The James Zadroga 9/11 Health and Compensation Act
What is the Zadroga Act?
The Zadroga Act is the federal law that created the World Trade Center Health Program and reopened the September 11th Victim Compensation Fund. It is named for James Zadroga, a New York City police detective who worked at the World Trade Center site and died in 2006. Congress has since reauthorized and extended the law, and both programs remain open.
Key Takeaways
- What It Is: The James Zadroga 9/11 Health and Compensation Act of 2010, signed into law on January 2, 2011. It is the federal statute behind both 9/11 benefit programs.
- Who It Is Named For: James Zadroga, a New York City police detective who worked at the World Trade Center site after the attacks and died in 2006 at age 34.
- What It Created: Two separate programs. The WTC Health Program provides medical care, and the Victim Compensation Fund pays financial compensation. See what the WTC Health Program covers.
- Still In Effect: Yes. Congress reauthorized the law in 2015 and extended it again in 2019.
- Funding: The WTC Health Program is funded through fiscal year 2040 and the 9/11 Victim Compensation Fund is funded through fiscal year 2092.
- No Upfront Cost: Attorney fees in a VCF claim are capped at 10% by federal statute and are paid from an award, not out of pocket.
Who was James Zadroga?
James Zadroga grew up in North Arlington, New Jersey, where his father served as the town's police chief. He joined the New York City Police Department in 1992 and was promoted to detective in 1999.
After September 11, 2001, he was assigned to the World Trade Center site, where he worked hundreds of hours on rescue, recovery, and cleanup. He developed severe respiratory illness and retired on disability in 2004.
Zadroga died on January 5, 2006, at age 34. A New Jersey medical examiner attributed his death to his work at Ground Zero.
His case became the reference point in the campaign for federal 9/11 health legislation. When Congress passed that legislation in 2010, it named the law for him.
What did the Zadroga Act do?
The Zadroga Act did two things, and they are easy to confuse because they arrived in one statute.
Title I created the World Trade Center Health Program, a federal program that provides medical monitoring and treatment for certified 9/11-related conditions. It consolidated several earlier, smaller screening efforts into one permanent program with a single national structure. What the program covers is set out on our WTC Health Program coverage page.
Title II reopened the September 11th Victim Compensation Fund, which had closed in 2004. The reopened fund pays compensation for certified 9/11-related conditions. How awards are calculated is explained on our page about VCF compensation.
Has the Zadroga Act been renewed?
Yes. Congress has amended the law three times since 2011, and the two programs it created were extended on separate tracks.
In December 2015, one Public Law carried two separately titled provisions. Title III, the James Zadroga 9/11 Health and Compensation Reauthorization Act, authorized the WTC Health Program through October 1, 2090.
Title IV, the James Zadroga 9/11 Victim Compensation Fund Reauthorization Act, extended the fund by five years, allowing claims to be filed through December 18, 2020. It also created the framework that grouped claims by filing date.
In July 2019, the Never Forget the Heroes Act replaced that deadline and set the VCF claim filing deadline at October 1, 2090.
In February 2026, a further law set the WTC Health Program's funding formula through fiscal year 2040. Authorization and funding are separate questions, and they run to different dates. The program is authorized through 2090, its funding is settled through 2040, and Congress will need to act again on funding before then.
How does the Zadroga Act relate to the VCF and the WTC Health Program?
The Zadroga Act is the law. The WTC Health Program and the VCF are the two programs the law created. People often use all three names as if they mean the same thing, and they do not.
The two programs are administered by different federal agencies, deliver different things, and use their own eligibility rules. Registering with one does not register a person with the other.
| WTC Health Program | Victim Compensation Fund | |
|---|---|---|
| What it provides | Medical monitoring and treatment for certified 9/11-related conditions, both physical and mental health. | Financial compensation for certified physical conditions only. Mental health conditions are not eligible for VCF compensation. |
| Created by | Title I of the Zadroga Act. | Title II of the Zadroga Act, which reopened a fund that had closed in 2004. |
| Who it is for | Responders and survivors who meet the program's own criteria. | Claimants who meet the fund's own criteria. |
| Read more | What the WTC Health Program covers | How VCF compensation is calculated |
The two programs also define eligibility differently, including where and when a person had to be present. Those rules are set out in full on our 9/11 eligibility pages.
