S.Amdt. 3547

SA 3547. Mrs. GILLIBRAND (for herself and Mr. Schumer) submitted an
amendment intended to be proposed by her to the bill S. 2296, to
authorize appropriations for fiscal year 2026 for military activities
of the Department of Defense, for military construction, and for
defense activities of the Department of Energy, to prescribe military
personnel strengths for such fiscal year, and for other purposes; which
was ordered to lie on the table; as follows:

At the end of subtitle F of title X, insert the following:

SEC. __. FUNDING FOR THE WORLD TRADE CENTER HEALTH PROGRAM.

(a) In General.--Section 3351 of the Public Health Service
Act (42 U.S.C. 300mm-61) is amended--
(1) in subsection (a)(2)(A), by amending clause (xi) to
read as follows:
``(xi) for each of fiscal years 2026 through 2090--

[[Page S5313]]

``(I) the amount determined under this subparagraph for the
previous fiscal year multiplied by 1.07; multiplied by
``(II) the ratio of--

``(aa) the total number of individuals enrolled in the WTC
Program on July 1 of such previous 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) in paragraph (4)--
(i) by amending subparagraph (A) to read as follows:
``(A) for fiscal year 2025, the amount determined for such
fiscal year under this paragraph as in effect on the day
before the date of enactment of the National Defense
Authorization Act for Fiscal Year 2026;'';
(ii) by amending subparagraph (B) to read as follows:
``(B) for fiscal year 2026, the greater of--
``(i) the amount determined for such fiscal year under this
paragraph as in effect on the day before the date of
enactment of the National Defense Authorization Act for
Fiscal Year 2026; or
``(ii) the amount expended for the previous fiscal year for
the purposes described in this paragraph increased by 25
percent; and''; and
(iii) in subparagraph (C), by striking ``the amount
specified under this paragraph for the previous fiscal year''
and inserting ``the amount expended for the previous fiscal
year for such purposes''; and
(B) in paragraph (5)--
(i) by amending subparagraph (A) to read as follows:
``(A) for fiscal year 2025, the amount determined for such
fiscal year under this paragraph as in effect on the day
before the date of enactment of the National Defense
Authorization Act for Fiscal Year 2026;'';
(ii) by redesignating subparagraph (B) as subparagraph (C);
(iii) by inserting after subparagraph (A) the following:
``(B) for fiscal year 2026, the greater of--
``(i) the amount determined for such fiscal year under this
paragraph as in effect on the day before the date of
enactment of the National Defense Authorization Act for
Fiscal Year 2026; or
``(ii) the amount expended for the previous fiscal year for
the purpose described in this paragraph increased by 25
percent; and''; and
(iv) in subparagraph (C), as so redesignated, by striking
``the amount specified under this paragraph for the previous
fiscal year'' and inserting ``the amount expended for the
previous fiscal year for such purpose''.
(b) Technical Amendments.--Title XXXIII of the Public
Health Service Act (42 U.S.C. 300mm et seq.) is amended--
(1) in section 3352 (42 U.S.C. 300mm-62), by amending
subsection (d) to read as follows:
``(d) Remaining Amounts.--Amounts remaining in the
Supplemental Fund shall revert to the Treasury in accordance
with section 1552 of title 31, United States Code.'';
(2) in section 3353 (42 U.S.C. 300mm-63), by amending
subsection (d) to read as follows:
``(d) Remaining Amounts.--Amounts remaining in the Special
Fund shall revert to the Treasury in accordance with section
1552 of title 31, United States Code.''; and
(3) in section 3354 (42 U.S.C. 300mm-64), by amending
subsection (d) to read as follows:
``(d) Remaining Amounts.--Amounts remaining in the
Pentagon/Shanksville Fund shall revert to the Treasury in
accordance with section 1552 of title 31, United States
Code.''.
(c) Report to Congress.--
(1) In general.--Not later than 3 years after the date of
enactment of this Act, the Secretary of Health and Human
Services (referred to in this section as the ``Secretary'')
shall conduct an assessment of anticipated budget authority
and outlays of the World Trade Center Health Program
(referred to in this section as the ``Program'') through the
duration of the Program and submit a report summarizing such
assessment to--
(A) the Speaker and minority leader of the House of
Representatives;
(B) the majority and minority leaders of the Senate;
(C) the Committee on Health, Education, Labor, and Pensions
and the Committee on the Budget of the Senate; and
(D) the Committee on Energy and Commerce and the Committee
on the Budget of the House of Representatives.
(2) Inclusions.--The report required under paragraph (1)
shall include--
(A) a projection of Program budgetary needs on a per-fiscal
year basis through fiscal year 2090;
(B) a review of Program modeling for each of fiscal years
2017 through the fiscal year prior to the fiscal year in
which the report is issued to assess how anticipated
budgetary needs compared to actual expenditures;
(C) an assessment of the projected budget authority and
expenditures of the Program through fiscal year 2090; and
(D) any recommendations of the Secretary to make changes to
the formula under section 3351(a)(2)(A) of the Public Health
Service Act (42 U.S.C. 300mm-61(a)(2)(A)), as amended by
subsection (a)(1), to fully offset anticipated Program
expenditures through fiscal year 2090.
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