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Examining Hr 1786, the James Zadroga 9/11 Health and Compensation Reauthor EXAMINING H.R. 1786, THE JAMES ZADROGA 9/11 HEALTH AND COMPENSATION REAUTHOR- IZATION ACT HEARING BEFORE THE SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED FOURTEENTH CONGRESS FIRST SESSION JUNE 11, 2015 Serial No. 114–52 ( Printed for the use of the Committee on Energy and Commerce energycommerce.house.gov U.S. GOVERNMENT PUBLISHING OFFICE 97–535 PDF WASHINGTON : 2016 For sale by the Superintendent of Documents, U.S. Government Publishing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate Mar 15 2010 12:16 Mar 07, 2016 Jkt 037690 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 F:\114THCONGRESS\114X52X911HEALTHMORESCANS030416\114X52X911HEALTHPEN COMMITTEE ON ENERGY AND COMMERCE FRED UPTON, Michigan Chairman JOE BARTON, Texas FRANK PALLONE, JR., New Jersey Chairman Emeritus Ranking Member ED WHITFIELD, Kentucky BOBBY L. RUSH, Illinois JOHN SHIMKUS, Illinois ANNA G. ESHOO, California JOSEPH R. PITTS, Pennsylvania ELIOT L. ENGEL, New York GREG WALDEN, Oregon GENE GREEN, Texas TIM MURPHY, Pennsylvania DIANA DEGETTE, Colorado MICHAEL C. BURGESS, Texas LOIS CAPPS, California MARSHA BLACKBURN, Tennessee MICHAEL F. DOYLE, Pennsylvania Vice Chairman JANICE D. SCHAKOWSKY, Illinois STEVE SCALISE, Louisiana G.K. BUTTERFIELD, North Carolina ROBERT E. LATTA, Ohio DORIS O. MATSUI, California CATHY MCMORRIS RODGERS, Washington KATHY CASTOR, Florida GREGG HARPER, Mississippi JOHN P. SARBANES, Maryland LEONARD LANCE, New Jersey JERRY MCNERNEY, California BRETT GUTHRIE, Kentucky PETER WELCH, Vermont PETE OLSON, Texas BEN RAY LUJA´ N, New Mexico DAVID B. MCKINLEY, West Virginia PAUL TONKO, New York MIKE POMPEO, Kansas JOHN A. YARMUTH, Kentucky ADAM KINZINGER, Illinois YVETTE D. CLARKE, New York H. MORGAN GRIFFITH, Virginia DAVID LOEBSACK, Iowa GUS M. BILIRAKIS, Florida KURT SCHRADER, Oregon BILL JOHNSON, Ohio JOSEPH P. KENNEDY, III, Massachusetts BILLY LONG, Missouri TONY CA´ RDENAS, California RENEE L. ELLMERS, North Carolina LARRY BUCSHON, Indiana BILL FLORES, Texas SUSAN W. BROOKS, Indiana MARKWAYNE MULLIN, Oklahoma RICHARD HUDSON, North Carolina CHRIS COLLINS, New York KEVIN CRAMER, North Dakota SUBCOMMITTEE ON HEALTH JOSEPH R. PITTS, Pennsylvania Chairman BRETT GUTHRIE, Kentucky GENE GREEN, Texas Vice Chairman Ranking Member ED WHITFIELD, Kentucky ELIOT L. ENGEL, New York JOHN SHIMKUS, Illinois LOIS CAPPS, California TIM MURPHY, Pennsylvania JANICE D. SCHAKOWSKY, Illinois MICHAEL C. BURGESS, Texas G.K. BUTTERFIELD, North Carolina MARSHA BLACKBURN, Tennessee KATHY CASTOR, Florida CATHY MCMORRIS RODGERS, Washington JOHN P. SARBANES, Maryland LEONARD LANCE, New Jersey DORIS O. MATSUI, California H. MORGAN GRIFFITH, Virginia BEN RAY LUJA´ N, New Mexico GUS M. BILIRAKIS, Florida KURT SCHRADER, Oregon BILLY LONG, Missouri JOSEPH P. KENNEDY, III, Massachusetts RENEE L. ELLMERS, North Carolina TONY CA´ RDENAS, California LARRY BUCSHON, Indiana FRANK PALLONE, JR., New Jersey (ex SUSAN W. BROOKS, Indiana officio) CHRIS COLLINS, New York JOE BARTON, Texas FRED UPTON, Michigan (ex officio) (II) VerDate Mar 15 2010 12:16 Mar 07, 2016 Jkt 037690 PO 00000 Frm 00002 Fmt 0486 Sfmt 0486 F:\114THCONGRESS\114X52X911HEALTHMORESCANS030416\114X52X911HEALTHPEN CONTENTS Page Hon. Joseph R. Pitts, a Representative in Congress from the Commonwealth of Pennsylvania, opening statement ................................................................... 1 Prepared statement .......................................................................................... 2 Hon. Gene Green, a Representative in Congress from the State of Texas, opening statement ................................................................................................ 4 Prepared statement .......................................................................................... 5 Hon. Fred Upton, a Representative in Congress from the State of Michigan, opening statement ................................................................................................ 6 Prepared statement .......................................................................................... 7 Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey, opening statement .......................................................................... 8 Prepared statement .......................................................................................... 10 WITNESSES John Howard, M.D., Director, National Institute for Occupational Safety and Health ................................................................................................................... 11 Prepared statement .......................................................................................... 