,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bcdj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ag1 #bjbe ,mr4  
,m>key 7= himself1 ,ms4 ,blunt ,ro*e/]1 
,mr4 ,m]kley1 & ,mr4 ,book]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 & implem5t a program
 & national /rategic action plan to     
prep>e & emp[] ! heal? c>e sector to    
protect ! heal? & well-be+ ( our work]s1
 our communities1 & our planet 9 ! face 
( ! climate crisis1 & = o!r purposes4   
#a4  ,%ort title  ,?is ,act may be cit$ 
z ! ,climate ,*ange ,heal? ,protection &
 ,promotion ,act ( #bjbe4  #b4          
,def9itions  ,9 ?is ,act3 7#a7 ,director
 ,! t]m ,director means ! ,director ( ! 
,(fice4  7#b7  ,environm5tal ju/ice     
community  ,! t]m environm5tal ju/ice   
community means a community )           
significant repres5tation ( communities 
( color1 l[-income communities1 or      

,tribal & ,indig5\s communities t       
exp]i5ces1 or is at risk ( exp]i5c+1    
high] or m adv]se human heal? or        
environm5tal effects4  7#c7  ,m$ically  
und]s]v$ community  ,! t]m m$ically     
und]s]v$ community has ! mean+ giv5 su* 
t]m 9 section #gii;,b ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4 #biep74    
7#d7  ,national /rategic action plan  ,!
 t]m national /rategic action plan means
 ! national /rategic action plan publi%$
 pursuant to section #d7;b77#a74  7#e7  
,(fice  ,! t]m ,(fice means ! ,(fice (  
,climate ,*ange & ,heal? ,equity        
e/abli%$ by section #d7;a77#a74  7#f7   
,secret>y  ,! t]m ,secret>y means !     
,secret>y ( ,heal? & ,human ,s]vices4   
#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  ,(fice ( ,climate     
,*ange & ,heal? ,equity2 national       
/rategic action plan  7a7  ,(fice (     
,climate ,*ange & ,heal? ,equity  7#a7  
,e/abli%m5t  7,a7  ,9 g5]al  ,!re is    
e/abli%$ )9 ! ,dep>tm5t ( ,heal? &      
,human ,s]vices ! ,(fice ( ,climate     
,*ange & ,heal? ,equity4  7,b7  ,purpose
  ,! purpose ( ! ,(fice %all be to      
facilitate a robu/1 ,f$]al response to !
 impact ( climate *ange on ! heal? ( !  
,am]ican p & ! heal? c>e sy/em4  7,c7   
,director  ,!re is e/abli%$ ! position (
 ,director ( ! ,(fice1 :o %all be ! head
 ( ! ,(fice1 & :o %all report to !      
,secret>y4  7#b7  ,activities  ,! duties
 ( ! ,(fice %all be to address priority 
heal? actions relat+ to ! heal? impacts 
( climate *ange1 includ+ by do+ ea* ( ! 
foll[+1 9 collaboration ) o!r ,f$]al    
ag5cies1 z ! ,director det]m9es         
appropriate3  7,a7 ,contribute to       
assessm5ts ( h[ climate *ange is affect+
 ! heal? ( individuals liv+ 9 ! ,unit$  

,/ates4  7,b7 ,und]/& ! ne$s ( !        
populations mo/ disproportionately      
affect$ by climate-relat$ heal? ?reats1 
includ+ environm5tal ju/ice communities 
& m$ically und]s]v$ communities4  7,c7  
,s]ve z a cr$ible s\rce ( in=mation on !
 physical1 m5tal1 & behavioral heal?    
consequ5ces ( climate *ange4  7,d7      
,track data on environm5tal conditions1 
disease risks1 & disease occurr5ce      
relat$ to climate *ange4  7,e7 ,exp&    
capacity = model+ & =eca/+ heal? effects
 t may be climate-relat$4  7,f7 ,enhance
 ! sci5ce base to bett] und]/& !        
relation%ip betwe5 climate *ange & heal?
 outcomes4  7,g7 ,communicate !         
heal?-relat$ aspects ( climate *ange1   
includ+ risks & associat$ co/s & ways to
 r$uce !m1 to ! public1 decision-mak]s1 
public heal? pr(essionals1 & heal? c>e  
provid]s4  7,h7 ,align ,f$]al ef=ts to  
deploy climate-consci\s human s]vices & 
direct s]vices to support & protect     
populations disproportionately affect$  
by climate *ange1 includ+ environm5tal  

