,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #dgje  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bc1 #bjbe,mr4  
,mc,garvey 7= himself1 ,mr4 ,huffman1   
,mr4 ,tonko1 ,ms4 ,sal9as1 ,ms4 ,tlaib1 
& ,mr4 ,coh57 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,natural
 ,res\rces1 & 9 addition to !           
,committees on ,en]gy & ,comm]ce1 &     
,transportation & ,infra/ructure1 = 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 ! issuance & r5ewal (  
c]ta9 ,f$]al au?orizations = m\nta9top  
removal coal m9+ until a heal? /udy is  
conduct$1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,appala*ian ,communities ,heal? ,equity 
,act ( #bjbe or ! ,,a*e ,act ( #bjbe4   
#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$1       
includ+ circulatory1 respiratory1 c5tral
 n]v\s sy/em1 musculoskeletal1 &        
ga/ro9te/9al4  7#c7 ,m\nta9top removal  
coal m9+ has also be5 associat$ )       
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 (         
mortality1 lung canc]1 & *ronic he>t1   
lung1 & kidney disease4 ,^! heal?       
problems /rike bo? wom5 & m5 9 m\nta9top
 removal coal m9+ communities & ^!      
elevat$ levels ( disease1 defects1 &    
mortality p]si/ ev5 aft] controll+ = o!r
 v>iables4  7#d7 ,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? /udy  7a7     
,/udy ,! ,director ( ! ,national        
,in/itute ( ,environm5tal ,heal?        
,sci5ces1 9 consultation ) !            
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy & ! heads ( su* o!r  
,f$]al ag5cies z ! ,director det]m9es   
appropriate1 %all conduct or support a  
compreh5sive /udy reg>d+ ! heal?        
impacts1 if any1 ( m\nta9top removal    
coal m9+ on individuals :o reside 9     
communities 9 close proximity to        
m\nta9top removal coal m9+ projects4    

7b7 ,report ,! ,director ( ! ,national  
,in/itute ( ,environm5tal ,heal?        
,sci5ces %all submit to ! ,secret>y1 &  
make publicly available1 a report reg>d+
 ! results ( ! /udy conduct$ or support$
 "u subsection 7a74  7c7 ,det]m9ation   
,aft] receipt ( ! report requir$ "u     
subsection 7b71 ! ,secret>y %all publi% 
on ! website ( ! ,dep>tm5t ( ,heal? &   
,human ,s]vices a det]m9ation reg>d+    
:e!r m\nta9top removal coal m9+ pres5ts 
any heal? risks to individuals :o reside
 9 communities 9 close proximity to     
m\nta9top removal coal m9+ projects4    
#d4 ,m\nta9top removal coal m9+ ,f$]al  
au?orization moratorium ,no ,f$]al      
au?orization may be issu$ or r5ew$ = any
 m\nta9top removal coal m9+ project1 or 
= any expansion ( su* a project1 by any 
( ! foll[+ individuals be=e ! date on   
:i* ! ,secret>y publi%es a det]m9ation  
"u section #c7;c7 conclud+ t m\nta9top  
removal coal m9+ does n pres5t any heal?
 risks to individuals :o reside 9       
communities 9 close proximity to        

m\nta9top removal coal m9+ projects3    
7#a7 ,! ,secret>y ( ! ,army1 act+ ?r\gh 
! ,*ief ( ,eng9e]s1 or a ,/ate1 "u      
section #djd ( ! ,f$]al ,wat] ,pollution
 ,control ,act 7#cc ,u4,s4,c4 #acdd74   
7#b7 ,! ,adm9i/rator ( ! ,environm5tal  
,protection ,ag5cy1 or a ,/ate1 "u      
section #djb ( ! ,f$]al ,wat] ,pollution
 ,control ,act 7#cc ,u4,s4,c4 #acdb74   
7#c7 ,! ,secret>y ( ! ,int]ior1 act+    
?r\gh ! ,director ( ! ,(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+ monitor+  7a7 ,monitor+       
requirem5t ,any p]son t conducts a      
m\nta9top removal coal m9+ project      
%all-- 7#a7 ) respect to ! site ( !     
project1 c>ry out monitor+ = pollution t
 occurs z a result ( ! project1         
includ+--  7,a7 cont9u\s monitor+ =     
wat]1 air1 & noise pollution2 &  7,b7   
consi/5t monitor+ = soil pollution2 &   
7#b7 bas$ on ! results ( ! monitor+     

