Title 42, The Public Health and WelfareRelease 119-110

§300mm–5 Definitions

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XXXI — WORLD TRADE CENTER HEALTH PROGRAM › Part A — Establishment of Program; Advisory Committee › § 300mm–5

Last updated Sep 23, 2026|Official source

Summary

Defines key words used for the World Trade Center Health Program so people know what the program means when it uses certain terms. It explains short meanings for terms used in the rules. "Aggravating" — a health problem that existed on September 11, 2001 and got worse because of exposure to toxins or other hazards from the attacks and needs extra or longer medical care. "Certified-eligible WTC survivor" and "screening-eligible WTC survivor" — terms defined elsewhere in the law. "Clinical Center of Excellence" and "Data Center" — defined in another part of the law. "Enrolled WTC responder" — a responder signed up under the enrollment rules. "Federal agency" — any agency, office, or entity in the executive, legislative, or judicial branches of the U.S. government. "Initial health evaluation" — a medical and exposure history, physical exam, and any tests needed to see if someone has a WTC-related health condition and is eligible for care. "List of WTC-related health conditions" — the official lists for responders and survivors shown in other sections. "New York City disaster area" — Manhattan south of Houston Street and any Brooklyn block wholly or partly within a 1.5-mile radius of the former World Trade Center site. "New York metropolitan area" — an area picked by the WTC Program Administrator where people can reasonably reach monitoring and treatment through a Clinical Center of Excellence. "September 11, 2001" — means the time after the terrorist attacks that day at the World Trade Center, Shanksville, Pennsylvania, or the Pentagon. "September 11, 2001, terrorist attacks" — the attacks that happened that day in New York City, Shanksville, and at the Pentagon, and their aftermath. "Uniformed services" — has the meaning given in federal law (Title 10, section 101(a)). "WTC Health Program Steering Committee" and "WTC Scientific/Technical Advisory Committee" — the committees created elsewhere in the law. "WTC Program" — the World Trade Center Health Program. "WTC Program Administrator" — for certain enrollment, payment, and certification duties an official in the Department of Health and Human Services chosen by the Secretary; for other program duties the Director of the National Institute for Occupational Safety and Health (or that Director’s designee); and the Secretary may not name the NIOSH Director to do certain payment duties. "WTC-related health condition" and "WTC responder" — defined in other parts of the law.

Full Legal Text

Title 42, §300mm–5

The Public Health and Welfare, Source: USLM XML via OLRC

In this subchapter:
(1)The term “aggravating” means, with respect to a health condition, a health condition that existed on September 11, 2001, and that, as a result of exposure to airborne toxins, any other hazard, or any other adverse condition resulting from the September 11, 2001, terrorist attacks, requires medical treatment that is (or will be) in addition to, more frequent than, or of longer duration than the medical treatment that would have been required for such condition in the absence of such exposure.
(2)The term “certified-eligible WTC survivor” has the meaning given such term in section 300mm–31(a)(2) of this title.
(3)The terms “Clinical Center of Excellence” and “Data Center” have the meanings given such terms in section 300mm–4 of this title.
(4)The term “enrolled WTC responder” means a WTC responder enrolled under section 300mm–21(a)(3) of this title.
(5)The term “Federal agency” means an agency, office, or other establishment in the executive, legislative, or judicial branch of the Federal Government.
(6)The term “initial health evaluation” includes, with respect to an individual, a medical and exposure history, a physical examination, and additional medical testing as needed to evaluate whether the individual has a WTC-related health condition and is eligible for treatment under the WTC Program.
(7)The term “list of WTC-related health conditions” means—
(A)for WTC responders, the health conditions listed in section 300mm–22(a)(3) of this title; and
(B)for screening-eligible and certified-eligible WTC survivors, the health conditions listed in section 300mm–32(b) of this title.
(8)The term “New York City disaster area” means the area within New York City that is—
(A)the area of Manhattan that is south of Houston Street; and
(B)any block in Brooklyn that is wholly or partially contained within a 1.5-mile radius of the former World Trade Center site.
(9)The term “New York metropolitan area” means an area, specified by the WTC Program Administrator, within which WTC responders and eligible WTC screening-eligible survivors who reside in such area are reasonably able to access monitoring and treatment benefits and initial health evaluation benefits under this subchapter through a Clinical Center of Excellence described in subparagraphs (A), (B), or (C) of section 300mm–4(b)(1) of this title.
(10)The term “screening-eligible WTC survivor” has the meaning given such term in section 300mm–31(a)(1) of this title.
(11)Any reference to “September 11, 2001” shall be deemed a reference to the period on such date subsequent to the terrorist attacks at the World Trade Center, Shanksville, Pennsylvania, or the Pentagon, as applicable, on such date.
(12)The term “September 11, 2001, terrorist attacks” means the terrorist attacks that occurred on September 11, 2001, in New York City, in Shanksville, Pennsylvania, and at the Pentagon, and includes the aftermath of such attacks.
(13)The term “uniformed services” has the meaning given the term in section 101(a) of title 10.
(14)The term “WTC Health Program Steering Committee” means such a Steering Committee established under section 300mm–1(b) of this title.
(15)The term “WTC Program” means the Word Trade Center Health Program established under section 300mm(a) of this title.
(16)(A)The term “WTC Program Administrator” means—
(i)subject to subparagraph (B), with respect to paragraphs (3) and (4) of section 300mm–21(a) of this title (relating to enrollment of WTC responders), section 300mm–22(c) of this title and the corresponding provisions of section 300mm–32 of this title (relating to payment for initial health evaluation, monitoring, and treatment, paragraphs (1)(C), (2)(B), and (3) of section 300mm–31(a) of this title (relating to determination or certification of screening-eligible or certified-eligible WTC responders), and subpart 3 of part B (relating to payor provisions), an official in the Department of Health and Human Services, to be designated by the Secretary; and
(ii)with respect to any other provision of this subchapter, the Director of the National Institute for Occupational Safety and Health, or a designee of such Director.
(B)In no case may the Secretary designate under subparagraph (A)(i) the Director of the National Institute for Occupational Safety and Health or a designee of such Director with respect to section 300mm–32 of this title (relating to payment for initial health evaluation, monitoring, and treatment).
(17)The term “WTC-related health condition” is defined in section 300mm–22(a) of this title.
(18)The term “WTC responder” is defined in section 300mm–21(a) of this title.
(19)The term “WTC Scientific/Technical Advisory Committee” means such Committee established under section 300mm–1(a) of this title.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

2023—Pars. (5) to (19). Pub. L. 118–31 added pars. (5) and (13) and redesignated former pars. (5) to (11) and (12) to (17) as (6) to (12) and (14) to (19), respectively.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300mm–5

Title 42, The Public Health and Welfare

Last Updated

Sep 23, 2026

Release point: 119-110