ju/ice communities & m$ically und]s]v$  
communities4  7,i7 ,develop & di/ribute 
tools & res\rces to support climate     
resili5ce = ! heal? sector1             
community-bas$ organizations1 &         
individuals4  7,j7 ,develop & implem5t  
prep>$ness & response plans = heal?     
?reats1 su* z heat waves1 sev]e wea!r   
ev5ts1 & infecti\s diseases4  7,k7 ,lead
 ef=ts to r$uce ! gre5h\se gas &        
environm5tal impacts ( ! heal? sector1  
includ+ by develop+ & di/ribut+ tools & 
res\rces to support heal? sector ef=ts  
to track & decrease sectoral gre5h\se   
gas emissions4  7,l7 ,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 sector1 & !      
public1 reg>d+ heal? protection f       
climate *ange effects4  7,m7 ,develop   
p>tn]%ips ) o!r gov]nm5t ag5cies1 !     
private sector1 nongov]nm5tal           
organizations1 & in/itutions ( high]    

education1 to m effectively address !   
heal? aspects ( climate *ange4  7,n7    
,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  7,o7     
,c>ry out o!r activities1 z ! ,secret>y 
det]m9es appropriate4  7b7  ,national   
/rategic action plan  7#a7  ,9 g5]al  ,n
 lat] ?an #a ye> aft] ! date ( enactm5t 
( ?is ,act1 ! ,secret>y1 on ! basis ( ! 
be/ available sci5ce1 & 9 consultation  
pursuant to p>agraph 7#b71 %all publi% a
 national /rategic action plan to       
coord9ate effective deploym5t ( ,f$]al  
ef=ts to ensure t public heal? & heal?  
c>e sy/ems are prep>$ = & c respond to !
 impacts ( climate *ange on heal? 9 !   
,unit$ ,/ates4  7#b7  ,consultation  ,9 
develop+ or mak+ any revision to !      
national /rategic action plan1 !        
,secret>y %all--  7,a7 consult ) !      
,director1 ! ,adm9i/rator ( !           
,environm5tal ,protection ,ag5cy1 ! ,"u 

,secret>y ( ,comm]ce = ,oceans &        
,atmosph]e1 ! ,adm9i/rator ( ! ,national
 ,a]onautics & ,space ,adm9i/ration1 !  
,director ( ! ,indian ,heal? ,s]vice1 ! 
,secret>y ( ,labor1 ! ,secret>y (       
,def5se1 ! ,secret>y ( ,/ate1 !         
,secret>y ( ,vet]ans ,affairs1 & ! heads
 ( o!r appropriate ,f$]al ag5cies1      
,tribal gov]nm5ts1 & ,/ate & local      
gov]nm5t (ficials2 &  7,b7 provide      
mean+ful opportunity = engagem5t1       
comm5t1 & consultation ) relevant public
 /akehold]s1 p>ticul>ly repres5tatives (
 populations disproportionately affect$ 
by climate *ange1 includ+ environm5tal  
ju/ice communities1 m$ically und]s]v$   
communities1 ,tribal communities1 heal? 
c>e provid]s1 public heal?              
organizations1 & sci5ti/s4  7#c7        
,national /rategic action plan compon5ts
  ,! national /rategic action plan %all 
include an assessm5t (1 & /rategies to  
improve1 ! heal? sector capacity ( !    
,unit$ ,/ates to address ! impacts (    
climate *ange1 includ+--  7,a7 id5tify+1

 prioritiz+1 & engag+ communities &     
populations :o are disproportionately   
affect$ by1 or at greate/ risk =1       
exposures to climate haz>ds2  7,b7      
address+ m5tal & physical heal?         
disp>ities exac]bat$ by climate impacts 
to enhance community heal? resili5ce2   
7,c7 id5tify+ ! l9k betwe5 environm5tal 
inju/ice & vuln]ability to ! impacts (  
climate *ange & prioritiz+ ^? :o h be5  
h>m$ by environm5tal & climate inju/ice2
  7,d7 provid+ outrea* & communication  
aim$ at public heal? & heal? c>e        
pr(essionals & ! public to promote      
prep>$ness & response /rategies2  7,e7  
track+ & assess+ programs across ,f$]al 
ag5cies to advance rese>* relat$ to !   
impacts ( climate *ange on heal?2  7,f7 
id5tify+ & assess+ exi/+ prep>$ness &   
response /rategies = ! heal? impacts (  
climate *ange2  7,g7 prioritiz+ critical
 public heal? & heal? c>e infra/ructure 
projects2  7,h7 provid+ model+ & =eca/+ 
tools ( climate *ange heal? impacts1    
includ+ local impacts1 :]e feasible2    