c>ri$ out "u p>agraph 7#a7-- 7,a7       
id5tify any pollution t occurs z a      
result ( ! project2 &  7,b7 id5tify ways
 9 :i* individuals :o reside 9          
communities 9 close proximity to !      
project might be expos$ to su*          
pollution4  7b7 ,results ( monitor+     
7#a7 ,submission to ,secret>y ,ea* p]son
 t c>ries out monitor+ "u subsection    
7a77#a7 = a m\nta9top removal coal m9+  
project %all submit to ! ,secret>y1 on a
 mon?ly basis1 ! results ( su* monitor+4
  7#b7 ,public availability ,n lat] ?an 
#g days aft] ! date on :i* ! ,secret>y  
receives results "u p>agraph 7#a71 !    
,secret>y %all make su* results publicly
 available on ! website ( ! ,dep>tm5t ( 
,heal? & ,human ,s]vices 9 a se>*able   
database =mat4  7c7 ,en=cem5t ,if a     
p]son t conducts a m\nta9top removal    
coal m9+ project fails to comply ) ei!r 
subsection 7a7 or 7b7 ) respect to !    
project1 no ,f$]al au?orization may be  
issu$ or r5ew$ = ! project1 or = any    
expansion ( ! project1 by any ( ! foll[+

 individuals3  7#a7 ,! ,secret>y ( !    
,army1 act+ ?r\gh ! ,*ief ( ,eng9e]s1 or
 a ,/ate1 "u section #djd ( ! ,f$]al    
,wat] ,pollution ,control ,act 7#cc     
,u4,s4,c4 #acdd74  7#b7 ,! ,adm9i/rator 
( ! ,environm5tal ,protection ,ag5cy1 or
 a ,/ate1 "u section #djb ( ! ,f$]al    
,wat] ,pollution ,control ,act 7#cc     
,u4,s4,c4 #acdb74  7#c7 ,! ,secret>y ( !
 ,int]ior1 act+ ?r\gh ! ,director ( !   
,(fice ( ,surface ,m9+ ,reclamation &   
,en=cem5t1 or a ,/ate1 "u ! ,surface    
,m9+ ,control & ,reclamation ,act (     
#aigg 7#cj ,u4,s4,c4 #abja et seq474    
7d7 ,applicability ,! requirem5ts "u    
subsections 7a7 & 7b7 %all t]m9ate on ! 
date on :i* ! ,secret>y publi%es !      
det]m9ation describ$ 9 section #c7;c74  
#f4 ,f$]al co/ fee  7a7 ,collection &   
assessm5t ,! ,secret>y ( ! ,int]ior1    
act+ ?r\gh ! ,director ( ! ,(fice (     
,surface ,m9+ ,reclamation & ,en=cem5t1 
%all assess & collect a "o-"t fee f ea* 
p]son t1 z ( ! date ( ! enactm5t ( ?is  
,act1 is conduct+ or has previ\sly      

complet$ a m\nta9top removal coal m9+   
project 9 ! ,unit$ ,/ates1 9 an am\nt   
suffici5t to recov] ! ,f$]al co/ (      
implem5t+ sections #c & #e4  7b7 ,use ( 
fee ,am\nts collect$ "u ?is section may 
be us$1 to ! ext5t & 9 ! am\nt provid$ 9
 advance 9 appropriations ,acts1 only to
 pay ! ,f$]al co/ ( c>ry+ out sections  
#c & #e4  #g4 ,def9itions ,9 ?is ,act3  
7#a7 ,f$]al au?orization ,! t]m ,f$]al  
au?orization means a p]mit1 lic5se1 or  
o!r au?orization t is issu$ by a ,f$]al 
ag5cy4  7#b7 ,m\nta9top removal coal m9+
 ,! t]m m\nta9top removal coal m9+ means
 surface coal m9+ t-- 7,a7 uses bla/+ ) 
explosives2 &  7,b7 is c>ri$ out 9 !    
/eep slope regions ( ,k5tucky1          
,t5nessee1 ,we/ ,virg9ia1 & ,virg9ia4   
7#c7 ,secret>y ,! t]m ,secret>y means ! 
,secret>y ( ,heal? & ,human ,s]vices4   
7#d7 ,/eep slope ,! t]m /eep slope has !
 mean+ giv5 ! t]m 9 section #eae7;d77#d7
 ( ! ,surface ,m9+ ,control &           
,reclamation ,act ( #aigg 7#cj ,u4,s4,c4
 #abfe7;d77#d774