,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bhfd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ah1         
#bjad,mr4 ,m>key 7= himself1 ,mrs4      
,box]1 & ,mr4 ,:iteh\se7 introduc$ !    
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
direct ! ,secret>y ( ,heal? & ,human    
,s]vices to develop a national /rategic 
action plan to assi/ heal? pr(essionals 
9 prep>+ = & respond+ to ! public heal? 
effects ( climate *ange1 & = o!r        
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,climate ,*ange ,heal?     
,protection & ,promotion ,act4  #b4     
,s5se ( ,congress on public heal? &     
climate *ange ,x is ! s5se ( ,congress t
 ! ,f$]al ,gov]nm5t1 9 coop]ation )     
int]national1 ,/ate1 tribal1 & local    
gov]nm5ts1 conc]n$ public & private     
organizations1 & citiz5s1 %\ld use all  
practicable means & measures-- 7#a7 to  
assi/ ! ef=ts ( public heal? & heal? c>e
 pr(essionals1 fir/ respond]s1 ,/ates1  

tribes1 municipalities1 & local         
communities to incorporate measures to  
prep>e heal? sy/ems to respond to !     
impacts ( climate *ange2  7#b7 to       
ensure-- 7,a7 t ! ,nation's heal?       
pr(essionals h suffici5t in=mation to   
prep>e = & respond to ! adv]se heal?    
impacts ( climate *ange2  7,b7 ! utility
 & value ( sci5tific rese>* 9 advanc+   
und]/&+ (-- 7i7 ! heal? impacts (       
climate *ange2 &  7ii7 /rategies to     
prep>e = & respond to ! heal? impacts ( 
climate *ange2  7,c7 ! id5tification (  
communities vuln]able to ! heal? effects
 ( climate *ange & ! developm5t (       
/rategic response plans to be c>ri$ out 
by heal? pr(essionals = ^? communities2 
7,d7 ! improvem5t ( heal? /atus & heal? 
equity ?r\gh ef=ts to prep>e = & respond
 to climate *ange2 &  7,e7 ! inclusion (
 heal? policy 9 ! developm5t ( climate  
*ange responses2  7#c7 to enc\rage fur!r
 rese>*1 int]discipl9>y p>tn]%ip1 &     
collaboration among /akehold]s 9 ord]   
to-- 7,a7 und]/& & monitor ! heal?      

impacts ( climate *ange2 &  7,b7 improve
 public heal? k & response /rategies to 
climate *ange2  7#d7 to enhance         
prep>$ness activities1 & public heal?   
infra/ructure1 relat+ to climate *ange &
 heal?2  7#e7 to enc\rage ea* & e       
,am]ican to le>n ab\t ! impacts (       
climate *ange on heal?2 &  7#f7 to assi/
 ! ef=ts ( develop+ nations to          
incorporate measures to prep>e heal?    
sy/ems to respond to ! impacts ( climate
 *ange4  #c4 ,relation%ip to o!r laws   
,no?+ 9 ?is ,act limits ! au?ority      
provid$ to or responsibility conf]r$ on 
any ,f$]al dep>tm5t or ag5cy by any     
provision ( any law 7includ+            
regulations7 or au?orizes any violation 
( any provision ( any law 7includ+      
regulations71 includ+ any heal?1 en]gy1 
environm5tal1 transportation1 or any o!r
 law or regulation4  #d4 ,national      
/rategic action plan  7a7 ,requirem5t   
7#a7 ,9 g5]al ,! ,secret>y1 n lat] ?an  
#b ye>s aft] ! date ( enactm5t ( ?is    
,act1 on ! basis ( ! be/ available      

sci5ce1 & 9 consultation pursuant to    
p>agraph 7#b71 %all publi% a /rategic   
action plan to assi/ heal? pr(essionals 
9 prep>+ = & respond+ to ! impacts (    
climate *ange on public heal? 9 ! ,unit$
 ,/ates & o!r nations1 p>ticul>ly       
develop+ nations4  7#b7 ,consultation ,9
 develop+ or mak+ any revision to !     
national /rategic action plan1 !        
,secret>y %all-- 7,a7 consult ) !       
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 ! ,adm9i/rator ( !       
,environm5tal ,protection ,ag5cy1 !     
,director ( ! ,national ,in/itutes (    
,heal?1 ! ,secret>y ( ,en]gy1 o!r       
appropriate ,f$]al ag5cies1 ,indian     
tribes1 ,/ate & local gov]nm5ts1 public 
heal? organizations1 & sci5ti/s1 & o!r  
int]e/$ /akehold]s2 &  7,b7 provide     
opportunity = public input4  7b7        
,cont5ts  7#a7 ,9 g5]al ,! ,secret>y1   
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all    
assi/ heal? pr(essionals 9 prep>+ = &   
respond+ effectively & effici5tly to !  

