Why Congress needs to pass the 9/11 Responder and Survivor Health Funding Correction Act of 2023 (HR.1294/S. 569)

As the nation recovered from the terrorist attacks of September 11, 2001, a public health disaster was just beginning to unfold. After 9/11, Americans from all 50 states rushed to Ground Zero to help in any way they could. Hundreds of thousands of brave men and women risked their lives to help others, working in extremely hazardous conditions, often without proper protective equipment. Many were injured doing this work.

After years of Washington ignoring the thousands of injured and ill 9/11 responders and survivors, Congress was finally shamed into passing the James Zadroga 9/11 Health and Compensation Act in 2010.

Because of the outpouring of support for the heroes of 9/11, thousands of injured responders and survivors finally started to get the comprehensive treatment for their injuries and illnesses and the compensation for their economic losses from their injuries that they needed and deserved.


There is an impending budget shortfall facing the World Trade Center Health Program starting in 2028, we will need to act again and get Congress to pass the “9/11 Responder and Survivor Health Funding Correction Act” (HR.1294/S. 569).

Unless Congress Acts, the World Trade Center Health Program will have to stop enrolling new members starting in 2028 and would then have to start cutting back on the medical treatment and monitoring the program provides to 911 responders and survivors after that.

Now in 2023, 22 years after the attacks, we will have to mobilize again even as we continue to see the growing number of people coming forward with illnesses and cancers related to their exposure to toxins at Ground Zero. The statistics grow every single day.  It seems that nearly every other day another 9/11 responder or survivor reportedly dies from a 9/11 related cancer. 


Rescue and recovery workers breathed in a toxic stew of chemicals, asbestos, pulverized cement, and other health hazards released into the air when the towers fell, and as the site smoldered for months. The dust cloud that rolled through lower Manhattan after the attacks settled in homes, offices, and buildings – exposing tens of thousands more to the same toxins.

Today, more than 74,000 people are struggling with illnesses or injuries caused by the attacks. They live in every state and 434 out of 435 Congressional districts nationwide. Many are disabled and can no longer work. They are suffering from a host of chronic diseases: asthma, obstructive pulmonary disease, and gastroesophageal reflux disease, to name but a few. Medical research has identified over 60 types of cancer caused by 9/11 toxins. Over 29,000 Responders and Survivors have been diagnosed with cancers caused or made worse by 9/11 – a number that is sure to grow in the years to come. Over 326 NYPD officershave reportedly passed away from 9/11-related illnesses, more than died on 9/11 itself. Over 299 firefighters have died of 9/11 illnesses, as well. Many other responders and survivors have died from their 9/11 illnesses. Many are experiencing deteriorating health status despite sound medical treatment and are becoming progressively disabled.

Shortly after the attacks, officials in former President George W. Bush’s administration said that the air in lower Manhattan was “safe to breathe”. For years afterward, the Bush Administration refused to admit that this claim was wrong, and they opposed every effort to help those who were suffering from 9/11-related health problems.

But this health crisis facing so many was ignored by Washington then and in the years that followed.

Regrettably, it took eight long years to convince Congress that it needed to help the heroes and heroines of 9/11 and in 2011, President Obama signed into law the James Zadroga 9/11 Health and Compensation Act, which provides health care and economic aid for those who are suffering or have died, because of the attacks. The law established the World Trade Center Health Program and reopened the September 11th Victim Compensation Fund (VCF).

Passing this law was a difficult fight that took a lot of effort. As a compromise to overcome a filibuster in the Senate led by Senator Mike Enzi and then Senator Tom Coburn that got the Zadroga Act through Congress, federal 9/11 health care and compensation programs were originally authorized for only five years and the Compensation Program was not given the resources it needed.

That was the challenge facing injured and ill 9/11 responders, survivors, and their families in 2015. If Congress did not take action and reauthorize the Zadroga Act, the World Trade Center Health Program would have been forced to shut down in 2016 and stop providing health care and medical monitoring to thousands of responders and survivors.

With a lot of effort from 9/11 responders, survivors, their families, unions representing the responders, advocates and with the help of Jon Stewart  and Shep Smith of Fox News, we were successful in Remembering 9/11 by getting Congress to pass legislation to make the World Trade Center Health Program permanent and to extend the September 11th Victim Compensation Fund another five years.

But there was still more work to be done. Not only were thousands still sick from the toxins at Ground Zero, but there were  growing numbers who are dying of their injuries and the September 11th Victim Compensation Fund did not have enough funding to fully pay claims. Worse still, the VCF’s authorization was set to end in December 2020, leaving responders who would have come down with cancer in the months and years to come left with nowhere to turn, unless Congress acted, this while nearly every other day a 9/11 responder or survivor reportedly died as a result of their exposure to toxins.

That meant that thousands of injured and ill 9/11 responders, who had federally recognized injuries, including cancers, would not be able to receive the full help they were expecting.

