,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #bjbc  ,,in ,,the ,,house ,,of  
,,representatives  ,may #af1 #bjac ,mrs4
 ,capps 7for herself1 ,ms4 ,matsui1 ,mr4
 ,markey1 and ,ms4 ,schakowsky7         
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to direct the
 ,secretary of ,health and ,human       
,services to develop a national         
strategic action plan to assist health  
professionals in preparing for and      
responding to the public health effects 
of climate change1 and for other        
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,climate ,change    
,health ,protection and ,promotion ,act4
  #b4 ,sense of ,congress on public     
health and climate change ,it is the    
sense of the ,congress that the ,federal
 ,government1 in cooperation with       
international1 ,state1 tribal1 and local
 governments1 concerned public and      
private organizations1 and citizens1    
should use all practicable means and    

measures--  7#a7 to assist the efforts  
of public health and health care        
professionals1 first responders1        
,states1 tribes1 municipalities1 and    
local communities to incorporate        
measures to prepare health systems to   
respond to the impacts of climate       
change2  7#b7 to ensure--  7,a7 that the
 ,nation's health professionals have    
sufficient information to prepare for   
and respond to the adverse health       
impacts of climate change2  7,b7 the    
utility and value of scientific research
 in advancing understanding of--  7i7   
the health impacts of climate change2   
and  7ii7 strategies to prepare for and 
respond to the health impacts of climate
 change2  7,c7 the identification of    
communities vulnerable to the health    
effects of climate change and the       
development of strategic response plans 
to be carried out by health             
professionals for those communities2    
7,d7 the improvement of health status   
and health equity through efforts to    

prepare for and respond to climate      
change2 and  7,e7 the inclusion of      
health policy in the development of     
climate change responses2  7#c7 to      
encourage further research1             
interdisciplinary partnership1 and      
collaboration among stakeholders in     
order to--  7,a7 understand and monitor 
the health impacts of climate change2   
and  7,b7 improve public health         
knowledge and response strategies to    
climate change2  7#d7 to enhance        
preparedness activities1 and public     
health infrastructure1 relating to      
climate change and health2  7#e7 to     
encourage each and every ,american to   
learn about the impacts of climate      
change on health2 and  7#f7 to assist   
the efforts of developing nations to    
incorporate measures to prepare health  
systems to respond to the impacts of    
climate change4  #c4 ,relationship to   
other laws ,nothing in this ,act in any 
manner limits the authority provided to 
or responsibility conferred on any      

,federal department or agency by any    
provision of any law 7including         
regulations7 or authorizes any violation
 of any provision of any law 7including 
regulations71 including any health1     
energy1 environmental1 transportation1  
or any other law or regulation4  #d4    
,national strategic action plan  7a7    
,requirement  7#a7 ,in general ,the     
,secretary of ,health and ,human        
,services1 within #b years after the    
date of the enactment of this ,act1 on  
the basis of the best available science1
 and in consultation pursuant to        
paragraph 7#b71 shall publish a         
strategic action plan to assist health  
professionals in preparing for and      
responding to the impacts of climate    
change on public health in the ,united  
,states and other nations1 particularly 
developing nations4  7#b7 ,consultation 
,in developing or making any revision to
 the national strategic action plan1 the
 ,secretary shall--  7,a7 consult with  
the ,director of the ,centers for       

,disease ,control and ,prevention1 the  
,administrator of the ,environmental    
,protection ,agency1 the ,director of   
the ,national ,institutes of ,health1   
the ,secretary of ,energy1 other        
appropriate ,federal agencies1 ,indian  
tribes1 ,state and local governments1   
public health organizations1 scientists1
 and other interested stakeholders2 and 
7,b7 provide opportunity for public     
input4  7b7 ,contents  7#a7 ,in general 
,the ,secretary1 acting through the     
,director of the ,centers for ,disease  
,control and ,prevention1 shall assist  
health professionals in preparing for   
and responding effectively and          
efficiently to the health effects of    
climate change through measures         
including--  7,a7 developing1 improving1
 integrating1 and maintaining domestic  
and international disease surveillance  
systems and monitoring capacity to      
respond to health-related effects of    
climate change1 including on topics     
addressing--  7i7 water1 food1 and      