heal? effects ( climate *ange ?r\gh     
measures includ+-- 7,a7 develop+1       
improv+1 integrat+1 & ma9ta9+ dome/ic & 
int]national disease surveillance sy/ems
 & monitor+ capacity to respond to      
heal?-relat$ effects ( climate *ange1   
includ+ on topics address+-- 7i7 wat]1  
food1 & vector-borne infecti\s diseases 
& climate *ange2  7ii7 pulmon>y effects1
 includ+ responses to a]oall]g5s2  7iii7
 c>diovascul> effects1 includ+ impacts (
 temp]ature extremes2  7iv7 air         
pollution heal? effects1 includ+        
height5$ s5sitivity to air pollution2   
7v7 haz>d\s algal blooms2  7vi7 m5tal & 
behavioral heal? impacts ( climate      
*ange2  7vii7 ! heal? ( refugees1       
displac$ p]sons1 & vuln]able            
communities2  7viii7 ! implications =   
communities vuln]able to heal? effects (
 climate *ange1 z well z /rategies =    
respond+ to climate *ange )9 ^!         
communities2 &  7ix7 local &            
community-bas$ heal? int]v5tions =      
climate-relat$ heal? impacts2  7,b7     

creat+ tools = pr$ict+ & monitor+ !     
public heal? effects ( climate *ange on 
! int]national1 national1 regional1     
,/ate1 & local levels1 & provid+        
te*nical support to assi/ 9 _!          
implem5tation2  7,c7 develop+ public    
heal? communications /rategies &        
int]v5tions = extreme wea!r ev5ts &     
disa/] response situations2  7,d7       
id5tify+ & prioritiz+ communities &     
populations vuln]able to ! heal? effects
 ( climate *ange1 & det]m9+ actions &   
communication /rategies t %\ld be tak5  
to in=m & protect ^! communities &      
populations f ! heal? effects ( climate 
*ange2  7,e7 develop+ heal?             
communication1 public education1 &      
outrea* programs aim$ at public heal? & 
heal? c>e pr(essionals1 & ! g5]al       
public1 to promote prep>$ness & response
 /rategies relat+ to climate *ange &    
public heal?1 includ+ ! id5tification ( 
gre5h\se gas r$uction behaviors t are   
heal?-promot+2  7,f7 develop+ academic &
 regional c5t]s ( excell5ce devot$ to-- 

7i7 rese>*+ relation%ips betwe5 climate 
*ange & heal?2  7ii7 exp&+ & tra9+ !    
public heal? work=ce to /r5g!n !        
capacity ( su* work=ce to respond to &  
prep>e = ! heal? effects ( climate      
*ange2  7iii7 creat+ & support+ academic
 fell[%ips focus+ on ! heal? effects (  
climate *ange2 &  7iv7 tra9+ s5ior heal?
 m9i/ry (ficials f develop+ nations to  
/r5g!n ! capacity ( su* nations to--    
7,i7 prep>e = & respond to ! heal?      
effects ( climate *ange2 &  7,,ii7 build
 an int]national network ( public heal? 
pr(essionals ) ! necess>y climate *ange 
k base2  7,g7 us+ te*niques1 includ+    
heal? impact assessm5ts1 to assess v>i\s
 climate *ange public heal? prep>$ness &
 response /rategies on int]national1    
national1 ,/ate1 regional1 tribal1 &    
local levels1 & make recomm5dations z to
 ! /rategies t be/ protect ! public     
heal?2  7,h7 7i7 assi/+ 9 ! developm5t1 
implem5tation1 & support ( ,/ate1       
regional1 tribal1 & local prep>$ness1   
communication1 & response plans 7includ+

