,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #ebdd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bi1 #bjad ,ms4 
,e/y 7= h]self1 ,ms4 ,slaught]1 & ,mr4  
,brady ( ,p5nsylvania7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,f9ancial ,s]vices  ,a    
,,bill  ,to e/abli% ! ,c\ncil on ,heal?y
 ,h\s+ & = o!r purposes4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,heal?y 
,h\s+ ,c\ncil ,act ( #bjad4  #b4 ,f9d+s 
,congress f9ds ! foll[+3  7#a7 ,9 !     
,unit$ ,/ates--  7,a7 #e1geg1jjj        
h\seholds live 9 homes ) mod]ate or     
sev]e physical haz>ds2  7,b7 #bc1jjj1jjj
 homes h significant lead-bas$ pa9t     
haz>ds2  7,c7 #f1jjj1jjj homes h _h     
signs ( mice 9 ! la/ #c mon?s2 &  7,d7  
#a 9 #ae homes h dang]\s levels ( radon4
  7#b7 ,resid5ts ( h\s+ t is poorly     
design$1 con/ruct$1 or ma9ta9$ are at   
risk = canc]1 c>bon monoxide poison+1   
burns1 falls1 rod5t bites1 *ildhood lead
 poison+1 a/hma1 & o!r illnesses &      
injuries4 ,vuln]able subpopulations1 su*

 z *ildr5 & ! eld]ly1 are at elevat$    
risk = h\s+-relat$ illnesses & injuries4
  7#c7 ,because sub/&>d h\s+ typically  
poses ! greate/ risks1 ! disp>ities 9 ! 
di/ribution ( h\s+-relat$ heal? haz>ds  
are /rik+4 ,"o million two hundr$ ?\s&  
h\s+ units ) significant lead-bas$ pa9t 
haz>ds h\se l[-income families ) *ildr5 
"u #f ye>s ( age4  7#d7 ,h\s+-relat$    
illnesses1 includ+ a/hma & lead poison+1
 disproportionately affect *ildr5 f     
l[]-income families & f specific racial 
& e?nic gr\ps4 ,! preval5ce ( be+       
diagnos$ ) a/hma 9 a lifetime is #bd    
p]c5t among ,pu]to ,rican *ildr51 #aj4a 
p]c5t = ,mexican-,am]ican *ildr51 #ab4d 
p]c5t = non-,hispanic ,:ite *ildr51 &   
#ba4h p]c5t = non-,hispanic ,black      
*ildr54 ,black *ildr5 are twice z likely
 to die f resid5tial injuries z ,:ite   
*ildr51 & #c p]c5t ( ,black *ildr5 & #b 
p]c5t ( ,mexican-,am]ican *ildr5 h      
elevat$ blood lead levels1 z comp>$ to  
only #a4c p]c5t ( ,:ite *ildr54  7#e7 ,!
 annual co/s = environm5tally           

attributable *ildhood diseases 9 !      
,unit$ ,/ates1 includ+ lead poison+1    
a/hma1 & canc]1 total #gf1jjj1jjj1jjj 9 
#bjjh doll>s4 ,?is am\nt is             
approximately #c4e p]c5t ( total heal?  
c>e co/s4  7#f7 ,appropriate h\s+       
design1 con/ruction1 & ma9t5ance1 timely
 correction ( defici5cies1 plann+ ef=ts1
 & l[-co/ prev5tive measures c r$uce !  
incid5ce ( s]i\s injury or dea?1 improve
 ! ability ( resid5ts to survive 9 !    
ev5t ( a major cata/rophe1 & contribute 
to ov]all well-be+ & m5tal heal?4 ,lead 
haz>d control 9 homes ) lead-bas$ pa9t  
haz>ds c r$uce *ildr5's blood lead      
levels by z mu* z #cd p]c5t4 ,prop]ly   
in/all$ & ma9ta9$ smoke al>ms r$uce !   
risk ( fire dea?s by #ej p]c5t4  7#g7   
,provid+ heal?y h\s+ to families &      
individuals 9 ! ,unit$ ,/ates w help    
prev5t an e/imat$ #bej1jjj *ildr5 f hav+
 elevat$ blood lead levels1 #ah1jjj     
injury dea?s1 #ab1jjj1jjj nonfatal      
injuries1 #c1jjj dea?s 9 h\se fires1    
#i1fjj em]g5cy dep>tm5t visits = c>bon  

