,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #ebc  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ad1 #bjai    
,mr4 ,m>key 7= himself1 ,mr4 ,s*atz1    
,mr4 ,:iteh\se1 ,ms4 ,w>r51 ,mr4        
,m]kley1 & ,ms4 ,klobu*>7 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 & program to assi/ heal?    
pr(essionals & sy/ems 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 ,act ( #bjai4  #b4 ,s5se (   
congress on public heal? & climate *ange
  7a7 ,f9d+s ,! ,u4,s4 ,global ,*ange   
,rese>* ,program ,climate & ,heal?      
,assessm5t /ates t--  7#a7 ! impacts (  
human-induc$ climate *ange are increas+ 
nationwide2  7#b7 ris+ gre5h\se gas     
conc5trations result 9 increases 9      

temp]ature1 *anges 9 precipitation1     
increases 9 ! frequ5cy & int5sity ( "s  
extreme wea!r ev5ts1 & ris+ sea levels2 
7#c7 ^! climate *ange impacts endang]   
our heal? by affect+ our food & wat]    
s\rces1 ! air we brea!1 ! wea!r we      
exp]i5ce1 & our int]actions ) ! built & 
natural environm5ts2 &  7#d7 z ! climate
 cont9ues to *ange1 ! risks to human    
heal? cont9ue to gr[4  7b7 ,s5se (      
,congress ,x is ! s5se ( ,congress t--  
7#a7 climate *ange is real2  7#b7 human 
activity significantly contributes to   
climate *ange2  7#c7 climate *ange      
negatively impacts heal?2  7#d7 climate 
*ange disproportionately impacts        
communities ( color & l[-income         
communities2 &  7#e7 ! ,f$]al ,gov]nm5t1
 9 coop]ation ) int]national1 ,/ate1    
tribal1 & local gov]nm5ts1 conc]n$      
public1 private & ,native ,am]ican      
organizations1 & citiz5s1 %\ld use all  
practicable means & measures--  7,a7 to 
assi/ ! ef=ts ( public heal? & heal? c>e
 pr(essionals1 fir/ respond]s1 heal? c>e

 sy/ems1 ,/ates1 ! ,di/rict ( ,columbia1
 t]ritories1 municipalities1 & ,native  
,am]ican & local communities to         
incorporate measures to prep>e public   
heal? & heal? c>e sy/ems to respond to !
 impacts ( climate *ange2  7,b7 to      
ensure--  7i7 t ! ,nation's public heal?
 & heal? c>e pr(essionals h suffici5t   
in=mation to prep>e = & respond to !    
adv]se heal? impacts ( climate *ange2   
7ii7 ! application ( sci5tific rese>* 9 
advanc+ und]/&+ (--  7,i7 ! heal?       
impacts ( climate *ange2 &  7,,ii7      
/rategies to prep>e = & respond to !    
heal? impacts ( climate *ange2  7iii7 ! 
id5tification ( communities &           
populations vuln]able to ! heal? impacts
 ( climate *ange1 includ+ infants1      
*ildr51 pregnant wom51 ! eld]ly1        
individuals ) disabilities or pre-exi/+ 
illnesses1 l[-income populations1 &     
unh\s$ individuals1 & ! developm5t (    
/rategic response plans to be c>ri$ out 
by public heal? & heal? c>e pr(essionals
 = ^? communities2  7iv7 ! improvem5t ( 

heal? /atus & heal? equity ?r\gh ef=ts  
to prep>e = & respond to climate *ange2 
&  7v7 ! inclusion ( heal? impacts 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--  7i7      
und]/& & monitor ! heal? impacts (      
climate *ange2  7ii7 improve public     
heal? k & response /rategies to climate 
*ange2  7iii7 id5tify actions & policies
 t are b5eficial to heal? & t mitigate  
climate heal? impacts2 &  7iv7 develop  
/rategies to address wat]-1 food-1 &    
vector-borne infecti\s diseases & o!r   
public heal? em]g5cies2  7,d7 to enhance
 prep>$ness activities1 & heal? c>e &   
public heal? infra/ructure1 relat+ to   
climate *ange & heal?2  7,e7 to enc\rage
 ea* & e community 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      
public heal? & heal? c>e 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$]al    
dep>tm5t or ag5cy by any provision ( any
 law 7includ+ regulations7 or au?orizes 
any violation ( any provision ( any law 
7includ+ regulations71 includ+ any      
heal?1 en]gy1 environm5tal1             
transportation1 or any o!r law or       
regulation4  #d4 ,national /rategic     
action plan & program  7a7 ,requirem5t  
7#a7 ,9 g5]al ,! ,secret>y ( ,heal? &   
,human ,s]vices 7ref]r$ to 9 ?is ,act z 
! ,secret>y71 on ! basis ( ! be/        
available sci5ce1 & 9 consultation      
pursuant to p>agraph 7#b71 %all publi% a
 /rategic action plan & e/abli% a       
program to ensure ! public heal? & heal?
 c>e sy/ems are prep>$ = & c respond to 
! impacts ( climate *ange on heal? 9 !  
,unit$ ,/ates & o!r nations4  7#b7      
,consultation ,9 develop+ or mak+ any   
revision to ! national /rategic action  
plan & program1 ! ,secret>y %all--  7,a7
 consult ) ! ,director ( ! ,c5t]s =     