That’s why in 2019 9/11 responders and survivors, unions and their allies on Capitol Hill again had to push legislation to fully fund and extend the September 11th Victim Compensation Fund.

U.S. Senators Kirsten Gillibrand (D-NY) and Cory Gardner (R-CO), U.S. Senate Minority Leader Charles E. Schumer (D-NY), and U.S. Representatives Carolyn B. Maloney (D-NY-12), Jerrold Nadler (D-NY-10), and Peter T. King (R-NY-2)  in 2019 introduced the bipartisan legislation “Never Forget the Heroes: Permanent Authorization of the September 11th Victim Compensation Fund Act” , HR.1327/S.546.  

Again, injured and ill 9/11 responders, survivors and their families had to walk the halls of Congress to urge action to make sure that talk about “Never Forgetting 9/11”, was more than a bumper sticker.

But it was the stunning testimony of Detective Luis Alvarez and Jon Stewart that galvanized the public’s attention on the need to act.

The Legislation was renamed the “Never Forget the Heroes: James Zadroga, Ray Pfeifer, and Luis Alvarez Permanent Authorization of the September 11th Victim Compensation Fund Act” to honor the heroic efforts by FDNY Firefighter Ray Pfeifer and NYPD Detective Luis Alvarez in working to pass the legislation and make sure all injured 9/11 responders and survivors got the help they need.

With the work of a coalition of 9/11 advocates, unions and Members of Congress, support for the legislation grew to an overwhelming bi partisan 333 sponsors in the House of Representatives and 76 sponsors in the Senate.

On July 12, 2019 the legislation was passed by the House or Representatives by a vote of 403 to 12 and on July 23, 2019 it passed the Senate by a vote of 97 to 2 and was signed into law by President Trump.

The law fully funded the September 11th Victim Compensation Fund (VCF) and extended it 2090, the same as the World Trade Center Health Program and mandates that VCF make whole any determinations that were reduced due to lack of enough funding.


We cannot let the Federal Government ever waver in its support.

The September 11th Victim Compensation Fund has full funding and is authorized till 2090.

The World Trade Center Health Program was created by Congress in 2010 and was reauthorized in 2015 to remain open until 2090 after years of efforts by 9/11 responders and survivors to get Washington to recognize the health impacts of the toxins at Ground Zero that were impacting thousands.

However, in coming years, the World Trade Center Health Program will not have enough funds to provide all the care that is needed for those still suffering the physical and mental impact of 9/11. This includes the responders and survivors who will be newly diagnosed with 9/11-associated cancers caused by their toxic exposures in the coming years.

The World Trade Center Health Program (WTCHP) currently provides medical treatment and monitoring for over 122,000 9/11 responders and survivors from the World Trade Center and lower Manhattan, the Pentagon, and the Shanksville crash site, who live in every State and 434 out of 435 Congressional Districts.

Because of an impending budget shortfall, the World Trade Center Health Program will face service cuts to 9/11 responders and survivors starting in 2028, unless Congress takes action and provides the needed funding.

While the recent additional funding that was provided in the 2022 Omnibus spending bill, through the efforts of Senators Gillibrand and Schumer, did postpone the date that service cuts would go into effect by several years, Congress will still need to provide additional funds to stop the cuts to services and ensure that the World Trade Center Health Program is fully funded and able to provide its care to injured and ill 9/11 responders and survivors.

To fix this problem Senators Kirsten Gillibrand (D-NY) and Charles Schumer (D-NY) Cory Booker (D-NJ), Robert Menendez (D-NJ) and Richard Blumenthal (D-CT). along with Members of Congress Andrew Garbarino (R-NY), Jerrold Nadler (D-NY)), Anthony D ’Esposito (R-NY), Dan Goldman ( (D-NY and 26 other Members of Congress have introduced bi partisan legislation, the 9/11 Responder and Survivor Health Funding Correction Act of 2023 HR.1294/ S.569

This legislation is needed to ensure that the slogan that we will never forget 9/11 is a reality and that 9/11 responders and survivors will continue to the get care that they need and deserve.

This legislation will address the projected funding shortfall and ensure that the World Trade Center Health Program will be fully funded going forward.

It also fixes an issue that has prevented all active-duty servicemembers, DOD civilians and other Federal responders who responded to the Pentagon and Shanksville crash sites from joining the World Trade Center Health Program.

This impending budget shortfall needs to be fixed and all responders to the Pentagon and Shanksville need to be able to be enrolled to ensure that the slogan that we will never forget 9/11 is a reality and that 9/11 responders and survivors will continue to the get care that they need and deserve.

Please join us in making sure your representative in the House or the Senate is a co-sponsor of the bill. You can check if your member of Congress is on the bill by going to our “Take Action” page, type in your address and see if your Representative is on the bill.

Last Modified: March 3, 2023