To establish a World Trade Center Health Program Supplemental Fund.

SA 6607. Mrs. GILLIBRAND submitted an amendment intended to be
proposed to amendment SA 6552 proposed by Mr. Leahy to the bill H.R.
2617, to amend section 1115 of title 31, United States Code, to amend
the description of how performance goals are achieved, and for other
purposes; which was ordered to lie on the table; as follows:

At the end of division FF, add the following:

TITLE VII--SUPPLEMENTAL FUNDING FOR THE WORLD TRADE CENTER HEALTH
PROGRAM

SEC. 7701. SUPPLEMENTAL FUNDING FOR THE WORLD TRADE CENTER
HEALTH PROGRAM.

(a) In General.--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. 3352. SUPPLEMENTAL FUND.

``(a) In General.--There is established a fund to be known
as the World Trade Center Health Program Supplemental Fund
(referred to in this section as the `Supplemental Fund'),
consisting of amounts deposited into the Fund under
subsection (b).
``(b) Amount.--Out of any money in the Treasury not
otherwise appropriated, there is appropriated for fiscal year
2023 $1,000,000,000, for deposit into the Supplemental Fund,
which amounts shall remain available through fiscal year
2032.
``(c) Uses of Funds.--Amounts deposited into the
Supplemental 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) Return of Funds.--Any amounts that remain in the
Supplemental Fund on September 30, 2032, shall be deposited
into the Treasury as miscellaneous receipts.''.
(b) 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 ``section 3351'' and
inserting ``sections 3351 and 3352'';
(2) in section 3321(a)(3)(B)(i)(II) (42 U.S.C. 300mm-
31(a)(3)(B)(i)(II)), by striking ``section 3351'' and
inserting ``sections 3351 and 3352'';
(3) in section 3331 (42 U.S.C. 300mm-41)--
(A) in subsection (a), by inserting ``and the World Trade
Center Health Program Supplemental Fund'' before the period
at the end; and
(B) in subsection (d)--
(i) in paragraph (1)(B), by inserting ``(excluding any
expenditures from amounts in the World Trade Center Health
Program Supplemental Fund under section 3352)'' before the
period at the end; and
(ii) in paragraph (2), in the flush text following
subparagraph (C), by inserting ``(excluding any expenditures
from amounts in the World Trade Center Health Program
Supplemental Fund under section 3352)'' before the period at
the end; and
(4) in section 3351(b) (42 U.S.C. 300mm-61(b))--
(A) in paragraph (2), by inserting ``or as available from
the World Trade Center Health Program Supplemental Fund under
section 3352'' before the period at the end; and
(B) in paragraph (3), by inserting ``or as available from
the World Trade Center Health Program Supplemental Fund under
section 3352'' before the period at the end.
(c) Prevention and Public Health Fund.--Section 4002(b) of
the Patient Protection and Affordable Care Act (42 U.S.C.
300u-11(b)) is amended--
(1) in paragraph (8), by striking ``$1,800,000,000; and''
and inserting ``$1,525,000,000;'';
(2) by striking paragraph (9) and inserting the following:
``(9) for each of fiscal years 2028 and 2029,
$1,725,000,000; and''; and
(3) by adding at the end the following:
``(10) for fiscal year 2030 and each fiscal year
thereafter, $2,000,000,000.''.

SEC. 7702. RESEARCH COHORT FOR EMERGING HEALTH IMPACTS ON
YOUTH.

(a) In General.--Section 3341 of the Public Health Service
Act (42 U.S.C. 300mm-51) is amended--
(1) in subsection (a)--
(A) in the matter preceding paragraph (1), by striking
``With respect'' through ``subtitle B, the'' and inserting
``The''; and
(B) by striking ``of such individuals'' each place it
appears;
(2) in subsection (b)(1), by inserting ``and individuals
who were exposed within a geographic area related to the
September 11, 2001, terrorist attacks in a manner similar to
the exposure within such geographic area experienced by
individuals meeting the eligibility criteria under section
3311(a)(2) or 3321(a)(1)(B)'' after ``treatment'';
(3) by redesignating subsections (c) and (d) as subsections
(d) and (e), respectively; and
(4) by inserting after subsection (b) the following:
``(c) Research Cohort for Emerging Health Impacts on
Youth.--
``(1) In general.--The WTC Program Administrator, in
consultation with the Secretary of Education, shall establish
a research cohort of sufficient size to conduct future
research studies on the health and educational impacts of
exposure to airborne toxins, or any other hazard or adverse
condition, resulting from the September 11, 2001, terrorist
attacks, including on the population of individuals who were
21 years of age or younger at the time of exposure, including
such individuals who are screening-eligible WTC survivors or
certified-eligible WTC survivors.
``(2) Populations studied.--The research cohort under
paragraph (1) may include--
``(A) individuals who, on September 11, 2001, were 21 years
of age or younger and were--
``(i) outside the New York City disaster area; and
``(ii) in--

``(I) the area of Manhattan not further north than 14th
Street; or
``(II) Brooklyn; and

``(B) control populations, including populations of
individuals who, on September 11, 2001, were 21 years of age
or younger.''.
(b) Funding.--Section 3351(b) of such Act (42 U.S.C. 300mm-
61(b)) is amended by inserting after paragraph (3) the
following:
``(4) Limitation for research cohort for emerging health
impacts on youth.--Notwithstanding paragraph (1), the amounts
made available under such paragraph may not be used for
fiscal years 2023 through 2032 to carry out subsection (c) of
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''.
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