vector borne infectious diseases and    
climate change2  7ii7 pulmonary effects1
 including responses to aeroallergens2  
7iii7 cardiovascular effects1 including 
impacts of temperature extremes2  7iv7  
air pollution health effects1 including 
heightened sensitivity to air pollution2
  7v7 hazardous algal blooms2  7vi7     
mental and behavioral health impacts of 
climate change2  7vii7 the health of    
refugees1 displaced persons1 and        
vulnerable communities2  7viii7 the     
implications for communities vulnerable 
to health effects of climate change1 as 
well as strategies for responding to    
climate change within these communities2
 and  7ix7 local and community-based    
health interventions for climate-related
 health impacts2  7,b7 creating tools   
for predicting and monitoring the public
 health effects of climate change on the
 international1 national1 regional1     
,state1 and local levels1 and providing 
technical support to assist in their    
implementation2  7,c7 developing public 

health communications strategies and    
interventions for extreme weather events
 and disaster response situations2  7,d7
 identifying and prioritizing           
communities and populations vulnerable  
to the health effects of climate change1
 and determining actions and            
communication strategies that should be 
taken to inform and protect these       
communities and populations from the    
health effects of climate change2  7,e7 
developing health communication1 public 
education1 and outreach programs aimed  
at public health and health care        
professionals1 as well as the general   
public1 to promote preparedness and     
response strategies relating to climate 
change and public health1 including the 
identification of greenhouse gas        
reduction behaviors that are            
health-promoting2  7,f7 developing      
academic and regional centers of        
excellence devoted to--  7i7 researching
 relationships between climate change   
and health2  7ii7 expanding and training

 the public health workforce to         
strengthen the capacity of such         
workforce to respond to and prepare for 
the health effects of climate change2   
7iii7 creating and supporting academic  
fellowships focusing on the health      
effects of climate change2 and  7iv7    
training senior health ministry         
officials from developing nations to    
strengthen the capacity of such nations 
to--  7,i7 prepare for and respond to   
the health effects of climate change2   
and  7,,ii7 build an international      
network of public health professionals  
with the necessary climate change       
knowledge base2  7,g7 using techniques1 
including health impact assessments1 to 
assess various climate change public    
health preparedness and response        
strategies on international1 national1  
,state1 regional1 tribal1 and local     
levels1 and make recommendations as to  
those strategies that best protect the  
public health2  7,h7 7i7 assisting in   
the development1 implementation1 and    

support of ,state1 regional1 tribal1 and
 local preparedness1 communication1 and 
response plans 7including with respect  
to the health departments of such       
entities7 to anticipate and reduce the  
health threats of climate change2 and   
7ii7 acting through the ,director of the
 ,centers for ,disease ,control and     
,prevention or an appropriate ,federal  
agency1 pursuing collaborative efforts  
to develop1 integrate1 and implement    
such plans2  7,i7 acting through the    
,director of the ,centers for ,disease  
,control and ,prevention or an          
appropriate ,federal agency1 creating a 
program to advance research as it       
relates to the effects of climate change
 on public health across ,federal       
agencies1 including research to--  7i7  
identify and assess climate change      
health effects preparedness and response
 strategies2  7ii7 prioritize critical  
public health infrastructure projects   
related to potential climate change     
impacts that affect public health2 and  

7iii7 coordinate preparedness for       
climate change health impacts1 including
 the development of modeling and        
forecasting tools2  7,j7 providing      
technical assistance for the            
development1 implementation1 and support
 of preparedness and response plans to  
anticipate and reduce the health threats
 of climate change in developing        
nations2 and  7,k7 carrying out other   
activities determined appropriate by the
 ,secretary to plan for and respond to  
the impacts of climate change on public 
health4  7c7 ,revision ,the ,secretary  
shall revise the national strategic     
action plan not later than ,july #a1    
#bjag1 and every #d years thereafter1 to
 reflect new information collected      
pursuant to implementation of the       
national strategic action plan and      
otherwise1 including information on--   
7#a7 the status of critical             
environmental health parameters and     
related human health impacts2  7#b7 the 
impacts of climate change on public     

health2 and  7#c7 advances in the       
development of strategies for preparing 
for and responding to the impacts of    
climate change on public health4  7d7   
,implementation  7#a7 ,implementation   
through ,,hhs ,the ,secretary shall     
exercise the ,secretary's authority     
under this ,act and other ,federal      
statutes to achieve the goals and       
measures of the national strategic      
action plan4  7#b7 ,other public health 
programs and initiatives ,the ,secretary
 and ,federal officials of other        
relevant ,federal agencies shall        
administer public health programs and   
initiatives authorized by statutes other
 than this ,act1 subject to the         
requirements of such statutes1 in a     
manner designed to achieve the goals of 
the national strategic action plan4     
7#c7 ,,cdc ,in furtherance of the       
national strategic action plan1 the     
,director of the ,centers for ,disease  
,control and ,prevention shall--  7,a7  
conduct scientific research to assist   

