,,ii #aac? ,,congress #a/ ,session ,s4 #bga ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #aa1 #bjac ,mr4 ,begi* introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to improve ,arctic heal?4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,bett] ,heal? 9 ! ,arctic ,act4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! ,unit$ ,/ates is an ,arctic nation )-- 7,a7 an approximately #gjj-mile bord] on ! ,arctic ,ocean2 7,b7 m ?an #ajj1jjj1jjj acres ( l& above ! ,arctic ,circle2 & 7,c7 an ev5 broad] area t is def9$ z ,arctic by temp]ature1 includ+ ! ,b]+ ,sea & ,aleutian ,isl&s4 7#b7 ,! ,arctic region ( ! ,unit$ ,/ates-- 7,a7 is kn[n to ! indig5\s population z ,inuvikput1 or ! place :]e we live2 & 7,b7 is home to an indig5\s population t has subsi/$ = mill5nia on ! abundance ( m>9e mammals1 fi%1 & wildlife1 _m species ( :i* are unique to ! ,arctic region4 7#c7 ,s9ce #aiei1 temp]atures 9 ! ,arctic region ( ! ,unit$ ,/ates h w>m$ by #c to #d degrees ,celsius1 a rate ( increase m ?an twice ! global av]age4 ,! ,arctic ice pack is rapidly dim9i%+ & ?9n+1 & ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration e/imates ! ,arctic ,ocean may be ice free dur+ ! summ] mon?s 9 z few z #cj ye>s4 7#d7 ,^! *anges are hav+ a significant impact on ! communities & ecosy/ems ( ! indig5\s p ( ! ,arctic1 & ! m>9e mammals1 fi%1 & wildlife ^u :i* ! indig5\s population dep5ds4 7#e7 ,! negative impacts ( climate *ange include heal? problems1 :i* are ev5 m exac]bat$ among indig5\s p ( ! ,nor?4 7#f7 ,nor!rn p h %ort] life expectancy & increas$ mortality relat$ to suicide & injuries1 :5 comp>$ to populations liv+ 9 m mod]ate climates4 7#g7 ,among ! greate/ heal? disp>ities affect+ ,arctic p are high] rates ( alcohol abuse1 ,fetal ,alcohol ,spectrum ,disord] 7,,fasd71 diabetes1 high blood pressure1 injury1 & canc]4 ,! ,,fasd preval5ce rate among ,alaska ,native p 7#d4h7 is #ca_/b times t = all ,alaskans 7#a4d74 7#h7 ,rates ( suicide 9 ,alaska are among ! highe/ 9 ! ,nation1 ) ! suicide rate among ,alaska ,native p ab\t #c times t ( non-,native ,alaskans & #d times t ( ! national av]age ( ! ,unit$ ,/ates4 7#i7 ,alaska ,native *ildr5 are m ?an twice z likely to live 9 pov]ty ?an ,alaskans ( o!r races1 #be4g p]c5t comp>$ to #aj4i p]c5t4 7#aj7 ,x is uncle> :y _m ( ^! heal? problems are great] among nor!rn p or :e!r ! heal? problems are relat$ to toxic influ5ces1 socioeconomic /atus1 cultural *ange1 di/ance f sophi/icat$ m$ical c>e1 or o!r factors4 7#aa7 ,m rese>* is necess>y into ! causes ( disp>ities 9 rates ( p>ticul> public heal? problems 9 ! ,arctic & int]v5tion into ! prev5tion & treatm5t ( ^! problems4 #c4 ,/udy ( m5tal1 behavioral1 & physical heal? issues1 includ+ alcohol abuse1 9 ! ,arctic 7a7 ,/udy au?oriz$ ,! ,arctic ,rese>* ,commission e/abli%$ "u section #ajc ( ! ,arctic ,rese>* & ,policy ,act ( #aihd 7#ae ,u4,s4,c4 #dajb7 %all1 9 collaboration ) ,f$]al heal? ag5cies1 directly or ?r\gh contract1 prep>e & submit to ,congress a #b-ye> /udy to exam9e ! sci5ce base1 gaps 9 k1 & /rategies = ! prev5tion & treatm5t ( m5tal1 behavioral1 & physical heal? problems1 includ+ alcohol abuse1 fac$ by populations 9 ! ,arctic1 ) a focus on ,alaska4 7b7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section a total ( #a1bjj1jjj = fiscal ye>s #bjad & #bjae4 #d4 ,national ,arctic ,heal? ,sci5ce ,policy 7a7 ,updat+ #aihd policy ,! ,director ( ! ,national ,in/itutes ( ,heal? %all1 9 collaboration ) o!r gov]nm5tal ag5cies & private & nonpr(it entities involv$ 9 ,arctic heal? issues1 develop a national ,arctic heal? sci5ce policy4 ,9 develop+ ! policy1 ! ,director %all review & take into consid]ation ! ,national ,arctic ,heal? ,sci5ce ,policy develop$ by ! ,am]ican ,public ,heal? ,association ,task ,=ce 9 #aihd4 7b7 ,desk = ,arctic ,heal? ,section #dja7;c7 ( ! ,public ,heal? ,s]vices ,act 7#db ,u4,s4,c4 #bha7;c77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,desk = ,arctic ,heal? 7,a7 ,e/abli%m5t ,)9 ! ,division1 !re is e/abli%$ a ,desk = ,arctic ,heal?4 7,b7 ,duties ,! ,desk = ,arctic ,heal? %all-- 7i7 "w ) ! ,int]ag5cy ,arctic ,rese>* ,policy ,committee e/abli%$ "u section #ajg7;b7 ( ! ,arctic ,rese>* & ,policy ,act ( #aihd 7#ae ,u4,s4,c4 #dajf7;b77 to ensure adequate heal? repres5tation f ,f$]al ag5cies2 7ii7 collaborate & consult ) gov]nm5tal entities & ,unit$ ,/ates nongov]nm5tal organizations involv$ 9 ,arctic heal? issues1 includ+ ! ,/ate ( ,alaska1 ,univ]sity ( ,alaska1 & entities t h&le issues reg>d+ ! heal? ( ! indig5\s p ( ! ,arctic2 & 7iii7 collaborate ) ! ,canadian ,in/itutes ( ,heal? ,rese>* on indig5\s ,arctic p heal? issues1 9 accordance ) ! #bjjd agreem5t betwe5 ! ,national ,in/itutes ( ,heal? & ! ,canadian ,in/itutes ( ,heal? ,rese>*1 & ) o!r int]national entities deal+ ) pan-,arctic heal? issues4 4 #e4 ,arctic heal? impact assessm5ts ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$ by add+ at ! end ! foll[+3 #cii,v-#f4 ,arctic heal? impact assessm5ts 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! heal? impact assessm5t process c be a valuable tool = bett] ,arctic heal? by objectively evaluat+ ! pot5tial heal? b5efits & risks ( a project or policy be=e ! project or policy is built or put into place4 7#b7 ,heal? impact assessm5ts c provide recomm5dations to increase positive heal? outcomes & m9imize adv]se heal? outcomes4 7#c7 ,a major b5efit ( ! heal? impact assessm5t process is t x br+s public heal? issues to ! att5tion ( p :o make decisions ab\t areas t fall outside traditional public heal? ar5as1 su* z transportation or l& use4 7b7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all e/abli% a program at ! ,national ,c5t] ( ,environm5tal ,heal? ( ! ,c5t]s = ,disease ,control & ,prev5tion to fo/] advances & help provide te*nical support 9 ! field ( ,arctic heal? impact assessm5ts4 7c7 ,def9ition ( heal? impact assessm5ts ,9 ?is section1 ! t]m heal? impact assessm5t means a comb9ation ( proc$ures1 me?ods1 & tools by :i* a policy1 program1 or project may be judg$ z to its pot5tial effects on ! heal? ( a population1 & ! di/ribution ( ^? effects )9 ! population4 4