13 Answers to submitted questions 1 ................................................................... 101 Iris G. Udasin, M.D., Director, Environmental and Occupational Health Sciences Institute, Robert Wood Johnson Medical School ................................ 39 Prepared statement .......................................................................................... 42 David G. Howley, Retired Police Officer, New York City Police Department .... 48 Prepared statement .......................................................................................... 49 Barbara Burnette, Former Detective, New York City Police Department ......... 54 Prepared statement .......................................................................................... 56 SUBMITTED MATERIAL H.R. 1786, the James Zadroga 9/11 Health and Compensation Reauthoriza- tion Act, submitted by Mr. Pitts ......................................................................... 68 Statement of Hon. Peter T. King, a Representative in Congress from the State of New York, submitted by Mr. Pitts ....................................................... 79 Statement of Harold A. Schaitberger, General President, InterNational Asso- ciation of Fire Fighters, June 11, 2015, submitted by Mr. Pitts ...................... 80 Statement of Ed Mullins, President, Sergeants Benevolent Association of the New York City Police Department, June 11, 2015, submitted by Mr. Pitts ....................................................................................................................... 82 Letter of June 9, 2015, from William J. Johnson, Executive Director, National Association of Police Organizations, Inc., to Mr. Pitts and Mr. Green, sub- mitted by Mr. Pitts .............................................................................................. 91 Article, ‘‘The Forgotten Victims,’’ PBA Magazine, submitted by Mr. Pitts ......... 93 Statement of Hon. Daniel M. Donovan, Jr., a Representative in Congress from the State of New York, submitted by Mr. Lance ...................................... 96 Letter of June 11, 2015, from Mr. Lance, et al., to House Speaker John A. Boehner and Minority Leader Nancy Pelosi, submitted by Mr. Lance ....... 97 1 Dr. Howard did not answer submitted questions for the record by the time of printing. (III) VerDate Mar 15 2010 12:16 Mar 07, 2016 Jkt 037690 PO 00000 Frm 00003 Fmt 5904 Sfmt 5904 F:\114THCONGRESS\114X52X911HEALTHMORESCANS030416\114X52X911HEALTHPEN VerDate Mar 15 2010 12:16 Mar 07, 2016 Jkt 037690 PO 00000 Frm 00004 Fmt 5904 Sfmt 5904 F:\114THCONGRESS\114X52X911HEALTHMORESCANS030416\114X52X911HEALTHPEN EXAMINING H.R. 1786, THE JAMES ZADROGA 9/11 HEALTH AND COMPENSATION REAU- THORIZATION ACT THURSDAY, JUNE 11, 2015 HOUSE OF REPRESENTATIVES, SUBCOMMITTEE ON HEALTH, COMMITTEE ON ENERGY AND COMMERCE, Washington, DC. The subcommittee met, pursuant to call, at 10:17 a.m., in Room 2123 of the Rayburn House Office Building, Hon. Joseph R. Pitts (chairman of the subcommittee) presiding. Members present: Representatives Pitts, Guthrie, Whitfield, Shimkus, Burgess, Lance, Griffith, Bilirakis, Long, Ellmers, Bucshon, Brooks, Collins, Upton (ex officio), Green, Engel, Schakowsky, Castor, Sarbanes, Luja´n, Schrader, Kennedy, Ca´rdenas, and Pallone (ex officio). Also present: Representatives King, Maloney, Nadler, Donovan, and Clarke. Staff present: Clay Alspach, Chief Counsel, Health; Gary Andres, Staff Director; Leighton Brown, Press Assistant; Karen Christian, General Counsel; Noelle Clemente, Press Secretary; Paul Edattel, Professional Staff Member, Health; Carly McWilliams, Professional Staff Member, Health; Katie Noraria, Professional Staff Member, Health; Tim Pataki, Professional Staff Member; Graham Pittman, Legislative Clerk; Adrianna Simonelli, Legislative Associate, Health; Heidi Stirrup, Health Policy Coordinator; Greg Watson, Staff Assistant; Christine Brennan, Democratic Press Secretary; Jeff Carroll, Democratic Staff Director; Waverly Gordon, Demo- cratic Professional Staff Member; Tiffany Guarascio, Democratic Deputy Staff Director and Chief Health Advisor; Ashley Jones, Democratic Director of Communications, Member Services and Outreach; Tim Robinson, Democratic Chief Counsel; and Samantha Satchell, Democratic Policy Analyst. Mr. PITTS. Ladies and gentlemen, if you will, if you will take your seats, we will begin. I would like to ask all of our guests today to please take their seats. The subcommittee will come to order. The Chair will recognize himself for an opening statement. OPENING STATEMENT OF HON. JOSEPH R. PITTS, A REP- RESENTATIVE IN CONGRESS FROM THE COMMONWEALTH OF PENNSYLVANIA Today’s Health Subcommittee hearing will examine the World
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