7,i7 e/abli%+ academic & regional c5t]s 
( excell5ce2  7,j7 recomm5d+ models =   
ma9ta9+ access to heal? c>e dur+ extreme
 wea!r2  7,k7 provid+ te*nical assi/ance
 & support = prep>$ness & response plans
 = ! heal? ?reats ( climate *ange 9     
,/ates1 municipalities1 t]ritories1 &   
,indian ,tribes2  7,l7 address+ !       
impacts ( gre5h\se gas emissions on !   
heal? ( individuals liv+ 9 ! ,unit$     
,/ates2  7,m7 track+ heal? c>e sector   
contributions to gre5h\se gas emissions 
& id5tify+ actions to r$uce ^?          
emissions2  7,n7 recomm5d+ new          
regulations or policies to address      
id5tifi$ gaps 9 ! heal? sy/em capacity  
to effectively r$uce emissions1 r$uce   
environm5tal impact1 & address climate  
*ange2 &  7,o7 develop+1 improv+1       
integrat+1 & ma9ta9+ disease            
surveillance sy/ems & monitor+ capacity 
to respond to heal?-relat$ impacts (    
climate *ange1 includ+ on topics        
address+--  7i7 wat]-1 food-1 &         
vector-borne infecti\s diseases &       

climate *ange2  7ii7 pulmon>y effects1  
includ+ responses to a]oall]g5s1        
infecti\s ag5ts1 & toxic exposures2     
7iii7 c>diovascul> effects1 includ+     
impacts ( temp]ature extremes2  7iv7 air
 pollution heal? effects1 includ+       
height5$ s5sitivity to air pollution su*
 z wildfire smoke2  7v7 reproductive    
heal? effects1 includ+ access to        
reproductive heal? c>e2  7vi7 h>mful    
algal blooms2  7vii7 m5tal & behavioral 
heal? impacts ( climate *ange2  7viii7 !
 heal? ( migrants1 refugees1 displac$   
p]sons1 environm5tal ju/ice communities1
 m$ically und]s]v$ communities1 & o!r   
communities disproportionately affect$  
by climate *ange2  7ix7 ! implications =
 communities & populations vuln]able to 
! heal? effects ( climate *ange1 z well 
z /rategies = respond+ to climate *ange 
)9 su* communities2  7x7 ,tribal1 local1
 & community-bas$ heal? int]v5tions =   
climate-relat$ heal? impacts2  7xi7     
extreme heat & wea!r ev5ts2  7xii7      
decreas$ nutritional value ( crops2 &   

7xiii7 disruptions 9 access to r\t9e &  
acute m$ical c>e1 public heal? programs1
 & o!r supportive s]vices = ma9ta9+     
heal?4  7c7  ,p]iodic assessm5t &       
revision  ,n lat] ?an #a ye> aft] ! date
 ( fir/ publication ( ! national        
/rategic action plan1 & annually        
!reaft]1 ! ,secret>y %all p]iodically   
assess1 & revise z necess>y1 ! national 
/rategic action plan1 to reflect new    
in=mation collect$1 includ+ in=mation   
on--  7#a7 ! /atus ( & tr5ds 9 critical 
environm5tal heal? indicators & relat$  
human heal? impacts2  7#b7 ! tr5ds 9 &  
impacts ( climate *ange on public heal?2
  7#c7 advances 9 ! developm5t (        
/rategies = prep>+ = & respond+ to !    
impacts ( climate *ange on public heal?2
 &  7#d7 ! effectiv5ess ( !             
implem5tation ( ! national /rategic     
action plan 9 protect+ aga9/ climate    
*ange heal? ?reats4  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 ( !
 ,(fice & ! 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 laws o!r ?an ?is
 ,act1 subject to ! requirem5ts ( su*   
laws1 9 a mann] design$ to a*ieve !     
goals ( ! ,(fice & ! national /rategic  
action plan4  7#c7  ,heal? impact       
assessm5t  7,a7  ,9 g5]al  ,n lat] ?an  
#ahj days aft] ! date ( enactm5t ( ?is  
,act1 ! ,secret>y %all id5tify propos$ &
 curr5t laws1 policies1 & programs t are
 ( p>ticul> int]e/ = _! impact 9        
contribut+ to or alleviat+ heal? burd5s 
& ! heal? impacts ( climate *ange4  7,b7
  ,assessm5ts  ,n lat] ?an #b ye>s aft] 
! date ( enactm5t ( ?is ,act1 ! head (  
ea* relevant ,f$]al ag5cy %all--  7i7   
assess ! impacts t ! propos$ & curr5t   
laws1 policies1 & programs id5tifi$ "u  
subp>agraph 7,a7 "u _! jurisdiction h or
 may h on protection aga9/ ! heal?      

