Page:United States Statutes at Large Volume 124.djvu/3679

 124 STAT. 3653 PUBLIC LAW 111–347—JAN. 2, 2011 ‘‘(2) is diagnosed at a Clinical Center of Excellence with a WTC-related health condition for certified-eligible WTC sur- vivors. ‘‘(c) LIMITATION.— ‘‘(1) IN GENERAL.—The WTC Program Administrator shall limit benefits for any fiscal year under subsection (a) in a manner so that payments under this section for such fiscal year do not exceed the amount specified in paragraph (2) for such fiscal year. ‘‘(2) LIMITATION.—The amount specified in this paragraph for— ‘‘(A) the last calendar quarter of fiscal year 2011 is $5,000,000; ‘‘(B) fiscal year 2012 is $20,000,000; or ‘‘(C) a succeeding fiscal year is the amount specified in this paragraph for the previous fiscal year increased by the annual percentage increase in the medical care component of the consumer price index for all urban con- sumers. ‘‘PART 3—PAYOR PROVISIONS ‘‘SEC. 3331. PAYMENT OF CLAIMS. ‘‘(a) IN GENERAL.—Except as provided in subsections (b) and (c), the cost of monitoring and treatment benefits and initial health evaluation benefits provided under parts 1 and 2 of this subtitle shall be paid for by the WTC Program from the World Trade Center Health Program Fund. ‘‘(b) WORKERS’ COMPENSATION PAYMENT.— ‘‘(1) IN GENERAL.—Subject to paragraph (2), payment for treatment under parts 1 and 2 of this subtitle of a WTC- related health condition of an individual that is work-related shall be reduced or recouped to the extent that the WTC Pro- gram Administrator determines that payment has been made, or can reasonably be expected to be made, under a workers’ compensation law or plan of the United States, a State, or a locality, or other work-related injury or illness benefit plan of the employer of such individual, for such treatment. The provisions of clauses (iii), (iv), (v), and (vi) of paragraph (2)(B) of section 1862(b) of the Social Security Act and paragraphs (3) and (4) of such section shall apply to the recoupment under this subsection of a payment to the WTC Program (with respect to a workers’ compensation law or plan, or other work-related injury or illness plan of the employer involved, and such indi- vidual) in the same manner as such provisions apply to the reimbursement of a payment under section 1862(b)(2) of such Act to the Secretary (with respect to such a law or plan and an individual entitled to benefits under title XVIII of such Act) except that any reference in such paragraph (4) to payment rates under title XVIII of the Social Security Act shall be deemed a reference to payment rates under this title. ‘‘(2) EXCEPTION.—Paragraph (1) shall not apply for any quarter, with respect to any workers’ compensation law or plan, including line of duty compensation, to which New York City is obligated to make payments, if, in accordance with terms specified under the contract under subsection (d)(1)(A), Applicability. 42 USC 300mm–41.