Nationwide 9/11 Responder Health Program Still Not Up and Running

Sep 8, 2008

D.C. - Today, Reps. Carolyn Maloney (D-NY) and Jerrold Nadler (D-NY)
released a letter they and Congressman Vito J. Fossella (R-NY) wrote to
Health and Human Services (HHS) Secretary Michael Leavitt to express
their concerns about ongoing delays in HHS's program to provide health
care to 9/11 responders and others sickened by the attacks who live
outside the metropolitan New York area.  In June, HHS awarded a
contract to Logistics Health Incorporated (LHI), a Wisconsin firm run
by former HHS Secretary Tommy Thompson, to provide 9/11 medical
monitoring and treatment services nationwide.

In their letter, a full copy of which follows, the
lawmakers note that LHI's monitoring exams will begin at the earliest
in September, rather than July as originally promised; that many, if
not most, responders eligible for the program have yet to receive any
information from LHI; and that sick responders are experiencing
significant delays in getting appointments arranged, prescriptions
filled, and phone calls returned.

"What's LHI been doing for the
last three months?  Tommy Thompson didn't make 9/11 health a priority
when he was HHS secretary and his new firm appears to be following
suit," said Rep. Maloney.  "LHI was awarded millions in federal funding
to provide monitoring and treatment, not silence and confusion."

men and women came from every state in the nation to aid in the massive
rescue and recovery effort at Ground Zero, putting their health, and
even their lives, in danger," said Rep. Nadler.  "Time and time again,
these first responders have been promised health care for their
9/11-related illnesses, but nearly seven years later, they can't get
LHI to return their phone calls?  The heroes of 9/11 have already
waited too long for the comprehensive health care they deserve, and
LHI's continued foot-dragging is outrageous."

They were joined today at a news conference today by:
Melius, MD, Administrator, NYS Laborers' Health and Safety Health Fund
& Chair, WTC Medical Monitoring and Treatment Program Steering
Micki Siegel de Hernandez, Health and Safety Director, Communications Workers of America, District 1; and
John Feal, Founder of the Fealgood Foundation and a 9/11 responder.


March, the CDC announced a solicitation for sources to provide
federally-funded medical monitoring and treatment to thousands of 9/11
responders who live outside metropolitan New York City.  In June, the
CDC awarded a $14 million contract to LHI to provide these services.

national 9/11 health program has been fraught with delays.  In December
2007, the Administration suddenly announced that it was abandoning its
initial plan to create the program.  At the time, the CDC expressed
concerns over the availability of continued funding, even though
Congress was in the process of approving another $108 million for 9/11
health care.

According to the federally-funded World Trade
Center Health Registry, people from all 50 states  and 431 of 435
Congressional districts nationwide were in lower Manhattan on or after
9/11 and now have serious concerns about their health.  In all, more
than 10,000 of the 71,000 people enrolled in the Registry live outside
the tri-state area of New York, New Jersey and Connecticut.

Letter to Secretary Leavitt

September 4, 2008

The Honorable Michael O. Leavitt
Secretary of Health and Human Services
200 Independence Avenue, SW
Washington, DC 20201

Dear Secretary Leavitt,

respectfully write to express our continued concerns about the
implementation of the program for World Trade Center (WTC) responders
who live outside of the New York City metropolitan area (the so-called
"national responders").

Since the recent dismissal of
outstanding, former NIOSH director, Dr. John Howard, you have become
more familiar with the WTC medical program and the fact that there have
been repeated delays in making monitoring and treatment services
available for national responders.  These problems have been compounded
by the decision of your agency, last December, to cancel the
procurement process for an outside contractor to manage this program. 
A more limited procurement process was initiated this spring and a
contract was awarded to a Logistics Health Incorporated (LHI), a
Wisconsin firm.  At that time, we were assured that monitoring and
treatment services for the national responders would be transitioned to
the new contractor without any significant delay. 

these assurances appear to be another empty promise.   Our offices have
learned of repeated instances of problems with the implementation of
the contract in addition to an apparent reluctance to share information
about the transition to the new program with people representing the
national responders. 

A list of the problems are as follows:

The monitoring exams will not start until September, not July as originally promised.
if not most, of the national responders have yet to receive any
information from the new contractor about either the monitoring or
treatment services.
Sick responders newly referred to the treatment program are experiencing delays in getting appointments arranged.
currently receiving treatment are having trouble getting their
prescriptions filled and other medical services from the new program. 
They are even having difficulty getting the new contractor to return
their calls in a timely fashion.
Social services to provide assistance with worker's compensation and other critical issues are not yet in place. 
of the responders who have asked for simple information such as copies
of the sample letters that have been sent to explain the transition and
the arrangements for the new services have not been provided that

These delays and other problems are not
acceptable.  We are therefore requesting a meeting with you as soon as
possible to discuss what you are doing to address these problems and to
provide these heroes the services that they deserve.

We also would like to obtain copies of the following documents:

letters, emails, or correspondence that has been sent out to responders
from LHI that explains the transition and the arrangements for the new
Any communications between LHI and potential clinic service providers that explain program and costs.
budget planning documents prepared by LHI that provide information on
projected spend rates and projected patient participation rates.

We look forward to hearing from you.


CAROLYN B. MALONEY