 107 | 107 | | cians (or, in the case of a mental health 21 |
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| 108 | 108 | | condition, physicians or other qualified 22 |
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| 109 | 109 | | mental health providers)’’; 23 |
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| 110 | 110 | | (3) in paragraph (5), by striking ‘‘examining 24 |
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| 111 | 111 | | physician’’ and inserting ‘‘examining physician (or, 25 |
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| 114 | 114 | | •S 739 IS |
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| 115 | 115 | | in the case of a mental health condition, examining 1 |
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| 116 | 116 | | physician or other qualified mental health pro-2 |
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| 117 | 117 | | vider)’’; and 3 |
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| 118 | 118 | | (4) by adding at the end the following: 4 |
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| 119 | 119 | | ‘‘(6) D |
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| 120 | 120 | | EFINITION OF ‘QUALIFIED MENTAL 5 |
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| 121 | 121 | | HEALTH PROVIDER ’.—For purposes of this sub-6 |
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| 122 | 122 | | section, the term ‘qualified mental health provider’ 7 |
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| 123 | 123 | | means a licensed mental health provider in a cat-8 |
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| 124 | 124 | | egory determined by the WTC Program Adminis-9 |
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| 125 | 125 | | trator under section 3305(a)(6)(B).’’. 10 |
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| 126 | 126 | | SEC. 3. CRITERIA FOR CREDENTIALING HEALTH CARE 11 |
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| 127 | 127 | | PROVIDERS PARTICIPATING IN THE NATION-12 |
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| 128 | 128 | | WIDE NETWORK. 13 |
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| 129 | 129 | | Title XXXIII of the Public Health Service Act (42 14 |
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| 130 | 130 | | U.S.C. 300mm et seq.) is amended— 15 |
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| 131 | 131 | | (1) in section 3305(a)(2) (42 U.S.C. 300mm– 16 |
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| 132 | 132 | | 4(a)(2))— 17 |
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| 133 | 133 | | (A) in subparagraph (A)— 18 |
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| 134 | 134 | | (i) by striking clause (iv); and 19 |
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| 135 | 135 | | (ii) by redesignating clauses (v) and 20 |
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| 136 | 136 | | (vi) as clauses (iv) and (v), respectively; 21 |
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| 137 | 137 | | (B) by striking subparagraph (B); and 22 |
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| 138 | 138 | | (C) by redesignating subparagraphs (C) 23 |
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| 139 | 139 | | and (D) as subparagraphs (B) and (C), respec-24 |
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| 140 | 140 | | tively; and 25 |
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| 143 | 143 | | •S 739 IS |
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| 144 | 144 | | (2) in section 3313(b)(1) (42 U.S.C. 300mm– 1 |
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| 145 | 145 | | 23(b)(1)), by striking ‘‘Data Centers’’ and inserting 2 |
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| 146 | 146 | | ‘‘WTC Program Administrator’’. 3 |
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| 147 | 147 | | SEC. 4. CLARIFYING CALCULATION OF ENROLLMENT. 4 |
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| 148 | 148 | | (a) R |
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| 149 | 149 | | ESPONDERS.—Section 3311(a) of such Act (42 5 |
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| 150 | 150 | | U.S.C. 300mm–21(a)) is amended by adding at the end 6 |
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| 151 | 151 | | the following: 7 |
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| 152 | 152 | | ‘‘(6) D |
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| 153 | 153 | | ECEASED WTC RESPONDERS .—An indi-8 |
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| 154 | 154 | | vidual known to the WTC Program Administrator to 9 |
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| 155 | 155 | | be deceased shall not be included in any count of en-10 |
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| 156 | 156 | | rollees under this subsection or section 3351.’’. 11 |
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| 157 | 157 | | (b) S |
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| 158 | 158 | | URVIVORS.—Section 3321(a) of such Act (42 12 |
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| 159 | 159 | | U.S.C. 300mm–31(a)) is amended by adding at the end 13 |
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| 160 | 160 | | the following: 14 |
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| 161 | 161 | | ‘‘(5) D |
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| 162 | 162 | | ECEASED WTC SURVIVORS .—An indi-15 |
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| 163 | 163 | | vidual known to the WTC Program Administrator to 16 |
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| 164 | 164 | | be deceased shall not be included in any count of 17 |
