,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ebf  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #f1 #bjac    
,mr4 ,y>mu? 7= himself1 ,ms4 ,slaught]1 
,mr4 ,cony]s1 ,mr4 ,holt1 ,mr4          
,grijalva1 ,mr4 ,s>banes1 ,mr4 ,moran1  
,ms4 ,edw>ds1 ,ms4 ,*u1 ,mr4 ,blum5au]1 
,mr4 ,ellison1 ,mr4 ,rangel1 ,mr4       
,huffman1 ,ms4 ,lee ( ,cali=nia1 ,mr4   
,honda1 ,ms4 ,s*ak[sky1 ,mr4 ,de,fazio1 
,mr4 ,c>twright1 ,ms4 ,de,lauro1 ,ms4   
,roybal-,all>d1 ,ms4 ,p+ree ( ,ma9e1    
,mr4 ,mc,dermott1 ,ms4 ,norton1 & ,mr4  
,polis7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,natural      
,res\rces1 & 9 addition to ! ,committees
 on ,transportation & ,infra/ructure &  
,en]gy & ,comm]ce1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to place a         
moratorium on p]mitt+ = m\nta9top       
removal coal m9+ until heal? /udies are 
conduct$ by ! ,dep>tm5t ( ,heal? &      

,human ,s]vices1 & = o!r purposes4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,appala*ian ,communities ,heal? ,em]g5cy
 ,act or ! ,,a*e ,act4  #b4 ,f9d+s      
,congress f9ds ! foll[+3  7#a7          
,communities surr\nd+ m\nta9top removal 
coal m9+ projects1 :i* involve surface  
coal m9+ includ+ bla/+ ) explosives 9 ! 
/eep slope regions ( ,k5tucky1          
,t5nessee1 ,we/ ,virg9ia1 & ,virg9ia1 h 
rais$ conc]ns t pollution ( ! wat]1 air1
 & soil t results f m\nta9top removal   
coal m9+ may be caus+ heal? crises 9 _! 
communities4  7#b7 ,pe]-review$         
sci5tific rese>* & reports h rais$ s]i\s
 conc]ns ab\t m\nta9top removal m9+ )   
respect to elevat$ risks 9 categories ( 
bir? defects /udi$3                     
circulatory_/respiratory1 c5tral n]v\s  
sy/em1 musculoskeletal1 & ga/ro9te/9al4 
7#c7 ,m\nta9top removal coal m9+ has    
also be5 associat$ ) elevat$ levels (   
adult hospitalizations = *ronic pulmon>y
 disord]s & hyp]t5sion t are elevat$ z a
 function ( c\nty-level coal production1

 z are rates ( mortality2 lung canc]2 & 
*ronic he>t1 lung1 & kidney disease4 ,^!
 heal? problems /rike bo? wom5 & m5 9   
m\nta9top removal coal m9+ communities4 
,^! elevat$ levels ( disease1 defects1 &
 mortality p]si/ ev5 aft] controll+ =   
o!r v>iables4  7#d7 ,initial sci5tific  
evid5ce1 & ! level ( public conc]n1     
w>rant imm$iate action to /op new       
m\nta9top removal coal m9+ p]mits &     
increase environm5tal & human heal?     
monitor+ at exi/+ m\nta9top removal coal
 m9+ projects :ile ! report$ l9ks betwe5
 heal? effects & m\nta9top removal coal 
m9+ are inve/igat$ by ,f$]al heal?      
ag5cies4  7#e7 ,! ,national ,in/itute ( 
,environm5tal ,heal? ,sci5ces is        
uniquely qualifi$ to manage a work+ gr\p
 ( ,f$]al heal? ag5cies ) exp]tise t is 
relevant to /udy ( ! report$ l9ks4  #c4 
,heal? /udies  7a7 ,/udies ,! ,director 
( ! ,national ,in/itute ( ,environm5tal 
,heal? ,sci5ces1 9 consultation ) !     
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy & ! heads ( su* o!r  

,f$]al dep>tm5ts & ag5cies z ! ,director
 deems appropriate1 %all--  7#a7 conduct
 or support compreh5sive /udies on !    
heal? impacts1 if any1 ( m\nta9top      
removal coal m9+ on individuals 9 !     
surr\nd+ communities2 &  7#b7 submit to 
! ,secret>y1 & make publicly available1 
a report on ! results ( su* /udies4  7b7
 ,det]m9ation ,^u receipt ( ! report "u 
subsection 7a77#b71 ! ,secret>y ( ,heal?
 & ,human ,s]vices %all publi% a        
det]m9ation on :e!r m\nta9top removal   
coal m9+ pres5ts any heal? risks to     
individuals 9 ! surr\nd+ communities4   
#d4 ,m\nta9top removal coal m9+ p]mit   
moratorium ,until & unless ! ,secret>y (
 ,heal? & ,human ,s]vices publi%es a    
det]m9ation "u section #c7;b7 conclud+ t
 m\nta9top removal coal m9+ does n      
pres5t any heal? risk to individuals 9 !
 surr\nd+ communities1 a p]mit or o!r   
au?orization may n be issu$ = any       
m\nta9top removal coal m9+ project1 or =
 any expansion ( su* a project1 by--    
7#a7 ! ,secret>y ( ! ,army1 act+ ?r\gh !

