,,ii #aah? ,,congress #a/ ,session ,s4 #bfeg ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #bg1 #bjbc,mr4 ,m>key introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to provide = gre5 & resili5t heal? c>e infra/ructure1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,grant+ ,res\rces = ,elim9at+ ,emissions ,n[ 9 ,hospitals ,act or ! ,,gre5 ,hospitals ,act4 #b4 ,gre5 ,hill-,burton funds = climate-ready m$ical facilities 7a7 ,grants = con/ruction or mod]nization projects 7#a7 ,9 g5]al ,section #afaj7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjr7a77 is am5d$-- 7,a7 9 p>agraph 7#a77;,a7-- 7i7 9 clause 7i71 by /rik+ 1 or & ins]t+ a semicolon2 7ii7 9 clause 7ii71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7iii7 by add+ at ! end ! foll[+3 7iii7 increase capacity to provide ess5tial heal? c>e & update m$ical facilities to become m resili5t to climate disa/]s & public heal? crises to ensure access & availability ( quality heal? c>e = communities 9 ne$4 2 & 7,b7 by /rik+ p>agraph 7#c7 & ins]t+ ! foll[+3 7#c7 ,priority ,9 aw>d+ grants "u ?is subsection1 ! ,secret>y %all give priority to applicants ^: projects w include1 by design1 resili5ce aga9/ natural disa/]s1 climate *ange mitigation1 or o!r necess>y pr$isa/] adaptations to ensure cont9u\s heal? c>e access & combat heal? risks due to climate *ange1 su* z-- 7,a7 in/allation ( onsite di/ribut$ g5]ation t comb9es en]gy-effici5t devices1 en]gy /orage1 & r5ewable en]gy 9 accordance ) mod]n electrical safety /&>ds = m$ical facilities to all[ ! m$ical facility to access ess5tial en]gy dur+ p[] outages & optimize use ( onsite & (fsite en]gy s\rces = emissions r$uctions2 7,b7 improv+ air condition+1 monitor+1 & purify+ ?r\gh in/allation ( high-effici5cy heat pumps t provide bo? cool+ & heat+1 air purifi]s1 air filtration sy/ems1 & air quality monitor+ sy/ems integrat$ ) en]gy sy/ems & en]gy effici5cy consid]ations 9 prep>ation = future natural haz>ds & public heal? crises1 su* z wildfire1 smog1 extreme heat ev5ts1 & p&emics2 7,c7 in/allation & ma9t5ance ( wetl&s1 dra9age ponds1 /ormwat] dra9age1 & any o!r gre5 infra/ructure to protect ! m$ical facility f project$ sev]e effects ) respect to extreme wea!r1 natural disa/]s1 or climate *ange-relat$ ev5ts1 includ+ sea-level rise1 flood+1 & increas$ risk ( wildfire2 7,d7 gre5 ro(tops1 walls1 & indoor plant+s1 p>ticul>ly ^? t c provide publicly accessible temp]ature managem5t & air quality improvem5ts2 7,e7 tree plant+ & o!r gre5 infra/ructure to create publicly accessible cool space to address urban heat isl&s2 7,f7 infra/ructure upgrades t protect access r\tes to ! m$ical facility1 su* z long-t]m flood1 wildfire1 & o!r disa/] mitigation = ! roads1 sidewalks1 & public transit infra/ructure t s]vice ! m$ical facility2 7,g7 ! long-t]m ma9t5ance ( dec>bonization & z]o-emissions infra/ructure 7reg>dless ( ! s\rce ( orig9al fund+ = su* infra/ructure72 & 7,h7 any o!r type ( plan or project ! ,secret>y det]m9es w increase ! su/a9ability & resili5cy ( a m$ical facility1 protect pati5t heal? & community access dur+ extreme wea!r1 & advance environm5tal ju/ice4 7#d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subsection #ajj1jjj1jjj1jjj = fiscal ye> #bjbd1 to rema9 available until exp5d$4 4 7#b7 ,te*nical am5dm5t ,section #afaj7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjr7b77 is am5d$ by /rik+ p>agraph 7#c74 7b7 ,m$ical facility project applications 7#a7 ,9 g5]al ,section #afba7;b77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjs-#a7;b77#a77 is am5d$-- 7,a7 9 