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| 165 | 165 | | certified-eligible survivors under this section or in 18 |
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| 166 | 166 | | any count of enrollees under section 3351.’’. 19 |
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| 167 | 167 | | SEC. 5. TIME PERIOD FOR ADDING HEALTH CONDITIONS 20 |
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| 168 | 168 | | TO LIST FOR WTC RESPONDERS. 21 |
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| 169 | 169 | | Section 3312(a)(6) of the Public Health Service Act 22 |
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| 170 | 170 | | (42 U.S.C. 300mm–22(a)(6)) is amended— 23 |
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| 171 | 171 | | (1) in subparagraph (B), by striking ‘‘90’’ and 24 |
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| 172 | 172 | | inserting ‘‘180’’; and 25 |
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| 175 | 175 | | •S 739 IS |
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| 176 | 176 | | (2) in subparagraph (C), in the second sen-1 |
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| 177 | 177 | | tence, by striking ‘‘90’’ and inserting ‘‘180’’. 2 |
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| 178 | 178 | | SEC. 6. FUNDING FOR THE WORLD TRADE CENTER HEALTH 3 |
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| 179 | 179 | | PROGRAM. 4 |
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| 180 | 180 | | (a) I |
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| 181 | 181 | | NGENERAL.—Section 3351 of the Public Health 5 |
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| 182 | 182 | | Service Act (42 U.S.C. 300mm–61) is amended— 6 |
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| 183 | 183 | | (1) in subsection (a)(2)(A), by amending clause 7 |
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| 184 | 184 | | (xi) to read as follows: 8 |
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| 185 | 185 | | ‘‘(xi) for each of fiscal years 2026 9 |
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| 186 | 186 | | through 2090— 10 |
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| 187 | 187 | | ‘‘(I) the amount determined 11 |
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| 188 | 188 | | under this subparagraph for the pre-12 |
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| 189 | 189 | | vious fiscal year multiplied by 1.07; 13 |
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| 190 | 190 | | multiplied by 14 |
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| 191 | 191 | | ‘‘(II) the ratio of— 15 |
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| 192 | 192 | | ‘‘(aa) the total number of 16 |
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| 193 | 193 | | individuals enrolled in the WTC 17 |
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| 194 | 194 | | Program on July 1 of such pre-18 |
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| 195 | 195 | | vious fiscal year; to 19 |
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| 196 | 196 | | ‘‘(bb) the total number of 20 |
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| 197 | 197 | | individuals so enrolled on July 1 21 |
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| 198 | 198 | | of the fiscal year prior to such 22 |
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| 199 | 199 | | previous fiscal year; plus’’; and 23 |
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| 200 | 200 | | (2) in subsection (c)— 24 |
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| 201 | 201 | | (A) in paragraph (4)— 25 |
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| 204 | 204 | | •S 739 IS |
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| 205 | 205 | | (i) by amending subparagraph (A) to 1 |
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| 206 | 206 | | read as follows: 2 |
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| 207 | 207 | | ‘‘(A) for fiscal year 2025, the amount de-3 |
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| 208 | 208 | | termined for such fiscal year under this para-4 |
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| 209 | 209 | | graph as in effect on the day before the date of 5 |
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| 210 | 210 | | enactment of the 9/11 Responder and Survivor 6 |
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| 211 | 211 | | Health Funding Correction Act of 2025;’’; 7 |
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| 212 | 212 | | (ii) by amending subparagraph (B) to 8 |
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| 213 | 213 | | read as follows: 9 |
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| 214 | 214 | | ‘‘(B) for fiscal year 2026, the greater of— 10 |
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| 215 | 215 | | ‘‘(i) the amount determined for such 11 |
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| 216 | 216 | | fiscal year under this paragraph as in ef-12 |
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| 217 | 217 | | fect on the day before the date of enact-13 |
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| 218 | 218 | | ment of the 9/11 Responder and Survivor 14 |
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| 219 | 219 | | Health Funding Correction Act of 2025; or 15 |
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| 220 | 220 | | ‘‘(ii) the amount expended for the pre-16 |
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| 221 | 221 | | vious fiscal year for the purposes described 17 |
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| 222 | 222 | | in this paragraph increased by 25 percent; 18 |