 ,*ief ( ,eng9e]s1 or a ,/ate1 "u       
section #djd ( ! ,f$]al ,wat] ,pollution
 ,control ,act 7#cc ,u4,s4,c4 #acdd72   
7#b7 ! ,adm9i/rator ( ! ,environm5tal   
,protection ,ag5cy1 or a ,/ate1 "u      
section #djb ( ! ,f$]al ,wat] ,pollution
 ,control ,act 7#cc ,u4,s4,c4 #acdb72 or
  7#c7 ! ,secret>y ( ! ,int]ior1 act+   
?r\gh ! ,(fice ( ,surface ,m9+          
,reclamation & ,en=cem5t1 or a ,/ate1 "u
 ! ,surface ,m9+ ,control & ,reclamation
 ,act ( #aigg 7#cj ,u4,s4,c4 #abja et   
seq474  #e4 ,m\nta9top removal coal m9+ 
cont9u\s heal? & environm5tal monitor+  
7a7 ,requirem5t ,until ! ,secret>y (    
,heal? & ,human ,s]vices publi%es a     
det]m9ation "u section #c7;b7--  7#a7   
any p]son conduct+ a m\nta9top removal  
coal m9+ project %all--  7,a7 conduct   
cont9u\s monitor+ = any pollution ( wat]
 & air 7includ+ noise7 & frequ5t        
monitor+ ( soil z a result ( su* project
 = ! purposes ( compreh5sively--  7i7   
*>act]iz+ any pollution emitt$ f !      
project2 &  7ii7 id5tify+ ways 9 :i*    

memb]s ( affect$ communities might be   
expos$ to ^! emissions2 &  7,b7 submit !
 results ( su* monitor+ to ! ,secret>y  
on a mon?ly basis2 &  7#b7 ! ,secret>y  
%all make su* results available to !    
public ?r\gh ! ,_w ,wide ,web 9 a       
se>*able database =mat n lat] ?an #g    
days aft] ! date on :i* ! ,secret>y     
receives su* results4  7b7 ,en=cem5t ,if
 a p]son conduct+ a m\nta9top removal   
coal m9+ project fails to conduct       
monitor+ & submit results 9 connection )
 su* project z requir$ by subsection    
7a71 a p]mit or o!r au?orization may n  
be issu$ = ! m\nta9top removal coal m9+ 
project1 or = an expansion ( su*        
project1 by--  7#a7 ! ,secret>y ( !     
,army1 act+ ?r\gh ! ,*ief ( ,eng9e]s1 or
 a ,/ate1 "u section #djd ( ! ,f$]al    
,wat] ,pollution ,control ,act 7#cc     
,u4,s4,c4 #acdd72  7#b7 ! ,adm9i/rator (
 ! ,environm5tal ,protection ,ag5cy1 or 
a ,/ate1 "u section #djb ( ! ,f$]al     
,wat] ,pollution ,control ,act 7#cc     
,u4,s4,c4 #acdb72 or  7#c7 ! ,secret>y (

 ! ,int]ior1 act+ ?r\gh ! ,(fice (      
,surface ,m9+ ,reclamation & ,en=cem5t1 
or a ,/ate1 "u ! ,surface ,m9+ ,control 
& ,reclamation ,act ( #aigg 7#cj        
,u4,s4,c4 #abja et seq474  #f4 ,fee to  
pay = heal? /udies & monitor+  7a7      
,collection & assessm5t ,! ,presid5t1   
act+ ?r\gh ! ,(fice ( ,surface ,m9+     
,reclamation & ,en=cem5t ( ! ,dep>tm5t (
 ! ,int]ior1 %all assess & collect f ea*
 p]son t1 z ( ! date ( ! enactm5t ( ?is 
,act1 is conduct+ a m\nta9top removal   
coal m9+ project 9 ! ,unit$ ,/ates a    
"o-"t fee 9 an am\nt suffici5t to recov]
 ! ,f$]al co/ ( implem5t+ sections #c & 
#e4  7b7 ,use ( fee ,am\nts receiv$ by !
 ,unit$ ,/ates z a fee "u ?is section   
may be us$1 to ! ext5t & 9 ! am\nt      
provid$ 9 advance 9 appropriations      
,acts1 only to pay ! ,f$]al co/ ( c>ry+ 
out sections #c & #e4  #g4 def9itions ,9
 ?is ,act3  7#a7 m\nta9top removal coal 
m9+ ,! t]m m\nta9top removal coal m9+   
means surface coal m9+ t uses bla/+ )   
explosives 9 ! /eep slope regions (     

,k5tucky1 ,t5nessee1 ,we/ ,virg9ia1 &   
,virg9ia4  7#b7 /eep slope ,! t]m /eep  
slope has ! mean+ t t]m has "u section  
#eae7;d77#d7 ( ! ,surface ,m9+ ,control 
& ,reclamation ,act ( #aigg 7#cj        
,u4,s4,c4 #abfe7;d77#d774