monoxide exposure1 & #ba1jjj            
radon-associat$ lung canc] dea?s t occur
 9 ,unit$ ,/ates h\s+ ea* ye>1 z well z 
#ab1cjj1jjj a/hma attacks1 & #ad1jjj1jjj
 miss$ s*ool days4  7#h7 ,:ile !re are  
_m programs 9 place to address          
h\s+-relat$ heal? haz>ds1 ^! programs   
are fragm5t$ & spread across _m ag5cies1
 mak+ x difficult = at-risk families &  
individuals to access assi/ance or to   
receive compreh5sive in=mation4  7#i7   
,bett] coord9ation among ,f$]al ag5cies 
is ne$$1 z is bett] coord9ation at ,/ate
 & local levels1 to ensure t families & 
individuals c access gov]nm5t programs &
 s]vices 9 an effective & effici5t      
mann]4  #c4 ,def9itions ,9 ?is ,act1 !  
foll[+ def9itions %all apply3  7#a7     
,c\ncil ,! t]m ,c\ncil means !          
,int]ag5cy ,c\ncil on ,heal?y ,h\s+     
e/abli%$ "u section #d4  7#b7 ,heal?y   
h\s+ ,! t]m heal?y h\s+ means h\s+ t is 
design$1 con/ruct$1 rehabilitat$1 &     
ma9ta9$ 9 a mann] t supports ! heal? ( !
 occupants ( su* h\s+4  7#c7 ,h\s+ ,!   

t]m h\s+ means any =m ( resid5ce1       
includ+ r5tal h\s+1 home[n]%ip1 gr\p    
home1 or supportive h\s+ arrangem5t4    
7#d7 ,h\s+-relat$ heal? haz>d ,! t]m    
h\s+-relat$ heal? haz>d means any       
biological1 physical1 or *emical s\rce (
 exposure or condition ei!r 91 or       
imm$iately adjac5t to1 h\s+1 t c        
adv]sely affect human heal?4  7#e7      
,l[-income families & individuals ,! t]m
 l[-income families & individuals means 
any h\sehold or individual ) an income  
at or bel[ #bjj p]c5t ( ! ,f$]al pov]ty 
l9e4  7#f7 ,pov]ty l9e ,! t]m pov]ty l9e
 means ! (ficial pov]ty l9e def9$ by !  
,(fice ( ,managem5t & ,budget bas$ on ! 
mo/ rec5t data available f ! ,bureau ( !
 ,c5sus4  7#g7 ,program ,! t]m program  
includes any ,f$]al1 ,/ate1 or local    
program provid+ h\s+ or f9ancial        
assi/ance1 heal? c>e1 mortgages1 bond & 
tax f9anc+1 homebuy] support c\rses1    
f9ancial education1 mortgage insurance  
or loan gu>antees1 h\s+ c\nsel+1        
supportive s]vices1 en]gy assi/ance1 or 

o!r assi/ance relat$ to heal?y h\s+4    
7#h7 ,s]vice ,! t]m s]vice includes     
public & environm5tal heal? s]vices1    
h\s+ s]vices1 en]gy effici5cy s]vices1  
human s]vices1 & any o!r s]vices ne$$ to
 ensure t families & individuals 9 !    
,unit$ ,/ates h access to heal?y h\s+4  
#d4 ,int]ag5cy c\ncil on heal?y h\s+    
7a7 ,e/abli%m5t ,!re is e/abli%$ 9 !    
executive bran* an indep5d5t c\ncil to  
be kn[n z ! ,int]ag5cy ,c\ncil on       
,heal?y ,h\s+4  7b7 ,objectives ,!      
objectives ( ! ,c\ncil are z foll[s3    
7#a7 ,to promote ! supply ( & dem& =    
heal?y h\s+ 9 ! ,unit$ ,/ates ?r\gh     
capacity build+1 te*nical assi/ance1    
education1 & public policy4  7#b7 ,to   
promote coord9ation & collaboration     
among ! ,f$]al dep>tm5ts & ag5cies      
involv$ ) h\s+1 public heal?1 en]gy     
effici5cy1 em]g5cy prep>$ness &         
response1 & ! environm5t to improve     
s]vices = families & individuals resid+ 
9 inadequate or unsafe h\s+ & to make   
recomm5dations ab\t ne$$ *anges 9       

