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  Addressing the Health Impacts of 9-11
  Funding for WTC-Related Health Services
  By the NYC Health Commissioner
  9/11-Affected People
  Healthcare Professionals

9/11 Health -  Funding for World Trade Center-Related Health Services

Select Federal and Private Funding for Screening, Monitoring, Treatment and Research

Federal funding for World Trade Center (WTC)-related health services generally has been distributed to agencies within the US Department of Health and Human Services. The New York Congressional delegation, the Fire Department of New York, the Mount Sinai School of Medicine, labor organizations,  New York City and other groups have worked hard to increase this funding as 9/11 health problems have become more evident over time.

$4.8 Million (2001):  Screening for FDNY Members

Within weeks of the terrorist attacks on America, the Centers for Disease Control and Prevention awarded $4.8 million to the Fire Department of New York (FDNY) to screen its members for health problems as a result of their early and intense exposure to the hazardous conditions at Ground Zero. 

$18.5 Million (2001):  Mental Health Evaluation and Treatment for FDNY Members

The federal government, in recognition of the high casualties experienced by FDNY, and the impact of the WTC disaster on nearly every member of the department as well as their families, provided $18.5 million to evaluate and treat FDNY members.  Nearly all these funds were distributed through Project Liberty which was created by the New York State Office of Mental Health with support from the Federal Emergency Management Agency and the Substance Abuse and Mental Health Services Administration to provide crisis counseling in New York City and 10 surrounding counties for more than two years after the disaster.

$12 Million (2002): Screening for Rescue and Recovery Workers

In 2002, public concern about the health of non-FDNY workers who responded to the World Trade Center disaster and who subsequently participated in the rescue and recovery operations resulted in a federal emergency appropriation of $12 million to begin screening these workers for potential medical problems. The National Institute for Occupational Safety and Health (NIOSH) contracted with the Mount Sinai School of Medicine to screen 12,000 workers. 

$20 Million (2003): WTC Surveillance and Research

In 2003, the federal government also provided $20 million to establish the WTC Health Registry, a joint research program developed by the federal Agency for Toxic Substances and Disease Registry and the New York City Department of Health and Mental Hygiene (DOHMH). More than 71,000 people who were exposed to a combination of smoke, dust and debris after the collapse of the twin towers eventually enrolled in the program so that researchers could study the effects of this exposure on their health for decades to come.

$90 Million (2004): Screening and Monitoring for Rescue and Recovery Workers

With an additional $90 million appropriation in 2004, NIOSH established the WTC Medical Monitoring Program. NIOSH awarded grant funding to Mount Sinai, FDNY and several other institutions to monitor the long-term health of rescue and recovery workers. By 2007, nearly 40,000 workers, including more than 14,000 FDNY members, had enrolled in the WTC Medical Monitoring Program.

$16 Million (2005): Treatment for Residents and Rescue & Recovery Workers

Initially, the federal government did not fund treatment for workers who were diagnosed with WTC-related health problems, many of whom were underinsured or who had no insurance at all.  The September 11th Fund and the American Red Cross filled this need by drawing on the private contributions these organizations had received immediately after the terrorist attacks.  In 2005, the American Red Cross awarded more than $16 million in funding to the NIOSH funded institutions and to the Bellevue WTC Environmental Health Center. The Bellevue program had begun treating WTC health problems among residents, office workers, and others. At a press conference announcing these grants, members of the New York Congressional delegation urged the federal government to supplement this private funding.

$75 Million (2006): Monitoring and Treatment for Rescue & Recovery Workers; Mental Health, WTC Surveillance

In 2006, Congress redirected $75 million in unspent federal funding that previously had been designated for 9/11-related purposes. The funds were appropriated to the Centers of Disease Control and Prevention (CDC) and $66 million of this funding was designated for distribution through NIOSH to provide funding for treatment of rescue and recovery and workers and support existing medical monitoring programs. The WTC Medical Monitoring Program expanded to become the WTC Medical Monitoring and Treatment Program. In addition, NIOSH funded the Police Organization Provide Peer Assistance (POPPA) and COPE programs to provide mental health services and counseling for members of the New York Police Department who assisted in the rescue and recovery effort at Ground Zero.