subp>agraph 7,j71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,k71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,c7 by add+ at ! end ! foll[+3 7,l7 reasonable assurance t ! facility w h adequate /aff+ to fulfill ! community s]vice obligation2 & 7,m7 reasonable assurance t ! facility-- 7i7 has a collective b>ga9+ agreem5t ) #a or m labor organizations repres5t+ employees at ! facility2 or 7ii7 has an explicit policy n to int]f]e ) ! rights ( employees ( ! facility "u section #g ( ! ,national ,labor ,relations ,act4 4 7#b7 ,application = plann+ grants ,section #afba ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjs-#a7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,application = plann+ grants ,an application = a project submitt$ "u "p ,a or ,b %all be deem$ to be complete = purposes ( section #c7;d77#b7 ( ! ,grant+ ,res\rces = ,elim9at+ ,emissions ,n[ 9 ,hospitals ,act1 & ! application %all be deem$ to h be5 submitt$ = purposes ( consid]ation = a plann+ grant "u t section4 4 #c4 ,plann+ & ,evaluation ,grant ,program 7a7 ,def9itions ,9 ?is section3 7#a7 ,m$ical facility ,! t]m m$ical facility means a hospital1 public heal? c5t]1 outpati5t m$ical facility1 rehabilitation facility1 facility = long-t]m c>e1 or o!r facility 7z may be designat$ by ! ,secret>y7 = ! provision ( heal? c>e to ambulatory pati5ts4 7#b7 ,propos$ project ,! t]m propos$ project means a con/ruction or mod]nization project propos$ by an eligible entity 9 a su/a9ability & resili5cy plan4 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#d7 ,su/a9ability & resili5cy plan ,! t]m su/a9ability & resili5cy plan means a plan1 includ+ compreh5sive preproject evaluation1 = a con/ruction or mod]nization project t w\ld1 9 ord] to protect pati5t heal? & community access1 enhance-- 7,a7 ! su/a9ability ( a m$ical facility & infra/ructure surr\nd+ ! m$ical facility2 & 7,b7 ! resili5cy ( t m$ical facility & infra/ructure surr\nd+ ! m$ical facility to climate *ange & public heal? crises4 7b7 ,e/abli%m5t ,! ,secret>y %all e/abli% a grant program1 to be kn[n z ! ,plann+ & ,evaluation ,grant ,program1 "u :i* ! ,secret>y %all make plann+ grants to eligible entities to develop su/a9ability & resili5cy plans = m$ical facilities own$ or op]at$ by ! eligible entity & infra/ructure surr\nd+ ! m$ical facilities4 7c7 ,eligible entities ,to be eligible to receive a plann+ grant "u subsection 7b71 an applicant %all be-- 7#a7 a ,/ate1 ,tribal gov]nm5t1 or political subdivision ( a ,/ate or ,tribal gov]nm5t1 includ+ any city1 t[n1 c\nty1 bor\gh1 hospital di/rict au?ority1 or public or quasi-public corporation2 or 7#b7 a nonpr(it private entity4 7d7 ,applications 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 an eligible entity seek+ a plann+ grant "u subsection 7b7 %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may by regulation prescribe1 includ+-- 7,a7 a description ( ! propos$ project2 7,b7 a summ>y & breakd[n ( ! demographics ( ! pati5t population s]v$ or pot5tially s]v$ by ! m$ical facility "u ! propos$ project1 includ+ in=mation on-- 7i7 :e!r ! m$ical facility is a facility = :i* a majority ( ! rev5ue ! facility receives = pati5t c>e is f reimbursem5ts = m$ical c>e furni%$ to ,m$ic>e & ,m$icaid b5efici>ies "u titles ,,xviii & ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq4 & #acif et seq472 & 7ii7 o!r indications t individuals vuln]able to climate *ange are s]v$ or pot5tially s]v$ by ! m$ical facility2 7,c7 a description ( ! ways 9 :i* ! propos$ project-- 7i7 w c>ry out #a or m activities describ$ 