,i #aai? ,,congress #b;d ,session ,h4 ,r4 #hcig ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #ba1 #bjbf,ms4 ,und]wood 7= h]self1 ,mrs4 ,mc,iver1 ,ms4 ,tlaib1 ,ms4 ,norton1 ,ms4 ,moore ( ,wiscons91 ,mrs4 ,watson ,coleman1 ,ms4 ,kamlag]-,dove1 ,mr4 ,johnson ( ,georgia1 ,ms4 ,pressley1 ,mr4 ,ivey1 ,mr4 ,kri%namoor?i1 ,mr4 ,m5efee1 ,mr4 ,bell1 ,mr4 ,m\lton1 ,ms4 ,cl>ke ( ,new ,york1 ,ms4 ,del,bene1 ,mr4 ,g>am5di1 ,mr4 ,coh51 ,ms4 ,/ansbury1 ,mrs4 ,d+ell1 ,ms4 ,jacobs1 ,mr4 ,figures1 ,mr4 ,hors=d1 ,mr4 ,g>ca ( ,ill9ois1 ,mr4 ,veasey1 ,mrs4 ,beatty1 ,mr4 ,smi? ( ,wa%+ton1 ,ms4 ,sewell1 ,ms4 ,wilson ( ,florida1 ,mr4 ,jackson ( ,ill9ois1 ,mr4 ,conaway1 ,mr4 ,scott ( ,virg9ia1 ,mrs4 ,hayes1 ,ms4 ,craig1 ,mr4 ,mc,garvey1 ,mrs4 ,grijalva1 ,mr4 ,c>son1 ,mrs4 ,mc,bath1 ,mr4 ,latim]1 ,ms4 ,johnson ( ,texas1 ,mr4 ,soto1 ,ms4 ,adams1 & ,ms4 ,p\7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to protect ,moms & babies aga9/ climate *ange1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,moms & ,babies ,aga9/ ,climate ,*ange ,act4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,adv]se mat]nal & infant heal? outcomes ,! t]m adv]se mat]nal & infant heal? outcomes includes ! outcomes ( pret]m bir?1 l[ bir? weight1 /illbir?1 infant or mat]nal mortality1 & sev]e mat]nal morbidity4 7#b7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja74 7#c7 ,mat]nal mortality ,! t]m mat]nal mortality means a dea? occurr+ dur+ or )9 a #a-ye> p]iod aft] pregnancy1 caus$ by pregnancy-relat$ or *ildbir? complications1 includ+ a suicide1 ov]dose1 or o!r dea? result+ f a m5tal heal? or sub/ance use disord] attribut$ to or aggravat$ by pregnancy-relat$ or *ildbir? complications4 7#d7 ,m9ority-s]v+ in/itution ,! t]m m9ority-s]v+ in/itution means an entity specifi$ 9 any ( p>agraphs 7#a7 ?r\gh 7#g7 ( section #cga7;a7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajfgq7a774 7#e7 ,p]9atal heal? work] ,! t]m p]9atal heal? work] means a noncl9ical heal? work] focus$ on mat]nal or p]9atal heal?1 su* z a d\la1 community heal? work]1 pe] support]1 lactation educator or c\nselor1 nutritioni/ or dietitian1 *ildbir? educator1 social work]1 home visitor1 pati5t navigator or coord9ator1 or language int]pret]4 7#f7 ,racial & e?nic m9ority gr\p ,! t]m racial & e?nic m9ority gr\p has ! mean+ giv5 su* t]m 9 section #agjg7;g77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjju-#f7;g774 7#g7 ,risks associat$ ) climate *ange ,! t]m risks associat$ ) climate *ange includes risks associat$ ) extreme heat1 air pollution1 extreme wea!r ev5ts1 & o!r environm5tal issues associat$ ) climate *ange t c result 9 adv]se mat]nal & infant heal? outcomes4 7#h7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#i7 ,sev]e mat]nal morbidity ,! t]m sev]e mat]nal morbidity means a heal? condition1 includ+ m5tal heal? conditions & sub/ance use disord]s1 attribut$ to or aggravat$ by pregnancy or *ildbir? t results 9 significant %ort-t]m or long-t]m consequ5ces to ! heal? ( ! individual :o 0 pregnant4 7#aj7 ,/akehold] organization ,! t]m /akehold] organization means-- 7,a7 a community-bas$ organization ) exp]tise 9 provid+ assi/ance to vuln]able individuals2 7,b7 a nonpr(it organization ) exp]tise 9-- 7i7 mat]nal or infant heal?2 or 7ii7 environm5tal or climate ju/ice2 & 7,c7 a pati5t advocacy organization repres5t+ vuln]able individuals4 7#aa7 ,vuln]able individual ,! t]m vuln]able individual means-- 7,a7 an individual :o is pregnant2 7,b7 an individual :o 0 pregnant dur+ any portion ( ! prec$+ #a-ye> p]iod2 & 7,c7 an individual "u #c ye>s ( age4 #c4 ,grant program to protect vuln]able mo!rs & babies f climate *ange risks 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all e/abli% a grant program to protect vuln]able individuals f risks associat$ ) climate *ange4 7b7 ,grant au?ority ,9 c>ry+ out ! ,program1 ! ,secret>y may aw>d1 on a competitive basis1 grants to #aj cov]$ entities4 7c7 ,applications ,to be eligible = a grant "u ! ,program1 a cov]$ entity %all submit to ! ,secret>y an application at su* "t1 9 su* =m1 & conta9+ su* in=mation z ! ,secret>y may require1 :i* %all include1 at a m9imum1 a description ( ! foll[+3 7#a7 ,plans = ! use ( grant funds aw>d$ "u ! ,program & h[ pati5ts & /akehold] organizations 7 involv$ 9 ! developm5t ( su* plans4 7#b7 ,h[ su* grant funds w be t>get$ to geographic areas t h disproportionately high levels ( risks associat$ ) climate *ange = vuln]able individuals4 7#c7 ,h[ su* grant funds w be us$ to address racial & e?nic disp>ities 9-- 7,a7 adv]se mat]nal & infant heal? outcomes2 & 7,b7 exposure to risks associat$ ) climate *ange = vuln]able individuals4 7#d7 ,/rategies to prev5t an initiative assi/$ ) su* grant funds f caus+-- 7,a7 adv]se environm5tal impacts2 7,b7 displacem5t ( resid5ts & bus9esses2 7,c7 r5t & h\s+ price increases2 or 7,d7 disproportionate adv]se impacts on racial & e?nic m9ority gr\ps & o!r und]s]v$ populations4 7d7 ,selection ( grant recipi5ts 7#a7 ,tim+ ,n lat] ?an #bgj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all select ! recipi5ts ( grants "u ! ,program4 7#b7 ,consultation ,9 select+ cov]$ entities = grants "u ! ,program1 ! ,secret>y %all consult )-- 7,a7 repres5tatives ( /akehold] organizations2 7,b7 ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy2 7,c7 ! ,adm9i/rator ( ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration2 & 7,d7 f ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7i7 ! ,deputy ,assi/ant ,secret>y = ,m9ority ,heal?2 7ii7 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7iii7 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration2 7iv7 ! ,director ( ! ,national ,in/itutes ( ,heal?2 & 7v7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7#c7 ,priority ,9 select+ grantees "u ! ,program1 ! ,secret>y %all give priority to cov]$ entities t s]ve a c\nty or locality-- 7,a7 designat$1 or locat$ 9 an area designat$1 z a nonatta9m5t area pursuant to section #ajg ( ! ,clean ,air ,act 7#db ,u4,s4,c4 #gdjg7 = any air pollutant = :i* air quality crit]ia h be5 issu$ "u section #ajh7;a7 ( su* ,act 7#db ,u4,s4,c4 #gdjh7;a772 7,b7 ) a level ( vuln]ability ( mod]ate-to-high or high]1 accord+ to ! ,social ,vuln]ability ,index ( ! ,c5t]s = ,disease ,control & ,prev5tion1 or a simil> rat+ ( social vuln]ability accord+ to relat$ ,f$]al mapp+ tools2 7,c7 ) temp]atures t pose a risk to human heal?1 z det]m9$ by ! ,secret>y1 9 consultation ) ! ,adm9i/rator ( ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration & ! ,*air ( ! ,unit$ ,/ates ,global ,*ange ,rese>* ,program1 bas$ on ! be/ available sci5ce2 7,d7 ) elevat$ rates ( mat]nal mortality1 sev]e mat]nal morbidity1 mat]nal heal? disp>ities1 or o!r adv]se p]9atal or *ildbir? outcomes2 7,e7 ) a rat+ ( v high or relatively high risk accord+ to ! ,national ,risk ,index = ,natural ,haz>ds ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy2 or 7,f7 ) o!r climate-s5sitive haz>ds ) associations to adv]se mat]nal or infant heal? outcomes1 z det]m9$ by ! ,secret>y4 7#d7 ,limitation ,a recipi5t ( grant funds "u ! ,program may n use su* grant funds to s]ve a c\nty or locality t is s]v$ by any o!r recipi5t ( a grant "u ! ,program4 7e7 ,use ( funds ,a cov]$ entity aw>d$ grant funds "u ! ,program may only use su* grant funds = ! foll[+3 7#a7 ,initiatives to id5tify risks associat$ ) climate *ange = vuln]able individuals & to provide s]vices & support to su* individuals t address su* risks1 :i* may include-- 7,a7 tra9+ = heal? c>e provid]s1 p]9atal heal? work]s1 & o!r employees 9 hospitals1 bir? c5t]s1 midwif]y practices1 & o!r heal? c>e practices t provide pr5atal or labor & deliv]y s]vices to vuln]able individuals on ! id5tification (1 & pati5t c\nsel+ relat+ to1 risks associat$ ) climate *ange = vuln]able individuals2 7,b7 hir+1 tra9+1 or provid+ res\rces to p]9atal heal? work]s :o c help id5tify risks associat$ ) climate *ange = vuln]able individuals1 provide pati5t c\nsel+ ab\t su* risks1 & c>ry out ! di/ribution ( relevant s]vices & support2 7,c7 enhanc+ ! monitor+ ( risks associat$ ) climate *ange = vuln]able individuals1 includ+ by-- 7i7 collect+ data on su* risks 9 specific c5sus tracts1 neighborhoods1 or o!r geographic areas2 & 7ii7 %>+ su* data ) local heal? c>e provid]s1 p]9atal heal? work]s1 & o!r employees 9 hospitals1 bir? c5t]s1 midwif]y practices1 & o!r heal? c>e practices t provide pr5atal or labor & deliv]y s]vices to local vuln]able individuals2 & 7,d7 provid+ vuln]able individuals-- 7i7 air condition+ units1 resid5tial wea!rization support1 filtration sy/ems1 h\sehold appliances1 or relat$ items2 7ii7 direct f9ancial assi/ance2 & 7iii7 s]vices & support1 includ+ h\s+ assi/ance1 evacuation assi/ance1 transportation assi/ance1 access to cool+ %elt]s1 & m5tal heal? c\nsel+1 to prep>e = or recov] f extreme wea!r ev5ts1 :i* may include floods1 hurricanes1 wildfires1 dr\ghts1 & relat$ ev5ts4 7#b7 ,initiatives to mitigate levels ( & exposure to risks associat$ ) climate *ange = vuln]able individuals1 :i* %all be bas$ on ! be/ available sci5ce & :i* may include initiatives to-- 7,a7 develop1 ma9ta91 or exp& urban or community =e/ry initiatives & tree canopy cov]age initiatives2 7,b7 improve infra/ructure1 su* z build+s & pav$ surfaces2 7,c7 develop or improve community outrea* networks to provide culturally & l+ui/ically appropriate in=mation & notifications ab\t risks associat$ ) climate *ange = vuln]able individuals2 & 7,d7 provide enhanc$ s]vices to racial & e?nic m9ority gr\ps & o!r und]s]v$ populations4 7f7 ,l5g? ( aw>d ,a grant "u ?is section %all be disburs$ ov] #d fiscal ye>s4 7g7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to a cov]$ entity aw>d$ a grant "u ! ,program to support ! developm5t1 implem5tation1 & evaluation ( activities fund$ ) su* grant4 7h7 ,reports to ,secret>y 7#a7 ,annual report ,= ea* fiscal ye> dur+ :i* a cov]$ entity is disburs$ grant funds "u ! ,program1 su* cov]$ entity %all submit to ! ,secret>y a report t summ>izes ! activities c>ri$ out by su* cov]$ entity ) su* grant funds dur+ su* fiscal ye>1 :i* %all include a description ( ! foll[+3 7,a7 ,! involvem5t ( /akehold] organizations 9 ! implem5tation ( initiatives assi/$ ) su* grant funds4 7,b7 ,relevant heal? & environm5tal data1 disaggregat$1 to ! ext5t practicable1 by race1 e?nicity1 prim>y language1 socioeconomic /atus1 geography1 insurance type1 pregnancy /atus1 & o!r relevant demographic in=mation4 7,c7 ,qualitative fe$back receiv$ f vuln]able individuals ) respect to initiatives assi/$ ) su* grant funds4 7,d7 ,crit]ia us$ 9 select+ ! geographic areas assi/$ ) su* grant funds4 7,e7 ,ef=ts to address racial & e?nic disp>ities 9 adv]se mat]nal & infant heal? outcomes & 9 exposure to risks associat$ ) climate *ange = vuln]able individuals4 7,f7 ,any negative & un9t5d$ impacts ( initiatives assi/$ ) su* grant funds1 includ+-- 7i7 adv]se environm5tal impacts2 7ii7 displacem5t ( resid5ts & bus9esses2 7iii7 r5t & h\s+ price increases2 & 7iv7 disproportionate adv]se impacts on racial & e?nic m9ority gr\ps & o!r und]s]v$ populations4 7,g7 ,h[ ! cov]$ entity w address & prev5t any impacts describ$ 9 subp>agraph 7,f74 7#b7 ,publication ,n lat] ?an #cj days aft] ! date on :i* a report is submitt$ "u p>agraph 7#a71 ! ,secret>y %all publi% su* report on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7i7 ,report to ,congress ,n lat] ?an ! date t is #e ye>s aft] ! date on :i* ! ,program is e/abli%$1 ! ,secret>y %all submit to ,congress & publi% on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report on ! results ( ! ,program1 includ+ ! foll[+3 7#a7 ,summ>ies ( ! annual reports submitt$ "u subsection 7h74 7#b7 ,evaluations ( ! initiatives assi/$ ) grant funds "u ! ,program4 7#c7 ,an assessm5t ( ! effectiv5ess ( ! ,program 9-- 7,a7 id5tify+ risks associat$ ) climate *ange = vuln]able individuals2 7,b7 provid+ s]vices & support to su* individuals2 7,c7 mitigat+ levels ( & exposure to su* risks2 & 7,d7 address+ racial & e?nic disp>ities 9 adv]se mat]nal & infant heal? outcomes & 9 exposure to su* risks4 7#d7 ,a description ( h[ ! ,program c\ld be exp&$1 includ+-- 7,a7 monitor+ ef=ts or data collection t w\ld be requir$ to id5tify areas ) high levels ( risks associat$ ) climate *ange = vuln]able individuals2 7,b7 h[ su* areas c\ld be id5tifi$ us+ ! /rategy develop$ "u section #f2 & 7,c7 recomm5dations = additional fund+4 7j7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ entity means a consortium ( organizations s]v+ a c\nty t-- 7,a7 %all include a community-bas$ organization2 & 7,b7 may include-- 7i7 ano!r /akehold] organization2 7ii7 ! gov]nm5t ( su* c\nty2 7iii7 ! gov]nm5ts ( "o or m municipalities )9 su* c\nty2 7iv7 a ,/ate or local public heal? dep>tm5t or em]g5cy managem5t ag5cy2 7v7 a local heal? c>e practice1 :i* may include a lic5s$ & accr$it$ hospital1 bir? c5t]1 midwif]y practice1 or o!r heal? c>e practice t provides pr5atal or labor & deliv]y s]vices to vuln]able individuals2 7vi7 an ,indian tribe or ,tribal organization 7z su* t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd772 7vii7 an ,urban ,indian organization 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc772 & 7viii7 an in/itution ( high] education4 7#b7 ,! t]m ,program means ! grant program "u ?is section4 7k7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #ajj1jjj1jjj = ! p]iod ( fiscal ye>s #bjbg ?r\gh #bjcj4 #d4 ,grant program = education & tra9+ at heal? pr(ession s*ools 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a grant program to provide funds to heal? pr(ession s*ools to support ! developm5t & integration ( education & tra9+ programs = id5tify+ & address+ risks associat$ ) climate *ange = vuln]able individuals4 7b7 ,grant au?ority ,9 c>ry+ out ! ,program1 ! ,secret>y may aw>d1 on a competitive basis1 grants to heal? pr(ession s*ools4 7c7 ,application ,to be eligible = a grant "u ! ,program1 a heal? pr(ession s*ool %all submit to ! ,secret>y an application at su* "t1 9 su* =m1 & conta9+ su* in=mation z ! ,secret>y may require1 :i* %all include1 at a m9imum1 a description ( ! foll[+3 7#a7 ,h[ su* heal? pr(ession s*ool w engage ) vuln]able individuals1 & /akehold] organizations repres5t+ su* individuals1 9 develop+ & implem5t+ ! education & tra9+ programs support$ by grant funds aw>d$ "u ! ,program4 7#b7 ,h[ su* heal? pr(ession s*ool w ensure t su* education & tra9+ programs w address racial & e?nic disp>ities 9 exposure to1 & ! effects (1 risks associat$ ) climate *ange = vuln]able individuals4 7d7 ,use ( funds ,a heal? pr(ession s*ool aw>d$ a grant "u ! ,program %all use ! grant funds to develop1 & integrate into ! curriculum & cont9u+ education ( su* heal? pr(ession s*ool1 education & tra9+ on ea* ( ! foll[+3 7#a7 ,id5tify+ risks associat$ ) climate *ange = vuln]able individuals & individuals ) ! int5t to become pregnant4 7#b7 ,h[ risks associat$ ) climate *ange affect vuln]able individuals & individuals ) ! int5t to become pregnant4 7#c7 ,racial & e?nic disp>ities 9 exposure to1 & ! effects (1 risks associat$ ) climate *ange = vuln]able individuals & individuals ) ! int5t to become pregnant4 7#d7 ,pati5t c\nsel+ & mitigation /rategies relat+ to risks associat$ ) climate *ange = vuln]able individuals4 7#e7 ,relevant s]vices & support = vuln]able individuals relat+ to risks associat$ ) climate *ange & /rategies = ensur+ vuln]able individuals h access to su* s]vices & support4 7#f7 ,implicit & explicit bias1 racism1 & discrim9ation4 7#g7 ,relat$ topics id5tifi$ by su* heal? pr(ession s*ool