About the WTC Health Program
The WTC Health Program was created by the Zadroga 9/11 Health and Compensation Act to provide free health care for first responders, recovery workers, and volunteers affected by the terrorist attacks on September 11, 2001.

The WTC Health Program replaces the Mount Sinai WTC Medical Monitoring and Treatment Program. If you were enrolled in the Mount Sinai Program, you do not have to re-enroll. For more information on the different September 11th health programs and which one you may be enrolled in, click here.



Help your fellow fire fighter.
  • Information learned by screening both sick and healthy workers will lead to better preparation for future disasters and improved understanding of effective and safe disaster response.
  • Data will help us understand the health effects of unique environmental exposures and how to best protect workers against these hazards.
Learn more about your health status.
  • You can enroll in the Program even if you currently don’t have any health problems.
  • The medical screening may detect health conditions that you are not aware of and that may be corrected or slowed with early treatment.
  • Monitoring your health status over time can help your doctor identify any concerning trends.
Take advantage of resources that are available to you
  • Many healthy fire fighters choose not to enroll in the Program because they do not want to take away resources that would otherwise go to sick fire fighters. This is a common misconception.
  • The Zadroga Act created the WTC Health Program to provide long term health care for ALL exposed fire fighters from the WTC, Pentagon, and Shanksville disaster sites.
  • Participating in the Program does not take away resources from others. Increased enrollment in the Program shows that this Program is needed and valuable. Low enrollment in the Program gives the impression that it is not needed.




The WTC Health Program provides rescue and recovery workers, including fire fighters with:
  • A free annual medical monitoring exam to detect any WTC-related health conditions. All diagnostic tests and procedures are free and there are no out of pocket costs for this exam.
  • Free treatment for any WTC-related health condition or cancer. The Program covers expenses for approved prescription medications, hospitalizations, and outpatient producers for treatment of a WTC-related condition.
  • Nationwide Provide Network: The WTC Health Program has a network of providers throughout the U.S. so you can be seen at a location close to your home. You do not have to travel to New York to participate in the Program. If you live outside the New York City metropolitan area, the Nationwide Provide Network will help you find a location close to where you live.




As a member of the WTC Health Program, you receive free treatment for WTC-related health conditions. The list of conditions is based on scientific review of exposures at the WTC site and associated health effects. Conditions must be certified as having been caused, contributed to, or aggravated by the September 11th terrorist attacks.

Fire fighters enrolled in the WTC Health Program receive free treatment if certified with any of the following health conditions:

Airways and Digestive Disorders – new occurrence or aggravation of the following conditions:
  • Interstitial lung diseases (diseases that cause scarring of lung tissue)
  • Chronic respiratory disorder-fumes/vapors
  • Asthma
  • Reactive airways dysfunction syndrome (RADS)
  • WTC-exacerbated chronic obstructive pulmonary disease (COPD)
  • Chronic cough syndrome
  • Upper airway hyperreactivity
  • Chronic rhinosinusitis
  • Chronic nasopharyngitis
  • Chronic laryngitis
  • Gastroesophageal reflux disorder (GERD)
  • Sleep apnea exacerbated by or related to any of these conditions.
Mental Health Conditions
  • Posttraumatic stress disorder (PTSD)
  • Certain mood or anxiety disorders
  • Substance abuse disorders
Other
  • Secondary conditions related to disease progression or complication from treatment of the primary covered health condition




In 2012, cancer was added to the list of health conditions covered by the WTC Health Program based on new research demonstrating an association between WTC exposure and an increased risk for certain cancers. Many, but not all, cancers are covered by the Program. In order to receive coverage for cancer, your WTC Health Program physician and the WTC Health Program Administrator must certify that the cancer resulted from exposure to the WTC. Once certified, the WTC Health Program will pay for approved cancer treatments, drugs, and services.

For more information on the certification process, click here

Below are the cancers covered by the Program:

Malignant neoplasms of the following:
  • Lip, tongue, salivary gland, floor of mouth, gum and other mouth, tonsil, oropharynx, hypopharynx, and other oral cavity and pharynx
  • Nasopharynx
  • Nose, nasal cavity, middle ear and accessory sinuses
  • Larynx
  • Esophagus
  • Stomach
  • Colon and rectum
  • Liver and intrahepatic bile duct
  • Retroperitoneum, peritoneum, omentum and mesentery
  • Trachea; bronchus and lung; heart, mediastinum and pleura; and other ill-defined sites in the respiratory system and intrathoracic organs
  • Soft tissues (sarcomas)
  • Skin (melanoma and non-melanoma), including scrotal cancer
  • Breast
  • Ovary
  • Urinary bladder
  • Kidney
  • Renal pelvis, ureter and other urinary organs
  • Eye and orbit
  • Thyroid
  • Blood and lymphoid tissues (including, but not limited to, lymphoma, leukemia, and myeloma)
  • Prostate
  • Brain
  • Pancreatic
  • Cervix uteri (invasive cervical cancer)
  • Testicular
Childhood cancers
  • Although it does not apply to fire fighters, for WTC Health Program, the term 'childhood cancer' means any type of cancer first diagnosed after 9/11/01 in a person less than 20 years of age at the time of diagnosis.
Rare cancers
  • Any cancer that has an incidence rate of less than 15 cases per 100,000 persons per year.
Mesothelioma