,disease ,control & ,prev5tion1 !       
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy1 ! ,director ( !     
,national ,in/itutes ( ,heal?1 !        
,und]secret>y ( ,comm]ce = ,oceans      
,atmosph]e1 ! ,adm9i/rator ( ! ,national
 ,a]onautics & ,space ,adm9i/ration1 !  
,director ( ! ,indian ,heal? ,s]vice1 ! 
,secret>y ( ,def5se1 ! ,secret>y (      
,/ate1 ! ,secret>y ( ,vet]ans ,affairs1 
o!r appropriate ,f$]al ag5cies1 ,indian 
tribes1 ,/ate & local gov]nm5ts1 public 
heal? organizations1 sci5ti/s1          
repres5tatives ( at-risk populations1 & 
o!r int]e/$ /akehold]s2 &  7,b7 provide 
opportunity = public input &            
consultation ) ,indian tribes & ,native 
,am]ican organizations4  7b7 ,activities
  7#a7 ,national /rategic action plan   
7,a7 ,9 g5]al ,n lat] ?an #b ye>s aft] !
 date ( enactm5t ( ?is ,act1 !          
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 & 9 collaboration ) o!r ,f$]al ag5cies 
z appropriate1 %all1 on ! basis ( ! be/ 

available sci5ce1 & 9 consultation ) !  
entities describ$ 9 subsection          
7a77#b77;,a71 publi% a national /rategic
 action plan "u subp>agraph 7,b7 to     
guide ! climate & heal? program & assi/ 
public heal? & heal? c>e 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 ,national       
/rategic action plan compon5ts ,!       
national /rategic plan %all include an  
assessm5t ( ! heal? sy/em capacity ( !  
,unit$ ,/ates to address climate *ange  
includ+--  7i7 id5tify+ & prioritiz+    
communities & populations vuln]able to !
 heal? impacts ( climate *ange2  7ii7   
provid+ outrea* & communication aim$ at 
public heal? & heal? c>e pr(essionals & 
! public to promote prep>$ness &        
response /rategies2  7iii7 provid+ =    
programs across ,f$]al ag5cies to       
advance rese>* relat$ to ! impacts (    
climate *ange on heal?2  7iv7 id5tify+ &
 assess+ exi/+ prep>$ness & response    

/rategies = ! heal? impacts ( climate   
*ange2  7v7 prioritiz+ critical public  
heal? & heal? c>e infra/ructure         
projects2  7vi7 provid+ model+ & =eca/+ 
tools ( climate *ange heal? impacts1    
includ+ local impacts1 :]e feasible2    
7vii7 e/abli%+ academic & regional c5t]s
 ( excell5ce2  7viii7 provid+ te*nical  
assi/ance & support = prep>$ness &      
response plans = ! heal? ?reats (       
climate *ange 9 ,/ates1 municipalities1 
t]ritories1 ,indian tribes1 & develop+  
nations2 &  7ix7 develop+1 improv+1     
integrat+1 & ma9ta9+ dome/ic &          
int]national disease surveillance sy/ems
 & monitor+ capacity to respond to      
heal?-relat$ impacts ( climate *ange1   
includ+ on topics address+-- 7,i7 wat]-1
 food-1 & vector-borne infecti\s        
diseases & climate *ange2  7,,ii7       
pulmon>y effects1 includ+ responses to  
a]oall]g5s & toxic exposures2  7,,iii7  
c>diovascul> effects1 includ+ impacts ( 
temp]ature extremes2  7,,iv7 air        
pollution heal? effects1 includ+        

height5$ s5sitivity to air pollution2   
7,v7 h>mful algal blooms2  7,,vi7 m5tal 
& behavioral heal? impacts ( climate    
*ange2  7,,vii7 ! heal? ( migrants1     
refugees1 displac$ p]sons1 & vuln]able  
communities2  7,,viii7 ! implications = 
communities & populations vuln]able to !
 heal? effects ( climate *ange1 z well z
 /rategies = respond+ to climate *ange  
)9 ^! communities2  7,,ix7 tribal1      
local1 & community-bas$ heal?           
int]v5tions = climate-relat$ heal?      
impacts2  7,x7 extreme heat & wea!r     
ev5ts1 includ+ dr\ght2  7,,xi7 decreas$ 
nutritional value ( crops2 &  7,,xii7   
disruptions 9 access to r\t9e & acute   
m$ical c>e4  7#b7 ,climate & heal?      
program ,! ,secret>y1 act+ ?r\gh !      
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 & 9 collaboration ) o!r  
,f$]al ag5cies1 z appropriate1 %all     
ensure t ! climate & heal? program      
e/abli%$ "u ?is section addresses       
priority heal? actions includ+ ! foll[+3
  7,a7 ,s]ve z a cr$ible s\rce (        