Do you need a lawyer for a Zadroga Act claim?
Most claimants use one. The VCF reported in its 2023 Annual Report that approximately 86% of claimants are represented by an attorney, and the fund publishes separate guidance and claim-quality reporting for law firms because of it.
Nothing requires representation, and both programs accept claims filed directly. What representation changes is who carries the work, from enrollment through to any appeal.
A claim moves through several stages, and our firm handles each of them:
- Enrolling the client in the WTC Health Program and tracking the condition through certification, or through the Private Physician Process where an exception applies.
- Completing and filing every form each program requires, in the order it requires them.
- Communicating with the WTC Health Program and the VCF on the client's behalf, and resolving problems as they surface rather than after a decision issues.
- Assembling proof of presence, certification, and economic loss into one claim, so that it reflects the full loss the statute allows.
- Amending a claim when a further condition is certified, and appealing a decision where there are grounds to.
In our practice, the step that stalls a claim most often is the Missing Information Letter. It is a routine request for additional evidence rather than a sign of denial, but it carries a response deadline, and the VCF can deny a claim when that deadline passes.
Proving presence is the other common gap. Employment records from 2001 and 2002 are often gone, and presence then has to be rebuilt from leases, pay stubs, school records, or sworn affidavits from people who were there.
Attorney fees in a VCF claim are capped at 10% by federal statute. The cap is a ceiling rather than a set rate, and the fee is paid from an award, so representation carries no out-of-pocket cost.
Enrollment and filing are set out step by step in our guide to filing a 9/11 claim. For anyone deciding whether to handle a claim alone, a case review is the appropriate next step.
No two claims look alike. What a person qualifies for turns on their own medical history, where they were after September 11, and what they did there.
Get a Free Case Review →Common Questions
No. The Zadroga Act is the federal law. The September 11th Victim Compensation Fund is one of the two programs that law created.
The other is the World Trade Center Health Program, which provides medical care rather than compensation. The two programs are separate, and a person may qualify for one, both, or neither.
Yes. Congress reauthorized the law in 2015 and amended it again in 2019 and 2026.
The WTC Health Program is authorized through October 1, 2090, and the VCF claim filing deadline is October 1, 2090. Funding for the health program has been addressed separately, most recently through fiscal year 2040.
Eligibility is set by each program rather than by the law itself, and the two programs use different rules about where and when a person had to be present.
Our eligibility pages set out the criteria for both programs in full, including responders, survivors, area workers, residents, and students.
The law does not list conditions. The WTC Health Program maintains the list of certified conditions, which includes respiratory and digestive disorders, many cancers, and certain mental health conditions.
The two programs treat that list differently. The WTC Health Program covers treatment for certified physical and mental health conditions alike. The VCF compensates certified physical conditions only, so a mental health condition can be covered for care without being eligible for compensation.
The current list and what certification involves are covered on our page about 9/11 covered conditions.
Neither program requires representation, and claims can be filed directly. In practice most claimants use an attorney. The VCF reported in 2023 that approximately 86% of claimants are represented.
Attorney fees in a VCF claim are capped at 10% by federal statute and are paid from an award, so there is no out-of-pocket cost. Our guide to filing walks through what the process involves either way.
- James Zadroga 9/11 Health and Compensation Act of 2010, Pub. L. 111-347, 124 Stat. 3623
- Consolidated Appropriations Act, 2016, Pub. L. 114-113, Title III, 129 Stat. 2996
- Consolidated Appropriations Act, 2016, Pub. L. 114-113, Title IV, 129 Stat. 3000
- Never Forget the Heroes Act, Pub. L. 116-34, 133 Stat. 1040
- Pub. L. 119-75 §6411, 140 Stat. 688
- September 11th Victim Compensation Fund, 2023 Annual Report, p. 12 (Premature and Insufficient Claims) (as of September 2026)
- Detectives' Endowment Association, “James Zadroga” (as of September 2026)
September 22, 2026 · Based on the sources above.
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