Page:United States Statutes at Large Volume 124.djvu/3651

 124 STAT. 3625 PUBLIC LAW 111–347—JAN. 2, 2011 ‘‘(2) INITIAL HEALTH EVALUATION FOR SURVIVORS.—An ini- tial health evaluation under section 3321, including an evalua- tion to determine eligibility for followup monitoring and treat- ment. ‘‘(3) FOLLOWUP MONITORING AND TREATMENT FOR WTC- RELATED HEALTH CONDITIONS FOR RESPONDERS AND SUR- VIVORS.—Provision under sections 3312, 3322, and 3323 of followup monitoring and treatment and payment, subject to the provisions of subsection (d), for all medically necessary health and mental health care expenses of an individual with respect to a WTC-related health condition (including necessary prescription drugs). ‘‘(4) OUTREACH.—Establishment under section 3303 of an education and outreach program to potentially eligible individ- uals concerning the benefits under this title. ‘‘(5) CLINICAL DATA COLLECTION AND ANALYSIS.—Collection and analysis under section 3304 of health and mental health data relating to individuals receiving monitoring or treatment benefits in a uniform manner in collaboration with the collection of epidemiological data under section 3342. ‘‘(6) RESEARCH ON HEALTH CONDITIONS.—Establishment under subtitle C of a research program on health conditions resulting from the September 11, 2001, terrorist attacks. ‘‘(c) NO COST SHARING.—Monitoring and treatment benefits and initial health evaluation benefits are provided under subtitle B without any deductibles, copayments, or other cost sharing to an enrolled WTC responder or certified-eligible WTC survivor. Ini- tial health evaluation benefits are provided under subtitle B without any deductibles, copayments, or other cost sharing to a screening- eligible WTC survivor. ‘‘(d) PREVENTING FRAUD AND UNREASONABLE ADMINISTRATIVE COSTS.— ‘‘(1) FRAUD.—The Inspector General of the Department of Health and Human Services shall develop and implement a program to review the WTC Program’s health care expenditures to detect fraudulent or duplicate billing and payment for inappropriate services. This title is a Federal health care pro- gram (as defined in section 1128B(f) of the Social Security Act) and is a health plan (as defined in section 1128C(c) of such Act) for purposes of applying sections 1128 through 1128E of such Act. ‘‘(2) UNREASONABLE ADMINISTRATIVE COSTS.—The Inspector General of the Department of Health and Human Services shall develop and implement a program to review the WTC Program for unreasonable administrative costs, including with respect to infrastructure, administration, and claims processing. ‘‘(e) QUALITY ASSURANCE.—The WTC Program Administrator working with the Clinical Centers of Excellence shall develop and implement a quality assurance program for the monitoring and treatment delivered by such Centers of Excellence and any other participating health care providers. Such program shall include— ‘‘(1) adherence to monitoring and treatment protocols; ‘‘(2) appropriate diagnostic and treatment referrals for participants; ‘‘(3) prompt communication of test results to participants; and