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| 223 | 223 | | and’’; and 19 |
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| 224 | 224 | | (iii) in subparagraph (C), by striking 20 |
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| 225 | 225 | | ‘‘the amount specified under this para-21 |
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| 226 | 226 | | graph for the previous fiscal year’’ and in-22 |
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| 227 | 227 | | serting ‘‘the amount expended for the pre-23 |
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| 228 | 228 | | vious fiscal year for such purposes’’; and 24 |
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| 229 | 229 | | (B) in paragraph (5)— 25 |
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| 232 | 232 | | •S 739 IS |
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| 233 | 233 | | (i) by amending subparagraph (A) to 1 |
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| 234 | 234 | | read as follows: 2 |
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| 235 | 235 | | ‘‘(A) for fiscal year 2025, the amount de-3 |
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| 236 | 236 | | termined for such fiscal year under this para-4 |
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| 237 | 237 | | graph as in effect on the day before the date of 5 |
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| 238 | 238 | | enactment of the 9/11 Responder and Survivor 6 |
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| 239 | 239 | | Health Funding Correction Act of 2025;’’; 7 |
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| 240 | 240 | | (ii) by redesignating subparagraph 8 |
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| 241 | 241 | | (B) as subparagraph (C); 9 |
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| 242 | 242 | | (iii) by inserting after subparagraph 10 |
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| 243 | 243 | | (A) the following: 11 |
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| 244 | 244 | | ‘‘(B) for fiscal year 2026, the greater of— 12 |
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| 245 | 245 | | ‘‘(i) the amount determined for such 13 |
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| 246 | 246 | | fiscal year under this paragraph as in ef-14 |
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| 247 | 247 | | fect on the day before the date of enact-15 |
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| 248 | 248 | | ment of the 9/11 Responder and Survivor 16 |
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| 249 | 249 | | Health Funding Correction Act of 2025; or 17 |
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| 250 | 250 | | ‘‘(ii) the amount expended for the pre-18 |
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| 251 | 251 | | vious fiscal year for the purpose described 19 |
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| 252 | 252 | | in this paragraph increased by 25 percent; 20 |
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| 253 | 253 | | and’’; and 21 |
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| 254 | 254 | | (iv) in subparagraph (C), as so redes-22 |
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| 255 | 255 | | ignated, by striking ‘‘the amount specified 23 |
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| 256 | 256 | | under this paragraph for the previous fis-24 |
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| 257 | 257 | | cal year’’ and inserting ‘‘the amount ex-25 |
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| 260 | 260 | | •S 739 IS |
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| 261 | 261 | | pended for the previous fiscal year for such 1 |
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| 262 | 262 | | purpose’’. 2 |
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| 263 | 263 | | (b) T |
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| 264 | 264 | | ECHNICALAMENDMENTS.—Title XXXIII of the 3 |
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| 265 | 265 | | Public Health Service Act (42 U.S.C. 300mm et seq.) is 4 |
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| 266 | 266 | | amended— 5 |
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| 267 | 267 | | (1) in section 3352 (42 U.S.C. 300mm–62), by 6 |
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| 268 | 268 | | amending subsection (d) to read as follows: 7 |
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| 269 | 269 | | ‘‘(d) R |
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| 270 | 270 | | EMAININGAMOUNTS.—Amounts remaining in 8 |
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| 271 | 271 | | the Supplemental Fund shall revert to the Treasury in ac-9 |
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| 272 | 272 | | cordance with section 1552 of title 31, United States 10 |
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| 273 | 273 | | Code.’’; 11 |
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| 274 | 274 | | (2) in section 3353 (42 U.S.C. 300mm–63), by 12 |
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| 275 | 275 | | amending subsection (d) to read as follows: 13 |
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| 276 | 276 | | ‘‘(d) R |
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| 277 | 277 | | EMAININGAMOUNTS.—Amounts remaining in 14 |
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| 278 | 278 | | the Special Fund shall revert to the Treasury in accord-15 |
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| 279 | 279 | | ance with section 1552 of title 31, United States Code.’’; 16 |
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| 280 | 280 | | and 17 |