?reats ( climate *ange2 &  7ii7 assi/   
,/ate1 ,tribal1 local1 & t]ritorial     
gov]nm5ts 9 conduct+ su* assessm5ts4    
#e4  ,advisory bo>d  7a7  ,e/abli%m5t   
,! ,secret>y %all1 pursuant to *apt] #aj
 ( title #e1 ,unit$ ,/ates ,code1       
e/abli% a p]man5t sci5ce advisory bo>d  
to be compos$ ( n less ?an #aj & n m ?an
 #bj memb]s4  7b7  ,appo9tm5t ( memb]s  
7#a7  ,9 g5]al  ,! ,secret>y %all appo9t
 ! memb]s ( ! sci5ce advisory bo>d f    
among individuals :o--  7,a7 are        
recomm5d$ by ! ,presid5t ( ! ,national  
,academy ( ,sci5ces or ! ,presid5t ( !  
,national ,academy ( ,m$ic9e2 &  7,b7 h 
exp]tise 9 ess5tial public heal? & heal?
 c>e s]vices1 includ+ ) respect to      
div]se populations1 climate *ange1      
environm5tal & climate ju/ice1 & o!r    
relevant discipl9es4  7#b7  ,requirem5t 
,! ,secret>y %all ensure t ! sci5ce     
advisory bo>d includes memb]s )         
practical or liv$ exp]i5ce ) relevant   
issues describ$ 9 p>agraph 7#a77;,b74   
7c7  ,functions  ,! sci5ce advisory bo>d

 %all-- 7#a7 provide sci5tific &        
te*nical advice & recomm5dations to !   
,secret>y on ! impacts ( climate *ange  
on public heal? & populations & regions 
disproportionately affect$ by 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 ( c>ry+ out ! activities ( ! 
,(fice & issu+ ! national /rategic      
action plan2 &  7#c7 submit a report to 
,congress on its activities &           
recomm5dations n lat] ?an #a ye> aft] ! 
date ( enactm5t ( ?is ,act & n less     
frequ5tly ?an e ye> !reaft]4  7d7       
,support  ,! ,secret>y %all provide     
f9ancial & adm9i/rative support to !    
bo>d4  #f4  ,climate *ange heal?        
protection & promotion reports  7a7  ,9 
g5]al  ,! ,secret>y %all (f] to ent]    
into an agreem5t1 includ+ ! provision ( 
su* fund+ z may be necess>y1 ) !        
,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 & heal? disp>ities (      
climate *ange2  7#b7 evaluate !         
measurable impacts ( activities und]tak5
 at ! directive ( ! national /rategic   
action plan2 &  7#c7 recomm5d *anges to 
! national /rategic action plan4  7b7   
,submission ,! agreem5t "u subsection   
7a7 %all require a report to be submitt$
 to ,congress & ! ,secret>y & made      
publicly available n lat] ?an #a ye>    
aft] ! fir/ publication ( ! national    
/rategic action plan1 & e #d ye>s       
!reaft]4  #g4  ,au?orization (          
appropriations  7a7  ,(fice ( climate   
*ange & heal? equity  ,!re is au?oriz$  
to be appropriat$ to ! ,secret>y to c>ry
 out section #d7;a7 #aj1jjj1jjj = ea* ( 
fiscal ye>s #bjbf ?r\gh #bjca4  7b7     
,national /rategic action plan  ,!re is 
au?oriz$ to be appropriat$ to !         

,secret>y to c>ry out section #d7;b7    
#b1jjj1jjj = fiscal ye> #bjbf1 to rema9 
available until exp5d$4  7c7  ,advisory 
bo>d  ,!re is au?oriz$ to be appropriat$
 to ! ,secret>y to c>ry out section #e  
#ejj1jjj = fiscal ye> #bjbf1 to rema9   
available until exp5d$4