in=mation on ! physical1 m5tal1 &       
behavioral heal? consequ5ces ( climate  
*ange = ! ,unit$ ,/ates population &    
globally4  7,b7 ,track data on          
environm5tal conditions1 disease risks1 
& disease occurr5ce relat$ to climate   
*ange4  7,c7 ,exp& capacity = model+ &  
=eca/+ heal? effects t may be           
climate-relat$4  7,d7 ,enhance ! sci5ce 
base to bett] und]/& ! relation%ip      
betwe5 climate *ange & heal? outcomes4  
7,e7 ,id5tify locations & population    
gr\ps at greate/ risk = specific heal?  
?reats & effects1 su* z increas$ heat   
/ress1 degrad$ air & wat] quality1 food 
or wat]-relat$ infections1 vector-borne 
illnesses1 pulmon>y & c>diovascul>      
effects1 m5tal & behavioral heal?       
effects & food1 wat]1 & nutri5t         
insecurity4  7,f7 ,communicate !        
heal?-relat$ aspects ( climate *ange1   
includ+ risks & associat$ co/s & ways to
 r$uce !m1 to ! public1 decisionmak]s1  
public heal? pr(essionals1 & heal? c>e  
provid]s4  7,g7 ,develop p>tn]%ips ) o!r

 gov]nm5t ag5cies1 ! private sector1    
nongov]nm5tal organizations1            
univ]sities1 & int]national             
organizations to m effectively address  
dome/ic & global heal? aspects ( climate
 *ange4  7,h7 ,provide lead]%ip to ,/ate
 & local gov]nm5ts1 community lead]s1   
heal? c>e pr(essionals1 nongov]nm5tal   
organizations1 environm5tal ju/ice      
networks1 fai?-bas$ communities1 !      
private sector & ! public1 dome/ically &
 int]nationally1 reg>d+ heal? protection
 f climate *ange effects4  7,i7 ,develop
 & implem5t prep>$ness & response plans 
= heal? ?reats su* z heat waves1 sev]e  
wea!r ev5ts1 & infecti\s diseases4  7,j7
 ,provide te*nical advice & support to  
,/ate & local heal? dep>tm5ts1 ! private
 sector1 & o!rs 9 develop+ & implem5t+  
national & global prep>$ness measures   
relat$ to ! heal? effects ( climate     
*ange4  7,k7 ,promote work=ce developm5t
 by help+ to ensure ! tra9+ ( a new     
g5]ation ( compet5t1 exp]i5c$ public    
heal? & heal? c>e pr(essionals to       

respond to ! heal? ?reats pos$ by       
climate *ange4  7c7 ,p]iodic assessm5t &
 revision ,n lat] ?an #d ye>s aft] !    
date ( enactm5t ( ?is ,act1 & e #d ye>s 
!reaft]1 ! ,secret>y %all p]iodically   
assess1 & revise z necess>y1 ! national 
/rategic action plan "u subsection      
7b77#a7 & ! climate & heal? program "u  
subsection 7b77#b71 to reflect new      
in=mation collect$ pursuant to !        
implem5tation ( ! national /rategic     
action plan & program & o!rwise1 includ+
 in=mation on--  7#a7 ! /atus ( critical
 environm5tal heal? indicators & 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   
plan & climate & heal? program4  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 laws o!r ?an ?is ,act1      
subject to ! requirem5ts ( su* laws1 9 a
 mann] design$ to a*ieve ! goals ( !    
national /rategic action plan & climate 
& heal? program4  #e4 ,advisory bo>d    
7a7 ,e/abli%m5t ,! ,secret>y %all1      
pursuant to ! ,f$]al ,advisory          
,committee ,act 7#e ,u4,s4,c4 ,app471   
e/abli% a p]man5t sci5ce advisory bo>d  
to be compris$ ( 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 ( ,sci5ces & !   
,presid5t ( ! ,national ,academy (      
,m$ic9e2 &  7#b7 h exp]tise 9 ess5tial  
public heal? & heal? c>e s]vices1       
includ+ ^? relat$ to vuln]able          
populations1 climate *ange1 & o!r       
relevant discipl9es4  ,! ,secret>y %all 

ensure t ! sci5ce advisory bo>d includes
 memb]s ) practical or liv$ exp]i5ce )  
relevant issues4  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 plan & conduct+
 ! climate & heal? program4  #f4        
,climate *ange heal? protection &       
promotion reports  7a7 ,9 g5]al ,!      
,secret>y %all (f] to ent] into an      
agreem5t ) ! ,national ,academies (     
,sci5ces1 ,eng9e]+1 & ,m$ic9e1 "u :i*   
su* ,national ,academies w prep>e       
p]iodic reports to aid public heal? &   
heal? c>e 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 plan & climate 
& heal? program4  7b7 ,submission ,!    
agreem5t "u subsection 7a7 %all require 
a report to be submitt$ to ,congress & !
 ,secret>y & made publicly available n  
lat] ?an #b ye>s aft] ! date ( enactm5t 
( ?is ,act1 & e #d ye>s !reaft]4