Bellevue Hospital received federal funding for a small number of rescue and recovery workers that it treats through its affiliation with the WTC Medical Monitoring and Treatment Program. The Bellevue WTC Environmental Health Center, which has treated more than one thousand residents, office workers, students and other people exposed to the WTC disaster, has not been eligible for any federal funding to date.

CDC allocated $9 million of the redirected funds to continue the WTC Health Registry research program.

$158 Million (2007): Expanded 9/11 Health Treatment

Congress appropriated a total of $158 million in FY2008 funding for 9/11 health treatment, including $50 million that was provided in an Emergency Supplemental Appropriation Bill. In late 2007, an additional $108 million was appropriated. The language in this second appropriation specified that Lower Manhattan residents, area workers and students who had been exposed to the WTC collapse are eligible to receive federally funded treatment for the first time. In September 2008, the Centers of Disease Control and Prevention awarded a $30 million grant from this appropriation to the WTC Environmental Health Center to treat this population.

$70 Million (2009): New Funding for 9/11 Health

In March 2009, President Obama signed into law an omnibus spending bill PDF Document (Reader Required; Click to Download) for fiscal year 2009. The bill includes $70 million in new funding for the current medical monitoring and treatment programs administered by NIOSH at FDNY and the Mount Sinai Consortium. The funds will also cover treatment for residents, area workers and others affected by 9/11.

$71 Million (2010): New Funding for 9/11 Health

In December 2009, President Obama signed the Consolidated Appropriations Act of 2010.  The Act states that, the $71 million in federal funding for 9/11 health programs shall remain available “until expended to provide screening and treatment for first response emergency services personnel, residents, students, and others related to the September 11, 2001 terrorist attacks on the World Trade Center.”

90% of WTC Health Program Cost (2011 – 2015): Authorized Funding for 9/11 Health

Under the James L. Zadroga 9/11 Health and Compensation Act the federal government is authorized to spend 90% of up to $1.556 billion for the WTC Health Program, which provides health monitoring, treatment and research. New York City is responsible for the remaining 10% of the cost.




New York City's Financial Commitment To World Trade Center-Related Health Initiatives

In 2006, private funding for many WTC-related health services was coming to an end and the federal commitment to monitor and sustain medical treatment for thousands of workers remained uncertain. In response to this emerging financial need, the City of New York began committing funds specifically for WTC-related health problems caused by the terrorist attack on the nation five years earlier.

$50 Million (2008 – 2011): New York City Funding for WTC-related Health Initiatives

Prior to passage of the James L. Zadroga 9/11 Health and Compensation Act in late 2010, the City of New York spent more than $50 million on WTC-related health initiatives from 2008 - 2011. This included funding to:

  • treat Lower Manhattan residents, area workers and students at the WTC Environmental Health Center
  • establish the time-limited NYC 9/11 Benefit Program Mental Health and Substance Use Services Program, now ended
  • conduct scientific research and provide public information in print and online
  • staff the WTC Health Coordinator’s office and add environmental safety staff

This $50 million expenditure did NOT include substantial federal and private funding to treat Fire Department of New York and other City employees; federal operating costs for maintaining the World Trade Center Health Registry which tracks the health of more than 70,000 people nationwide; or any health insurance, pension or Workers’ Compensation costs associated with the City’s response to the terrorist attack on the World Trade Center.

10% of WTC Health Program Cost (2011 – 2015): New York City’s Cost Share

As part of its continued commitment to 9/11 health monitoring, treatment and research, the City of New York will pay 10% of the cost of the WTC Health Program established by the James L. Zadroga 9/11 Health and Compensation Act. The federal government has authorized spending up to $1.556 billion on this program from 2011 – 2015. The City’s cost share does NOT include any of the City’s substantial pension costs associated with the WTC response.


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