programs & s]vices ) an emphasis on--   
7,a7 maximiz+ ! impact ( exi/+ programs 
& s]vices by transition+ ! focus ( su*  
programs & s]vices f categorical        
approa*es to compreh5sive approa*es t   
consid] & address multiple h\s+-relat$  
heal? haz>ds2  7,b7 r$uc+ or elim9at+   
areas ( ov]lap & duplication 9 !        
provision & accessibility ( su* programs
 & s]vices2  7,c7 ensur+ t res\rces1    
includ+ assi/ance ) capacity build+1 are
 t>get$ to & suffici5t to meet ! ne$s ( 
high-risk communities1 families1 &      
individuals2 &  7,d7 facilitat+ access  
by families & individuals to programs & 
s]vices t help r$uce heal? haz>ds 9     
h\s+4  7#c7 ,to id5tify k gaps1 rese>*  
ne$s1 & policy & program defici5cies    
associat$ ) inadequate h\s+ conditions &
 h\s+-relat$ illnesses & injuries4  7#d7
 ,to help id5tify be/ practices = a*iev+
 & su/a9+ heal?y h\s+4  7#e7 ,to help   
improve ! quality ( exi/+ & newly       
con/ruct$ h\s+ & relat$ programs &      
s]vices1 includ+ ^? programs & s]vices  

:i* s]ve l[-income families &           
individuals4  7#f7 ,to e/abli% an ongo+ 
sy/em ( coord9ation among & )9 su*      
ag5cies or organizations s t ! heal?y   
h\s+ ne$s ( families & individuals are  
met 9 a m effective & effici5t mann]4   
7c7 ,memb]%ip ,! ,c\ncil %all be compos$
 ( ! foll[+ memb]s3  7#a7 ,! ,secret>y (
 ,heal? & ,human ,s]vices4  7#b7 ,!     
,secret>y ( ,h\s+ & ,urban ,developm5t4 
7#c7 ,! ,adm9i/rator ( ! ,environm5tal  
,protection ,ag5cy4  7#d7 ,! ,secret>y (
 ,en]gy4  7#e7 ,! ,secret>y ( ,labor4   
7#f7 ,! ,secret>y ( ,vet]ans ,affairs4  
7#g7 ,! ,secret>y ( ! ,treasury4  7#h7  
,! ,secret>y ( ,agriculture4  7#i7 ,!   
,secret>y ( ,education4  7#aj7 ,! head (
 any o!r ,f$]al ag5cy z ! ,c\ncil       
consid]s appropriate4  7#aa7 ,six       
additional non-,f$]al employee memb]s1 z
 appo9t$ by ! ,presid5t to s]ve t]ms n  
to exce$ #b ye>s1 ( :om--  7,a7 #a %all 
be a ,/ate or local ,gov]nm5t ,director 
( ,heal? or ! ,environm5t2  7,b7 #a %all
 be a ,/ate or local ,gov]nm5t ,director