9 subsection 7g72 7ii7 meet ! ne$s ( ! community ! m$ical facility s]ves1 especially ! ne$s ( vuln]able populations2 & 7iii7 meet ! su/a9ability & resili5cy ne$s ( ! m$ical facility due to climate risks & haz>ds2 7,d7 a description ( :e!r ! community s]v$ by ! m$ical facility is an environm5tal ju/ice community2 7,e7 a description ( ! ways 9 :i* ! plann+ grant w\ld be us$ to c>ry out #a or m plann+ & evaluation activities describ$ 9 subsection 7f72 7,f7 reasonable assurance t all labor]s & me*anics employ$ by contractors or subcontractors 9 ! p]=mance ( "w on a project w be paid wages at rates n less ?an ^? prevail+ on simil> "w 9 ! locality z det]m9$ by ! ,secret>y ( ,labor 9 accordance ) sub*apt] ,,iv ( *apt] #ca ( "p ,a ( subtitle ,,ii ( title #dj1 ,unit$ ,/ates ,code 7commonly ref]r$ to z ! ,davis-,bacon ,act7 & ! ,secret>y ( ,labor %all h ) respect to su* labor /&>ds ! au?ority & functions set =? 9 ,reorganization ,plan ,numb]$ #ad ( #aiej 7#fd ,/at4 #abfg2 #e ,u4,s4,c4 ,app47 & section #cade ( title #dj1 ,unit$ ,/ates ,code2 & 7,g7 reasonable assurance t ! facility-- 7i7 has a collective b>ga9+ agreem5t ) #a or m labor organizations repres5t+ employees at ! facility2 or 7ii7 has an explicit policy n to int]f]e ) ! rights ( employees at ! facility "u section #g ( ! ,national ,labor ,relations ,act 7#bi ,u4,s4,c4 #aeg74 7#b7 ,additional applications ,an application submitt$ "u "p ,a or ,b ( title ,,xvi ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjq et seq4 & #db ,u4,s4,c4 #cjjr7 %all be deem$ to be a complete application submitt$ = purposes ( consid]ation = a plann+ grant "u subsection 7b74 7e7 ,selection ,! ,secret>y %all-- 7#a7 9 coord9ation ) ! ,secret>y ( ,en]gy & ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy1 if necess>y1 develop metrics to evaluate applications = plann+ grants "u subsection 7b72 & 7#b7 give priority to applications t focus on improv+ a m$ical facility-- 7,a7 = :i*-- 7i7 a majority ( ! rev5ue ! facility receives = pati5t c>e is f reimbursem5ts = m$ical c>e furni%$ to ,m$ic>e & ,m$icaid b5efici>ies "u titles ,,xviii & ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq4 & #acif et seq472 or 7ii7 a high proportion ( pati5ts is un9sur$1 z det]m9$ by ! ,secret>y2 & 7,b7 t is locat$ 9 a neighborhood or s]ves a pati5t population t-- 7i7 exp]i5ces l[-air quality2 7ii7 lacks gre5 space2 7iii7 be>s high] cumulative pollution burd5s2 or 7iv7 is at disproportionate risk ( exp]i5c+ ! adv]se effects ( climate *ange4 7f7 ,plann+ activities ,plann+ & evaluation activities c>ri$ out by an eligible entity us+ grant funds receiv$ "u subsection 7b7 %all include #a or m ( ! foll[+3 7#a7 ,p]=m+ project plann+1 community outrea* & engagem5t1 feasibility /udies1 & ne$s assessm5ts ( ! local community & pati5t populations4 7#b7 ,p]=m+ eng9e]+ & climate-risk assessm5ts ( ! m$ical facility infra/ructure & ! access r\tes to ! m$ical facility4 7#c7 ,provid+ managem5t & op]ational assi/ance = develop+ & receiv+ fund+ = ! propos$ project4 7#d7 ,o!r plann+ & evaluation activities & assessm5ts z ! ,secret>y det]m9es appropriate4 7g7 ,propos$ projects ,con/ruction & mod]nization activities c>ri$ out by a propos$ project "u a su/a9ability & resili5cy plan develop$ pursuant to a plann+ grant receiv$ "u subsection 7b7 may include-- 7#a7 improvem5ts to ! infra/ructure1 build+s1 & gr\nds ( ! m$ical facility1 includ+-- 7,a7 in/allation ( onsite di/ribut$ g5]ation t comb9es en]gy-effici5t devices1 en]gy /orage1 & r5ewable en]gy 9 accordance ) mod]n electrical safety /&>ds = m$ical