health professionals in preparing for   
and responding to the impacts of climate
 change on public health2  7,b7 provide 
funding for--  7i7 research on the      
health effects of climate change2 and   
7ii7 preparedness planning on the       
international1 national1 ,state1        
regional1 and local levels to respond to
 or reduce the burden of health effects 
of climate change2 and  7,c7 carry out  
other activities determined appropriate 
by the ,director to prepare for and     
respond to the impacts of climate change
 on public health4  #e4 ,advisory board 
7a7 ,establishment ,the ,secretary shall
 establish a permanent science advisory 
board comprised of not less than #aj and
 not more than #bj members4  7b7        
,appointment of members ,the ,secretary 
shall appoint the members of the science
 advisory board from among individuals  
who--  7#a7 are recommended by the      
,president of the ,national ,academy of 
,sciences2 and  7#b7 have expertise in  
public health and human services1       

climate change1 and other relevant      
disciplines4  7c7 ,functions ,the       
science advisory board shall--  7#a7    
provide scientific and technical advice 
and recommendations to the ,secretary on
 the domestic and international impacts 
of climate change on public health1     
populations and regions particularly    
vulnerable to the effects of climate    
change1 and strategies and mechanisms to
 prepare for and respond to the impacts 
of climate change on public health2 and 
7#b7 advise the ,secretary regarding the
 best science available for purposes of 
issuing the national strategic action   
plan4  #f4 ,reports  7a7 ,needs         
assessment  7#a7 ,in general ,the       
,secretary shall seek to enter into1 by 
not later than #f months after the date 
of the enactment of this ,act1 an       
agreement with the ,national ,research  
,council and the ,institute of ,medicine
 to complete a report that--  7,a7      
assesses the needs for health           
professionals to prepare for and respond

 to climate change impacts on public    
health2 and  7,b7 recommends programs to
 meet those needs4  7#b7 ,submission    
,the agreement under paragraph 7#a7     
shall require the completed report to be
 submitted to the ,congress and the     
,secretary and made publicly available  
not later than #a year after the date of
 the agreement4  7b7 ,climate change    
health protection and promotion reports 
7#a7 ,in general ,the ,secretary shall  
offer to enter into1 not later than #f  
months after the submission of the      
report under subsection 7a77#b71 an     
agreement with the ,national ,research  
,council and the ,institute of          
,medicine1 under which the ,national    
,research ,council and the ,institute of
 ,medicine will prepare periodic reports
 to aid health professionals in         
preparing for and responding to the     
adverse health effects of climate change
 that--  7,a7 review scientific         
developments on health impacts of       
climate change2 and  7,b7 recommend     

changes to the national strategic action
 plan4  7#b7 ,submission ,the agreement 
under paragraph 7#a7 shall require a    
report to be submitted to the ,congress 
and the ,secretary and made publicly    
available not later than ,july #a1      
#bjaf1 and every #d years thereafter4   
#g4 ,definitions ,in this ,act3  7#a7   
,health impact assessment ,the term     
health impact assessment means a        
combination of procedures1 methods1 and 
tools by which a policy1 program1 or    
project may be judged as to its         
potential effects on the health of a    
population1 and the distribution of     
those effects within the population4    
7#b7 ,national strategic action plan    
,the term national strategic action plan
 means the plan issued and revised under
 section #d4  7#c7 ,secretary ,unless   
otherwise specified1 the term ,secretary
 means the ,secretary of ,health and    
,human ,services4  #h4 ,authorization of
 appropriations  7a7 ,in general ,there 
are authorized to be appropriated such  

sums as may be necessary to carry out   
this ,act4  7b7 ,appropriations to ,,hhs
 ,all funds appropriated to carry out   
this ,act shall be appropriated to the  
,secretary4  7c7 ,distribution of funds 
by ,,hhs ,in carrying out this ,act1 the
 ,secretary may make funds appropriated 
pursuant to this section available to-- 
7#a7 other departments1 agencies1 and   
offices of the ,federal ,government2    
7#b7 foreign1 ,state1 tribal1 and local 
governments2 and  7#c7 such other       
entities as the ,secretary determines   
appropriate4  7d7 ,supplement1 not      
replace ,it is the intent of the        
,congress that funds appropriated to    
carry out this ,act should be used to   
supplement1 and not replace1 existing   
sources of funding for public health4