 ( ,h\s+ or ,community ,developm5t2     
7,c7 #b %all repres5t nonpr(it          
organizations involv$ 9 h\s+ or heal?   
issues2 &  7,d7 #b %all repres5t =-pr(it
 entities involv$ 9 ! h\s+1 bank+1 or   
heal? insurance indu/ries4  7d7         
,co-,*airp]sons ,! co-,*airp]sons ( !   
,c\ncil %all be ! ,secret>y ( ,h\s+ &   
,urban ,developm5t & ! ,secret>y (      
,heal? & ,human ,s]vices4  7e7 ,vice    
*air ,e #b ye>s1 ! ,c\ncil %all elect a 
,vice ,*air f among its memb]s4  7f7    
,meet+s ,! ,c\ncil %all meet at ! call (
 ei!r co-,*airp]son or a majority ( its 
memb]s at any "t1 & no less (t5 ?an     
annually4  #e4 ,functions ( ! c\ncil    
7a7 ,relevant activities ,9 c>ry+ out ! 
objectives describ$ 9 section #d7;b71 ! 
,c\ncil %all--  7#a7 review ,f$]al      
programs & s]vices t provide h\s+1      
heal?1 en]gy1 or environm5tal s]vices to
 families & individuals2  7#b7 monitor1 
evaluate1 & recomm5d improvem5ts 9      
programs & s]vices adm9i/]$1 fund$1 or  
f9anc$ by ,f$]al1 ,/ate1 & local ag5cies

 to assi/ families & individuals 9      
access+ heal?y h\s+ & make              
recomm5dations ab\t h[ su* ag5cies c    
bett] "w to meet ! heal?y h\s+ & relat$ 
ne$s ( l[-income families & individuals2
 &  7#c7 recomm5d ways to--  7,a7 r$uce 
duplication among programs & s]vices by 
,f$]al ag5cies t assi/ families &       
individuals 9 meet+ _! heal?y h\s+ &    
relat$ s]vice ne$s2  7,b7 ensure        
collaboration among & )9 ag5cies 9 !    
provision & availability ( programs &   
s]vices s t families & individuals are  
able to easily access ne$$ programs &   
s]vices2  7,c7 "w ) ,/ates & local      
gov]nm5ts to bett] meet ! ne$s (        
families & individuals = heal?y h\s+    
by--  7i7 hold+ meet+s ) ,/ate & local  
repres5tatives2 &  7ii7 provid+ ongo+   
te*nical assi/ance & tra9+ to ,/ates &  
localities 9 bett] meet+ ! h\s+-relat$  
ne$s ( su* families & individuals2  7,d7
 id5tify be/ practices = programs &     
s]vices t assi/ families & individuals 9
 access+ heal?y h\s+1 includ+ model--   

7i7 programs l9k+ h\s+1 heal?1          
environm5tal1 human1 & en]gy s]vices2   
7ii7 h\s+ & remodel+ f9anc+ products    
(f]$ by gov]nm5t1 quasi-gov]nm5t1 &     
private sector entities2  7iii7 h\s+ &  
build+ codes & regulatory practices2    
7iv7 exi/+ & new cons5sus specifications
 & "w practices docum5ts2  7v7 capacity 
build+ & tra9+ programs t help increase 
& div]sify ! supply ( practition]s :o   
p]=m assessm5ts ( h\s+-relat$ heal?     
haz>ds & int]v5tions to address         
h\s+-relat$ heal? haz>ds2 &  7vi7       
programs t increase community aw>5ess (1
 & education on1 h\s+-relat$ heal?      
haz>ds & available assessm5ts &         
int]v5tions2  7,e7 develop a            
compreh5sive heal?y h\s+ rese>* ag5da t 
consid]s heal?1 safety1 environm5tal1 & 
en]gy factors1 to--  7i7 id5tify        
co/-effective assessm5ts & treatm5t     
protocols = h\s+-relat$ heal? haz>ds 9  
exi/+ h\s+2  7ii7 e/abli% l9ks betwe5   
h\s+ haz>ds & heal? outcomes2  7iii7    
track h\s+-relat$ heal? problems includ+