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| 281 | 281 | | (3) in section 3354 (42 U.S.C. 300mm–64), by 18 |
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| 282 | 282 | | amending subsection (d) to read as follows: 19 |
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| 283 | 283 | | ‘‘(d) R |
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| 284 | 284 | | EMAININGAMOUNTS.—Amounts remaining in 20 |
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| 285 | 285 | | the Pentagon/Shanksville Fund shall revert to the Treas-21 |
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| 286 | 286 | | ury in accordance with section 1552 of title 31, United 22 |
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| 287 | 287 | | States Code.’’. 23 |
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| 290 | 290 | | •S 739 IS |
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| 291 | 291 | | SEC. 7. REPORT TO CONGRESS. 1 |
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| 292 | 292 | | (a) I |
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| 293 | 293 | | NGENERAL.—Not later than 3 years after the 2 |
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| 294 | 294 | | date of enactment of this Act, the Secretary of Health and 3 |
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| 295 | 295 | | Human Services (referred to in this section as the ‘‘Sec-4 |
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| 296 | 296 | | retary’’) shall conduct an assessment of anticipated budg-5 |
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| 297 | 297 | | et authority and outlays of the World Trade Center Health 6 |
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| 298 | 298 | | Program (referred to in this section as the ‘‘Program’’) 7 |
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| 299 | 299 | | through the duration of the Program and submit a report 8 |
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| 300 | 300 | | summarizing such assessment to— 9 |
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| 301 | 301 | | (1) the Speaker and minority leader of the 10 |
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| 302 | 302 | | House of Representatives; 11 |
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| 303 | 303 | | (2) the majority and minority leaders of the 12 |
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| 304 | 304 | | Senate; 13 |
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| 305 | 305 | | (3) the Committee on Health, Education, 14 |
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| 306 | 306 | | Labor, and Pensions and Committee on the Budget 15 |
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| 307 | 307 | | of the Senate; and 16 |
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| 308 | 308 | | (4) the Committee on Energy and Commerce 17 |
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| 309 | 309 | | and the Committee on the Budget of the House of 18 |
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| 310 | 310 | | Representatives. 19 |
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| 311 | 311 | | (b) I |
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| 312 | 312 | | NCLUSIONS.—The report required under sub-20 |
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| 313 | 313 | | section (a) shall include— 21 |
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| 314 | 314 | | (1) a projection of Program budgetary needs on 22 |
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| 315 | 315 | | a per-fiscal year basis through fiscal year 2090; 23 |
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| 316 | 316 | | (2) a review of Program modeling for each of 24 |
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| 317 | 317 | | fiscal years 2017 through the fiscal year prior to the 25 |
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| 318 | 318 | | fiscal year in which the report is issued to assess 26 |
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| 321 | 321 | | •S 739 IS |
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| 322 | 322 | | how anticipated budgetary needs compared to actual 1 |
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| 323 | 323 | | expenditures; 2 |
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| 324 | 324 | | (3) an assessment of the projected budget au-3 |
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| 325 | 325 | | thority and expenditures of the Program through fis-4 |
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| 326 | 326 | | cal year 2090; and 5 |
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| 327 | 327 | | (4) any recommendations of the Secretary to 6 |
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| 328 | 328 | | make changes to the formula under section 7 |
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| 329 | 329 | | 3351(a)(2)(A) of the Public Health Service Act (42 8 |
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| 330 | 330 | | U.S.C. 300mm–61(a)(2)(A)), as amended by section 9 |
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| 331 | 331 | | 6(a)(1), to fully offset anticipated Program expendi-10 |
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| 332 | 332 | | tures through fiscal year 2090. 11 |
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| 333 | 333 | | Æ |
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| 334 | 334 | | VerDate Sep 11 2014 22:41 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6301 E:\BILLS\S739.IS S739 |
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| 335 | 335 | | ssavage on LAPJG3WLY3PROD with BILLS |
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