 ) respect to ! heal? dep>tm5ts ( su*   
entities7 to anticipate & r$uce ! heal? 
?reats ( climate *ange2 &  7ii7 act+    
?r\gh ! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion or an appropriate 
,f$]al ag5cy1 pursu+ collaborative ef=ts
 to develop1 integrate1 & implem5t su*  
plans2  7,i7 act+ ?r\gh ! ,director ( ! 
,c5t]s = ,disease ,control & ,prev5tion 
or an appropriate ,f$]al ag5cy1 creat+ a
 program to advance rese>* z x relates  
to ! effects ( climate *ange on public  
heal? across ,f$]al ag5cies1 includ+    
rese>* to-- 7i7 id5tify & assess climate
 *ange heal? effects prep>$ness &       
response /rategies2  7ii7 prioritize    
critical public heal? infra/ructure     
projects relat$ to pot5tial climate     
*ange impacts t affect public heal?2 &  
7iii7 coord9ate prep>$ness = climate    
*ange heal? impacts1 includ+ !          
developm5t ( model+ & =eca/+ tools2     
7,j7 provid+ te*nical assi/ance = !     
developm5t1 implem5tation1 & support (  
prep>$ness & response plans to          

anticipate & r$uce ! heal? ?reats (     
climate *ange 9 develop+ nations2 &     
7,k7 c>ry+ out o!r activities det]m9$   
appropriate by ! ,secret>y to plan = &  
respond to ! impacts ( climate *ange on 
public heal?4  7c7 ,revision ,!         
,secret>y %all revise ! national        
/rategic action plan n lat] ?an ,july   
#a1 #bjag1 & e #d ye>s !reaft]1 to      
reflect new in=mation collect$ pursuant 
to implem5tation ( ! national /rategic  
action plan & o!rwise1 includ+ in=mation
 on-- 7#a7 ! /atus ( critical           
environm5tal heal? p>amet]s & relat$    
human heal? impacts2  7#b7 ! impacts (  
climate *ange on public heal?2 &  7#c7  
advances 9 ! developm5t ( /rategies =   
prep>+ = & respond+ to ! impacts (      
climate *ange on public heal?4  7d7     
,implem5tation  7#a7 ,implem5tation     
?r\gh ,,hhs ,! ,secret>y %all ex]cise ! 
,secret>y's au?ority "u ?is ,act & o!r  
,f$]al /atutes to a*ieve ! goals &      
measures ( ! national /rategic action   
plan4  7#b7 ,o!r public heal? programs &

 initiatives ,! ,secret>y & ,f$]al      
(ficials ( o!r relevant ,f$]al ag5cies  
%all adm9i/] public heal? programs &    
initiatives au?oriz$ by /atutes o!r ?an 
?is ,act1 subject to ! requirem5ts ( su*
 /atutes1 9 a mann] design$ to a*ieve ! 
goals ( ! national /rategic action plan4
  7#c7 ,,cdc ,9 fur!rance ( ! national  
/rategic action plan1 ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion 
%all-- 7,a7 conduct sci5tific rese>* to 
assi/ heal? pr(essionals 9 prep>+ = &   
respond+ to ! impacts ( climate *ange on
 public heal?2  7,b7 provide fund+ =--  
7i7 rese>* on ! heal? effects ( climate 
*ange2 &  7ii7 prep>$ness plann+ on !   
int]national1 national1 ,/ate1 regional1
 & local levels to respond to or r$uce !
 burd5 ( heal? effects ( climate *ange2 
&  7,c7 c>ry out o!r activities det]m9$ 
appropriate by ! ,director to prep>e = &
 respond to ! impacts ( climate *ange on
 public heal?4  #e4 ,advisory bo>d  7a7 
,e/abli%m5t ,! ,secret>y %all e/abli% a 
p]man5t sci5ce advisory bo>d compris$ ( 