 injuries1 illnesses1 & dea?2  7iv7     
track h\s+ conditions t may be associat$
 ) heal? problems2  7v7 id5tify         
co/-effective protocols = con/ruction ( 
new heal?y h\s+2 &  7vi7 id5tify        
replicable & effective programs or      
/rategies = address+ h\s+-relat$ heal?  
haz>ds2  7#d7 hold biannual meet+s )    
/akehold]s & o!r int]e/$ p>ties 9 a     
location conv5i5t = su* /akehold]s1 or  
hold op5 ,c\ncil meet+s1 to receive     
input & ideas ab\t h[ to be/ meet !     
heal?y h\s+ ne$s ( families &           
individuals2  7#e7 ma9ta9 an updat$     
website ( policies1 meet+s1 be/         
practices1 programs1 & s]vices1 mak+ use
 ( exi/+ websites z appropriate1 to keep
 p in=m$ ( ! activities ( ! ,c\ncil2 &  
7#f7 "w ) memb] ag5cies to collect &    
ma9ta9 data on h\s+-relat$ heal? haz>ds1
 illnesses1 & injuries s t all data c be
 access$ 9 #a place & to id5tify &      
address unmet data ne$s4  7b7 ,reports  
7#a7 ,by memb]s ,ea* ye> ! head ( ea*   
ag5cy :o is a memb] ( ! ,c\ncil %all    

prep>e & transmit to ! ,c\ncil a report 
t briefly summ>izes--  7,a7 ea* heal?y  
h\s+-relat$ program & s]vice adm9i/]$ by
 ! ag5cy & ! numb] ( families &         
individuals s]v$ by ea* program or      
s]vice1 ! res\rces available 9 ea*      
program or s]vice1 & a breakd[n ( :]e   
ea* program & s]vice c be access$2  7,b7
 ! b>ri]s & imp$im5ts1 includ+ /atutory 
or regulatory1 to ! access & use ( su*  
programs & s]vices by families &        
individuals1 ) p>ticul> att5tion to !   
b>ri]s & imp$im5ts exp]i5c$ by l[-income
 families & individuals2  7,c7 ! ef=ts  
made by ! ag5cy to increase             
opportunities = families & individuals1 
includ+ l[-income families &            
individuals1 to reside 9 heal?y h\s+1   
includ+ h[ ! ag5cy is work+ ) o!r       
ag5cies to bett] coord9ate programs &   
s]vices2 &  7,d7 any new data collect$  
by ! ag5cy relat+ to ! heal?y h\s+ ne$s 
( families & individuals4  7#b7 ,by !   
c\ncil ,ea* ye>1 ! ,c\ncil %all prep>e &
 transmit to ! ,presid5t & ! ,congress1 

a report t--  7,a7 summ>izes ! reports  
requir$ 9 p>agraph 7#a72  7,b7 utilizes 
rec5t data to assess ! nature (         
h\s+-relat$ heal? haz>ds1 & associat$   
illnesses & injuries1 9 ! ,unit$ ,/ates2
  7,c7 provides a compreh5sive & detail$
 description ( ! programs & s]vices ( ! 
,f$]al ,gov]nm5t 9 meet+ ! ne$s &       
problems describ$ 9 subp>agraph 7,b72   
7,d7 describes ! activities &           
accompli%m5ts ( ! ,c\ncil 9 work+ )     
,f$]al1 ,/ate1 & local gov]nm5ts1       
nonpr(it organizations & =-pr(it        
entities 9 coord9at+ programs & s]vices 
to meet ! ne$s describ$ 9 subp>agraph   
7,b7 & ! res\rces available to meet ^?  
ne$s2  7,e7 assesses ! level ( ,f$]al   
assi/ance requir$ to meet ! ne$s        
describ$ 9 subp>agraph 7,b72 &  7,f7    
makes recomm5dations = appropriate      
legislative & adm9i/rative actions to   
meet ! ne$s describ$ 9 subp>agraph 7,b7 
& = coord9at+ programs & s]vices design$
 to meet ^? ne$s4  #f4 ,p[]s ( ! c\ncil 
7a7 ,he>+s ,! ,c\ncil may hold su*      