bas$ on ! engagem5t ( su* heal? pr(ession s*ool ) vuln]able individuals & /akehold] organizations repres5t+ su* individuals4 7e7 ,p>tn]%ips ,9 c>ry+ out activities ) grant funds1 a heal? pr(ession s*ool aw>d$ a grant "u ! ,program may p>tn] ) "o or m ( ! foll[+3 7#a7 ,a ,/ate or local public heal? dep>tm5t4 7#b7 ,a heal? c>e pr(essional memb]%ip organization4 7#c7 ,a /akehold] organization4 7#d7 ,a heal? pr(ession s*ool4 7#e7 ,an in/itution ( high] education4 7f7 ,reports to ,secret>y 7#a7 ,annual report ,= ea* fiscal ye> dur+ :i* a heal? pr(ession s*ool is disburs$ grant funds "u ! ,program1 su* heal? pr(ession s*ool %all submit to ! ,secret>y a report t describes ! activities c>ri$ out ) su* grant funds dur+ su* fiscal ye>4 7#b7 ,f9al report ,n lat] ?an ! date t is #a ye> aft] ! end ( ! la/ fiscal ye> dur+ :i* a heal? pr(ession s*ool is disburs$ grant funds "u ! ,program1 ! heal? pr(ession s*ool %all submit to ! ,secret>y a f9al report t summ>izes ! activities c>ri$ out ) su* grant funds4 7g7 ,report to ,congress ,n lat] ?an ! date t is #f ye>s aft] ! date on :i* ! ,program is e/abli%$1 ! ,secret>y %all submit to ,congress & publi% on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report t includes ! foll[+3 7#a7 ,a summ>y ( ! reports submitt$ "u subsection 7f74 7#b7 ,recomm5dations to improve education & tra9+ programs at heal? pr(ession s*ools ) respect to id5tify+ & address+ risks associat$ ) climate *ange = vuln]able individuals4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m heal? pr(ession s*ool means an accr$it$-- 7,a7 m$ical s*ool2 7,b7 s*ool ( nurs+2 7,c7 midwif]y program2 7,d7 physician assi/ant education program2 7,e7 tea*+ hospital2 7,f7 resid5cy or fell[%ip program2 or 7,g7 o!r s*ool or program det]m9$ appropriate by ! ,secret>y4 7#b7 ,! t]m ,program means ! grant program "u ?is section4 7i7 ,au?orization ( ,appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ! p]iod ( fiscal ye>s #bjbg ?r\gh #bjcj4 #e4 ,,nih ,consortium on ,bir? & ,climate ,*ange ,rese>* 7a7 ,e/abli%m5t ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,director ( ! ,national ,in/itutes ( ,heal? %all e/abli% ! ,consortium on ,bir? & ,climate ,*ange ,rese>* 79 ?is section ref]r$ to z ! ,consortium74 7b7 ,duties 7#a7 ,9 g5]al ,! ,consortium %all coord9ate1 across ! in/itutes1 c5t]s1 & (fices ( ! ,national ,in/itutes ( ,heal?1 rese>* on ! risks associat$ ) climate *ange = vuln]able individuals4 7#b7 ,requir$ activities ,9 c>ry+ out p>agraph 7#a71 ! ,consortium %all-- 7,a7 e/abli% rese>* priorities1 includ+ by prioritiz+ rese>* t-- 7i7 id5tifies ! risks associat$ ) climate *ange = vuln]able individuals ) a p>ticul> focus on disp>ities 9 su* risks among racial & e?nic m9ority gr\ps & o!r und]s]v$ populations2 & 7ii7 id5tifies /rategies to r$uce levels (1 & exposure to1 su* risks1 ) a p>ticul> focus on risks among racial & e?nic m9ority gr\ps & o!r und]s]v$ populations2 7,b7 id5tify gaps 9 available data relat$ to su* risks2 7,c7 id5tify gaps 91 & opportunities =1 rese>* collaborations2 7,d7 id5tify fund+ opportunities = community-bas$ organizations & rese>*]s f racially1 e?nically1 & geographically div]se backgr\nds2 7,e7 id5tify opportunities to increase public aw>5ess relat$ to risks associat$ ) climate *ange = vuln]able individuals2 & 7,f7 publi% annual reports on ! "w & f9d+s ( ! ,consortium on a public website ( ! ,national ,in/itutes ( ,heal?4 7c7 ,memb]%ip ,! ,director %all appo9t to ! ,consortium repres5tatives ( su* in/itutes1 c5t]s1 & (fices ( ! ,national ,in/itutes ( ,heal? z ! ,director consid]s appropriate1 includ+1 at a m9imum1 repres5tatives (-- 7#a7 ! ,national ,in/itute ( ,environm5tal ,heal? ,sci5ces2 7#b7 ! ,national ,in/itute on ,m9ority ,heal? & ,heal? ,disp>ities2 7#c7 ! ,eunice ,k5n$y ,%riv] ,national ,in/itute ( ,*ild ,heal? & ,human ,developm5t2 7#d7 ! ,national ,in/itute ( ,m5tal ,heal?2 7#e7 ! ,national ,in/itute ( ,nurs+ ,rese>*2 & 7#f7 ! ,(fice ( ,rese>* on ,wom5's ,heal?4 7d7 ,*airp]son ,! ,*airp]son ( ! ,consortium %all be designat$ by ! ,director & select$ f among ! repres5tatives appo9t$ "u subsection 7c74 7e7 ,consultation ,9 c>ry+ out ! duties describ$ 9 subsection 7b71 ! ,consortium %all consult )-- 7#a7 ! heads ( relevant ,f$]al ag5cies1 includ+-- 7,a7 ! ,environm5tal ,protection ,ag5cy2 7,b7 ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration2 7,c7 ! ,occupational ,safety & ,heal? ,adm9i/ration2 & 7,d7 f ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7i7 ! ,(fice ( ,m9ority ,heal? 9 ! ,(fice ( ! ,secret>y2 7ii7 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7iii7 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration2 7iv7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7v7 ! ,indian ,heal? ,s]vice2 & 7vi7 ! ,adm9i/ration = ,*ildr5 & ,families2 & 7#b7 repres5tatives (-- 7,a7 /akehold] organizations2 7,b7 heal? c>e provid]s & pr(essional memb]%ip organizations ) exp]tise 9 mat]nal heal? or environm5tal ju/ice2 7,c7 ,/ate & local public heal? dep>tm5ts2 7,d7 lic5s$ & accr$it$ hospitals1 bir? c5t]s1 midwif]y practices1 or o!r heal? c>e practices t provide pr5atal or labor & deliv]y s]vices to vuln]able individuals2 & 7,e7 in/itutions ( high] education1 includ+ su* in/itutions t are m9ority-s]v+ in/itutions or h exp]tise 9 mat]nal heal? or environm5tal ju/ice4 #f4 ,/rategy = id5tify+ climate *ange risk zones = vuln]able mo!rs & babies 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all develop a /rategy 79 ?is section ref]r$ to z ! ,/rategy7 = designat+ areas t ! ,secret>y det]m9es to h a high risk ( adv]se mat]nal & infant heal? outcomes among vuln]able individuals z a result ( risks associat$ ) climate *ange4 7b7 ,/rategy requirem5ts 7#a7 ,9 g5]al ,9 develop+ ! ,/rategy1 ! ,secret>y %all e/abli% a process to id5tify areas :]e vuln]able individuals are expos$ to a high risk ( adv]se mat]nal & infant heal? outcomes z a result ( risks associat$ ) climate *ange 9 conjunction ) o!r factors t c impact su* heal? outcomes1 includ+-- 7,a7 ! incid5ce ( diseases associat$ ) air pollution1 extreme heat1 & o!r environm5tal factors2 7,b7 ! availability & accessibility ( mat]nal & infant heal? c>e provid]s2 7,c7 ,engli%-language