n less ?an #aj & n m ?an #bj memb]s4    
7b7 ,appo9tm5t ( memb]s ,! ,secret>y    
%all appo9t ! memb]s ( ! sci5ce advisory
 bo>d f among individuals :o-- 7#a7 are 
recomm5d$ by ! ,presid5t ( ! ,national  
,academy ( ,sci5ces2 &  7#b7 h exp]tise 
9 public heal? & human s]vices1 climate 
*ange1 & o!r relevant discipl9es4  7c7  
,functions ,! sci5ce advisory bo>d      
%all-- 7#a7 provide sci5tific & te*nical
 advice & recomm5dations to ! ,secret>y 
on ! dome/ic & int]national impacts (   
climate *ange on public heal?1          
populations & regions p>ticul>ly        
vuln]able to ! effects ( climate *ange1 
& /rategies & me*anisms to prep>e = &   
respond to ! impacts ( climate *ange on 
public heal?2 &  7#b7 advise ! ,secret>y
 reg>d+ ! be/ sci5ce available =        
purposes ( issu+ ! national /rategic    
action plan4  #f4 ,reports  7a7 ,ne$s   
assessm5t  7#a7 ,9 g5]al ,! ,secret>y   
%all seek to ent] into1 by n lat] ?an #f
 mon?s aft] ! date ( enactm5t ( ?is     
,act1 an agreem5t ) ! ,national ,rese>* 

,c\ncil & ! ,in/itute ( ,m$ic9e to      
complete a report t-- 7,a7 assesses !   
ne$s = heal? pr(essionals to prep>e = & 
respond to climate *ange impacts on     
public heal?2 &  7,b7 recomm5ds programs
 to meet ^? ne$s4  7#b7 ,submission ,!  
agreem5t "u p>agraph 7#a7 %all require !
 complet$ report to be submitt$ to      
,congress & ! ,secret>y & made publicly 
available n lat] ?an #a ye> aft] ! date 
( ! agreem5t4  7b7 ,climate *ange heal? 
protection & promotion reports  7#a7 ,9 
g5]al ,! ,secret>y %all (f] to ent]     
into1 n lat] ?an #f mon?s aft] !        
submission ( ! report "u subsection     
7a77#b71 an agreem5t ) ! ,national      
,rese>* ,c\ncil & ! ,in/itute ( ,m$ic9e1
 "u :i* ! ,national ,rese>* ,c\ncil & ! 
,in/itute ( ,m$ic9e w prep>e p]iodic    
reports to aid heal? pr(essionals 9     
prep>+ = & respond+ to ! adv]se heal?   
effects ( climate *ange t-- 7,a7 review 
sci5tific developm5ts on heal? impacts (
 climate *ange2 &  7,b7 recomm5d *anges 
to ! national /rategic action plan4     

7#b7 ,submission ,! agreem5t "u p>agraph
 7#a7 %all require a report to be       
submitt$ to ,congress & ! ,secret>y &   
made publicly available n lat] ?an ,july
 #a1 #bjaf1 & e #d ye>s !reaft]4  #g4   
,def9itions ,9 ?is ,act3 7#a7 ,heal?    
impact assessm5t ,! 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  7#b7 ,national
 /rategic action plan ,! t]m national   
/rategic action plan means ! plan issu$ 
& revis$ "u section #d4  7#c7 ,secret>y 
,unless o!rwise specifi$1 ! t]m         
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  #h4 ,au?orization (   
appropriations  7a7 ,9 g5]al ,!re are   
au?oriz$ to be appropriat$ su* sums z   
may be necess>y to c>ry out ?is ,act4   
7b7 ,appropriations to ,,hhs ,all funds 
appropriat$ to c>ry out ?is ,act %all be
 appropriat$ to ! ,secret>y4  7c7       

,di/ribution ( funds by ,,hhs ,9 c>ry+  
out ?is ,act1 ! ,secret>y may make funds
 appropriat$ pursuant to ?is section    
available to-- 7#a7 o!r dep>tm5ts1      
ag5cies1 & (fices ( ! ,f$]al ,gov]nm5t2 
7#b7 =eign1 ,/ate1 tribal1 & local      
gov]nm5ts2 &  7#c7 su* o!r entities z ! 
,secret>y det]m9es appropriate4  7d7    
,supplem5t1 n replace ,x is ! int5t (   
,congress t funds appropriat$ to c>ry   
out ?is ,act %\ld be us$ to supplem5t1 &
 n replace1 exi/+ s\rces ( fund+ =      
public heal?4