he>+s1 sit & act at su* times & places1 
take su* te/imony1 & receive su* evid5ce
 z ! ,c\ncil consid]s advisable to c>ry 
out ! purposes ( ?is ,act4  7b7         
,in=mation f ag5cies ,ag5cies :i* are   
repres5t$ on ! ,c\ncil %all provide all 
reque/$ in=mation & data to ! ,c\ncil z 
reque/$4  7c7 ,po/al s]vices ,! ,c\ncil 
may use ! ,unit$ ,/ates mails 9 ! same  
mann] & "u ! same conditions z o!r      
dep>tm5ts & ag5cies ( ! ,f$]al          
,gov]nm5t4  7d7 ,contracts & int]ag5cy  
agreem5ts ,! ,c\ncil may ent] into      
contracts ) ,/ate1 ,tribal1 & local     
gov]nm5ts1 public ag5cies &             
private-sector entities1 & into         
int]ag5cy agreem5ts ) ,f$]al ag5cies4   
,su* contracts & int]ag5cy agreem5ts may
 be s+le-ye> or multi-ye> 9 duration4   
#g4 ,c\ncil p]sonnel matt]s  7a7 ,/aff  
7#a7 ,executive ,director ,! ,c\ncil    
%all appo9t an ,executive ,director at  
its initial meet+4 ,! ,executive        
,director %all be comp5sat$ at a rate n 
to exce$ ! rate ( basic pay payable =   

level ,v ( ! ,executive ,s*$ule "u      
section #ecaf ( title #e1 ,unit$ ,/ates 
,code4  7#b7 ,comp5sation ,) ! approval 
( ! ,c\ncil1 ! ,executive ,director may 
appo9t & fix ! comp5sation ( su*        
additional p]sonnel z ! ,executive      
,director consid]s necess>y to c>ry out 
! duties ( ! ,c\ncil1 except t ! rate ( 
pay = any su* additional p]sonnel may n 
exce$ ! rate ( basic pay payable = level
 ,v ( ! ,executive ,s*$ule "u section   
#ecaf ( su* title4  7b7 ,tempor>y &     
int]mitt5t s]vices ,9 c>ry+ out its     
objectives1 ! ,executive ,director ) !  
approval ( ! ,c\ncil1 may procure       
tempor>y & int]mitt5t s]vices (         
consultants & exp]ts "u section         
#caji7;b7 ( title #e1 ,unit$ ,/ates     
,code1 at rates = individuals :i* d n   
exce$ ! daily equival5t ( ! annual rate 
( basic pay payable = level ,v ( !      
,executive ,s*$ule "u section #ecaf (   
su* title4  7c7 ,detail ( ,gov]nm5t     
employees ,^u reque/ ( ! ,c\ncil1 any   
,f$]al ,gov]nm5t employee may be detail$

 to ! ,c\ncil ) reimbursem5t1 & su*     
detail %all be )\t int]ruption or loss (
 civil s]vice /atus or privilege4  7d7  
,adm9i/rative support ,! ,secret>y (    
,h\s+ & ,urban ,developm5t %all provide 
! ,c\ncil ) su* adm9i/rative 7includ+   
(fice space7 & support s]vices z are    
necess>y to ensure t ! ,c\ncil c c>ry   
out its functions 9 an effici5t &       
exp$iti\s mann]4  #h4 ,,gao report on   
effectiv5ess ( ,f$]al heal? c>e programs
 = *ildr5 at risk ( lead poison+ ,n lat]
 ?an ! expiration ( ! #ab-mon? p]iod    
beg9n+ on ! date ( ! enactm5t ( ?is     
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all submit to ! ,congress a     
report analyz+ ! same issues z1 & updat+
 ! f9d+s & conclusions (1 ! report ( !  
,comptroll] ,g5]al to ! ,rank+ ,m9ority 
,memb]1 ,committee on ,gov]nm5t ,re=m1  
,h\se ( ,repres5tatives ( ,janu>y #aiii 
entitl$ ,lead ,poison+3 ,f$]al ,heal?   
,c>e ,programs ,are ,n ,effectively     
,rea*+ ,at-,risk ,*ildr5                
7,,gao_/,,hehs-#ii-ah74  #i4            

,au?orization ( appropriations  7a7 ,9  
g5]al ,!re are au?oriz$ to be           
appropriat$ to c>ry out ?is ,act1       
#gej1jjj = ea* ( fiscal ye>s #bjae ?r\gh
 #bjai4  7b7 ,availability ,am\nts      
au?oriz$ to be appropriat$ by subsection
 7a7 %all rema9 available = ! #b fiscal 
ye>s foll[+ su* appropriation4