pr(ici5cy among wom5 ( reproductive age2 7,d7 ! heal? insurance /atus ( wom5 ( reproductive age2 7,e7 ! numb] ( wom5 ( reproductive age :o are memb]s ( racial or e?nic gr\ps ) disproportionately high rates ( adv]se mat]nal & infant heal? outcomes2 7,f7 ! socioeconomic /atus ( wom5 ( reproductive age1 includ+ ) respect to-- 7i7 pov]ty2 7ii7 unemploym5t2 7iii7 h\sehold income2 & 7iv7 educational atta9m5t2 & 7,g7 access to quality h\s+1 transportation1 & nutrition4 7#b7 ,res\rces ,9 develop+ ! ,/rategy1 ! ,secret>y %all id5tify1 & incorporate a description (1 ! foll[+3 7,a7 ,exi/+ mapp+ tools or ,f$]al programs t id5tify-- 7i7 risks associat$ ) climate *ange = vuln]able individuals2 & 7ii7 o!r factors t c influ5ce mat]nal & infant heal? outcomes1 includ+ ! factors describ$ 9 p>agraph 7#a74 7,b7 ,environm5tal1 heal?1 socioeconomic1 & demographic data relevant to id5tify+ risks associat$ ) climate *ange = vuln]able individuals4 7,c7 ,exi/+ monitor+ networks t collect data describ$ 9 subp>agraph 7,b71 & any gaps 9 su* networks4 7,d7 ,f$]al1 ,/ate1 & local /akehold]s involv$ 9 ma9ta9+ monitor+ networks id5tifi$ "u subp>agraph 7,c71 & h[ su* /akehold]s are coord9at+ _! monitor+ ef=ts4 7,e7 ,additional monitor+ networks1 & enhancem5ts to exi/+ monitor+ networks1 t w\ld be requir$ to address gaps id5tifi$ "u subp>agraph 7,c71 includ+ at ! subc\nty & c5sus tract level4 7,f7 ,fund+ am\nts requir$ to e/abli% ! monitor+ networks id5tifi$ "u subp>agraph 7,e7 & recomm5dations = ,f$]al1 ,/ate1 & local coord9ation ) respect to su* networks4 7,g7 ,pot5tial uses = data collect$ & g5]at$ z a result ( ! ,/rategy1 includ+ h[ su* data may be us$ 9 det]m9+ recipi5ts ( grants "u ! program e/abli%$ by section #c or o!r simil> programs4 7,h7 ,o!r in=mation ! ,secret>y consid]s relevant = ! developm5t ( ! ,/rategy4 7c7 ,coord9ation & consultation ,9 develop+ ! ,/rategy1 ! ,secret>y %all-- 7#a7 coord9ate ) ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy & ! ,adm9i/rator ( ! ,national ,oceanic & ,atmosph]ic ,adm9i/ration2 & 7#b7 consult )-- 7,a7 /akehold] organizations2 7,b7 heal? c>e provid]s & pr(essional memb]%ip organizations ) exp]tise 9 mat]nal heal? or environm5tal ju/ice2 7,c7 ,/ate & local public heal? dep>tm5ts2 7,d7 lic5s$ & accr$it$ hospitals1 bir? c5t]s1 midwif]y practices1 or o!r heal? c>e provid]s t provide pr5atal or labor & deliv]y s]vices to vuln]able individuals2 & 7,e7 in/itutions ( high] education1 includ+ su* in/itutions t are m9ority-s]v+ in/itutions or h exp]tise 9 mat]nal heal? or environm5tal ju/ice4 7d7 ,notice & comm5t ,at lea/ #bdj days be=e ! date on :i* ! ,/rategy is publi%$ 9 accordance ) subsection 7e71 ! ,secret>y %all provide-- 7#a7 notice ( ! ,/rategy on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7#b7 an opportunity = public comm5t ( at lea/ #ij days4 7e7 ,publication ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all publi% on a public website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7#a7 ! ,/rategy2 7#b7 ! public comm5ts receiv$ "u subsection 7d72 & 7#c7 ! responses ( ! ,secret>y to su* public comm5ts4