facilities to all[ ! m$ical facility to access ess5tial en]gy dur+ p[] outages & optimize use ( onsite & (fsite en]gy s\rces = emissions r$uctions2 & 7,b7 improv+ air condition+1 monitor+1 & purify+ ?r\gh in/allation ( high-effici5cy heat pumps t provide bo? cool+ & heat+1 air purifi]s1 air filtration sy/ems1 & air quality monitor+ sy/ems integrat$ ) en]gy sy/ems & en]gy effici5cy consid]ations 9 prep>ation = future natural haz>ds & public heal? crises su* z wildfire1 smog1 extreme heat ev5ts1 & p&emics2 7#b7 gre5 infra/ructure projects1 su* z-- 7,a7 in/allation & ma9t5ance ( wetl&s1 dra9age ponds1 & any o!r gre5 infra/ructure t w\ld protect ! m$ical facility f project$ sev]e effects ) respect to extreme wea!r1 natural disa/]s1 or climate *ange-relat$ ev5ts1 includ+ sea-level rise1 flood+1 & increas$ risk ( wildfire2 & 7,b7 gre5 ro(tops1 walls1 & indoor plant+s1 p>ticul>ly ^? t c provide publicly accessible temp]ature managem5t & air quality improvem5ts2 7#c7 resili5cy projects to secure local accessibility to ! m$ical facility by protect+ ! access r\tes to ! m$ical facility1 su* z-- 7,a7 infra/ructure upgrades t protect access r\tes to ! m$ical facility1 su* z long-t]m flood1 wildfire1 & o!r disa/] mitigation = ! roads1 sidewalks1 & public transit infra/ructure t s]vice ! m$ical facility2 & 7,b7 ! long-t]m ma9t5ance ( dec>bonization & z]o-emissions infra/ructure2 & 7#d7 any o!r type ( activity ! ,secret>y det]m9es w increase ! su/a9ability & resili5cy ( a m$ical facility & protect pati5t heal? & community access dur+ extreme wea!r4 7h7 ,am\nt ( grant ,! total am\nt ( a grant "u subsection 7b7 %all n exce$ #ejj1jjj4 7i7 ,te*nical assi/ance ,! ,secret>y1 9 coord9ation ) ! ,secret>y ( ,en]gy1 ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy1 & ! ,secret>y ( ,transportation1 if necess>y1 directly or ?r\gh p>tn]%ips ) ,/ates1 ,tribal gov]nm5ts1 & nonpr(it organizations1 %all provide te*nical assi/ance to eligible entities int]e/$ 9 c>ry+ out propos$ projects t-- 7#a7 s]ve environm5tal ju/ice communities or m$ically und]s]v$ communities2 7#b7 demon/rate a commitm5t to provide job tra9+1 appr5tice%ip programs1 & contract+ opportunities to resid5ts & small bus9esses own$ by resid5ts ( ! community t ! m$ical facility s]ves2 7#c7 id5tify & fur!r community priority actions & conduct robu/ community engagem5t2 & 7#d7 employ nature-bas$ solutions t focus on protection1 re/oration1 or managem5t ( ecological sy/ems to safegu>d public heal?1 provide clean air & wat]1 increase natural haz>d resili5ce1 & seque/] c>bon4 7j7 ,prohibition on tra9+ repaym5t ,z a condition ( receiv+ a grant or te*nical assi/ance "u ?is section1 an eligible entity %all c]tify t ! eligible entity does n use1 & if ! eligible entity contracts ) any /aff+ ag5cy or tra9+ provid]1 t su* ag5cy or provid] does n use1 any provision 9 employm5t agreem5ts1 job tra9+ agreem5ts1 or appr5tice%ip program agreem5ts t w\ld require an employee or tra9+ or appr5tice%ip program p>ticipant to pay a debt if ! employee or tra9+ or appr5tice%ip program p>ticipant's employm5t or "w relation%ip or tra9+ p]iod ) a specifi$ employ] or bus9ess entity is t]m9at$4 7k7 ,environm5tal ju/ice communities ,! ,secret>y %all ensure t n less ?an #ej p]c5t ( grant funds aw>d$ "u subsection 7b7 are us$ = su/a9ability & resili5cy plans = propos$ projects locat$ 9 environm5tal ju/ice communities4 7l7 ,au?orization ( ,appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y to c>ry out ?is section #e1jjj1jjj1jjj = fiscal ye> #bjbd1 to rema9 available until exp5d$4