Page:United States Statutes at Large Volume 124.djvu/3669

 124 STAT. 3643 PUBLIC LAW 111–347—JAN. 2, 2011 the case of such an extension, the Administrator shall publish such extension in the Federal Register. ‘‘(E) INTERESTED PARTY DEFINED.—For purposes of this paragraph, the term ‘interested party’ includes a represent- ative of any organization representing WTC responders, a nationally recognized medical association, a Clinical or Data Center, a State or political subdivision, or any other interested person. ‘‘(b) COVERAGE OF TREATMENT FOR WTC-RELATED HEALTH CONDITIONS.— ‘‘(1) DETERMINATION FOR ENROLLED WTC RESPONDERS BASED ON A WTC-RELATED HEALTH CONDITION.— ‘‘(A) IN GENERAL.—If a physician at a Clinical Center of Excellence that is providing monitoring benefits under section 3311 for an enrolled WTC responder makes a deter- mination that the responder has a WTC-related health condition that is in the list in subsection (a)(3) and that exposure to airborne toxins, other hazards, or adverse conditions resulting from the September 1, 2001, terrorist attacks is substantially likely to be a significant factor in aggravating, contributing to, or causing the condition— ‘‘(i) the physician shall promptly transmit such determination to the WTC Program Administrator and provide the Administrator with the medical facts sup- porting such determination; and ‘‘(ii) on and after the date of such transmittal and subject to subparagraph (B), the WTC Program shall provide for payment under subsection (c) for medically necessary treatment for such condition. ‘‘(B) REVIEW; CERTIFICATION; APPEALS.— ‘‘(i) REVIEW.—A Federal employee designated by the WTC Program Administrator shall review deter- minations made under subparagraph (A). ‘‘(ii) CERTIFICATION.—The Administrator shall pro- vide a certification of such condition based upon reviews conducted under clause (i). Such a certification shall be provided unless the Administrator determines that the responder’s condition is not a WTC-related health condition in the list in subsection (a)(3) or that exposure to airborne toxins, other hazards, or adverse conditions resulting from the September 1, 2001, ter- rorist attacks is not substantially likely to be a signifi- cant factor in aggravating, contributing to, or causing the condition. ‘‘(iii) APPEAL PROCESS.—The Administrator shall establish, by rule, a process for the appeal of deter- minations under clause (ii). ‘‘(2) DETERMINATION BASED ON MEDICALLY ASSOCIATED WTC- RELATED HEALTH CONDITIONS.— ‘‘(A) IN GENERAL.—If a physician at a Clinical Center of Excellence determines pursuant to subsection (a) that the enrolled WTC responder has a health condition described in subsection (a)(1)(A) that is not in the list in subsection (a)(3) but which is medically associated with a WTC-related health condition— ‘‘(i) the physician shall promptly transmit such determination to the WTC Program Administrator and Regulations. Definition.